Research in Community and Public Health Nursing

Original Articles

[English] Modelling of Family Functioning, Dietary Diversity, Family Environmental Sanitation, Household Food Insecurity Access, and Stunting: A Cross-Sectional Study in Rural Areas of Indonesia: Tantut Susanto, Hanny Rasni, Emi Wuri Wuryaningsih, Eka Afdi Septiyono, Vigo Agustilano Salim; Res Community Public Health Nurs. 2026;37(2):125-135. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01305

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Abstract PDF Supplementary Material: Purpose
Risk factors associated with stunting are often studied individually, while their combined effect within a single framework is poorly understood. This study aimed to model the interrelationships between family function, dietary diversity, family environmental sanitation, and household food insecurity access as predictors of stunting in rural areas of Indonesia.
Methods
A descriptive-analytic, cross-sectional approach was conducted on 339 mothers with stunted children under five years of age in a rural area of Indonesia from June to August 2025. Data were collected using questionnaires and measurements of stunting. Data analysis utilised Structural Equation Modelling (SEM) based on Partial Least Squares (PLS) to examine the relationships among mothers' factors, child factors, family functioning (as measured by the Family Assessment Device - FAD), dietary diversity, family environmental sanitation (FES), household food insecurity access (HFIA), and stunting.
Results
The final structural model demonstrated that dietary diversity (p=.001; β=.16) and family functioning (p=.003; β=.20) were the most significant direct predictors of stunting. Notably, 'child factors' (e.g., medical history) also had a direct effect on stunting (p=.029; β=0.14), but more importantly, exerted a powerful indirect influence by significantly shaping family functioning, FES, and HFIA. While 'mother factors' (e.g. education) influenced household food and hygiene, they did not have a direct statistical effect on stunting in the final model.
Conclusion
Alongside dietary diversity, family functioning is a key predictor of stunting. To be effective, community nursing interventions must integrate strategies that support family dynamics with traditional nutritional guidance.

[English] The Effect of Senior Elementary School Students’ Emotional Perception Clarity, Emotion Regulation, and Family Relationship on Non-Suicidal Self-Injury and Depression: Ji-hye Shin, Suk-Sun Kim; J Korean Acad Community Health Nurs. 2021;32(4):457-466. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.457

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Purpose
The purpose of this study was to examine the correlations among emotional perception clarity, emotion regulation, family relationship, non-suicidal self-injury, and depression, and to determine associated factors of non-suicidal self-injury and depression for senior elementary school students.
Methods
Data were collected from 150 early adolescences in K region, Korea. A self-report questionnaire consisted of Trait Meta-Mood Scale, Cognitive Emotion Regulation Questionnaire, Family Relationship Assessment Scale, Functional Assessment of Self-Mutilation, and Children's Depression Inventory. The data were analyzed using t-test, Pearson’s correlation coefficient, logistic regression, and multiple regression analysis. Results: Non-suicidal self-injury and depression were positively associated with maladaptive emotion regulation strategy and family conflict, but negatively related to emotional perception clarity and family support. Adaptive emotion regulation strategy and family togetherness were only significantly correlated with depression. In logistic regression analysis, significant predictors of non-suicidal self-injury were emotional perception clarity, maladaptive emotion regulation strategy, and family support. Multiple regression analysis found that significant factors of depression were adaptive and maladaptive emotion regulation strategies, which explained 38.0% of the variance.
Conclusion
Our study findings suggest that targeted intervention to reinforce the adaptive emotion regulation strategy and family relationship may prevent non-suicidal self-injury, and depression for senior elementary school students.

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학교모래놀이 집단상담이 초기자해행동 초등학생의 애착에 미치는 효과:예비연구
Ester Park, Un-Kyoung Ahn
School Counselling and Sandplay.2024; 6(2): 18. CrossRef

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