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Journal : Journal of Health Promotion and Behavior

Meta-Analysis of Factors Affecting Compliance Behavior in Taking Iron Folate Supplements in Pregnant Women Aisyiyah, Farida Nur; Apriliani, Eltigeka Devi
Journal of Health Promotion and Behavior Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pregnant women can have a higher risk of iron and folic acid deficiency due to poor adherence to iron folate supplements. Factors that influence pregnant women during antenatal check-ups on adherence to taking iron folate supplements are getting counseling, having knowledge, attending antenatal care and diagnosing anemia. This study aims to analyze the factors that influence the behavior of adherence to taking iron folate supplements in pregnant women.Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011 and 2021 using databases from PubMed, Google Scholar and ScienceDirect. Based on the database, there were 12 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software.Results: A total of 12 articles reviewed in the meta-analysis showed that there were 7 articles discussing pregnant women who received nutritional counseling had higher adherence behavior to taking iron folate supplements and were statistically significant (aOR= 2.39; 95% CI= 1.92 to 2.96; p <0.001), and there were 8 articles discussing pregnant women with anemia who had higher adherence to taking iron folate supplements and were statistically significant (aOR= 3.28; 95% CI= 1.56 to 6.87; p= 0.002).Conclusion: Nutrition counseling and anemia status can improve the behavior of adherence to taking iron folate supplements in pregnant women.Keywords: supplement, iron-folic acid, anemia, counselingCorrespondence:Farida Nur Aisyiyah. Klaten District Health Office. Jl. Pemuda Nomor No.313, Mlinjon, Tonggalan, Central Klaten, Central Java. Email: faridanur88@gmail.com. Mobile: +62 852-1493-3173.Journal of Health Promotion and Behavior, (2021), 06(04): 339-354DOI: https://doi.org/10.26911/thejhpb.2021.06.04.08
Meta-Analysis: Application of Health Belief Model on the Adherence to Antihypertensive Medication Apriliani, Eltigeka Devi; Prasetya, Hanung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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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