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RB Soemanto
Faculty of Social and Political Sciences, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Biopsychosocial Factors Affecting Functional Disability and Depression in Patients with Osteoarthritis in Surakarta, Central Java Wahyu Tri Sudaryanto; Ambar Mudigdo; RB Soemanto
Journal of Epidemiology and Public Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health

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Background: Osteoarthritis (OA) is a major cause of disability in the elderly. OA can cause chronic pain, disability, and the patient's quality of life. This study aimed to determine the biopsychosocial factors affecting functional disability and depression in patients with OA in Surakarta, Central Java.Subjects and Method: This was an analytic and observational study with a case-control design. The study was conducted at Dr. Moewardi Hospital and Dr. Soeharso Orthopedic Hospital, Surakarta, Central Java, from January to February 2018. A sample of 200 OA patients was selected by simple random sampling. The dependent variables were functional disability and depression. The independent variables were age, sex, grade of OA, duration, body mass index (BMI), history of injury, pain level, family support, and peer support. Depression data were measured by Beck’s Depression Inventory (BDI). Functional disability data were measured by The Western Ontario and McMaster University Arthritis Index (WOMAC). The other variables were collected by questionnaire. The data were analyzed by path analysis.Results: The risk of depression increased with higher BMI (b= 0.23; SE= 0.10; p= 0.021), pain level (b= 0.16; SE= 0.07; p= 0.022), duration (year) (b= 0.27; SE= 0.12; p= 0.025), and poor functional disability (b= 0.19; SE= 0.04; p<0.001). Depression decreased with stronger family support (b= -0.05; SE= 0.03; p= 0.031) and stronger peer support (b= -0.09; SE= 0.05; p= 0.001). The risk of functional disability increased with female sex (b= 3.36; SE= 1.21; p= 0.006), age (b= 0.14; SE= 0.06; p= 0.016), BMI (b= 0.31; SE= 0.17; p= 0.070), had experienced injury (b= 2.27; SE= 1.16; p= 0.051), higher grade of OA (b= 1.32; SE= 0.65; p= 0.041), and higher pain level (b= 0.41; SE= 0.12; p<0.001). The risk of functional disability decreased with stronger family support (b= -0.16; SE= 0.04; p<0.001) and stronger peer support (b= -0.29; SE= 0.08; p<0.001).Conclusion: Depression in OA patients is affected by BMI, pain level, duration (year), functional disability family support, and peer support. Functional disability is affected by sex, age, BMI, injury experience, grade of OA, pain level, family support, and peer support.Keywords: osteoarthritis, depression, functional disability, pain, BMI, family support, peer supportCorrespondence: Wahyu Tri Sudaryanto. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: wahyu.londho86@yahoo.co.id. Mobile: 085640637769.Journal of Epidemiology and Public Health (2018), 3(2): 292-306https://doi.org/10.26911/jepublichealth.2018.03.02.08
Factors Affecting Occurrence of Depression in Patients with Cervical Cancer at Dr. Moewardi Hospital Surakarta, Central Java: A Path Analysis Model Dewi Shinta; Didik Gunawan Tamtomo; RB Soemanto
Journal of Epidemiology and Public Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health

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Background: Cervical cancer is in the second place among the incidence of new cases and in thethird highest death from cancer. Cancer depression and severity generally occur together with psychological problems, such as anxiety, pain and fatigue. Most studies in cancer patients have focused on morbidity or mortality more due to the risk of depression. The purpose of this study was to analyze the factors that influence depression in cervical cancer patients.Subjects and Method: A cross sectional study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, from September to October 2019. A sample of 200 cervical cancer patients was selected by simple random sampling. The dependent variable was depression. The independent variables were marital status, education, occupation, family income, peer support, family support, health personnel support, coping strategy, cancer stage, frequency of chemothe
Linear Regression Analysis on Factors Affecting Health Surveillance Personnel Performance in Early Detection of Preeclampsia in Semarang, Central Java Zella Cahyandaru; Didik Tamtomo; RB Soemanto
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Preeclampsia is a major cause of maternal death both globally and regionally. It can be prevented either through continuous surveillance and early detection activities. City Health Office in Semarang recruited health surveillance officers as an effort to reduce maternal mortality especially due to preeclampsia. The purpose of this study was to analyze factors associated with health surveillance personnel performance in the early detection of preeclampsia.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 26 community health centers in Semarang, from October to December 2018. A sample 148 health surveillance personnels was selected by exhaustive sampling. The dependent variable was health surveillance personnels performance. The independent variables were age, work motivation, work stress, job satisfaction, leadership style, and supervision. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Health surveillance personnel’s performance in early detection of preeclampsia was positively associated with strong work motivation (b= 0.12; 95% CI= 0.07 to 0.16; p<0.001), low work stress (b= 0.08; 95% CI= -0.01 to 0.15; p= 0.058), work satisfaction (b= 0.10; 95% CI= 0.05 to 0.15; p<0.001), leadership style (b= 0.23; 95% CI= 0.10 to 0.37; p= 0.001), and good supervision (b= 0.31; 95% CI= 0.18 to 0.45; p<0.001). Health surveillance personnel’s performance was negatively associated with older age (b= -0.08; 95% CI= -0.16 to 0.01; p= 0.050).Conclusions: Health surveillance personnel performance in early detection of preeclampsia is positively associated with strong work motivation, low work stress, work satisfaction, leadership style, and good supervision. Performance is negatively associated with older age.Keywords: early detection, preeclampsia, performance, health surveillance personnelCorrespondence: Zella Cahyandaru. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: zellacahyandaru@gmail.com. Mobile: +6287832622469.Journal of Health Policy and Management (2019), 4(1): 13-22https://doi.org/10.26911/thejhpm.2019.04.01.02
The Effect of Internal and External Factors on Preventive Reproductive Health Behaviors in Adolescents, in Banjarmasin, Kalimantan Azura Arisa; RB Soemanto; Setyo Sri Rahardjo
Journal of Health Promotion and Behavior Vol. 2 No. 4 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Many adolescents had engaged in unhealthy sexual behavior that can result in unintended health outcomes. In theory, the adolescent sexual behavior is influenced by a complex set of interactions between biology, genetics, individual perception, personality characteristics, and sociocultural norms and values. This study aimed to determine the influence of internal and external factors on preventive reproductive health behavior in adolescents, in Banjarmasin, Kalimantan, using Health Belief Model.Subjects and Method: This was an analytic observational study with the cross-sectional design. The study was conducted at 10 senior high schools in Banjarmasin, Kalimantan. A total sample of 200 grade XI students was selected for this study by proportional stratified random sampling. The dependent variable was preventive reproductive health behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived threat, perceived benefit, perceived barrier, self-efficacy, the role of parents, peer role, and information access. The data were collected by questionnaire and analyzed by path analysis. Results: The strong role of parents (b=0.05; SE= 0.01; p<0.001), perceived benefit (b=0.06; SE= 0.02; p=0.006), perceived threat (b=0.10; SE= 0.02; p<0.001), self-efficacy (b=0.13; SE= 0.01; p<0.001), and peer role (b=0.06; SE= 0.01; p<0.001) positively affected preventive reproductive health behavior. Perceived barrier (b= -0.03; SE= 0.01; p=0.026) negatively affected preventive reproductive health behavior. Perceived threat increased with increasing role of parents (b=0.05; SE= 0.02; p= 0.059), perceived susceptibility (b=0.21; SE= 0.05; p<0.001), perceived seriousness (b=0.10; SE= 0.04; p= 0.015), and self efficacy (b= 0.13; SE= 0.06; p= 0.040). Perceived barrier decreased with improving access of information (b=-0.16; SE= 0.05; p= 0.004). Perceived benefit increased with improving access of information (b=0.09; SE= 0.04; p= 0.030) and perceived susceptibility (b=0.20; SE= 0.06; p= 0.002). Perceived susceptibility (b=0.13; SE= 0.04; p= 0.004), perceived seriousness (b=0.10; SE= 0.05; p= 0.057), and self efficacy (b=0.09; SE= 0.03; p= 0.006) increased with access of information. Self efficacy increased with stronger role of parents (b=0.06; SE= 0.02; p= 0.018), and peer role (b=0.07; SE= 0.04; p= 0.062).Conclusion: Preventive reproductive health behavior among adolescents is affected by the role of parents, perceived of threat, self-efficacy, peer role, perceived of benefit, and perceived of a barrier. Health belief model can predict health preventive behavior.Keywords: Preventive behavior, reproductive health, health belief model, internal and external factorsCorrespondence: Azura Arisa, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: azura.syakura@gmail.com.Journal of Health Promotion and Behavior (2017), 2(4): 350-358https://doi.org/10.26911/thejhpb.2017.02.04.07 
Factors Associated with Healthy Preventive Behavior among the Elderly in Lamongan, East Java Nurul Jannah; Didik Tamtomo; RB Soemanto
Journal of Health Promotion and Behavior Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Health promotion behaviors in the elderly have potential effects in promoting health and quality of life and reducing the cost of health care services. Changes in the lifestyle of the people affected by cardiovascular diseases have more potential shares in reducing vascular problems than medicinal treatments of hypertension and high cholesterol. By convincing more people to maintain and obtain healthy lifestyles, there will be considerable reduction in emergence and disabilities due to cardiac problems. This study aimed to determine factors associated with health preventive behavior among the elderly in Lamongan, East Java.Subjects and Method: This was a cross sectional study conducted in Lamongan, East Java, from November to December 2018. A sample of 200 elderly was selected by stratified random sampling. The dependent variable was health behavior. The independent variables were education, attitude, peer support, family support, cadre support, perceived behavioral control, subjective norm, and intention. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Health behavior in elderly was influenced by education (b = 0.76; 95% CI = 0.27 to 1.24; p = 0.002), intention (b= 0.08; 95% CI = 0.01 to 0.16; p = 0.033), attitude (b = 0.20; 95% CI = 0.07 to 0.33; p= 0.002), perceived behavioral control (b= 0.18; 95% CI= 0.06 to 0.30; p= 0.002), family support (b = 0.19 ; 95% CI = 0.08 to 0.30; p = 0.001), cadre support (b = 0.13; 95% CI = 0.04 to 0.23; p = 0.005), peer support (b = 0.07; 95% CI = - 0.01 to 0.15; p = 0.060), and subjective norm (b = 0.10; 95% CI = - 0.01 to 0.22; p = 0.064).Conclusion: Health behavior in elderly is influenced by education, intention, attitude, perceived behavioral control, family support, cadre support, peer support, and subjective norm.Keywords: health behavior, elderly, linear regressionCorrespondence: Nurul Jannah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: njannah.31@gmail.com. Mobile: +6282230300405.Journal of Health Promotion and Behavior, 2018, 3(4): 223-229https://doi.org/10.26911/thejhpb.2018.03.04.01
The Effect of Bullying on Depression, Academic Activity, and Communication in Adolescents in Surakarta: A Multilevel Logistic Regression Kiyat Sudrajad; RB Soemanto; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Human interaction requires com­munication as a transmission of informa­tion, ideas, emotions, skills, and so on. Com­mu­nica­tion occurs when a source conveys a message to the recipient with a conscious in­ten­tion to influ­ence the recipient's behavior. One of the pro­blems in social communication is bully­ing. Bully­ing or harassment can be through words or through actions that aim to make the opponent's mental fall and pressure. The purpose of this study was to analyze the factors that influence bullying against depres­sion with the Health Belief Model and Social Cognitive Theory.Subjects and Method: This was a cross-sectio­nal study conducted in junior high schools in Surakarta, in December 2019. A total sample of 250 adolescents was selected by simple random sampling. The dependent variable was bullying. The inde­pen­dent variables were perceived sus­ceptibility, perceived severity, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, depres­sion, academic activi­ties, and communication. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regres­sion run on Stata 13.Results: Bullying increased depression (b= 3.69; 95% CI= 1.51 to 9.00; p= 0.004) and poor communication (b= 4.95; 95% CI= 2.24 to 10.89; p <0.001). Bullying decreased academic achievement (b= - 5.68; 95% CI= -12.33 to -2.62; p<0.001). School had strong contextual effect on depression with ICC= ICC= 20.91%.Conclusion: Bullying increases depression and poor communication. Bullying decreases academic achievement. School has strong con­textual effect on depression.Keywords: bullying, depression, Health Belief Model, Social Cognitive TheoryCorrespondence: Kiyat Sudrajad. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta, 57126, Central Java. Ema­il­: kiyatrambo­@gmail.com. Mobile: +628­5­6­47­1­16834.Journal of Health Promotion and Behavior (2020), 05(02): 79-86https://doi.org/10.26911/thejhpb.2020.05.02.02
Effects of Social Support, Functional Status, and Depression on the Quality of Life of Stroke Patients: A Meta-Analysis Anwar Wahyudi; Didik Gunawan Tamtomo; RB Soemanto
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: Stroke patients have physical, social, and psychological disorders. It inhibits their daily activities, thus affecting the quality of life. This study aimed to analyze the effect of social support, functional status, and depress­ion on the quality of life of stroke patients.Subjects and Method: This study was a meta-analysis study. The data were obtained from Clinical Key, DOAJ, PubMed, Science Direct, Proquest, Scopus, and Google Scholar. The keywords were "social support" AND "functional status" AND "depression" AND "quality of life "AND" stroke". The articles were published from January 1991 to September 2020. The articles studied were full-text-articles with a cross-sectional and cohort study design. The articles were collected using the PRISMA diagram and analyzed using the RevMan 5.3 program.Results: This study obtained 12 articles consisted of 2,015 selected stroke patients. The result of the meta-analysis showed that social support had a significant positive effect on the quality of life of stroke patients (b= 0.03; 95% CI= 0.02 to 0.05; p= 0.0001), functional status had a significant positive effect on the quality of life of stroke patients (b= 0.63; 95% CI= 0.52 to 1.08; p=0.0001), and depression had a significant negative effect on the quality of life of stroke patients (b= -0.18; 95%CI= -0.26 to -0.10; p=0.0001).Conclusion: Social support and functional status improve the quality of life of stroke patients. Depression reduces the quality of life of stroke patients.Keywords: social support, functional status, depression, quality of life, strokeCorrespondence: Anwar Wahyudi. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir Sutami 36A, Surakarta 57126, Central Java. Email: arwanwahyudi851@gmail.com. Mobile: +62813106121049.Journal of Health Promotion and Behavior (2020), 05(04): 284-295https://doi.org/10.26911/thejhpb.2020.05.04.06. 
Effect of Bullying on the Risk of Anxiety and Social Interaction Disorder among Senior High School in Yogyakarta Hainas Sani Privetera; RB Soemanto; Hanung Prasetya
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: Bullying is a widespread pheno­menon among young people and is used to describe interpersonal relationships charac­te­rized by an imbalance of power. The Indone­sian Child Protection Commission noted that there were 161 cases of bullying in 2018. Ado­lescents who are involved in bullying expe­ri­ence risks such as psychiatric symptoms, alco­hol and drug abuse and even suicide. This study aims to analyze the effects of bullying on self-concept and social disorders in high school students in Sleman Yogyakarta.Subjects and Method: This study used a cross sectional study design. This study was conducted in Sleman Regency in August 2019. The sample was taken by using stratified ran­dom sampling with a total of 200 senior high school students. The independent variables include parental education, social environment, anxiety level, self-concept, and social interac­tion disorders. The dependent variable was bullying behavior. Data were collected using a questionnaire. Data were analyzed by using multilevel multiple logistic regression with stata 13.Results: Low family education (b= 3.11; 95% CI= 0.83 to 3.67; p= 0.002), social environ­ment in the city (b=3.15; 95% CI= 0.71 to 3.09; p= 0.002), have social media (b=4.13; 95% CI= 1.46 to 3.83; p= 0.000), have a level of anxiety (b= 2.92; 95% CI= 0.62 to 3.17; p= 0.005), negative self-concept (b=2.83; 95% CI= 0.62 to 3.40; p= 0.005), social interaction disorder (b= 3.23; 95% CI= 0.87 to 3.55; p= 0.001) increased the likelihood of experiencing bullying in adolescents. Variations at the school level indicated that there was a contextual influence on bullying behavior (ICC= 13.18%).Conclusion: There is a statistically significant influence of parental education, social environ­ment, social media, anxiety levels, self-concept, and social interaction disorders on bullying behavior in adolescents. Variations at the level of school show that there is a contextual influ­ence on bullying behavior in adolescents.Keywords: bullying, adolescents, multi­level analysisCorrespondence: Hainas Sani Privetera. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sariprivitera@gmail.com. Mobile: +628­2328848001.Journal of Health Promotion and Behavior (2020), 05(04): 306-316https://doi.org/10.26911/thejhpb.2020.05.04.08. 
Co-Authors Ambar Mudigdo Anwar Wahyudi Azura Arisa Dewi Shinta Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Tamtomo Hainas Sani Privetera Hanung Prasetya Hanung Prasetya Kiyat Sudrajad Nurul Jannah Setyo Sri Rahardjo Wahyu Tri Sudaryanto Zella Cahyandaru