Setyo Sri Rahardjo
Faculty of Medicine, Universitas Sebelas Maret

Published : 56 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Multilevel Analysis of the Biopsychosocial Determinants and Contextual Peer Groups on Smoking Habit in High School Students in East Lampung, Lampung, Indonesia Retno Sulistyani; Setyo Sri Rahardjo; Pawito Pawito
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.476 KB)

Abstract

Background: Smoking is still one of the great­est public health threats faced by citizens of the world. Data from the Central Statistics Agency in 2018 shows that smoking behavior in Lampung Province has a prevalence of 35.95%. The World Health Organization (WHO) states that smoking kills more than 8 million people per year worldwide. This study aimed to ana­lyze the determinants of adolescent smoking beha­vior at the individual level and at the school level.Subjects and Method: This was a cross sec­tional study conducted in East Lampung Re­gency, Indonesia, from October to November 2020. A number of 200 male adolescents were selected by random sampling. The dependent variable was smoking behavior. The  indepen­dent variables were the influence of parents, peers, media exposure, pocket money, cigarette price, intention, attitude, and contextual effect of school. The data were collected by question­naire and analyzed using a multiple multilevel logistic regression with Stata 13.Results: The influence of family (b=2.88; 95% CI= 0.73 to 3.85; p= 0.004), peers (b= 2.85; 95% CI= 0.65 to 3.52; p= 0.004), media expo­sure (b= 3.04; 95% CI= 0.78 to 3.62; p= 0.002), money pocket (b= 3.22; 95% CI= 0.87 to 3.59; p= 0.001), cigarette price (b= 2.73; 95% CI= 0.54 to 3.28; p= 0.006), intention to smoke (b= 2.80; 95% CI= 0.69 to 3.95; p= 0.005), attitude toward smoking (b=3.83; 95% CI= 1.80 to 5.58; p<0.001) increased the likeli­hood to smoke in male adolescents. School had strong contextual effect on smoking in adoles­cents with ICC= 21.83%.Conclusion: The influence of family, peers, media exposure, money pocket, cigarette price, intention to smoke, attitude toward smoking increase the likelihood to smoke in male adolescents. School has strong contextual effect on smoking in adolescentsKeywords: smoking behavior, adolescents, contextual effect of schoolCorrespondence: Retno Sulistiani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: retnosulistiani91@gmail.com. Mobile: +6285867006699.Journal of Health Promotion and Behavior (2021), 06(01): 9-20https://doi.org/10.26911/thejhpb.2021.06.01.02 
The Effect of Personal Protective Equipment Uptake on the Risk of Leprosy in Adults: Meta Analysis Rizki Kurniawan Saputra; Setyo Sri Rahardjo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.596 KB)

Abstract

Background: Leptospirosis is an acute infec­tious disease that can attack humans and ani­mals caused by the Leptospira bacteria. Lepto­spirosis contributes to morbidity and mortality in the high-risk group, namely adults. Compli­ance with the use of personal protective equip­ment and direct contact with animal tissue infected with Leptospira sp. bacteria increase the risk of leptospirosis. This study aims to ana­lyze the magnitude of the effect of using per­sonal protective equipment on the risk of leptospirosis with a meta-analysis.Subjects and Method: This was a systematic review and meta-analysis carried out by follow­ing the PRISMA flow diagram. The process of searching for articles is through a journal data­base which includes: PubMed, Springer Link, Google Scholar and Science Direct by selecting articles published in 1999-2020. Keywords used "Leptospirosis AND Personal Protective Equipment", "leptospirosis" AND "risk factors", "leptospirosis AND adjusted odds ratio", "lepto­spirosis" AND "adults", "leptospirosis AND risk factors AND adjusted odds ratio". The inclu­sion criteria were full paper articles with observa­tio­nal study design, articles in English and Indo­nesian, multivariate analysis used with adjusted odds ratio. Articles that meet the requirements are analyzed using the Revmen 5.3 application.Results: A total of 8 articles were reviewed in this study with a cross-sectional and case-control study design. Meta-analysis of 4 case-control studies showed that non-adherence to the use of personal protective equipment had a 2.77 times increased risk of leptospirosis compared with using personal protective equipment (aOR= 2.77, 95% CI= 1.76 to 4.36, p <0.001). A meta-analysis of 4 cross-sectional studies concluded that non-adherence to the use of personal protective equip­ment had a 2.73 times increased risk of lepto­spirosis compared with using personal protective equipment (aOR= 2.73, 95% CI= 1.99 to 3.74; p= <0.001).Conclusion: Non-compliance with the use of personal protective equipment increases the risk of leptospirosis.Keywords: leptospirosis, personal protective equipment, meta-analysisCorrespondence: Rizki Kurniawan Saputra. Masters Program in Public Health, Universitas Sebelas Maret. Jl.Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rizkikurniawansaputra@gmail.com. Mobile: 087738152955.Journal of Health Promotion and Behavior (2021), 06(01): 21-3https://doi.org/10.26911/thejhpb.2021.06.01.03 
Application of the Information-Motivation-Behavioral Skills Model to Tertiary Preventive Behavior in Osteoarthritis Nisrina Nafisa; Setyo Sri Rahardjo; Bhisma Murti; Hanung Prasetya; Sumardiyono; Revi Gama Hatta Novika
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.12

Abstract

Background: Osteoarthritis (OA) is a type of degenerative disease in which chronic joint inflammation occurs that can occur in the elderly. People with osteoarthritis will feel pain and experience functional limitations. Physiotherapy helps prevent and minimize further joint damage. The success of the rehabilitation program depends on the patient's skills in doing exercises, lifestyle changes, such as maintaining weight and avoiding activities that improve the joints. This study aims to analyze the influence of the Application of the Information Motivation Behavioral Skills Model (IMB) on the tertiary preventive behavior in osteoarthritis patients. Subjects and Method: This was a cross sectional study conducted at a physiotherapy clinic in Surakarta, in January 2025. A sample of 210 osteoarthritis patients was selected using the fixed diseases sampling. The dependent variable was the tertiary preventive behavior. Independent vari­ables were information, motivation, and behavioral skill. The data were collected using question­naire and analyzed using a path analysis. Results: Tertiary preventive behaviors in OA patients increased with behavioral skills (b= 0.45; 95% CI= 0.34 to 0.55; p<0.001) and motivation (b= 0.44; 95% CI= 0.34 to 0.53; p<0.001). Behavioral skill increased with information (b= 0.47; 95% CI= 0.37 to 0.57; p<0.001) and motivation (b= 0.35; 95% CI= 0.25 to 0.46; p<0.001). The goodness of fit indices were p= 0.285; RMSEA= 0.026 (<0.050); CFI= 1.0 (≥0.90);  TLI= 0.99 (≥0.90); and SRMR= 0.01 (<0.050). Conclusion: Tertiary preventive behaviors in OA patients increases with behavioral skill and motivation. Behavioral skill increases with information and motivation.
Socioeconomic Factors, Parenting Styles, Bullying, and Adolescent Mental Health in Surakarta, Central Java, Indonesia Dwi Kurniawati; Sri Mulyani; Okid Parama Astirin; Setyo Sri Rahardjo; Ika Sumiyarsi Sukamto
Journal of Health Promotion and Behavior Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: According to the World Health Organization (WHO) in 2018, approximately 970 million people worldwide live with mental disorders, with anxiety and depression being the most prevalent. In Indonesia, mental health problems are particularly common among adolescents; the 2022 Indonesian Adolescent Mental Health Survey (I-NAMHS) reported that 34.9% experienced mental health issues in the past year. In Surakarta, 597 cases of mental health problems were recorded between January and June 2024, with adolescents aged over 15 years accounting for 5.51% of cases. This study examined the direct and indirect effects of socioeconomic status, parenting styles, and bullying on adolescent mental health in Surakarta. Subjects and Method: A quantitative cross-sectional study was conducted on 200 respondents selected through multistage random sampling in three secondary schools. The independent variables were socioeconomic status, parenting styles, and bullying. The dependent variable was mental health. Data were collected using questionnaires and analyzed using simple logistic regression and path analysis. Results: The risk of mental health problems decreased with higher socioeconomic status (b= −1.59; 95% CI= −2.63 to −0.55; p = 0.003), positive parenting practices (b= −0.87; 95% CI= −1.68 to −0.61; p= 0.035), and a lower frequency of bullying (b = 1.77; 95% CI = 1.02 to 2.51; p < 0.001). Conclusion: This study concludes that mental health disorders decrease if adolescents have high socioeconomic status and good parenting patterns applied by their parents. Mental health disorders increase if adolescents experience high frequency of bullying. And this path analysis model shows good fit
The Role of the Health Belief Model in Antenatal Care Visits among Pregnant Women at Sentru Saude Komunitaria, Baucau Municipality, Timor Leste Natalino de Jesus Varela; Yulia Lanti Retno Dewi; Bhisma Murti; Revi Gama Hatta Novika; Setyo Sri Rahardjo
Journal of Health Promotion and Behavior Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Antenatal Care (ANC) visits are an essential intervention for reducing the risk of maternal morbidity and mortality. However, ANC coverage in several regions of Timor-Leste, including Baucau Municipality, remains below the national target. This study aimed to analyze factors influencing pregnant women’s compliance with recommended ANC visits according to timing and guidelines using the Health Belief Model (HBM)Subjects and Method: This cross-sectional study involved 200 pregnant women registered at healthcare facilities in Baucau Municipality, Timor-Leste. Data were collected using a question-naire based on HBM constructs that had been tested for validity and reliability. Data were analyzed using path analysis with STATA version 13 to identify direct and indirect effects among variables associated with ANC visits.Results: The results showed that cues to action had a direct and positive effect on ANC visits (b= 0.12; 95% CI= 0.03 to 0.20; p= 0.005). Gestational age had a significant positive effect on ANC visits (b= 0.24; 95% CI= 0.16 to 0.32; p< 0.001). In contrast, distance to healthcare facilities had a significant negative effect (b= -0.70; 95% CI= -0.75 to -0.64; p< 0.001), while parity had a negative but non-significant effect (b= -0.05; 95% CI= -0.14 to 0.03; p= 0.175). Self-efficacy had an indirect effect on ANC visits through perceived benefits (b= 0.15; 95% CI= 0.01 to 0.29; p= 0.040) and perceived benefits also had a significant indirect effect (b= 0.22; 95% CI= 0.08 to 0.37; p= 0.002). Perceived severity indirectly influenced ANC visits as well (b= -0.14; 95% CI= -0.26 to -0.01; p= 0.035).Conclusion: ANC visits increased with stronger cues to action and advancing gestational age. Conversely, ANC visits decreased with greater parity and longer distance to healthcare facilities. ANC visits were indirectly influenced by perceived susceptibility, perceived severity, perceived barriers, perceived benefits, and self-efficacy.
Implementation of the Health Belief Model to Explore Elderly Health Post Service Utilization in Jaten, Karanganyar District, Central Java, Indonesia Herry Putut Cahyono; Setyo Sri Rahardjo; Bhisma Murti; Revi Gama Hatta Novika; Ika Sumiyarsi Sukamto
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: The utilization of elderly integrated health post (posyandu) visits remains a significant issue affecting the health status of older adults. Elderly health post service serves as a community-based health service platform designed to cater to the needs of the elderly population. However, the utilization of elderly health post service visits is still very low. This study aims to analyze the factors associated with the utilization of elderly health post service services based on the Health Belief Model (HBM). Subjects and Method: The study employed a cross-sectional design and was conducted in Jaten District, Karanganyar, Central Java, Indonesia, from March to April 2025. Sampling was carried out using a multistage sampling method, involving 210 elderly individuals from 30 existing elderly health post service centers. The dependent variable was the utilization of elderly health post service. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. Data were collected using a questionnaire. Path analysis was employed for data analysis. Results: The utilization of elderly health post service was significantly influenced by perceived susceptibility (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001), perceived barrier (b= -0.29; 95% CI= 0.42 to -0.15; p <0.001), and self-efficacy (b= 0.13; 95% CI= 0.01 to 0.26; p= 0.038). It was indirectly affected by perceived benefits, perceived susceptibility, perceived severity, and cues to action. Conclusion: The utilization of elderly health post service services is directly influenced by perceived susceptibility, perceived barriers, and self-efficacy. Indirectly, the utilization of elderly health post service visits is affected by perceived barriers, perceived benefits, perceived susceptibility, perceived severity, and cues to action.
Co-Authors Afriza Umami Agus Kristiyanto Agustaria Budinugroho Alifiya Zulfa Indana Ambar Mudigdo Ambar Sari Anindita Hasniati Rahmah Arlina Azka Arum Nuryati Atika Febri Anggriani Atika Mima Amalin Atika Nikmah Aulia Noorvita Ramadani Ayu Laela Fitriyani Azura Arisa Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Burhannuddin Ichsan Danti Narulita Dian Surya Kartika Diana Sayidah Dono Indarto Dwi Kurniawati Eka Siti Chasanah Endang Sutisna Sulaeman Erick Zicof Eti Poncorini Pamungkasari Faricha Indra Hapsari Farida Nurhayati Febry Istyanto Firdausi Nuzula Firman Pardosi Gabriela Advitri Febriani Genn Andrean Pratama Gigih Cita Pambudi Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Harsono Salimo Hermanu Joebagio Herry Putut Cahyono Ika Sumiyarsi Sukamto Ika Sumiyarsi Sukamto Isna Qadridjati Isna Qadrijati Khairina Nur Hidayati Lailatul Rohmah Lidia Aditama Putri Lusia Arina Cahyaningrum Maria Regina Tri Yonita Maya Ayu Riestiyowati Muh. Syaiful Akbar Muhibbah Fatati Natalino de Jesus Varela Niken Kartika Sari Ninik Hartini Ninil Dwi Pangestu Nisrina Nafisa Nur Isniani Ningsih Nurul Ulya Luthfiyana Okid Parama Astirin Pawito Pawito Philipus Prihantiko Kurniagung Puspita Mayangsari Prabowo Putri Pamungkas Putu Anggi Widia Karmany RB Soemanto Retno Sulistyani Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gama Hatta Novika Ristamaya Danar Dewi Rizki Kurniawan Saputra Ruben Dharmawan Satriyo Fajar Wicaksono Sri Mulyani Sumardiyono Sumardiyono Sumardiyono Sumardiyono Tri Godha Fitriani Victoria Husadani Permata Sari Vitri Widyaningsih Yola Alqorien Mustikarani Yovita Eka Ratna Kumala Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yusuf Ryadi