Bhisma Murti
Master's Program of Public Health, Universitas Sebelas Maret, Indonesia

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Path Analysis: Application of Health Belief Model and Social Cognitive Theory in Smoking Cessation in Surakarta Muhammad Fahrezi Al Ghifari; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.02

Abstract

Background: Smoking is harmful to health. The percentage of smoking in Surakarta City is 23.11%. This study aims to analyze the theory of social cognitive and health belief models in smoking cessation behavior in Surakarta, Central Java. Subjects and Method: It was a cross-sectional study conducted in Surakarta City from September to November 2023. A total of 200 adults aged ≥15 years were selected using snow­balling sampling in the study. The dependent variable was smoking cessation behavior. The inde­pendent variables were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived cues to action, self-efficacy, observational learning, reinforcement, expectations, expectancy, and behavioral capabilities. Results: Self-efficacy had a direct effect on smoking cessation behavior (b = 3.30; CI 95%= 2.54 to 4.06; p<0.001). Perceived benefits, perceived barriers, cues to action, perceived severity, perceived susceptibility, and observational learning had indirect effects on smoking cessation behavior. Conclusion: Self-efficacy has a direct effect on smoking cessation behavior. Perceived benefits, perceived barriers, cues to action, perceived severity, perceived susceptibility, and observational learning have indirect effects on smoking cessation behavior.
Implementation of the Information Motivation Behavior Skill Model on Cadre's Performance in Surakarta: A Structural Equation Model Chelsy Sumardi Saputri; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.06

Abstract

Background: Integrated service post cadres are individual volunteers at the community level who are selected by residents based on their ability, integrity, loyalty and commitment to improving community health and playing a role in developing strategies to overcome stunting. This research aims to determine whether there is an effect of implementing the Information-Motivation-Behavior Skill Model on the performance of Integrated services post cadres. Subjects and Method: This was a cross-sectional study conducted in Surakarta, Central Java, form November to December 2023. A sample of 210 integrated services post cadres was selected using stratified random sampling. 25 integrated service posts in 3 community health centers The data were collected using a structural equation modeling (SEM). Results: Performance was positively and significantly influenced by behavioral skill (b= 0.26; 95% CI= 0.13 to 0.38; p< 0.001), information (b= 0.16; 95% CI= 0.03 to 0.28; p= 0.014), and motivation (b= 0.18; 95% CI= 0.05 to 0.32; p= 0.008). Goodness of fit of SEM model indicated fit (p= 0.190; RMSEA= 0.037; CFI= 0.99, TLI= 0.98, SRMR= 0.03; CD= 0.92). Conclusion: The Information-Motivation-Behavioral Skill Model can be used to predict work performance of integrated health post cadres. Performance is positively and significantly influenced by behavioral skill, information, and motivation.
Contextual Effect of Village, Implementation of Theory of Planned Behavior, and Decision to Quit Smoking: A Multilevel Analysis Rajba Nazalah; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.07

Abstract

Background: Behavior is determined by the intention to perform a behavior. Intentions are further influenced by three constructs, attitudes (the advantages and disadvantages of engaging in a behavior), subjective norms (social influences on a behavior) and perceived behavioral control (facilitators and barriers to a behavior). The study aimed to analyze the contextual influence of the hamlet on the application of the Theory of Planned Behavior (TPB) construct in the decision to stop smoking among adults in Surakarta. Subjects and Method: A cross-sectional study was conducted in 22 villages in Surakarta in November-December. A sample of 200 adult smokers and quitters was selected using snowball sampling. The dependent variable is the decision to stop smoking. The independent variables are intention, attitude, subjective norm, and perceived behavioral control. Data were collected by questionnaire and analyzed using multilevel multiple linear regression. Results: A person's decision to stop smoking is directly influenced by the intention to stop smoking (b= 0.18: 95% CI= 0.07 to 0.28; p= 0.001). Intention to quit smoking was significantly influenced by attitudes about smoking (b= 0.21: 95% CI= 0.10 to 0.32; p <0.001), subjective norms (b=0.19: 95% CI= 0.06 to 0.32; p= 0.003), and perception behavioral control (b= 0.25: 95% CI= 0.09 to 0.42; p= 0.002). Variations at level 2 hamlets have a contextual relationship to the decision to stop smoking (ICC= 10.43%). Conclusion: Decision to quit smoking is directly influenced by the level of intention to quit smoking. Intention to quit smoking itself is influenced by attitudes, subjective norms, and perceived behavioral control. Hamlet has a contextual effect on the decision to quit smoking.
Meta Analysis: Factors Affecting Alcohol Consumption in Adolescents Ihsan Hanif; Ardiana Mardiah; Rachmawaddah Yolanda; Bhisma Murti; Siti Mar'atul Munawaroh
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.04

Abstract

Background: Since alcohol is obtained easily, so it tends to be widely abused. The factors that cause a teenager to consume alcohol are individual factors/individual personality, and envi­ron­mental factors. This study aims to estimate the factors that affect alcohol consumption in adolescents. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: adolescents. Interventions: drinking parents, drinking friends, smoking. Comparison: non-drinking parents, non-drinking friends, non-smoking. Result: alcohol consumption. The articles used in this study were derived from 2 databases, namely Google Scholar and Science Direct. The article's keywords were ""teenager" AND "drinking parents" AND "drinking friends" AND "smoke" AND “alcohol consumption". The articles included in this study were full paper articles, cross-sectional study design, publication year ranged from 2019-2023 and the measure of association used was Adjusted Odds Ratio. The articles were analyzed using the Review Manager 5.4 application. Results: Seven cross-sectional studies showed that drinking friends increased alcohol consumption by 5.09 times compared to non-drinking friends, and the result was statistically significant (aOR=5.09; CI 95%= 2.64 to 9.81; p= 0.001). Seven cross-sectional studies showed that drinking parents increased alcohol consumption by 1.99 times compared to non-drinking parents, and the result was statistically significant (aOR=1.99; CI 95%= 1.50 to 2.64; p= 0.001). Seven cross-sectional studies showed that smoking can increase alcohol consumption by 2.09 times compared to nonsmoking, and the result was statistically significant (aOR=2.09; CI 95%= 1.32 to 3.30; p= 0.001). Conclusion: Smoking-adolescents, drinking parents, and drinking friends increase their likelihood of consuming alcohol.
The Impact of Cyberbullying on Self-Harming Behavior and Suicidal Thoughts among Adolescents: A Meta-Analysis Amalia Khurotul Mahzunah; Ica Yuniar Sari; Berti Vega Paradela; Bhisma Murti; Elsa Tursina
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.07

Abstract

Background: Online bullying often occurs among teenagers. This is an important risk factor for self-injurious behavior and suicidal ideation. This study aimed to analyze and estimate the magni­tude of the effect of online bullying on self-injurious behavior and suicidal ideation in adolescents. Subjects and Method: This research is a systematic review and meta-analysis using the PICO model. Population: Adolescents, Intervention: Online bullying, Comparison: No online bullying, Outcome: Self-injurious behavior and suicidal ideation. The research data used was obtained through Google Scholar, Science Direct, BMC Public Health, and Scopus with the keywords (“Cyberbullying”) AND (“Self-harm”) AND (“Suicidal Ideation”) AND (“Mental Health”) AND (“Cross-sectional”). Inclusion criteria were cross-sectional articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Results: Meta-analysis was conducted on 8 primary studies with outcomes for self-harm behavior and 9 primary studies with outcomes for suicidal ideation. These primary studies come from Singapore, Vietnam, Taiwan, China, South Korea, Iran, Australia and America. The sample size was 47,708 adolescents for self-injurious behavior outcomes and 63,173 adolescents for suicidal ideation outcomes. Adolescents with online bullying are 3.64 times more likely to have self-injurious behavior (aOR= 3.64; 95% CI= 3.14 to 4.22; p<0.001) and 2.64 times more likely to have suicidal ideation (aOR= 2.64; 95% CI= 1.94 to 3.60; p<0.001) compared to adolescents without online bullying. The funnel plot indicates the existence of publication bias which tends to reduce the true effect (underestimate) on the outcome of suicidal ideation. Conclusion: Online bullying statistically significantly increases the risk of self-injurious behavior and suicidal ideation in adolescents.
Meta-Analysis: Correlations between Knowledge, Self-Efficacy, and Social Support on HIV testing in Homosexual Karismatika Surya Gumilar; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.01

Abstract

Background: HIV is an infectious disease for which there is no cure. Homosexuals are a vulnera­ble group for HIV transmission. One of the HIV-AIDS control programs is to make HIV testing a standard of service in all health facilities. This study aims to analyze the influence of self-efficacy, social support, and knowledge in carrying out HIV tests on homosexuals. Subjects and Method: This study is a systematic and meta-analysis study, with PICO as follows: Population= Homosexual. Intervention= Good knowledge, high self-efficacy, and high social support. Comparison= Poor knowledge, low self-efficacy, and low social support. Outcome= Use of HIV Testing. The articles used in this research were obtained from several databases including PubMed, Google Scholar and Scopus. These articles were collected over 2 weeks. The keywords to search for articles are as follows: "HIV Test AND Homosexual AND Knowledge AND Self Efficacy AND Social Support". The articles included in this research were full-text articles with a cross-sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using Review Manager 5.3 application. Results: A total of 12 articles were reviewed in this meta-analysis research originating from China, Guatemala, Myanmar, USA, Jamaica. The study showed that homosexuals with good knowledge (aOR= 2.02; 95% CI= 1.38 to 2.96; p= 0.003), social support high (aOR= 1.17; 95% CI= 1.03 to 1.34; p= 0.020), and high self-efficacy (aOR= 1.11; 95% CI= 1.02 to 1.22; p= 0.010) has a significant influence on the decision to test for HIV. Conclusion: Good knowledge, high self-efficacy, and high social support can increase the willingness to carry out HIV testing among homosexuals.
Utilizing the Health Belief Model Theory to Forecast Early Breastfeeding Initiation in Karanganyar Regency, Central Java Devi Indrawati; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.06

Abstract

Background: Early initiation of breastfeeding has the potential to reduce the risk of neonatal death. Babies who do not start breastfeeding within the first hour after birth have a higher risk of death. This study aimed to determine the relationship between the Health Belief Model construct and early breastfeeding initiation behavior. Subjects and Method: The study was conducted in February-March 2024 with a sample of 200 mothers who had children aged 0-3 months at Posyandu in the Karanganyar Regency working area. This study used an observational analytic design with a cross-sectional study approach. Sampling used was fixed disease sampling. The dependent variable was early initiation of breastfeeding and the independent variables were perceived vulnerability, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy. The data were collected using questionnaire and analyzed using multiple logistic regression analysis. Results: This study provided empirical evidence that a number of constructs in the Health Belief Model can be used as predictors of early breastfeeding initiation. Mothers who have a high perceived vulnerability (OR= 4.48; CI 95%= 1.12 to 17.89; p= 0.034), high perceived severity (OR= 4.14; CI 95%= 1.16 to 14.87; p=0.029), high perceived benefit (OR= 4.37; CI 95%= 1.15 to 16.56; p=0.030), and high self-efficacy (OR= 16.76; CI 95%= 3.91 to 71.79; p <0.001) showed a positive relationship with increasing early breastfeeding initiation behavior. Conclusion: There is a positive relationship between perceived vulnerability, perceived severity, perceived benefits, and self-efficacy with early breastfeeding initiation behavior.