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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior
Endang Sutisna Sulaeman
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Contextual Effect of School and Other Determinants of Non Smoking Behavior among High School Students in Bantul, Yogyakarta: A Multilevel Analysis Roviana Nurda Agustin; Endang Sutisna Sulaeman; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Adolescence is a period of initiation of smoking and not smoking behavior. Non-smo­king behavior in adolescents is influenced by factors of knowledge, attitudes, subjective norms, perceptions of behavioral control, intention, parental support, teacher support, peer support, and in­formation media exposure. The purpose of this study was to analyze the contextual influence of schools on non-smoking behavior in adolescents in Bantul Regency, Yogyakarta.Subjects and Method: This was a cross sectional study conducted on 13 high schools and 12 vo­ca­tional high schools in Bantul Regency, Yogyakarta, from September to October 2019. A sample of 200 male adolescents aged 15-18 years was selected by stratified random sampling. The dependent variable was non-smoking behavior in adolescents. The inde­pendent variables were knowledge, attitudes, subjective norms, behavioral control perceptions, intentions, parental support, teacher support, peer support, and information media exposure. The data collections were performed using a questionnaire and analyzed using multilevel multiple logistic regression with Stata 13.Results: Non-smoking behavior in adolescents increases with high adolescent knowledge (b= 3.09; 95% CI= 0.86 to 5.33; p= 0.007), positive attitude (b= 2.92; 95% CI= 0.79 to 5.06; p= 0.007), norm subjective supportive (b= 2.81; 95% CI= 0.72 to 4.92; p= 0.009), perception of strong beha­vioral control (b= 3.60; 95% CI= 1.22 to 5.99; p = 0.003), non-smoking intention is strong (b= 3.09; 95% CI= 0.92 to 5.27; p= 0.005), strong family support (b= 2.80; 95% CI= 0.76 to 4.85; p= 0.007), strong teacher support (b= 2.98; 95% CI= 0.75 to 5.21; p= 0.009), strong peer sup­port (b= 2.58; 95% CI= 0.04 to 5.13; p= 0.046), and exposed to information media (b= 2.27; 95% CI= 0.45 to 4.09; p= 0.014). There was contextual effect of schools non-smoking be­ha­vi­or (ICC = 20.92%).Conclusion: Non-smoking behavior in adolescents is influenced by knowledge, attitude, sub­jec­tive norm, perceived behavioral control, intention, parental support, teacher support, peer support, and information media exposure. School has a contextual influence on non-smoking behavior in adolescents.Keywords: smoking, teenage behavior, schoolCorrespondence: Roviana Nurda Agustin. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: roviananurda@gmail.com. Mobile: 085­747­082310Journal of Health Promotion and Behavior (2019), 4(4): 274-286https://doi.org/10.26911/thejhpb.2019.04.04.04
Application Theory of Planned Behavior: Determinants of Behavior to Use Personal Protective Equipment among Tobacco Farmers in Temanggung, Central Java: A Multilevel Analysis Yovita Eka Ratna Kumala; Setyo Sri Rahardjo; Endang Sutisna Sulaeman
Journal of Health Promotion and Behavior Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Tobacco farmers has the risk of being exposed by wet nicotine during har­vest­ing tobacco leaves or is often called as Green Tobacco Sick­ness (GTS). GTS preven­tion can be conduc­t­ed by using Personal Pro­tec­tive Equipment (PPE) before farmers har­ves­t­ing tobacco leaves. Beha­vior in using PPE among farmers is affected by sex types, education, attitude, subjective norm, in­ten­tion, and perceived behavioral control. The stu­dy aims to analyze the determinant of beha­vior to use PPE among tobacco farmers in Te­man­g­gung Regency, Central Java.Subjects and Method: It was a cross sectional study, conducted in 25 villages in Temanggung Regency, August – October 2019.  The sample was a total of 200 tobacco farmers. The sampling technique used was simple ran­dom sampling. Dependent variable of the study was behavior to use PPE among tobacco farmers. Independent va­riables of the study were sex types, education, attitude, subjective norm, intention, and per­ce­i­v­e­d behavioral control. The data collection used was question­nai­res and processed by using mul­tilevel multiple logistic regression with Stata 13.Results: The use of PPE among tobacco farmers during harvesting tobacco leaves was increased by male (b= 2.52;  95% CI= 1.39 up to 3.66; p<0.001), education ≥ High School (b= 2.15;  95% CI= 1.10 up to 3.19; p<0.001), strong famers’ intention (b= 1.82;  95% CI= 0.13 up to 2.22; p= 0.027), positive farmers’ attitude (b= 1.63;  95% CI= 0.58 up to 2.68; p= 0.002), supporting subjective norm (b= 1.74;  95% CI= 0.67 up to 2.81; p= 0.001), and strong per­ceived behavioral control (b= 1.53;  95% CI= 0.52 up to 2.54; p= 0.003).Conclusion: Behavior to use PPE among tobac­co farmers is affected by sex types, edu­cation, at­ti­tude, subjective norm, and perceived behavioral control.Keywords: behavior to use PPE, farmers, theory of planned behaviorCorrespondence: Yovita Eka Ratna Kumala. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indo­nesia, 57126. Email: yovitakuma­la­19@gmail­.­com­. Mo­bile: 083867630850Journal of Health Promotion and Behavior (2020), 5(1): 50-58https://doi.org/10.26911/thejhpb.2020.05.01.07
Co-Authors Ambar Sari Angga Ferdianto Bhisma Murti Didik Gunawan Tamtomo Didik Tamtomo Eka Siti Chasanah Eti Poncorini Pamungkasari Hanung Prasetya Lu’luatul Fuad Nureesa Doloh Roviana Nurda Agustin Setyo Sri Rahardjo Siti Shafridha Hidayah Sri Hartini Tegar Wahyu Yudha Pratama Tia Martha Pundati Vitri Widyaningsih Windhy Monica Yovita Eka Ratna Kumala