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Contextual Effect of Village on the Risk of Postpartum Depression after Earthquake in Lombok, Indonesia Abdiani, Baiq Tuhu; Tamtomo, Didik; Prasetya, Hanung
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Postpartum depression is a feeling disorder experienced by the mother after giving birth that can occur at any time within one year. According to the WHO, the post-disaster of most of the affected population have normal psychological reactions and around 15 to 20% will expe­rie­n­ce men­tal disorders that refer to Post Traumatic Stress Disorder (PTSD). 3 to 4% experience severe dis­­or­ders such as psychosis, major depression and high anxiety. This study aims to analyze the vil­la­ge contextual influence on postpartum depression post earthquake.Subjects and Method: This was observational analytic study with cross sectional approach, conducted in 25 villages in East Lombok district, Indonesia in March to April 2019. The total sam­ple of 225 postpartum mothers was selected using stratified random sampling. The dependent va­ri­able was postpartum depression. The independent variables were age, parity, education, em­ploy­ment, income, obstetric history, social support, stress coping, government support, the role of he­a­lth personnel, and the level of loss. The data collection was conducted using questionnaires and ana­lyzed using multilevel multiple logistic regression analysis.Results: Postpartum depression was affected by age <20 or > 35 years (b = 1.79; 95% CI = 2.85 to 13.37; p = 0.001), parity <2 or > 4 (b = 1.45; 95% CI = 0.37 to 2.53; p = 0.008), high income (b = -1.68; CI 95% = -2.75 to -0.61; p = 0.002), there was an obstetric history (b = 1.03; CI 95% = -0.03 to 2.11; p = 0.059), strong social support (b = -1.62; 95% CI = -2.76 to -0.48; p = 0.005, good coping stress (b = -3.95; 95% CI = -5.42 to -2.47; p <0.001), strong government support (b = -1.26; 95% CI = -2.34 to -0.18; p = 0.022), the role of health personnel (b = -2.06; CI 95% = -3.29 to -0.83; p = 0.001), and the rate of loss (b = 2.69; 95% CI = 1.46 to 3.92; p <0.001) Postpartum depression was not influenced by higher education (b = -0.60; 95% CI = -1.63 to 0.42; p = 0.250) and low employment (b = 0.57; 95% CI = -0.44 to 1.59; p = 0.272). Villages has a contextual in­flu­en­ce on postpartum depression after the earthquake (ICC = 8.36%).Conclusion: Age, parity, income, obstetric history, social support, stress coping, government sup­port, the role of health personnel, and the level of loss have an influence on postpartum depression af­ter the earthquake. There is a contextual influence between the villages on average on the in­ci­den­ce of postpartum depression after the earthquake.Keywords: postpartum depression, stress coping, post earthquake, multilevel analysisCorrespondence: Baiq Tuhu Abdiani, Public Health Master’s Program, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: tuhuabdiani8@gmail.com. Mobile: 081999546500.Journal of Maternal and Child Health (2019), 4(5): 380-391https://doi.org/10.26911/thejmch.2019.04.05.12
Application of Health Belief Model on Factors Influencing Long-Term Contraceptive Use Pitaloka, Ayu Dhiah; Pawito, Pawito; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Family planning is one of the strategies to reduce maternal mortality. Data in 2017 shows that in Indonesia, out of 37,338,265 couples of reproductive age there were 18.63% who did not do family planning. Women of reproductive age (WRA) who have not done family planning can affect reproductive health. This study aimed to analyze factors influencing long-term contraceptive method (LTCM) using health belief model theory.Subjects and Method: This was a cross sectional study conducted in Sleman, Central Java, from March to April 2019. A sample of 220 women of reproductive age was selected by quota sampling. The dependent variable was LTCM use. The independent variables were perceived severity, perceived susceptibility, perceived benefit, cues to action, self-efficacy, education, and culture. The data was collected by questionnaire and analyzed by a multiple logistic regression.Results: Perceived severity (OR= 8.02; 95% CI= 2.62 to 24.51; p<0.001), perceived susceptibility (OR= 12.16; 95% CI= 3.65 to 40.42; p<0.001), perceived benefit (OR= 6.05; 95% CI= 2.10 to 17.40; p= 0.001), cues to action (OR= 6.98; 95% CI= 2.30 to 21.18; p= 0.001), self-efficacy (OR= 3.60; 95% CI= 1.23 to 10.52; p= 0.019), education (OR= 2.50; 95% CI= 1.40 to 10.41; p= 0.029), culture (OR= 6.65; 95% CI= 2.14 to 20.62; p= 0.001) increased long-term contraceptive use.Conclusions: Perceived severity, perceived susceptibility, perceived benefit, cues to action, self-efficacy, education, culture increase long-term contraceptive use.Keywords: family planning, long-term contraceptive, health belief modelCorrespondence: Ayu Dhiah Pitaloka. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ayudhiahp@gmail.com. Mobile: +62812266896­2­­­­91Journal of Health Promotion and Behavior (2019), 4(1): 55-63https://doi.org/10.26911/thejhpb.2019.04.01.06 
Biological and Social Economic Determinants of Adherence and Cure of Tuberculosis Treatment: Path Analysis Evidence from Yogyakarta Fitriani, Tri Godha; Rahardjo, Setyo Sri; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tuberculosis (TB) was an infectious disease which was still a health problem world­wide, including in Indonesia, which only had a population of around 261 million. The purpose of this study was to analyze biological and social economic determinants of adherence and cure of TB treatment.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Bantul, Yogyakarta, from April to May 2019. A sample of 225 TB patients was selected by random sampling. The dependent variable was adherence and cure of TB treat­ment. The independent variables were age, gender, education, family income, nutritional status, healthy behavior, complication, family support, drug taking supervisor, drug taking adherence, environment, and smoking. The data were collected by questionnaire and analyzed by path analysis.Results: Adherence and cure of TB treat­ment was directly increased with good nutritional status (b= 076; 95% CI= 0.03 to 1.49; p= 0.042), drug taking adherence (b= 3.67; 95% CI= 1.47 to 5.92; p= 0.001), drug taking supervisor (b= 3.64; 95% CI= 1.26 to 6.02; p= 0.003), strong family support (b= 2.03; 95% CI= -3.85 to -0.21; p= 0.029), and healthy physical environment (b= 4.05; 95% CI= - 0.09 to 8.20; p= 0.056). Adherence and cure of TB treat­ment was directly decreased with age ≥65 years old (b= -0.54; 95% CI= - 1.85 to 0.75; p= 0.411), female gender (b= -0.05; 95% CI= - 0.86 to 0.76; p= 0.900), unhealthy behavior (b= -3.20; 95% CI= - 5.02 to -1.36; p= 0.001), smoking (b= -1.50; 95% CI= - 2.56 to -0.43; p= 0.006), complication (b= -1.41; 95% CI= - 2.60 to -0.23; p= 0.019). It was indirectly affected by nutritional status, education, family income, and healthy environment.Conclusion: Adherence and cure of TB treat­ment is directly increased with good nutritional status, drug taking adherence, drug taking supervisor, strong family support, and healthy physical environment. Adherence and cure of TB treat­ment is directly decreased with age ≥65 years old, female gender, unhealthy behavior, smoking, complication. It is indirectly affected by nutritional status, education, family income, and healthy environment.Keywords: tuberculosis treat­ment, drug taking adherence, path analysisCorrespondence: Tri Godha Fitriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: trigodha@gmail.com. Mobile: +6287738200610.Journal of Epidemiology and Public Health (2019), 4(4): 270-282 https://doi.org/10.26911/jepublichealth.2019.04.04.02
Schools Have Contextual Influence on Smoking Behavior among High School Students in Dumai, Riau Islami, Shilfia Ulfa; Prasetya, Hanung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Adolescence is prone to smoking behavior. Smoking behavior in adolescents is influenced by parental income factors, pocket money, media exposure, peers, the influence of parents, and attitudes towards smoking behavior. The purpose of this study was to analyze the contextual influence of school on smoking behavior in adolescents in Dumai City, Riau.Subject and Method: This was a cross sectional study conducted at 13 senior high schools and 12 junior high schools in Dumai, Riau, Indoneisa, from September to October 2019. A sample of 200 male adolescents aged 12-18 years was selected by stratified random sampling. The dependent variable was smoking behavior. The independent variables were parental income, pocket money, media exposure, peer, parental influence, intention, attitude, subjective norm, and perceived behavior control (PBC). The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Smoking behavior in male adolescents increased with high parental income (b= 2.06; 95% CI= -0.02 to 4.15; p=0.053), high pocket money (b=2.75; 95% CI= 0.80 to 4.71; p= 0.006), high exposure to cigarette advertising media (b= 2.45; 95% CI= 0.52 to 4.37; p=0.012), peer (b=2.10; 95% CI= 0.46 to 3.74; p=0.012), parental smoking behavior (b= 2.23; 95% CI= 0.47 to 3.99; p=0.013), and positive attitude to smoke (b= 2.67; 95% CI= 0.78 to 4.55; p=0.005). Smoking behavior decreased with weak PBC (b= -2.33; 95% CI= -405 to -0.60; p= 0.008), weak intention (b= -3.85; 95% CI= -6.32 to -1.39; p= 0.002), and weak subjective norm (b=-3.03; 95 % CI= -5.16 to 5.16; p= 0.005). There was strong contextual effect of school on smoking behavior in male adolescents with intra-class (ICC)= 25.14%.Conclusions: Smoking behavior in male adolescents increases with high parental income, high pocket money, high exposure to cigarette advertising media, peer, parental smoking behavior, and positive attitude to smoke. Smoking behavior decreases with weak PBC, weak intention, and weak subjective norm. There is strong contextual effect of school on smoking behavior in male adolescents.Keywords: smoking behavior, adolescents, schoolCorrespondence: Shilfia Ulfa Islami. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: shilfiaulfa17@gmail.com. Mobile: 0852197­22029.Journal of Health Promotion and Behavior (2019), 4(3): 212-223https://doi.org/10.26911/thejhpb.2019.04.03.06
Application of Theory of Planned Behavior on Sexual Behavior in Female Adolescents Setiowati, Tri Ayu; Pamungkasari, Eti Poncorini; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In Indonesia, someone starts having a relationship for the first time in their teens. A woman starts having a relationship at the age of 15-17 years (33.3%). In addition, a man starts having a relationship at the age of 15 years (34.5 %). Sex behavior in adolescents had high conse­quences in physical and psychosocial health problems. The purpose of this study was to determine sexual behavior in female adolescents using Theory of Planned Behavior.Subjects and Method: This was a cross-sectional study conducted in Bantul, Yogyakarta, from June to July 2019. A sample of 200 female adolescents was selected by sample using random sampling. The dependent variable was sexual behavior. The independent variables were intention, attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief. The data were collected by questionnaire and analyzed by path analysis.Results: Positive sexual behavior in female adolescents was directly and positively affected by intention (b= 3.22; 95% CI= 1.46 to 4.97; p<0.001) and perceived behavioral control (b= 2.42; 95% CI= 1.23 to 3.61; p<0.001). Positive sexual behavior was indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.Conclusion: Positive sexual behavior in female adolescents is directly and positively affected by intention and perceived behavioral control. It is indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.Keywords: sexual behavior, adolescents, Theory of Planned Behavior, path analysisCorrespondence: Tri Ayu Setiowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: triayu.setiowati@gmail.com. Mobile: 085329680266.Journal of Health Promotion and Behavior (2019), 4(2): 126-136https://doi.org/10.26911/thejhpb.2019.04.02.05
Risk Factors of HIV among Male Military Personnels: A Meta Analysis Anulus, Ayu; Murti, Bhisma; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Military personnel has a high risk of being exposed to HIV. The transmission of HIV from male military personnel is like an iceberg phenomenon. Based on studies in the US, UK, and France, the military personnel from these countries are much more likely to be contaminated with HIV than the equal age/sex group in the civilian population. This study aimed to analyze the risk factors of HIV among male military personnel by using meta-analysis.Subjects and Method: This study was a systematic and meta-analysis study. The articles used in this study were obtained from several electronic databases including PubMed, Scopus, Springer Link, ScienceDirect, and Clinical key. These articles were collected for 2 weeks. The keywords used in searching for the articles were as follows: "HIV", "soldier", "military", "armed force", "army", "navy", "air force", "armed force", "sex partner", "man having sex with man (MSM)", "homosexual", number of marriage","prostitute","sexually transmitted infection (STI)", and "conscription". The articles included in this study were full-text articles with cross-sectional design. The articles were collected using PRISMA flow diagram. These articles were analyzed using meta-analysis with the Review Manager 5.3 application.Results: MSM (aOR= 9.37; 95%CI= 5.31 to 16.55; p <0.001), sexually transmitted infections (aOR = 3.75; 95%CI= 3.00 to 4.68; p<0.001), sexual partners> 10 (aOR= 3.05; 95 CI= 2.12 to 4.38; p<0.001) increased the incidence of HIV among male military personnel, and it was statistically significant. Sex with CSWs (aOR= 3.93; 95% CI= 0.93 to 16.62; p= 0.060) increased the incidence of HIV among male military personnel, but it was not statistically significant.Conclusion: MSM, STI, and sexual partners >10 increase the incidence of HIV among male military personnels.Keywords: HIV, MSM, commercial sex workers, sexually transmitted infection, CSW, militaryCorrespondence: Ayu Anulus. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anulusayu@gmail.com. Mobile: 082359056395.Journal of Health Promotion and Behavior (2019), 4(3): 178-188https://doi.org/10.26911/thejhpb.2019.04.03.03
The Contextual Effect of School on Smoking Behavior among Male High School Students Arifianti, Tria; Soemanto, RB.; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Indonesia was a country with high cigarette production and consumption. The smoking prevalence in adolescents aged 13-15 years in several countries included Argentina (3.7%), Egypt (3.7%), America (3.4%) and Indonesia (2.8%). The impact of cigarette exposure both as active and passive smokers such as the occurrence of various diseases included impotence, various types of cancer, respiratory diseases, coronary heart disease and others. This study aimed to analyze the contextual effect of school on smoking behavior among students.Subjects and method: This was a cross sectional study conducted in Bantul, Yogyakarta, from April to May 2019. A sample of 200 male adolescents was selected by stratified random sampling. The dependent variable was smoking behavior. The independent variables were knowledge, family role, peer role, cigarette price, pocket money, and attitude. The data were collected by question­naire. The data were analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Smoking behavior was negatively associated with poor knowledge (b= -3.30; 95% CI= -0.35 to -0.09; p= 0.001), strong family role (b= -3.11; 95% CI= -1.15 to -0.26; p= 0.002), strong peer role (b= -3.92; 95% CI= -1.10 to -0.36; p< 0.001), cigarette price <Rp 10,000 (b= -2.81; 95% CI= -1.10 to -0.19; p= 0.005), money pocket >Rp 300,000 (b= -3.79; 95% CI= -5.75 to -0.01; p<0.001), and negative attitude (b= -3.37; 95% CI= -0.15 to -0.05; p = 0.001). School had contextual effect on smoking behavior with ICC= 14.00%.Conclusion: Smoking behavior is negatively associated with poor knowledge, strong family role, strong peer role, low cigarette price, high money pocket, and negative attitude. School has contextual effect on smoking behavior.Keywords: smoking behavior, adolescents, peers, multilevel analysisCorrespondence: Tria Arifianti. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A,  Surakarta 57126, Central Java. Email: tria.arifianti@gmail.com. Mobile: +62858­66515112.Journal of Health Promotion and Behavior (2019), 4(1): 76-84https://doi.org/10.26911/thejhpb.2019.04.01.08
Multilevel Analysis on Factors Affecting Measles Rubella Immunization Uptake among Toddlers in Pekanbaru, Indonesia Rosadi, Wahyuni; Sulaeman, Endang Sutisna; Prasetya, Hanung
Journal of Maternal and Child Health Vol 4, No 6 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Measles-Rubella (MR) immunization is a way to prevent measles and rubella, because the disease cannot be treated and the treatment given to patients is only supportive. Measles and rubella are spread in almost all provinces in Indonesia, so it needs a high and evenly coverage of at least 95% to break the chain of transmission. This study aimed to analyze the determinants of MR immunization uptake in infants.Subjects and Method: This was a cross-sectional study conducted in 25 community health posts (posyandu) in Pekanbaru, Indonesia, from April to May 2019. A sample of 200 mothers who had children aged 9-59 months was selected by stratified random sampling. The dependent variable was Rubella-Measles immunization. The independent variables were maternal education, maternal knowledge, family support, perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: Measles-Rubella immunization uptake increased with high maternal education (b= 0.66; 95% CI= -0.07 to 1.41; p= 0.080), high maternal knowledge (b= 0.90; 95% CI= 0.14 to 1.65; p= 0.020), strong family support (b= 0.71; 95% CI= -0.05 to 1.48; p= 0.068), high perceived susceptibility (b= 1.24; 95% CI= 0.33 to 2.14; p= 0.007), high perceived severity (b= 1.19; 95% CI= 0.36 to 2.03; p= 0.005), strong perceived benefit (b= 0.93; 95% CI= 0.19 to 1.66; p= 0.013), high cues to action (b= 0.96; 95% CI= 0.19 to 1.73; p= 0.014), and high self efficacy (b= 1.45; 95% CI= 0.59 to 2.31; p= 0.001). It decreased with strong perceived barrier (b= -1.05; 95% CI= -1.81 to -0.29; p= 0.007). Posyandu had a contextual effect on Rubella-Measles immunization with ICC= 10.53%.Conclusion: Measles-Rubella immunization uptake increases with high maternal education, high maternal knowledge, strong family support, high perceived susceptibility, high perceived severity, strong perceived benefit, high cues to action, and high self efficacy. It decreases with strong perceived barrier. Posyandu has a contextual effect on Rubella-Measles immunization.Keywords: Measles, Rubella, immunization, health belief model, multilevel analysisCorrespondence: Wahyuni Rosadi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: wahyuni.rosadi08@gmail.com. Mobile: 085271819193.Journal of Maternal and Child Health (2019), 4(6): 448-460https://doi.org/10.26911/thejmch.2019.04.06.06 
The Effect of Bullying on Depression, Academic Activity, and Communication in Adolescents in Surakarta: A Multilevel Logistic Regression Sudrajad, Kiyat; Soemanto, RB; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Human interaction requires com­munication as a transmission of informa­tion, ideas, emotions, skills, and so on. Com­mu­nica­tion occurs when a source conveys a message to the recipient with a conscious in­ten­tion to influ­ence the recipient's behavior. One of the pro­blems in social communication is bully­ing. Bully­ing or harassment can be through words or through actions that aim to make the opponent's mental fall and pressure. The purpose of this study was to analyze the factors that influence bullying against depres­sion with the Health Belief Model and Social Cognitive Theory.Subjects and Method: This was a cross-sectio­nal study conducted in junior high schools in Surakarta, in December 2019. A total sample of 250 adolescents was selected by simple random sampling. The dependent variable was bullying. The inde­pen­dent variables were perceived sus­ceptibility, perceived severity, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, depres­sion, academic activi­ties, and communication. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regres­sion run on Stata 13.Results: Bullying increased depression (b= 3.69; 95% CI= 1.51 to 9.00; p= 0.004) and poor communication (b= 4.95; 95% CI= 2.24 to 10.89; p <0.001). Bullying decreased academic achievement (b= - 5.68; 95% CI= -12.33 to -2.62; p<0.001). School had strong contextual effect on depression with ICC= ICC= 20.91%.Conclusion: Bullying increases depression and poor communication. Bullying decreases academic achievement. School has strong con­textual effect on depression.Keywords: bullying, depression, Health Belief Model, Social Cognitive TheoryCorrespondence: Kiyat Sudrajad. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta, 57126, Central Java. Ema­il­: kiyatrambo­@gmail.com. Mobile: +628­5­6­47­1­16834.Journal of Health Promotion and Behavior (2020), 05(02): 79-86https://doi.org/10.26911/thejhpb.2020.05.02.02
CONTEXTUAL EFFECT OF SCHOOL AND OTHER DETERMINANTS OF NON SMOKING BEHAVIOR AMONG HIGH SCHOOL STUDENTS IN BANTUL, YOGYAKARTA: A MULTILEVEL ANALYSIS Agustin, Roviana Nurda; Sulaeman, Endang Sutisna; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescence is a period of initiation of smoking and not smoking behavior. Non-smo­king behavior in adolescents is influenced by factors of knowledge, attitudes, subjective norms, perceptions of behavioral control, intention, parental support, teacher support, peer support, and in­formation media exposure. The purpose of this study was to analyze the contextual influence of schools on non-smoking behavior in adolescents in Bantul Regency, Yogyakarta.Subjects and Method: This was a cross sectional study conducted on 13 high schools and 12 vo­ca­tional high schools in Bantul Regency, Yogyakarta, from September to October 2019. A sample of 200 male adolescents aged 15-18 years was selected by stratified random sampling. The dependent variable was non-smoking behavior in adolescents. The inde­pendent variables were knowledge, attitudes, subjective norms, behavioral control perceptions, intentions, parental support, teacher support, peer support, and information media exposure. The data collections were performed using a questionnaire and analyzed using multilevel multiple logistic regression with Stata 13.Results: Non-smoking behavior in adolescents increases with high adolescent knowledge (b= 3.09; 95% CI= 0.86 to 5.33; p= 0.007), positive attitude (b= 2.92; 95% CI= 0.79 to 5.06; p= 0.007), norm subjective supportive (b= 2.81; 95% CI= 0.72 to 4.92; p= 0.009), perception of strong beha­vioral control (b= 3.60; 95% CI= 1.22 to 5.99; p = 0.003), non-smoking intention is strong (b= 3.09; 95% CI= 0.92 to 5.27; p= 0.005), strong family support (b= 2.80; 95% CI= 0.76 to 4.85; p= 0.007), strong teacher support (b= 2.98; 95% CI= 0.75 to 5.21; p= 0.009), strong peer sup­port (b= 2.58; 95% CI= 0.04 to 5.13; p= 0.046), and exposed to information media (b= 2.27; 95% CI= 0.45 to 4.09; p= 0.014). There was contextual effect of schools non-smoking be­ha­vi­or (ICC = 20.92%).Conclusion: Non-smoking behavior in adolescents is influenced by knowledge, attitude, sub­jec­tive norm, perceived behavioral control, intention, parental support, teacher support, peer support, and information media exposure. School has a contextual influence on non-smoking behavior in adolescents.Keywords: smoking, teenage behavior, schoolCorrespondence: Roviana Nurda Agustin. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: roviananurda@gmail.com. Mobile: 085­747­082310Journal of Health Promotion and Behavior (2019), 4(4): 274-286https://doi.org/10.26911/thejhpb.2019.04.04.04
Co-Authors Abdiani, Baiq Tuhu Abdiani, Baiq Tuhu Abida, Liza Laela Adnyana , I Made Dwi Mertha Afifah Noer Aflahiyah, Shiva Afriyanti, Neta Agus Kristiyanto Agus Kristyanto, Agus Agus Sarwo Prayogi Agus Triyono Agustin, Roviana Nurda Aisya, Agnes Liza Nur Akhmad Azmiardi Akmala, Jatu Kartika Alfiasari, Fadila Alfira fitriana Ali, Ahnafa Aisya Al-Syarani Nazilah Amalia, Veterina Rizki Anggreani, Gadis Nur Anita Rahmawati Annuchasari, Helmi Aprilia, Sholikha Dela Apriliani, Eltigeka Devi Aprilianto, Danu Argyo Demartoto, Argyo Arifianti, Tria Ariska, Yovita Galuh Eka Artha Budi Susila Duarsa Asrifa, Efa Yusfi Astuti, Susiana Yuni Astuti, Yessy Widhi Atika Mima Amalin Atin, Ulya Khoirunnisa’ Ayu Anulus Ayu Pangerti, Fitria Diyah Ayu, Elsa Jumasni Badri, Sholichan Baita, Etina Noor Bambang Kuncoro Betriza Bhisma Murti Budi Utomo Burhannudin Ichsan Cahyani, Mey Ditaputri Cahyo Setiawan Calorina, Livia Candra, Kintan Chrisnanda, Indah Adhitama Chusnul Zulaika Darmayanti, Aquartuti Tri Dasairy, Hana Fathiya Demartoto , Argyo Dhony, Ervia Fahma Diah Mahardewi, Ni Made Diana, Adawiyah Putri Didik Gunawan Tamtomo Didik Tamtomo, Didik Dodiet Aditya Setyawan Dw Pudjonarko Edi Pramono Elisa Novitasari, Elisa Endang Sutisna Sulaeman Ersananda, Audria Eti Poncorini Pamungkasari Fadhilah, Isnaini Qoriatul Fadli, Arif Fatati, Muhibbah Fatony, Riska Fajar Faujiah, Irfa Nur Fauziyyah, Jihan Nafisah Febiyasari, Eka Febriana, Annisa Firdaus, Anisah Firmansyah, Reza Ramadhana Tahta Firmanurulita, Fadhila Fitriani, Tri Godha Fitrianingsih, Yeni Fresna, Riyesti Hero Gunawati, Arista Hanum Sasmita Hapsari, Faricha Indra Heni Nur Kusumawati Hermanu Joebagio Hernanda R, Annisa Istighfari Heryyanoor, Heryyanoor Hibatullah, Faiz Nur Husna Arwa Salsabil IFFAH NURHAYATI, SRI HARTINI, ANANG PRIYANTO, Imam Setya Arifian, Imam Setya Indah, Lestari Indana, Alifiya Zulfa Islami, Dian Dini Islami, Shilfia Ulfa Ismail, Aem Jannah, Putri Isriyatil Jati, Linda Puspita Jati, Linda Puspita Kalada, Elisabeth Chelsea Uma Khairunissa, Khairunissa Kurniawati, Oktaviana Kusumaningrum, Remita Yuli Kusumaningrum, Utari Lafif, Muhammad Zainul Laqif, Abdurahman Latifah, Shafa Livia, Wardhatul Lobis, Yusuf Bachtiyar Luturmas, Antina M.Pd S.T. S.Pd. I Gde Wawan Sudatha . 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Soedarsono Safitri, Ayun Sakinah Sakinah Salsabilla, Dinda Anindita Samudera, Galang Aji Saptaningtyas , Haryani Saputri, Lusiana Dewi Sari, Ayu Nanda Septiani, Anissa Eka Setiowati, Tri Ayu Setyo Sri Raharjo Sholihah, Anisa Asri Sholihah, Imrok Atus Sholikah, Mutiana Agustin Sigid Sudaryanto Sima Asmara Dewa Marya Mahardika Putri Simatupang, Nanda Agustian Siswanto, Andi Sitepu, Fransiska Siti Nurhalimah Soemanto, RB Soraya, Mira Mashita Sri Sulistyowati Sri Yatmihatun STEFANUS DJONI HUSODO Sudarmono, Andang Sudiro Sudiro Sudrajad, Kiyat Sukamto , Ika Sumiyarsi SUMANTO Sumardiyono Suprayogi, Dody Supriyadi Hari Respati Susilo, Fahmi Eko Suwaji Handaru Wardoyo, Suwaji Handaru Syafi’ie, Hisyam Tamtono, Didik Gunawan Tasalina Yohana Parameswari Gustam Teha, Zadia Dara Cynintya Tri Siswati Tursina, Elsa Uki Retno Budihastuti Ulwani, Qulistan Balqis Untari, Niken Yuliani Uswatun Hasanah Vitri Widiyaningsih, Vitri Vitri Widyaningsih Wahyu, Fatimah Wardhani, Resa Kusuma Wardiyatmi, Wardiyatmi Wibisono, Lilik Sigit Wicaksono, Emirza Nur Wijaya, Jennifer Wijayaningrum, Lena Winahyu, Frannesty Estu Wulandari, Adetya Yeni Fitrianingsih Yola Alqorien Mustikarani yulia lanti retno dewi Yuliana, Ana Yuliana, Ana Yuyun Setyorini Zahro, Astrida Septi Berliana