Hanung Prasetya
Health Polytechnics, Ministry of Health Surakarta

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Meta Analysis of the Effect of School-Based Sexual Education on the Risk of Pregnancy and Human Immunodeficiency Virus Infection in Adolescents Jatu Kartika Akmala; Eti Poncorini Pamungkasari; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Adolescent behavior is current­ly worrying, many adolescents have risky sexual behavior that can lead to pregnancy and HIV. School-based sexual education is given to adolescents to provide knowledge, understand­ing and prevention of sexual and reproductive health, including pregnancy and HIV among adolescents. The purpose of this study was to estimate the effect of school-based sexual education on the risk of pregnancy and HIV in adolescents based on the results of previous studies.Subjects and Method: This study is a syste­matic and meta-analysis study. Article is ana­lyzed by using a randomized controlled trial study design. Several databases were used, including PubMed, Science Direct, BMJ and Google Scholar. The keywords for the article search were “school-based sexual education” OR “school-based sex education” AND “human immunodeficiency virus” AND “unwanted pregnancy” OR “unintended pregnancy” AND adolescent AND “randomized controlled trial”. This study is a full-text article with a rando­mized-controlled trial design. Articles were collected using PRISMA Flow diagrams. Articles that met the inclusion criteria were analyzed using the Review Manager 5.3 application.Results: There were 12 articles that fulfilled the criteria for a meta-analysis with 9 studies which showed the effect of school-based sexual education on increasing pregnancy prevention behavior by 1.04 times higher compared to non-school based sexual education (RR = 1.04; 95% CI= 0.95 to 1.13; p= 0.42) and 7 studies showed the effect of school-based sexual education on increasing HIV prevention beha­vior by 1.02 times higher compared to non-school based sexual education (RR= 1.02; 95% CI= 0.94 to 11; p=0.60).Conclusion: School-based sexual education affected the behavior of preventing pregnancy and HIV among adolescents.Keywords: School-based sexual education, pregnancy, HIV, adolescents.Correspondence: Jatu Kartika Akmala. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: jatu.kartika@student.uns.ac.id.Journal of Health Promotion and Behavior (2021), 06(01): 67-79https://doi.org/10.26911/thejhpb.2021.06.01.07
Meta-Analysis: Application of Health Belief Model on the Adherence to Antihypertensive Medication Eltigeka Devi Apriliani; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.493 KB) | DOI: 10.26911/thejhpb.2022.07.03.06

Abstract

Background: Non-adherence to treatment and lack of understanding of the use of antihyper­tensive drugs resulted in uncontrolled hypertension. Antihypertensive compliance as a top priority in the treatment of hypertensive patients through the implementation of the Health Belief Model. The purpose of this study was to analyze the effect of perceived benefits and received cues to act on antihypertensive medication adherence.Subjects and Method: This meta-analysis was conducted using the PRISMA flowchart guide­line. The study was conducted using the PICO model, Population: hypertensive patients, Inter­vention: perceived benefits were strong and received cues to act, Comparison: perceived benefits were weak and did not receive cues to act, Outcome: adherence to antihypertensive medication. The article search process was carried out between 2012 and 2022 using databases from Pub¬Med, Google Scholar, ScienceDirect and ProQuest. Search keywords included “health belief model” OR “perceived benefit” OR “cues to action” AND “adherence antihypertensive” OR “compliance antihypertensive” AND “hypertension” OR “high blood pressure”. Based on the database, there were 13 articles that met the inclusion criteria. Research analysis was carried out using RevMan 5.3 software.Results: There are 13 articles from the continents of Africa and Asia. There are 9 meta-analysis articles showing that a strong perceived benefit of hypertension treatment is 1.60 times more likely to adhere to antihypertensive treatment than a weak perception of benefit and is statistically significant (aOR = 1.60; 95% CI = 1.06 to 2.41; p = 0.020), and there were 8 articles discussing the effect of getting cues to act on hypertension treatment on 1.52 times more likely to adhere to anti­hypertensive medication than not getting cues to act and statistically significant (aOR = 1.52; 95% CI = 1.02 to 2.27; p = 0.040).Conclusion: Strong and signaled benefit perception for hypertensive patients improves adherence to antihypertensive medication.Keywords: hypertension, health belief model, perceived benefits, cues to action.Correspondence:Eltigeka Devi Apriliani, Masters Program in Public Health, universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: eltigeka13@gmail.com. Mobile: +62 85735387363.Journal of Health Promotion and Behavior (2022), 07(03): 238-249DOI: https://doi.org/10.26911/thejhpb.2022.07.03.06 
Meta Analysis: Application of Health Belief Model Theory on COVID-19 Acceptance in General Population Resta Dwi Yuliani; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.525 KB) | DOI: 10.26911/thejhpb.2022.07.03.05

Abstract

Background: The COVID-19 vaccine is an effective strategy to prevent viral infection during global pandemic. Health belief model has been recommended to explain the acceptance of COVID-19 vaccination behavior in the community. This study aimed to estimate the perceived suscep­tibility to COVID-19 and the perceived benefit in receiving the COVID-19 vaccine.Subjects and Method: This study used a systematic review study design and a meta-analysis using PICO, Population: Society, Intervention: Perceptions of high susceptibility to COVID-19 and high perceptions of benefits about the COVID-19 vaccine. Comparison: Low perceived suscep­tibility to COVID-19 and low perceived benefit of COVID-19 vaccine, Outcome: Acceptance of COVID-19 vaccine. The articles used in this study came from 4 databases, namely Pubmed, Sciencedirect, SpringerLink and Google Scholar. The keywords used in the article search were as follows “Health Belief Model” OR “HBM” AND “Acceptance” OR “Receive” AND “COVID-19 Vaccine” AND “General Population”. The articles included in this study were full paper articles, cross sectional study designs, in 2020-2022 and the size of the relationship of Adj Odds Ratio (aOR).Results: A total of 9 cross-sectional studies with 12,713 people from 3 continents, namely America (United States), Asia (Bangladesh, China, Hong Kong, Lebanon, and Saudi Arabia) and Europe (Russia) were obtained. From data processing, it was found that a high perceived susceptibility to COVID-19 increased acceptance of COVID-19 vaccination by 1.33 times compared to a low perceived susceptibility and this result was statistically significant (aOR= 1.33; 95% CI= 1.08 to 1.65; p= 0.008) . A high perceived benefit increased acceptance of COVID-19 vaccination by 3.28 times compared to a low perceived benefit and this result was statistically significant (aOR= 3.28; CI 95%= 1.87 to 5.74; p< 0.001).Conclusion: Perceived susceptibility and perceived benefit increase the likelihood of acceptance of the COVID-19 vaccination in the community. Keywords: Health Belief Model, perceived susceptibility, perceived benefit, COVID-19 vaccination.Correspondence:Resta Dwi Yuliani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: restadwi24@gmail.com. Mobile: +6285­731288002Journal of Health Promotion and Behavior (2022), 07(03): 225-237DOI: https://doi.org/10.26911/thejhpb.2022.07.03.05
Correlation between Theory of Planned Behavior and Smoking Cessation: A Meta-Analysis Mitha Amelia Rahmawati; Bhisma Murti; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.545 KB) | DOI: 10.26911/thejhpb.2022.07.04.03

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Background: The increasing consumption of cigarettes that continues to occur among the community has an impact on the higher rates of morbidity and mortality. Active smokers who have a tendency to quit smoking can be identified by measuring their intentions. The theory of planned behavior is a concept that influences the study of an individual's behavior. This study aims to estimate the magnitude of attitudes towards behavior, subjective norms, and perceptions of behavioral control with behavior to stop smoking.Subjects and Method: This study is a systematic review and meta-analysis with the acronym PICO, namely population: smokers. Intervention: positive attitude toward behavior, supportive subjective norm, strong perception of behavioral control. Comparison: attitude towards negative behavior, subjective norms do not support, perception of behavior control is weak. Outcome: smoking cessation behavior. Data collection was obtained from 4 databases, namely: Google Scholar, PubMed, Science Direct and ProQuest with the keywords used "attitude toward behavior" AND "subjective norm" AND "perceived behavior control" AND "quit smoking" OR "quit smoke" OR "smoking cessation". The inclusion criteria used were full English paper with cross sectional design in 2012-2022. The analysis of this study used RevMan 5.3 software.            Results: A total of 7 articles originating from the Asian and American continents were included in this study. Based on the results of the analysis of smokers who had positive behavior (aOR = 2.77; 95% CI = 1.06 to 1.37; p <0.001), subjective norms were supportive (aOR = 1.08; 95% CI = 0.98 to 1.18; p <0.001), as well as perceived control behavioral (aOR = 1.19; 95% CI = 1.00 to 1.42; p < 0.001) were more likely to quit smoking compared to smokers who had negative behavior, unsupportive subjective norms, and weak perceptions of behavioral control.Conclusion: Positive behavior, supportive subjective norms, perception of strong behavioral control increase the likelihood of smoking cessation in active smokers.Keywords: theory of planned behavior, stop smoking, adjusted odds ratio.Correspondence:Mitha Amelia Rahmawati. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: mithaamelia1909@gmail.com. Mobile: +6285853723823.Journal of Health Promotion and Behavior (2022), 07(04): 299-312DOI: https://doi.org/10.26911/thejhpb.2022.07.04.03
Meta Analysis: Application of Health Belief Model Theory on Pap Smear Screening Uptake in Women of Reproductive Age Syndia Puspitasari; Bhisma Murti; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.435 KB) | DOI: 10.26911/thejhpb.2022.07.04.05

Abstract

Background: Cervical cancer is the fourth cancer in the world that attacks women and causes death. Until now, cervical cancer causes high morbidity and mortality. Regular cervical cancer screening with the Papanicolaou (Pap) smear test remains an effective public health intervention in the prevention and subsequent reduction of the incidence, morbidity and mortality of cervical cancer. Health Belief Model (HBM) is a model developed to help understand human behavior in seeking health services and explain why people do not engage in behavior for disease prevention or early detection.Subjects and Method: This was a systematic review and meta-analysis. Data collection was obtained from 3 databases, namely: Google Scholar, PubMed, and Science Direct. Analysis of this research using software RevMan 5.3. The inclusion criteria used were full English paper with cross sectional design in 2012-2022. The keywords used were “Pap Smear” OR “Cervical Cancer Screen­ing” AND “Health Belief Model” OR “Health Belief” AND “Cervical Cancer”.Results: A total of 15 cross-sectional study articles from Indonesia, Malaysia, Turkey, Nepal, Lebanon, South Korea, Iran, South Africa, Ethiopia, the United States, and Italy were reviewed in the meta-analysis. Based on the results of the analysis, it was found that the perception of high susceptibility had an effect on the possibility of using Pap smear services 1.13 times compared to the perception of low susceptibility (aOR= 1.13; 95% CI= 1.03 to 1.07; p < 0.001), and the results were statistically significant. The perception of low barriers affects the possibility of using Pap smear services 0.91 times compared to perceptions of high barriers (aOR = 0.91; 95% CI = 0.86 to 0.97; p <0.001), and the results are statistically significant.Conclusion: Perceptions of high susceptibility and perceptions of low barriers affect the possibility of using pap smear services.Keywords: health belief model, cervical cancer, pap smear.Correspondence:Syndia Puspitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: syndiapuss96@gmail.com. Mobile: +628 2234398706.Journal of Health Promotion and Behavior (2022), 07(04): 322-335DOI: https://doi.org/10.26911/thejhpb.2022.07.04.05
Application of Theory of Planned Behavior on COVID-19 Vaccine Uptake in Palu, Central Sulawesi, Indonesia Gadis Nur Anggreani; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.06

Abstract

Background: According to secondary data from the Central Sulawesi Provincial Health Office, updated information regarding the COVID-19 vaccination in Palu City, Central Sulawesi has only reached 4.82%. As of Monday, March 14 2022. This data can be said to be lagging behind vacci­nation coverage rates because there are still many people who have not carried out vacci­nations, this can be applied through Theory Planned Behavior to the use of COVID-19 vaccination at the Palu City Health Center, Central Sulawesi. Subjects and Method: Qualitative study with key informant interviews. Interviews were conducted in Palu, Central Sulawesi, Indonesia. Interviews were conducted with 7 people who had not received the COVID-19 vaccination at all, 4 people who had received the second dose of COVID-19 vaccination, 4 people who had received the third dose of COVID-19 vaccination, and key informant 1 City health center promotion worker Palu, Head of the surveillance section of the Palu City Health Service and immunization as well as the COVID-19 Task Force, as well as 1 additional informant from the family. Results: It can be seen that the lack of knowledge has a great impact on attitudes towards behavior from the community, in which in addition to believing in negative news about the COVID-19 vaccination, there is also the influence of the subjective norm variable, namely the prohibition from the family in carrying out the COVID-19 vaccination, but in the predictive variable behavioral control had little impact on the use of the COVID-19 vaccination in Palu City. Conclusion: In this study it was concluded that the application of the Theory of Planned Behavior on the use of COVID-19 vaccination in Palu City, Central Sulawesi, had an effect especially in terms of attitude towards behavior variables and subjective norm variables. Keywords: vaccination, COVID-19, theory planned behavior. Correspondence: Gadis Nur Anggreani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: anggreanigadis@gmail.com. Mobile: +6281335205131.