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All Journal Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Uki Retno Budihastuti
Department of Obstetrics and Gynecology, Dr. Moewardi Hospital
Medicine & Pharmacology Public Health

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Factors Affecting the Use of Visual Inspection Acetic Acid Test: Multilevel Analysis on the Contextual Effect of Health Center Siti Kholifah; Uki Retno Budihastuti; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Cervical cancer is one of the deadliest diseases that are a major cause of female mor­bidity and mortality in developing countries. This study aimed to determine the effect of health cen­ters on the use of visual inspection acetic acid (VIA) tests using social cognitive theory.Subjects and Method: This was an analytic observational study with a cross sectional design, conducted at 25 community health centers (Puskesmas) in Surakarta and Karanganyar, Central Ja­va, Indonesia. A sample of 225 married women at reproductive age was selected by random sam­pling. The dependent variable was the use of VIA test. The independent variables at level 1 were intention, self-efficacy, attitude, outcome expectation, imitation, type of contraceptive method, dis­tan­ce to health service, belief, and time to attend health services. Puskesmas was independent va­ri­able at level 2. The data were collected by questionnaire and analyzed by a multilevel logistic regre­s­sion.Results: The use of VIA tests was positively affected by intention (b= 1.25; 95% CI= 0.30 to -2.13; p= 0.010), attitude (b= 1.25; 95% CI = 0.30 to -2.13; p= 0.010), outcome expectation (b= 0.86; 95% CI= -0.89 to -0.19; p= 0.076), imitation (b= 1.58; 95% CI= 0.62 to 2.54; p= 0.001), intra ute­ri­ne device (b= 1.55; 95% CI= 0.65 to 2.45; p= 0.001), distance (b= 1.39; 95% CI= 0.44 to 2.34; p = 0.004), self-efficacy (b= 1.11; 95% CI= 0.26 to 1.97; p= 0.011), trust in health service (b= 1.84; 95% CI= 0.87 to 2.81; p <0.001), and spare time to attend health center (b = 0.76; 95% CI = -0.11 to 1.64; p= 0.090). Puskesmas accreditation status had contextual effect on the use of VIA tests with ICC= 30.68%.Conclusion: The use of VIA tests was positively affected by intention, attitude, outcome expec­ta­tion, imitation, intrauterine device, distance, self-efficacy, trust in health service, and spare time to attend health center. Puskesmas accreditation status had contextual effect on the use of VIA tests.Keywords: visual inspection acetic acid, social cognitive theory, multilevel analysisCorrespondence: Siti Kholifah. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: olifkholifah53@gmail.com. Mobile: 081575644051.Journal of Health Promotion and Behavior (2019), 4(1): 1-11https://doi.org/10.26911/thejhpb.2019.04.01.01
Psychological and Social Determinants of HIV: Path Analysis Evidence from Jepara, Central Java Ita Fijanah Puspita; Uki Retno Budihastuti; Vitri Widyaningsih
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: HIV/AIDS was a global problem as a challenge in health discipline and a very important burden of disease to be addressed. Moreover, it had high mortality. This study aimed to analyze the risk factors for HIV/AIDS infection.Subjects and Method: This was a case control study conducted in Jepara, Central Java, from April to May 2019. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was HIV/AIDS. The independent variables were age, gender, unsafe sex behavior, sexual orientation, frequency of intercourse, injection drug abuse, social capital, perceived susceptibility, perceived seriousness, perceived threat, self-efficacy, and geographical location. The data were obtained from medical record and questionnaire. The data were analyzed by path analysis.Results: HIV / AIDS had a direct relationship with the frequency of sexual intercourse (b= 1.23; 95% CI= 0.27 to 2.19; p= 0.012), injecting drug use (b = 2.19; 95% CI= 0.01 to 4.37; p= 0.049), behavior unsafe sex (b= 3.10; 95% CI= 2.21 to 3.99; p <0.001), and sexual orientation (b= 3.69; 95% CI= 1.35 to 6.04; p= 0.002). HIV / AIDS had an indirect relationship with perceptions of threats, gender, geographical location, social capital, perceptions of vulnerability, perception of seriousness, self-efficacy, and age.Conclusions: HIV / AIDS has a direct relationship with the frequency of sexual relations, sexual orientation, unsafe sexual behavior, and injecting drug use. HIV / AIDS has an indirect relationship with age, gender, perception of vulnerability, perception of seriousness, perception of threats, self-efficacy, social capital, and geographical location.Keywords: HIV / AIDS, sexual behavior, social capital, path analysisCorrespondence: Ita Fijanah Puspita, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: itapuspita713@gmail.com. Mobile: 081347970482.Journal of Health Promotion and Behavior (2019), 4(1): 43-54https://doi.org/10.26911/thejhpb.2019.04.01.05
Multilevel Analysis on the Contextual Effect of Posyandu on Healthy Prenatal Behavior Among Pregnant Women in Bengkayang, West Kalimantan Dayang Fitri Murdikawati; Uki Retno Budihastuti; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Evidence suggests that prenatal care, healthy behaviors such as exercise and nutrition, general stress level, and routine blood pressure examination, are associated with fetal and maternal health. However, there is a lack of studies on factors affecting these healthy prenatal behaviors in Indonesia. This study aimed to determine the contextual effect of posyandu on healthy prenatal behavior among pregnant women in Bengkayang, West KalimantanSubjects and Method: A cross-sectional study was conducted at 25 integrated health posts (posyandu) in Bengkayang, West Kalimantan, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was healthy prenatal behavior. The independent variables were maternal education, family income, knowledge, health personnel support, family support, community leader support, and distance to posyandu. The data were collected by questionnaire and analyzed by multilevel logistic regression.Results: Healthy prenatal behavior was affected by maternal education (b= 4.64; 95% CI= 2.05 to 7.23; p<0.001), family income (b= 3.26; 95% CI= 1.15 to 5.37; p= 0.002), knowledge (b= 2.83; 95% CI= 0.90 to 4.47; p= 0.004), family support (b= 2.69; 95% CI= 0.70 to 4.69; p= 0.008), commu
Co-Authors Bhisma Murti Dayang Fitri Murdikawati Ita Fijanah Puspita Siti Kholifah Vitri Widyaningsih Yulia Lanti Retno Dewi