Yulia Lanti Retno Dewi
Department of Nutrition, Faculty of Medicine, Universitas Sebelas Maret

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Effects of Maternal Socioeconomic, Psychological, Nutritional Factor, and Ambient Smoke Exposure, on the Risk of Low Birth Weight: A Multilevel Evidence from Gunungkidul, Yogyakarta Isne Susanti; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low birth weight (lbw) is one of the main causes of infant mortality. Globally, 2.5 million infants die in the first month after birth, and about 1 million die in the first day of birth. This study aimed to determine the biopsycho
PRECEDE- PROCEED Model on Determinants of Completeness Immunization Status among Infants in Bangkalan District, Madura Lidia Aditama Putri; Yulia Lanti Retno Dewi; Setyo Sri Rahardjo
Journal of Health Promotion and Behavior Vol. 2 No. 4 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Universal Child Immunization is a government program aimed at preventing infectious diseases. However, its target level has not been attained. Bangkalan is one of the districts with low immunization coverage. This study aimed to analyze PRECEDE-PROCEED model on determinants of complete immunization status among infants in Bangkalan District, Madura.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at 10 community health centers in Bangkalan, Madura, from August to October, 2017. A total sample of 200 infants aged 9-12 months were selected by cluster sampling with community health center serving has the cluster. The dependent variable was completeness of immunization status. The independent variable were education, knowledge, maternal job status, attitude, distance to health facility, information exposure, family support, and health personnel support. The data was collected using questionnaire and analyzed by path analysis.Results: Completeness of immunization status was increased by positive maternal attitude (b=0.82; 95% CI= 0.10 to 1.55; p= 0.027), strong health personnel support (b= 0.79; 95% CI = -0.10 to 1.67; p= 0.081), and information exposure (b= 1.52; 95% CI= 0.75 to 2.29; p= 0.001), but was decreased by distance to health facility (b= -1.28; 95% CI= -2.13 to -0.44; p= 0.003). Positive maternal attitude was increased by strong family support (b= 1.35; 95% CI= 0.71 to 2.00; p= 0.001) and better knowledge (b= 2.29; 95% CI= 1.06 to 3.54; p= 0.001). Better knowledge was increased by information exposure (b= 1.54; 95% CI= 0.58 to 2.51; p= 0.002). Strong family support was increased by maternal working outside the house (b= 0.64; 95% CI= 0.03 to 1.26; p= 0.040). Maternal working outside the house (b= 1.12; 95% CI= 0.51 to 1.75; p= 0.001) and better knowledge (b= 1.27; 95% CI= 0.42 to 2.13; p= 0.003) were increased by high level of education.Conclusion: Completeness of immunization status is increased by positive maternal attitude, strong health personnel support, and information exposure, but was decreased by distance to health facility.Keyword: determinant, universal child immunization, PRECEDE-PROCEED modelCorrespondence: Lidia Aditama Putri. Prodi Kebidanan di STIKES Insan Unggul Surabaya,  Jln. Raya Kletek No. 4 Taman, Sidoarjo 61257, Jawa Timur. E-mail: liydya30@gmail.com. Mobile +6285230752110Journal of Health Promotion and Behavior (2017), 2(4): 291-301https://doi.org/10.26911/thejhpb.2016.02.04.01  
The Path Analysis of Body Mass Index, Physical Exercise, Sleep Quality, and Parental Education on Physical Fitness among Male Adolescences Hayu Andita Satriani; Dono Indarto; Yulia Lanti Retno Dewi
Journal of Health Promotion and Behavior Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Rapid physical growth occurs during adolescence period. Physical fitness is a key indicator for general health, which shows individual ability of cardiorespirationand skeletal muscles to adapt to physical activity load. Many factors can influence physical fitness such as Body Mass Index for age (BMI/age), physical exercise, sleep quality and parental education. The purpose of this study was to analyze the relationship of BMI/age, physical exercise, sleep quality and parental education with physical fitness levels among male adolescences.Subjects and Methods:  This cross-sectional study was conducted in three private senior high schools at the Gondokusuman district, Yogyakarta. Study subjects were selected using the fixed exposure sampling technique with inclusion criteria: male adolescence who aged 15-18 years old and had normal or more BMI/age. The dependent variable was physical fitness. The independent variables were BMI/age, physical exercise, sleep quality, and parental education.  The data were collected by questionnaire and analyzed by path analysis.Results: Physical exercise (b= 0.32; SE= 0.46; p<0.001) and BMI/age (b= -2.87; SE= 0.27; p= <0.001) were directly related to physical fitness. Indirect relationship was found inparent education and sleep index score with physical fitness through physical exercise. Interestingly, BMI/age had direct and indirect relationship to physical fitness.Conclusion: BMI/age is a predominant factor that influences physical fitness in male adolescences. Sleep quality and parent education also influence physical fitness, but they had the opposite direction. All those factors should be considered as key factors in order to enhance physical fitness in male adolescences.Keywords: physical exercise, sleep quality, physical fitness, male adolescenceCorrespondence: Hayu Andita Satriani. Masters Program in Public Health, Universitas Sebelas Maret, Jl, Ir. Sutami 36 A, Surakarta, 57126, Central Java, Indonesia. Email: hayuandita@gmail.Journal of Health Promotion and Behavior (2018), 3(4): 270-278https://doi.org/10.26911/thejhpb.2018.03.04.07 
Meta-Analysis: The Effectiveness of Web-Based Health Promotion Interventions on Vegetable Consumption in Children Sinar Perdana Putra; Yulia Lanti Retno Dewi; Bhisma Murti
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: Consuming healthy food throughout life helps prevent malnutrition in all forms of various diseases. In the first 2 years of a child's life, optimal nutrition fosters healthy growth. Vegetables and fruit are food sources that contain many nutrients that humans must consume at every meal. EHealth is playing an increasingly large role in life and the internet has great potential to be a source of low cost and effective health promotion interventions.Subjects and Method: This study was a meta-analysis of a number of Randomized Controlled Trial study designs. The articles used in this study were obtained from several databases including PubMed, Google Scholar, and Springer Link. The articles used in this research are those published from 2010-2020. The article search was carried out by con­sidering the eligibility criteria defined using the PICO model. The population in the study was children aged 2 to 12 years old with an inter­vention in the form of web-based health promotion, comparison, which was not given a web outcome-based health promotion interven­tion in the form of vegetables consumption. The keywords for finding articles are as follows: "Intervention Health Promotion Web-Based" OR "eHealth Intervention" AND "Non-Inter­vention Health Promotion Web-Based" OR "Non eHealth Intervention" AND "Child" AND "Vegetables" AND "Randomized Controlled Trial”. The articles included in this study were full text articles with the design of a Rando­mized Controlled Trial (RCT) study. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Mana­ger 5.3 application.Results: A total of 9 articles were reviewed in this study. Meta-analysis of 9 primary data shows that web-based health promotion inter­ventions can increase children's vegetable con­sumption with statistically significant results (Standarized Mean Difference= 0.82; 95% CI= 0.26 to 1.37; p= 0.004).Conclusion: Web-based health promotion interventions can increase vegetables consump­tion in children.Keywords: Intervention Health Promotion Web-Based, eHealth, vegetables consumptionCorrespondence: Sinar Perdana Putra. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: perdanasinarp@gmail.com Mobile: 085727777227.Journal of Health Promotion and Behavior (2020), 05(03): 197-208https://doi.org/10.26911/thejhpb.2020.05.03.06.  
The Role of the Health Belief Model in Antenatal Care Visits among Pregnant Women at Sentru Saude Komunitaria, Baucau Municipality, Timor Leste Natalino de Jesus Varela; Yulia Lanti Retno Dewi; Bhisma Murti; Revi Gama Hatta Novika; Setyo Sri Rahardjo
Journal of Health Promotion and Behavior Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Antenatal Care (ANC) visits are an essential intervention for reducing the risk of maternal morbidity and mortality. However, ANC coverage in several regions of Timor-Leste, including Baucau Municipality, remains below the national target. This study aimed to analyze factors influencing pregnant women’s compliance with recommended ANC visits according to timing and guidelines using the Health Belief Model (HBM)Subjects and Method: This cross-sectional study involved 200 pregnant women registered at healthcare facilities in Baucau Municipality, Timor-Leste. Data were collected using a question-naire based on HBM constructs that had been tested for validity and reliability. Data were analyzed using path analysis with STATA version 13 to identify direct and indirect effects among variables associated with ANC visits.Results: The results showed that cues to action had a direct and positive effect on ANC visits (b= 0.12; 95% CI= 0.03 to 0.20; p= 0.005). Gestational age had a significant positive effect on ANC visits (b= 0.24; 95% CI= 0.16 to 0.32; p< 0.001). In contrast, distance to healthcare facilities had a significant negative effect (b= -0.70; 95% CI= -0.75 to -0.64; p< 0.001), while parity had a negative but non-significant effect (b= -0.05; 95% CI= -0.14 to 0.03; p= 0.175). Self-efficacy had an indirect effect on ANC visits through perceived benefits (b= 0.15; 95% CI= 0.01 to 0.29; p= 0.040) and perceived benefits also had a significant indirect effect (b= 0.22; 95% CI= 0.08 to 0.37; p= 0.002). Perceived severity indirectly influenced ANC visits as well (b= -0.14; 95% CI= -0.26 to -0.01; p= 0.035).Conclusion: ANC visits increased with stronger cues to action and advancing gestational age. Conversely, ANC visits decreased with greater parity and longer distance to healthcare facilities. ANC visits were indirectly influenced by perceived susceptibility, perceived severity, perceived barriers, perceived benefits, and self-efficacy.