Arsita Eka Prasetyawati
Universitas Sebelas Maret

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The Influence of Hygiene and Sanitation Behavior and Social Capital on the Incidence of Diarrhea in Toddlers Handayani Sri Lestari; Arsita Eka Prasetyawati; Anik Lestari; Hari Wahyu Nugroho; Siti Khoiriyah
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2132

Abstract

Diarrheal disease among children under five remains a critical public health challenge, significantly contributing to early childhood morbidity and mortality due to behavioral and socio-environmental determinants. This research evaluates how hygiene practices and community social capital affect the occurrence of diarrhea among toddlers in Lamongan Regency. Utilizing an analytical observational design with a cross-sectional framework, the study sampled 339 mothers of children aged 0 to 59 months from the Solokuro and Paciran Districts via systematic random sampling. Data were collected using a structured questionnaire that had been tested for validity and reliability, demonstrating excellent internal consistency (Cronbach’s alpha = 0.915) and evaluated using Chi-square and multiple logistic regression tests (α = 0.05). The findings demonstrate a statistically significant correlation between diarrheal episodes and both sanitation hygiene practices (p = 0.000) and social capital (p = 0.000). Multivariate analysis identified sanitation hygiene as the primary determining factor (B = 1.828; p = 0.000), with social capital serving as a significant secondary predictor (B = 0.464; p = 0.042). Both hygiene behaviors and community social capital play a vital role in determining the incidence of childhood diarrhea. Therefore, there is a pressing need to enhance sanitation education initiatives, reinforced by robust community networks.
The Effect of Information, Motivation, and Behavioral Skills Model on Tertiary Prevention Behavior among Hypertension Patients Disa Lintang Sari; Setyo Sri Rahardjo; Arsita Eka Prasetyawati; Argyo Demartoto; Dhoni Akbar Ghozali
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2294

Abstract

Hypertension is a medical condition in which blood pressure increases above 140/80 mmHg. If it is not controlled, it can have negative effects on health and may develop into a chronic disease. Hypertension control depends on tertiary prevention behavior. This study used the Information Motivation Behavioral Skills construct to analyze tertiary prevention behavior among patients with hypertension. This study used a cross-sectional design conducted in Boyolali Regency. The sampling technique used stratified random sampling. Five community health centers were selected, with a total sample of 200 respondents. Data were collected using a questionnaire that had been tested for validity and reliability. Multivariate data analysis was performed using path analysis. The results of the study showed that behavioral skills had a direct association with tertiary prevention behavior among patients with hypertension (b = 0.40; 95% CI = 0.28–0.51; p < 0.001). Motivation was also directly and significantly associated with tertiary prevention behavior (b = 0.26; 95% CI = 0.14–0.38; p < 0.001). Information had an indirect association with tertiary prevention behavior through behavioral skills (b = 0.17; CI 95% = 0.06–0.28; p = 0.003), while motivation also had an indirect association with tertiary prevention behavior through behavioral skills (b = 0.40; 95% CI = 0.29–0.51; p < 0.001). In addition, information had a direct association with tertiary prevention behavior (b = 0.17; 95% CI = 0.06–0.28; p = 0.006). The path model demonstrated a good fit to the data (CFI = 1.00; TLI = 1.00; RMSEA = 0.00; SRMR = 0.00). behavioral skills and motivation influence tertiary prevention behavior among patients with hypertension. Information has a direct effect on tertiary prevention behavior, but it has an indirect effect through behavioral skills. Behavioral skills also mediate the effect of motivation on tertiary prevention behavior.