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Bhisma Murti
Masters Program in Public Health, Sebelas Maret University
Medicine & Pharmacology Public Health

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Factors Associated with Overweight and Obesity in Adolescents in Kartasura, Central Java Sayida Royatun Niswah; RB Soemanto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 2 No. 3 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Adolescents experience rapid growth. Therefore, they are at risk to have malnutritional problems such as overweight and obesity. The Indonesian Basic Health Research in 2013 showed that the prevalence of overweight among adolescents aged 13-15 years old in Indonesia was 10.8%, consisting of 8.3% overweight and 2.5% obese or very obese. The  prevalence of overweight and obesity in adolescents aged 15 years and over was 18.4% in Central Java, and 10.7% in Surakarta. Overweight and obesity are important public health problems because they are known as risk factors of various chronic diseases. This study aimed to determine the factors associated with overweight and obesity in adolescents using Health Belief Model.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at Islamic Boarding School (Pondok Pesantren Modern Islam) Assalaam Kartasura, Central Java, from March to May 2017. A total sampel of 120 adolesents aged 12 to 18 years old were selected for this study using fixed disease sampling, including 30 adolescents with overweight or obesity and 90 adolescents with normal weight. The exogenous variables were perceived threat, perceived benefit, perceived barrier, self efficacy, and maternal education. The endogenous variables were physical activity, dietary pattern, and overweight or obesity. Data on dietary pattern were collected by dietary questionnnaire. The other data were collected using a set of questionnaire. Path analysis was used to analyze the association between variables involving mediating variables.Results: Overweight or obesity was directly and negatively associated with perceived threat (b= -0.14, SE= 0.04, p< 0.001), perceived benefit (b= -0.10, SE= 0.02, p< 0.001), physical activity (b= -0.24, SE= 0.10, p= 0.016), and dietary pattern (b= -0.33, SE= 0.08, p< 0.001). Overweight or obesity was directly and positively  associated with perceived barrier (b= 0.13, SE= 0.07, p= 0.051). Dietary pattern was affected by perceived barrier (b= -0.22; SE= 0.007; p= 0.002), perceived benefit (b= 0.10; SE= 0.002; p<0.001), perceived threat (b= 0.09; SE= 0.04; p= 0.023), self effication (b= 0.22; SE= 0.09; p= 0.015), and maternal education (b= 1.05; SE= 0.41; p= 0.010). Physical activity was affected by perceived benefit (b= 0.05; SE= 0.001; p= 0.002), perceived barrier (b=-0.16; SE= 0.05; p= 0.002), perceived threat (b=0.14; SE= 0.03; p<0.001), self efficacy (b=0.24; SE=0.06; p< 0.001), and maternal education (b=0.86; SE= 0.30; p= 0.005).Conclusion: Overweight or obesity is negatively associated with perceived threat, perceived benefit, physical activity, and dietary pattern. Overweight or obesity is positively  associated with perceived barrier. Health Belief Model can be used to explain factors associated with overweight or obesity.                                     Keywords: overweight, obesity, Health Belief ModelCorrespondence: Sayida Royatun Niswah. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: cestrowsha@gmail.com. Mobile: +6285700189910.Journal of Health Promotion and Behavior (2017), 2(3): 207-217https://doi.org/10.26911/thejhpb.2017.02.03.02 
Theory of Planned Behavior on The Psycho-Social Determinants of Drug Use Among Adolescents in Samarinda, East Kalimantan Syukma Rhamadani Faizal Nur; Bhisma Murti; Pawito .
Journal of Health Promotion and Behavior Vol. 2 No. 3 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Drug abuse is serious global health problem. Drug users aged 10-59 years in Indonesia has been increasing steadily. According to data from National Board for Drug Abuse (Badan Narkotika Nasional, BNN), the prevalence of drug users in East Kalimantan was 59,195 (3.07%) of population aged 10-59 years of 1,930,936 people. This study aimed to investigate the psycho-social determinants of drug use among adolescents in Samarinda, East Kalimantan, using Theory of Planned Behavior.Subjects and Method: This was an analytical observational study with cross-sectional design. The study was carried out at Badan Rehabilitasi Tanah Merah, Samarinda, East Kalimantan, from July to August, 2017. A sample of 150 adolescents were selected for this study by fixed disease sampling, including 50 adolescent drug users, and 100 adolescent non drug users. The dependent variable was drug use. The independent variables were intention, attitude, subjective norm, perceived behavior control, peer group, parenting style, and family harmony. The data were collected by pre-tested questionnaire and analyzed using path analysis.Results: Drug use was directly determined by strong intention (b= 2.18; 95% CI= 1.22 to 3.14; p<0.001), negative attitude (b= 1.79; 95% CI= 0.76 to 2.82; p=0.001), low subjective norm (b= 1.13; 95% CI= 0.09 to 2.17; p= 0.034), and weak perceived behavior control (b= 2.83; 95% CI= 1.48 to 4.19; p<0.001). Intention was determined by weak perceived behavior control (b= 1.18; 95% CI = 0.14 to 2.22; p<0.001). Subjective norm was determined by family harmony (b= 2.03; 95% CI= 0.96 to 3.09; p<0.001), authoritarian parenting style (b= 1.25; 95% CI= 0.15 to 2.36; p=0.026), and peer group (b= 1.46; 95% CI= 0.37 to 2.54; p=0.009).Conclusion: Drug use is directly determined by intention, attitude, subjective norm, and perceived behavior control. Family harmony, authoritarian parenting style, and peer group affect drug use indirectly.Keywords: drug use, Theory of Planned Behavior, path analysisCorrespondence: Syukma Rhamadani Faizal Nur. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami No.36 A, Surakarta 57126, Central Java, Indonesia. Email: faizalrhamadani@gmail.com. Mobile: +6281253121828.Journal of Health Promotion and Behavior (2017), 2(3): 272-281https://doi.org/10.26911/thejhpb.2017.02.03.07 
Health Belief Model on Sexual Behavior Issues among Prisoners at Prison in Pekalongan, Central Java Liliana Dwi Pranita; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 2 No. 3 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Bacground: One of the basic human needs to be fulfilled is sexual need. Prisoners face problem in their sexual need fulfilment and freedom, due to the prison’s diciplinary system, including supervison, strict disciplinary mechanism, and enactment of spatial division between men and women. As a consequence, there often occur perverted sexual behaviors, including homosexuality. This study aimed to analyze the sexual behavior issues among prisoners at prison using Health Belief Model.Subjects and Method: This was a qualitative descriptive study with phenomenological approach. The main key informants in this study were prisoners having imprisoned for one year or more and officers at Class IIA prison, in Pekalongan, Central Java. The supporting informants included health personnel (doctors and nurses) at Class IIA prison clinic.Results: All informants reported that they were susceptible to engage in risky sexual behaviors in order to fulfil their sexual need, such as masturbation and homosexuality. The psychological adverse effects they had experienced included fear and feeling of embarrassment their perverted sexual behaviors were recognized by others.  The informants reported that they did not have self-efficacy in coping with sexual need issues while in prison.Conclusion : The imprisonment system has an impact on the way inmates meet their sexual needs through masturbation. The role of prison officials is urgently needed to enable prisoners to address the problems of their biological needs through beneficial activities while in prison.Keywords: prisoners, sexual behaviors, Health Belief ModelCorrespondence: Liliana Dwi Pranita. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: lilin_quina@yahoo.com. Mobile: +6285647000303.Journal of Health Promotion and Behavior (2017), 2(3): 232-241https://doi.org/10.26911/thejhpb.2017.02.03.04
Co-Authors Argyo Demartoto Cri SP Wekadigunawan Didik Tamtomo Dono Indarto Eti Poncorini Pamungkasari Gunawan Cahyo Utomo Hermanu Joebagio Hermanu Joebagyo Hervindita Dinda Siswandwika Liliana Dwi Pranita Lina Alfiyani Linda Harumi Mardhatillah - Pawito . RB Soemanto Ruben Dharmawan Sayida Royatun Niswah Setyo Sri Rahardjo Syukma Rhamadani Faizal Nur Th. Catur Wulan Setyaningrum Uyunun Nudhira Vera - Widya Lusi Arisona Windiarti Dwi Purnaningrum