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Biological and Social Economic Determinants of Adherence and Cure of Tuberculosis Treatment: Path Analysis Evidence from Yogyakarta Tri Godha Fitriani; Setyo Sri Rahardjo; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health

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Background: Tuberculosis (TB) was an infectious disease which was still a health problem world

The Contextual Effect of School on Smoking Behavior among Male High School Students Tria Arifianti; RB. Soemanto; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Indonesia was a country with high cigarette production and consumption. The smoking prevalence in adolescents aged 13-15 years in several countries included Argentina (3.7%), Egypt (3.7%), America (3.4%) and Indonesia (2.8%). The impact of cigarette exposure both as active and passive smokers such as the occurrence of various diseases included impotence, various types of cancer, respiratory diseases, coronary heart disease and others. This study aimed to analyze the contextual effect of school on smoking behavior among students.Subjects and method: This was a cross sectional study conducted in Bantul, Yogyakarta, from April to May 2019. A sample of 200 male adolescents was selected by stratified random sampling. The dependent variable was smoking behavior. The independent variables were knowledge, family role, peer role, cigarette price, pocket money, and attitude. The data were collected by questionnaire. The data were analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Smoking behavior was negatively associated with poor knowledge (b= -3.30; 95% CI= -0.35 to -0.09; p= 0.001), strong family role (b= -3.11; 95% CI= -1.15 to -0.26; p= 0.002), strong peer role (b= -3.92; 95% CI= -1.10 to -0.36; p< 0.001), cigarette price <Rp 10,000 (b= -2.81; 95% CI= -1.10 to -0.19; p= 0.005), money pocket >Rp 300,000 (b= -3.79; 95% CI= -5.75 to -0.01; p<0.001), and negative attitude (b= -3.37; 95% CI= -0.15 to -0.05; p = 0.001). School had contextual effect on smoking behavior with ICC= 14.00%.Conclusion: Smoking behavior is negatively associated with poor knowledge, strong family role, strong peer role, low cigarette price, high money pocket, and negative attitude. School has contextual effect on smoking behavior.Keywords: smoking behavior, adolescents, peers, multilevel analysisCorrespondence: Tria Arifianti. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: tria.arifianti@gmail.com. Mobile: +6285866515112.Journal of Health Promotion and Behavior (2019), 4(1): 76-84https://doi.org/10.26911/thejhpb.2019.04.01.08

Application of Theory of Planned Behavior on Sexual Behavior in Female Adolescents Tri Ayu Setiowati; Eti Poncorini Pamungkasari; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: In Indonesia, someone starts having a relationship for the first time in their teens. A woman starts having a relationship at the age of 15-17 years (33.3%). In addition, a man starts having a relationship at the age of 15 years (34.5 %). Sex behavior in adolescents had high consequences in physical and psychosocial health problems. The purpose of this study was to determine sexual behavior in female adolescents using Theory of Planned Behavior.Subjects and Method: This was a cross-sectional study conducted in Bantul, Yogyakarta, from June to July 2019. A sample of 200 female adolescents was selected by sample using random sampling. The dependent variable was sexual behavior. The independent variables were intention, attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief. The data were collected by questionnaire and analyzed by path analysis.Results: Positive sexual behavior in female adolescents was directly and positively affected by intention (b= 3.22; 95% CI= 1.46 to 4.97; p<0.001) and perceived behavioral control (b= 2.42; 95% CI= 1.23 to 3.61; p<0.001). Positive sexual behavior was indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.Conclusion: Positive sexual behavior in female adolescents is directly and positively affected by intention and perceived behavioral control. It is indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.Keywords: sexual behavior, adolescents, Theory of Planned Behavior, path analysisCorrespondence: Tri Ayu Setiowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: triayu.setiowati@gmail.com. Mobile: 085329680266.Journal of Health Promotion and Behavior (2019), 4(2): 126-136https://doi.org/10.26911/thejhpb.2019.04.02.05

Factors Associated with Herbs Clinic Utilization in Patients with Diabetes Mellitus in Tawangmangu, Central Java Agus Triyono; Bhisma Murti; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: The utilization of herbs increased for complementary medicine and alternative chronic diseases including Diabetes Mellitus (DM). There are many factors that affect patients with Diabetes Mellitus to utilize herbal clinic. This study aimed to analyze the effects of age, gender, education, occupation, income, marital status, family support, knowledge of herbs, attitude towards herbs, and duration of Diabetes Mellitus on herbs clinic utilization.Subjects and Method: This was a cross-sectional study. This study was conducted in Tawangmangu, Central Java, from January to March 2020. A sample of 200 DM patients aged 15-60 years who were examined at Jamu Research House (rrj) or community health center in Tawangmangu. The sample was collected by purposive sampling. The dependent variable was herbs clinic utilization. The independent variables were sex, age, education, occupation, income, marital status, family support, knowledge of herbs, attitude towards herbs, and duration of DM. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Herbs clinic utilization was directly increased by positive attitude towards herbs (OR= 5.37; 95% CI= 2.49 to 11.60; p<0.001), duration of DM ≥5 years (OR= 2.02; 95% CI= 1.00 to 4.07; p=0.040), high family income (OR= 2.67; 95% CI= 1.41 to 5.01; p= 0.003), good family support (OR= 1.93; 95% CI= 0.96 to 3.87; p= 0.063), age ≥35 years (OR= 1.45; 95% CI= 0.27 to 7.19; p= 0.666), female (OR= 0.59; 95% CI= 0.31 to 1.12; p= 0.108), and married (OR= 0.64; 95% CI= 0.26 to 1.61; p= 0.343). Herb clinic utilization was indirectly affected by knowledge of herbs, education, and occupation.Conclusion: Herbs clinic utilization is directly increased by positive attitude towards herbs, duration of DM ≥5 years, high family income, good family support, age ≥35 years, female, and married. Herb clinic utilization is indirectly affected by knowledge of herbs, education, and occupation.Keywords: herbs clinic utilization, Diabetes Mellitus, path analysisCorrespondence: Agus Triyono. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir.Sutami No 36 A, Surakarta 57126, Central Java,Indonesia. Email: agustriyono_21@yahoo.com. Mobile: +6281329038465.Journal of Health Promotion and Behavior (2020), 05(03): 147-156https://doi.org/10.26911/thejhpb.2020.05.03.01

Low Birth, Prematurity, and Pre-Eclampsia as Risk Factors of Neonatal Asphyxia Remita Yuli Kusumaningrum; Bhisma Murti; Hanung Prasetya
Journal of Maternal and Child Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Asphyxia neonatorum is the condition of an infant who does not breathe spontaneously and regularly immediately after birth. This condition is accompanied by hypoxia, hypercapnia, and ends with acidosis. Long-standing asphyxia can cause brain damage and death. This study aimed to investigate risk factors of asphyxia in Nganjuk Hospital, East Java.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Nganjuk Hospital, East Java, in July 2018. A total sample of 150 neonates was selected by fixed disease sampling, consisting of 50 neonates with asphyxia and 1oo neonates without asphyxia. The dependent variable was asphyxia. The independent variables were low birth weight, preterm birth, and pre eclampsia. The data were obtained from medical record and analyzed by a multiple logistic regression.Results: The risk of asphyxia increased with low birth weight (OR= 2.58; 95% CI = 3.80 to 46.15; p<0.001), premature birth (OR= 1.27; 95% CI= 1.23 to 10.25; p= 0.019), and pre-eclampsia (OR= 3.74; 95% CI= 12.54 to 141.05; p <0.001).Conclusions: The risk of asphyxia increases with low birth weight, premature birth, and pre-eclampsia.Keywords: asphyxia, neonates, low birth weight, premature, preeclampsiaCorrespondence:

Factors Affecting Maternal Birth Preparedness: Evidence from Salatiga, Cental Java Ana Yuliana; Bhisma Murti; Hanung Prasetya
Journal of Maternal and Child Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Maternal unpreparedness in facing childbirth is one of the factors causing the high maternal mortality rate (AKI). To support efforts to accelerate the reduction of MMR, preparation of childbirth is an important matter that must be improved. Pregnant women class is an activity to prepare the mother physically and psychologically in facing the delivery. The purpose of this study was to determine the factors that influence preparation for childbirth in pregnant women, including: the role of midwives, motivation of pregnant women and utilization of pregnant classes.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 6 community health centers in Salatiga, from June to July 2018. A sample of 120 mothers was selected by total sampling. The dependent variable was birth preparation. The independent variables were motivation, midwife role, and utilization of pregnant class. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Birth preparedness was increased with strong midwife role (b= 2.82; 95% CI= -0.45 to 5.68; p= o.054), strong motivation (b= 4.12; 95% CI= 0.97 to 7.27; p= 0.011), and utilization of pregnant class (b= 3.90; 95% CI= 0.66 to 7.13; p= 0.019).Conclusions: Birth preparedness is increased with strong midwife role, strong motivation, and utilization of pregnant class.Keywords: birth preparedness, motivation, midwife role, pregnancy class, pregnant womenCorrespondence:

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