Faktor-Faktor Yang Berhubungan Dengan Tekanan Darah Pada Remaja Usia 15–17 Tahun Di Kabupaten Bandung

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Elevated blood pressure / hypertension in adolescents (n=2259). Intervention: Male sex, age, anxiety, and nutritional status (multivariate risk factors) vs. Female sex, age 15 years, normal anxiety, and normal nutritional status (reference categories). Primary outcome: Elevated blood pressure (based on 2017 AAP guidelines) (OR 0.699, 95% CI 0.588-0.832, p=<0.001).

Q: What does this research mean for the field?

Nutritional status, anxiety, age, and sex are independently associated with elevated blood pressure in adolescents. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

Hasya Milati Hanifah; Oktia Woro Kasmini Handayani

doi:10.51878/healthy.v6i1.15028

November 2, 2026HEALTHY Jurnal Inovasi Riset Ilmu KesehatanOpen Access

Faktor-Faktor Yang Berhubungan Dengan Tekanan Darah Pada Remaja Usia 15–17 Tahun Di Kabupaten Bandung

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Why the study?

Elevated blood pressure in adolescence carries a substantial risk of tracking into adulthood and exacerbating future cardiovascular morbidity, prompting investigation of factors associated with blood pressure among adolescents aged 15–17 years in Bandung Regency.

Key Points

To analyze factors associated with blood pressure among adolescents aged 15–17 years in Bandung Regency.
Conducted an observational analytic cross-sectional study using secondary screening data from the SatuSehat Indonesia Health Information System recorded across 53 community health centers between January and July 2026.
Included 2,259 adolescents aged 15–17 years selected via total sampling after screening for complete anthropometric, hemodynamic, behavioral, and psychological data.
Analyzed data using chi-square tests and multivariate multiple logistic regression with the Backward Likelihood Ratio method at an alpha level of 0.05.
A total of 1,033 adolescents (45.7%) presented with elevated blood pressure based on American Academy of Pediatrics 2017 criteria.
Multivariate logistic regression revealed that nutritional status (p = 0.010), anxiety (p < 0.001), age (p = 0.018), and sex (p < 0.001) were independently and significantly associated with blood pressure.

Study Design

Type

Cross-Sectional (n=2,259)

Multicenter

Yes

Structured PICO

P

Population

2,259 adolescents aged 15-17 years (59.7% female) in Bandung Regency, Indonesia, with complete health screening records in the SatuSehat system between January and July 2026.

O

Outcome

Blood pressure status (categorized as normal vs. elevated blood pressure based on 2017 American Academy of Pediatrics guidelines)surrogate

Main Result

Odds Ratio: 0.699 (95% CI 0.588–0.832)

p-value: p=<0.001

Limitations

Cross-sectional design precludes establishing temporal causality
Blood pressure was measured during a single mass-screening visit rather than repeated clinical visits required for a formal hypertension diagnosis
Secondary registry data lacked quantitative details on cumulative dose, duration, and intensity of behavioral exposures such as smoking and physical activity
Potential residual confounding due to unmeasured variables including family genetic history, daily sodium intake, and sleep quality

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Implication

Nearly half (45.7%) of screened adolescents aged 15–17 years in Bandung Regency had elevated blood pressure, which was independently associated with nutritional status, anxiety, age, and sex, highlighting the need for integrated physical and mental health screening in primary care.

Abstract

Elevated blood pressure during adolescence carries a substantial risk of tracking into adulthood, thereby exacerbating future cardiovascular disease morbidity. This study aimed to examine factors associated with blood pressure among adolescents aged 15–17 years in Bandung Regency. An observational analytic design with a cross-sectional approach was implemented using secondary data from the Free Health Check-up Screening recorded in the SatuSehat Indonesia Health Information System between January and July 2026. A total of 2,259 adolescents were selected through total sampling based on predefined inclusion criteria. Data were evaluated using univariate, bivariate (chi-square test), and multivariate analyses via multiple logistic regression with the Backward Likelihood Ratio method at . The results revealed that 1,033 adolescents (45.7%) exhibited elevated blood pressure, with the final multivariate model confirming that nutritional status (p = 0.010), anxiety (p < 0.001), age (p = 0.018), and sex (p < 0.001) were independently and significantly associated with blood pressure.

Discussion

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Cite This Study

Hanifah et al. (2026) conducted a cross-sectional in Elevated blood pressure / hypertension in adolescents (n=2,259). Male sex, age, anxiety, and nutritional status (multivariate risk factors) vs. Female sex, age 15 years, normal anxiety, and normal nutritional status (reference categories) was evaluated on Elevated blood pressure (based on 2017 AAP guidelines) (OR 0.699, 95% CI 0.588-0.832, p=<0.001).

synapsesocial.com/papers/6aea773089a8acbed9c87b5d https://doi.org/10.51878/healthy.v6i1.15028

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Faktor-Faktor Yang Berhubungan Dengan Tekanan Darah Pada Remaja Usia 15–17 Tahun Di Kabupaten Bandung

Key Points

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Faktor-Faktor Yang Berhubungan Dengan Tekanan Darah Pada Remaja Usia 15–17 Tahun Di Kabupaten Bandung

Key Points

Study Design

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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