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All Journal Journal of Epidemiology and Public Health Journal of Health Promotion and Behavior
Revi Gama Hatta Novika
Master's Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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The Influence of Social Trust, Income Inequality, and Employment Status on the Risk of Depression Dhina Nur Irfani; Bhisma Murti; Yulia Lanti Retno Dewi; Revi Gama Hatta Novika; Ika Sumiyarsi Sukamto
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.04.10

Abstract

Background: Depressive disorders are among the most common and complex mental health problems worldwide, including in Indonesia. The determinants of depression are closely linked to social and economic factors. This study aimed to estimate the effects of social trust, income inequality, and employment status on the risk of depression. Subjects and Method: An observational study with a cross-sectional design utilized the fifth wave of the Indonesia Family Life Survey (IFLS5). The dataset includes more than 29,716 individuals across 13 provinces. The sample was selected using a purposive sampling method. Results: The risk of depression increased significantly among individuals who were unmarried (b = 0.97; 95% CI: 0.84 to 1.07; p < 0.001), female (b = 0.16; 95% CI: 0.06 to 0.26; p = 0.002), unemployed (b = 0.25; 95% CI: 0.14 to 0.35; p < 0.001), and living in provinces with higher income inequality (b = 0.32; 95% CI: 0.21 to 0.42; p < 0.001). Conversely, the risk of depression decreased significantly with higher social trust (b = -0.18; 95% CI: -0.29 to -0.08; p < 0.001), good sleep quality (b = -0.20; 95% CI: -0.21 to -0.19; p < 0.001), older age (b= -0.81; 95% CI: -0.99 to -0.63; p < 0.001), and higher education level (≥senior high school) (b= -0.36; 95% CI: -0.46 to -0.25; p < 0.001). Conclusion: The risk of depression increases with unmarried, female, unemployed, and living in provinces with higher income inequality. The risk of depression decreases with higher social trust, good sleep quality, older age, and education ≥senior high school.
Implementation of the Health Belief Model to Predict Acupuncture Therapy Adherence in Patients with Hernia Nucleus Pulposus Afifah Kusumaning Tyas; Bhisma Murti; Ika Sumiyarsih Sukamto; Hanung Prasetyo; Setyo Sri Rahardjo; Revi Gama Hatta Novika
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.02

Abstract

Background: Hernia Nucleus Pulposus is one of the causes of low back pain that can interfere with activity and quality of life. Acupuncture therapy is one of the effective non-pharmacological treatment alternatives in reducing pain due to Hernia Nucleus Pulposus. However, patient adherence to undergoing acupuncture therapy is still a challenge. This study aims to analyze the factors within the framework of the Health Belief Model that affect adherence to acupuncture therapy in patients with Hernia Nucleus Pulposus. Subjects and Method: This study was a cross-sectional study conducted in Surakarta, from January to March 2025. A total of 200 patients were selected randomly. The depen­dent variable was adherence to acupuncture therapy in Hernia Nucleus Pulposus. Independent variables were perceived susceptibility, perceived severity, perceived benefits, perception of barriers, self-efficacy, and cues to action. The data were analyzed using Linear Regression. Results: Adherence to acupuncture therapy patients with hernia nucleus pulposus increased with high perceived susceptibility (b=0.14; 95% CI= 0.01 to 0.27; p= 0.040), high perceived severity (b= 0.30; 95% CI= 0.02 to 0.59; p=0.038), high perceived benefits  (b= 0.16; 95% CI= 0.01 to 0.31; p=0.042), high cues to action (b=0.19; 95% CI= 0.02 to 0.36; p= 0.032), high self-efficacy (b=0.19; 95% CI= 0.02 to 0.38; p= 0.022). Adherence to acupuncture therapy decreased with high perceived barrier (b= -0.10; 95% CI= -0.21 to -0.01; p= 0.046). Conclusion: There was a positive relationship between perceived susceptibility, perceived severity, perceived benefits, cues to action, and self-efficacy on adherence to acupuncture therapy. Perceived barriers decrease adherence to acupuncture therapy in hernia nucleus pulposus.    
Co-Authors Afifah Kusumaning Tyas Bhisma Murti Bhisma Murti Dhina Nur Irfani Hanung Prasetyo Ika Sumiyarsi Sukamto Ika Sumiyarsih Sukamto Setyo Sri Rahardjo Yulia Lanti Retno Dewi