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Journal : Journal of Health Promotion and Behavior

Association Between Socio-Economic Factor, Home Sanitation, Sense of Belonging, and Health Behavior, in Patients with Dengue Hemorrhagic Fever in Kediri, East Java Kusumawati, Lindha Sri; Mudigdo, Ambar; -, Soemanto
Journal of Health Promotion and Behavior Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Dengue hemorrhagic fever (DHF) is an infectious disease characterized by high fever and red spots on the skin with unclear causal factor. The increasing number of DHF cases for the past few years indicated poor environmental health indicator.  The purpose of this study was to determine the association between socio-economic factor, home sanitation, sense of belonging, and health behavior, in patients with DHF.Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Campurejo Health Center, Kediri, East Java. A total sample of 100 patients with DHF were selected for this study. The dependent variable was health behavior. The independent variables were socio-economic factor, home sanitation, and sense of belonging. The data were collected by questionnaire and analyzed by multiple logistic regression.  Results: Education ≥ senior high school (OR= 3.15; 95% CI= 1.219 to 8.140; p=0.018), family income ≥ regional minimum wage (OR= 9.143; 95% CI= 3.13 to 26.70; p=0.001), good home sanitation (OR= 3.1; 95% CI= 1.120 to 8.579; p=0.029), and sense of belonging (OR= 12.01; 95% CI= 4.021 to 35.89; p=0.001) were associated with healthier behavior.Conclusion: Education ≥ senior high school, family income ≥ regional minimum wage, good home sanitation, and sense of belonging are associated with healthier behavior.Keywords: education, family income, home sanitation, sense of belonging, health behaviorCorrespondence: Lindha Sri Kusumawati. Faculty of Health Sciences, Kadiri University. Email: lindha.sri@gmail.com.Journal of Health Promotion and Behavior (2016),  1(4): 238-243https://doi.org/10.26911/thejhpb.2016.01.04.03
Path analysis on the Determinants of Pap Smear Utilization for Cervical Cancer Early Detection in Women of Reproductive Age Wardhani, Gesit Kusuma; Mudigdo, Ambar; Qadrijati, Isna
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is the fourth most common malignant cancer among women after breast, colorectal, and lung cancers. Pap smear has been recognized as an effective strategy for reducing the incidence and mortality rate of cervical cancer. This study aimed to investigate the determinants of Pap smear utilization for cervical cancer early detection in women of reproductive age using path analysis model.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted in Cilongok and Ajibarang Sub-districts, Banyumas, Central Java, from January 3 to February 3, 2018. A total sample of 200 women reproductive age was selected for this study by fixed disease sampling. The dependent variable was Pap smear utilization. The independent variables were education level, attitude, perception on the quality health care, access to the health center, family support, peer support, and health personnel support.  The data were collected by questionnaire and analyzed by path analysis.Results: Pap smear utilization was positively and directly associated with education (b = 2.63; 95% CI= 1.77 to 3.48 p<0.001), perception on quality of health care (b= 1.04; 95% CI= 0.22 to 1.86; p= 0.012), attitude (b= 1.48; 95% CI= 0.51 to 2.44 p= 0.003), access to health center (b=1.02; 95% CI= 0.20 to 1.84 p= 0.015), family support (b= 1.29; 95% CI= -0.22 to 2.61; p= 0.029), and health personnel support (b= 2.02; 95% CI= 0.60 to 3.45 p= 0.005). Pap smear utilization was indirectly associated with peer support through perception on quality health care (b = 0.66; 95%= -0.01 to 1.33 p = 0.031).Conclusion: Education, perception on the quality of health care, attitude, access to the health center, family support, and health personnel support are directly associated with Pap smear utilization.Keywords: Pap smear, cervical cancer, path analysis, education, attitude, perception, family support, peer support, health personnel supportCorrespondence: Gesit Kusuma Wardhani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: gesitkusuma92@gmail.com.Journal of Health Promotion and Behavior (2017), 2(4): 359-370https://doi.org/10.26911/thejhpb.2017.02.04.08 
Health Belief Model on the Determinants of Human Papilloma Virus Vaccination in Women of Reproductive Age in Surakarta, Central Java Fitriani, Yulia; Mudigdo, Ambar; Andriani, Rita Benya
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is a type of cancer that develops in a woman's cervix. Cervical cancer is caused by a human papillomavirus (HPV). Cervical cancer ranked fourth against most women's cancer. The incidence of cervical cancer was estimated at 528,000 (7.9%) cases worldwide causing 266,000 deaths in 2012. The HPV vaccine can protect women from HPV infection, thus lowering the risk of cervical cancer. This study aimed to analyze the determinants of HPV vaccination in women of reproductive age in Permata Harapan Oncology Clinic, Surakarta, Central Java, using Health Belief Model.Subjects and Method: This was an analytic observational study with a case-control design. This study was conducted at Permata Harapan Oncology Clinic, Surakarta, from January to February 2018. A total study of 200 study subjects was selected by fixed disease sampling. The dependent variable was HPV vaccination. The independent variables were knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, and family support. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: HPV vaccination increased with better knowledge (OR=7.97; 95% CI= 1.50 to 42.38; p= 0.015), perceived seriousness (OR=22.81; 95% CI= 6.06 to 85.86; p<0.001), perceived susceptibility (OR=4.03; 95% CI= 1.25 to 13.09; p=0.020), , perceived benefit (OR­=6.57; 95% CI= 1.88 to 22.98; p=0.003), family income (OR=5.32; 95% CI= 1.57 to 18.07; p=0.007), and family support (OR=6.86; 95% CI= 1.55 to 30.36; p= 0.011). HPV vaccination decreased with perceived barrier (OR=0.14; 95% CI= 0.04 to 0.51; p=0.003).Conclusion: HPV vaccination increases with better knowledge perceived seriousness, perceived susceptibility, perceived benefit, family income, and family support, but decreases with perceived barrier.Keywords: HPV vaccination, knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, family supportCorrespondence: Yulia Fitriani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yuliafitriani38@gmail.com. Mobile: 085655708946.Journal of Health Promotion and Behavior (2018), 3(1): 16-26https://doi.org/10.26911/thejhpb.2018.03.01.02