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Determinants of Women’s Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java Desy Eka Ilmiyah; Uki Retno Budihastuti; Ismi Dwi Astuti Nurhaeni; Ambar Mudigdo
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and the hormonal contraceptive implant (effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of women’s choice of a LARC in Boyolali, Central Java. Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program. Results: Women’s choice of the LARC increased with age ≥35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ≥senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ≥3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001). Conclusion: Women’s choice of LARC increases with age ≥35 years, education ≥senior highschool, parity ≥3, better knowledge, counseling by health worker, and husband support.

Health Belief Model on the Factors Associated with the Use of HPV Vaccine for the Prevention of Cervical Cancer among Women in Kediri, East Java Rosi Rizqi Nugrahani; Uki Retno Budihastuti; Eti Poncorini Pamungakasari
Journal of Epidemiology and Public Health Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health

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Background: Cervical cancer is a deadly disease with high incidence rates in the world and in Indonesia. In Kediri, East Java, there were 33 women who had cervical cancer in 2016, 3 of them died. Cervical cancer is caused by type 16 and type 18 Human Papilloma Viruses (HPV). This disease can be prevented by the application of HPV vaccine. This study aimed to examine factors associated with the use of HPV vaccine for the prevention of cervical cancer among women in Kediri, East Java, using health belief model (HBM).Subjects and Method: This study was an analytic observational with case control design. It was conducted in Kediri, East Java, from February 10 to March 10, 2017. A sample of 120 women consisting of 40 women who had used HPV vaccine and 80 women who had not used HPV vaccine, were selected for this study by fixed disease sampling. The dependent variable was use of HPV vaccine. The independent variables included perceived susceptibility, perceived severity, perceived benefit, perceived threat, perceived barrier, and cues to action. The data were collected by a set of pre-tested questionnaire. Logistic regression was employed for data analysis.Results: The use of HPV vaccine was associated with perceived susceptibility (OR= 0.79; 95% CI= 0.23 to 2.70; p= 0.710), perceived severity (OR= 5.19; 95% CI= 1.30 to 20.66; p= 0.019), perceived threat (OR= 1.04; 95% CI= 0.32 to 3.35; p= 0.942), perceived benefit (OR= 1.33; 95% CI= 0.40 to 4.38; p= 0.638), perceived barrier (OR= 0.42; 95% CI= 0.14 to 1.27; p= 0.126), and cues to action (OR= 5.90; 95% CI= 1.30 to 26.74; p = 0.021).Conclusion: The use of HPV vaccine is associated with perceived susceptibility, perceived severity, perceived threat, perceived benefit, perceived barrier, and cues to action. Constructs in health belief model can be used to predict the use of HPV vaccine.Keywords: health belief model, use of HPV vaccineCorrespondence: Rosi Rizqi Nugrahani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: rchochia@yahoo.com. Mobile: +6285735150606.Journal of Epidemiology and Public Health (2017), 2(1): 70-81https://doi.org/10.26911/jepublichealth.2017.02.01.07

Does Secondary Smoking and Posyandu Affect the Risk of Hypertension in Pregnancy? Multilevel Evidence from Magelang, Central Java Erin Rizkiana; Uki Retno Budihastuti; Vitri Widyaningsih
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Background: Pregnancy hypertension was a complication of pregnancy which became one of the causes of maternal and perinatal morbidity and mortality in the world. This study aimed to determine the effect of individual and contextual factors of integrated health post (posyandu) on hypertension in pregnancy.Subjects and Method: A case control study was conducted in 5 posyandus in Magelang, Central Java, from April to May 2019. A sample of 210 women was selected by simple random sampling. The dependent variable was hypertension in pregnancy. The independent variables were age, parity, nutritional status, family history of hypertension, history of hypertension before pregnancy, history of hormonal contraceptive, and exposure to cigarette smoke. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: Hypertension in pregnancy increased with age <24 or > 35 years old (b= 2.10; 95% CI= 0.16 to 4.04; p= 0.033), parity (b= -3.81; 95% CI = - 6.31 to -1.32; p = 0.003), nutritional status (b= 3.35; 95% CI= 1.36 to 5.33; p= 0.001), family hypertension history (b= 3.35; 95% CI= 1.33 to 5.37; p= 0.001), hypertension history before pregnancy (b= 2.46; 95% CI= 1.1 to 3.81; p<0.001), hormonal contraceptive history (b= 2.6; 95% CI= 0.53 to 4.72; p= 0.014), and cigarette smoke exposure (b= 2.87; 95% CI= 1.15 to 4.58; p= 0.001). Posyandu had negligible contextual effect on hypertension in pregnancy with ICC= 7.6%.Conclusion: Hypertension in pregnancy increases with age <24 or > 35 years old, parity, nutritional status, family hypertension history, hypertension history before pregnancy, hormonal contraceptive history, and cigarette smoke exposure. Posyandu has negligible contextual effect on hypertension in pregnancy.Keywords: Hypertension, pregnancy, cigarette smoke, multilevel analysisCorrespondence: Erin Rizkiana, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: erinrizkiana777@gmail.com. Mobile: 085729883106Journal of Epidemiology and Public Health (2019), 4(3): 247-258https://doi.org/10.26911/jepublichealth.2019.04.03.12

Effectiveness of Health Promotion by Indonesian Breastfeeding Association in Increasing Exclusive Breastfeeding Coverage in Surabaya City, East Java Diani Octaviyanti Handajani; Eti Poncorini Pamungkasari; Uki Retno Budihastuti
Journal of Health Promotion and Behavior Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Breastfeeding is essential for health, development, and child survival by preventing child illness. However, exclusive breastfeeding has not reached the desired target. Health promotion by Indonesian Breastfeeding Association (AIMI) participation is one way to increase exclusive breastfeeding coverage. There are several causative factors that influence exclusive breastfeeding, which can be explained by the PRECEDE-PROCEED model. This study aimed to determine the effectiveness of health promotion through the Association of Indonesian Breastfeeding Mothers (AIMI) in increasing coverage of exclusive breastfeeding in Surabaya, East Java.Subjects and Method: This was an analytic observational study with a cohort retrospective design. The study was conducted at AIMI Surabaya branch office and 6 community health centers in Surabaya, East Java, from December 2017 and January 2018. A total sample of 120 lactating mothers was selected for this study by simple random sampling. The dependent variable was breastfeeding. The independent variables were AIMI participation, maternal knowledge, maternal education, maternal attitude, family support, and peer support. The data were collected by questionnaire and analyzed by path analysis.Results: Exclusive breastfeeding increased with AIMI participation (b= 1.02; 95% CI= -0.19 to 2.24; p=0.101), better maternal knowledge (b= 1.48; 95% CI= 0.15 to 2.79; p=0.029), positive maternal attitude (b= 2.22; 95% CI= 1.03 to 3.38; p<0.001), and stronger family support (b= 2.69; 95% CI= 1.25 to 4.11; p<0.001). Maternal attitude increased with AIMI participation (b= 0.69; 95% CI= -0.18 to 1.57; p=0.116), better maternal knowledge (b= 1.56; 95% CI= 0.72 to 2.39; p<0.001), and higher maternal education (b= 0.71; 95% CI= -0.11 to 1.52; p=0.089). AIMI participation increased with higher education (b= 1.07; 95% CI= 0.26 to 1.87; p=0.009). Family support increased with stronger peer support (b= 2.24; 95% CI= 0.73 to 3.75; p=0.004).Conclusion: Exclusive breastfeeding increases with AIMI participation, better maternal knowledge, positive maternal attitude, and stronger family support.Keywords: exclusive breastfeeding, PRECEDE-PROCEED model, Indonesian Breastfeeding Association (AIMI)Correspondence: Diani Octaviyanti Handajani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: diani.octaviyanti@gmail.com. Mobile: +628563328666Journal of Health Promotion and Behavior (2018), 3(1): 1-15https://doi.org/10.26911/thejhpb.2018.03.01.01

Biopsychosocial Determinants of Long-term Contraceptive Use in Women of Reproductive Age in Surakarta, Central Java Ratna Arifiana; Uki Retno Budihastuti; Isna Qadrijati
Journal of Health Promotion and Behavior Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Family planning allows people to attain their desired number of children and determine the spacing of pregnancy. Long-term contraceptive methods are more effective, safe, with fewer contraindications than others contraceptive method. This study aimed to investigate the biopsychosocial determinants of long-term contraceptive use in women of reproductive age in Surakarta, Central Java, using a theory of planned behavior.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted in Surakarta, from January to February 2018. A sample of 210 women of reproductive age was selected for this study by fixed disease sampling. The dependent variable was long-term contraceptive use. The independent variables were age, parity, education, employment status, knowledge, attitude, subjective norm, perceived behavior control, husband support, family income, and health counseling. The data was collected by questionnaire and analyzed by path analysis.Results: Long-term contraceptive use increased with positive attitude (b=3.49; 95% CI= 1.88 to 5.11; p<0.001), supportive subjective norm (b= 2.91; 95% CI= 1.10 to 4.73; p=0.002), strong perceived behavior control (b=3.09; 95% CI= 1.29 to 4.88; p=0.001), and strong husband support (b=2.68; 95% CI= 1.04 to 4.33; p=0.001). Long-term contraceptive use was indirectly affected by knowledge, health conselling, and education level.Conclusion: Long-term contraceptive use increases with a positive attitude, supportive subjective norm, strong perceived behavior control, and strong husband support.Keywords: long-term contraceptive, the theory of planned behavior, path analysisCorrespondence: Ratna Arifiana, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: arifianaratna1301@gmail.com.Journal of Health Promotion and Behavior (2018), 3(1): 37-47https://doi.org/10.26911/thejhpb.2018.03.01.03

Path Analysis on the Effects of Peer Support and Sanitation Facilities on Personal Hygiene among Female Student having Menstruation in Sragen Central Java Kunaryanti Kunaryanti; Uki Retno Budihastuti; Yulia Lanti Retno Dewi
Journal of Health Promotion and Behavior Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Poor personal hygiene during menstruation causes the risk of Reproductive Tract Infection (RTI) in adolescent. It threatens women's health. Personal hygiene is affected by attitude, peer support, and the availability of personal hygiene facilities. This study aims to analyze the determinant of personal hygiene in adolescents during menstruation in Sragen Regency, Central Java.Subjects and Method: This study was an analytic observational study with a cross sectional design. The study was conducted in June 2019. A sample of 200 study subjects was selected for this study by simple random sampling. The dependent variable was personal hygiene. The independent variables were attitude, peer support, and the availability of personal hygiene facilities. The study was collected by questionnaire and analyzed by path analysis.Results: Personal hygiene was directly and positively affected by positive attitude (b=1.38; 95% CI=0.78 to 1.98; p<0.001). Personal hygiene was indirectly affected by strong peer support and the availability of good personal hygiene facility.Conclussion: Personal hygiene is directly and positively affected by positive attitude. Personal hygiene is indirectly affected by strong peer support and the availability of good personal hygiene facility.Keywords: personal hygiene, attitude, peer support, personal hygiene facilitiesCorrespondence:Kunaryanti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: kunaryanti@yahoo.com. Mobile: +6285700900029.Journal of Health Promotion and Behavior (2019), 4(3): 170-177https://doi.org/10.26911/thejhpb.2019.04.03.02

Determinants of Premarital Sex Behavior: Application of Theory of Planned Behavior and Social Cognitive Theory Nur Laili Qomariah; Eti Poncorini Pamungkasari; Uki Retno Budihastuti
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Health problems in adolescents are among the most important problems in the human life cycle, especially reproductive and sexual problems. Actively conducted premarital sex behavior poses a risk to teenage pregnancy and transmission of sexually transmitted diseases. This study aims to analyze the theory of planned behavior and social cognitive theory on the determinants of premarital sex behavior in adolescents.Subjects and Method: This was a cross-sectional study design. The study was conducted at 25 high schools/vocational high schools in Gresik, East Java, from September to October 2020. A sampling of 200 adolescents used stratified random sampling and simple random sampling. The dependent variable was premarital sex behavior. The independent variables were the intention, attitude, subjective norms, peer support, family intimacy, and self-efficacy. The data were collected by using a questionnaire. Data were analyzed using multiple logistic regression with Stata 13.Results: Premarital sexual behavior increased with strong intention (b= 1.06; 95% CI= 0.15 to 1.98; p= 0.015), positive attitude (b= 1.22; 95% CI= 0.38 to 2.13; p= 0.009), subjective norms supportive (b= 1.09; 95% CI= 0.14 to 2.04; p= 0.024), and strong peer support (b= 1.37; 95% CI= 0.44 to 2.30; p= 0.004). Premarital sexual behavior decreased with strong family intimacy (b= -1.32; 95% CI= -2.23 to -0.40; p= 0.005) and strong self-efficacy for abstinence (b= -1.03; 95% CI= -2.23 to -1.93; p= 0.025). There was an effect at the school level on premarital sex behavior with ICC 24.6%.Conclusion: Premarital sexual behavior increases with strong intentions, positive attitudes, supportive subjective norms, and strong peer support. Premarital sexual behavior decreases with strong family intimacy and strong abstinence self-efficacy. There is an effect at the school level on premarital sexual behavior.Keywords: premarital sex behavior, theory of planned behavior, social cognitive theory, adolescents.Correspondence: Nur Laili Qomariah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126. Email: lailiqomar@gmail.com. Mobile: +6281234190160.Journal of Health Promotion and Behavior (2020), 05(04): 272-283https://doi.org/10.26911/thejhpb.2020.05.04.05.

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