Page 140 - Abstract Book KONIKA 18

Developmental Behavioral & Community Pediatrics

P-DBCP-017
Impact of Home-based Learning on Adolescent Psychosocial Problems and
Health-related Quality of Life during COVID-19 Pandemic Era

Rusmawati, Mei Neni Sitaresmi, Retno Sutomo
Department of Child Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta,
Indonesia

Abstract
Background Students worldwide undergo home-based learning during COVID-19 pandemic. There were
some difficulties in the home-based learning process and may give an impact on psychosocial problems and
quality of life. Objective To study prevalence and risk factors of psychosocial problems and quality of life in
adolescent during the home-based learning process. Methods A cross-sectional study was conducted among
Junior High School students in Surakarta during June-July 2021. We applied cluster random sampling for
public and private school students. The psychosocial problem was assessed by Pediatric Symptom Checklist
(PSC-17) and health-related quality of life (HRQoL) was assessed by The Pediatric Quality of Life Inventory
(PedsQL). Data was collected online using google form and analysed by Chi-square and Mann Whitney
U test. Results Overall there were 282 respondents. There was 19.5% students with psychosocial problem
based on PSC-17, including 31.6% internalizing, 2.8% externalizing, and 11.7% attention problems. Mean
HRQoL total score was 76.97 (95% CI 75.37-78.57). Female students had more prevalence of internalizing
(OR 2.54; 95% CI 1.51-4.26 P= 0.0004) and attention (OR 2.24; 95% CI 1.05-4.76; P= 0.034). Student with
technical problems in online learning had significantly lower mean of HRQoL of school functioning aspect
(69.66 vs 74.74; P= 0.019). Conclusion Home-based learning impacts on adolescence psychosocial problem
and their quality of life. Female gender is a risk factor for internalizing and attention problems. Technical
problems in online learning is a risk factor for HRQoL’s school functioning.
Keywords: home-based learning; COVID-19; psychosocial problems; quality of life; adolescent

P-DBCP-018
Insulin-Like Growth Factor-1 (IGF-1) Level Analysis on Children with Short
Stature

Purnamasari Natsir Putri, Martira Maddeppungeng, Idham Jaya Ganda
Department of Child Health, Faculty of Medicine Universitas Hasanuddin, Dr. Wahidin Sudirohusodo General Hospi-
tal, Makassar
Abstract
Background Short stature is still a challenge for children's health in Indonesia. It is a chronic condition
that describes a linear growth disorder due to malnutrition over a long period of time. Consentration of the
hormone IGF-1 (Insulin-like Growth Factor 1) is very sensitive to changes in nutritional status. Decreased
IGF-1 concentrations play an important role in the incidence of malnutrition-mediated short stature. Objective
To analyze IGF-1 levels in children with short stature compared to normal stature. Methods A cross-sectional
research design was used and the primary data on short stature children aged 24-72 months from preschools
and kindergartens in Makassar from April to June 2021 were collected. Subjects were divided into 2 groups,
children of short stature and normal stature as control group. Measurement of serum IGF-1 levels was
performed in each group. The data obtained were analyzed using SPSS-25. Results The collected samples
were 91 children, consisting of 31 short stature children and 60 normal stature children. IGF-1 levels in short
stature children were lower than normal stature (P<0.001). The cut off value of IGF-1 levels between short
stature and normal stature was 28.54 ng/mL, AUC 0.724, sensitivity 67.7%, specificity 66.67%, positive
predictive value 51.2%, negative predictive value 80%, and AOR 3.9. Conclusion IGF-1 levels in children
with short stature are lower than normal stature. In children with IGF-1 levels 28.54 ng/mL, the risk of
experiencing short stature is 3.9 times compared to IGF-1 levels > 28.54 ng/mL.
Keywords: IGF-1; short stature; malnutrition; cut-off

92 KONIKA XVIII Abstract Book