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Endang Sutisna Sulaeman
Universitas Sebelas Maret
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Journal : Journal of Health Promotion and Behavior

 1   2 
Path Analysis on the Determinants of the Use of Integrated Health Post and the Application of Theory of Planned Behavior Fitriani, Yuni; Tamtomo, Didik; Sulaeman, Endang Sutisna
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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Background: Integrated health post (Posyandu) is a strategy for community empowerement. It has an important role to reduce maternal mortality rate (MMR) and infant mortality rate (IMR). The intergrated health post monitors the health of infants, children, pregnant women, lactating women, and women of reproductive age. Weighing coverage of children under five was only 80.4% in Central Java, in 2014. Weighing coverage of children under five was only 78.4 % in Tegal District, in 2015, which was lower than the expected target of 80%. This study aimed to investigate the determinant of of the use of integrated health post and the application of  Theory of Planned Behavior (TPB).Subjects and method: This was an analytic observational study with case control design. This study was conducted in Tegal District, Central Java, from 25 September to 25 October 2016. A total sample of 135 mothers with their respective children aged 6-59 months were selected for this study by fixed disease sampling. The dependent variables were intention and use of the integrated health post. The independent variables were constructs of TPB, including attitude toward behavior, subjective norm, and perceived behavior control. The data were collected by a pre-tested set of questionnaire. The data were analyzed by path analysis using IBM SPSS AMOS 22.Results: The path model showed goodness of fit with CMIN=4.24; p=0.120; GFI=0.99; NFI=0.99; CFI=0.99; and RMSEA=0.09. Intention had direct positive and statistically significant effect on the use of the integrated health post (b=0.29; p<0.001). All of the three TPB constructs, including attitude toward behavior (b=0.27; p<0.001), subjective norm (b=0.27; p=0.046), and perceived behavior control (b=0.34; p=0.007) had indirect positive and statistically significant effect on the use of the integrated health post.Conclusion: Intention has direct positive effect on the use of the integrated health post. All of the three TPB constructs, i.e. attitude toward behavior, subjective norm, and perceived behavior control has positive and indirect effect on the use of the integrated health post.Keywords: integrated health post, theory of planned behaviorCorrespondence: Yuni Fitriani. School of Health and Sciences, STIKes Bhakti Mandala Husada Slawi. Email: yfitriani85@yahoo.co.id.Journal of Health Promotion and Behavior (2016),  1(4): 228-237https://doi.org/10.26911/thejhpb.2016.01.04.02
Path Analysis on the Effectiveness of Exclusive Breastfeeding Advocacy Program on Breastfeeding Practice using Theory of Planned Behavior Ariwati, Valentina Dili; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding coverage was 52.30% in 2015, which was below the national target of 80%. For the past few years Klaten local government has launched the Exclusive Breastfeeding Advocacy Program with the objective to increase exclusive breastfeeding coverage. This study aimed to determine the effectiveness of Exclusive Breastfeeding Advocacy Program using Theory of Planned Behaviour framework.Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted from 2 August to 16 September 2016 in Klaten and Magelang, Central Java, Indonesia. A total of 200 lactating mothers of infants aged 6 to 12 months was selected for this study by multi-stage random sampling. The dependent variables were exclusive breastfeeding and intention. The independent variables were exclusive breastfeeding advocacy program, attitude, subjective norm, and perceived behavior control. The data were collected  using a set of questionnaire, and analyzed by path analysis.Results: The path model showed Goodness of Fit indices as follows: CMIN=4.24, p=0.374, GFI=0.99, NFI=0.99, CFI=1.00, RMSEA=0.017. Strong intention (b=0.15; p <0.001) had direct effect on exclusive breastfeeding. Positive atittude (b = 0.27; p<0.001), positive subjective norm (b=0.26; p <0.001), strong perception of behavior control  (b=0.25; p<0.001), and exclusive breastfeeding advocacy program (b=0.36; p<0.001), had positive effects on intention.Conclusion: Intention has direct effect on exclusive breastfeeding. Atittude toward exclusive breastfeeding, subjective norm, and perception of behavior control, have positive effects on intention. Exclusive breastfeeding advocacy program is effective in increasing the likelihood of providing exclusive breastfeeding.Keywords: exclusive breastfeeding advocacy program, attitude, subjective norm, perceived behavior control, intention, exclusive breastfeeding behavior.Correspondence: Valentina Dili Ariwati. Masters Program in Public Health, Sebelas Maret University.Journal of Health Promotion and Behavior (2016), 1 (3): 149-159https://doi.org/10.26911/thejhpb.2016.01.03.02
PRECEDE and PROCEED Model on the Determinants of Teacher’s Role in the Provision of Reproductive Health Education for Students with Mild Mental Retardation at School of Disability in Sleman, Yogyakarta Rahmasari, Putri; Nurhaeni, Ismi Dwi Astuti; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Access to reproductive health information is lacking among students with mental retardation (MR). Teachers at the School of Disability have potentially important role in improving access to reproductive health information among students with MR. This study aimed to investigate the determinants of teachers role in the provision of reproductive health education for students with mild MR at School of Disability, in Sleman, Yogyakarta.Subjects and Method: This was a qualitative study with phenomenology approach, conducted at School of Disability, Sleman, Yogyakarta. Key informants were selected by purposive sampling (i.e. criterion sampling), consisting 7 teachers of disability school, 5 personnels from the District Office of Education and Sport. PRECEED and PROCEDE model was used as a framework to identify the determinants under study. The data were collected by in-depth interview, observation, and document review. The data were analyzed by Miles and Hubberman method.Results: The seven teachers have shown their good roles in the provision of reproductive health education. Factors that determined teachers role included knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources. Weak perceived behavior control (e.g. perceived teacher’s incompetence) and negative subjective norms (e.g. teaching about reproductive health was considered taboo by the community) of the teachers weakened the teachers role. Lack of educational media, substandard rooms, reproductive health materials that were unintegrated in the curriculum, weakened teachers intention to perform their roles.Conclusion: Teachers at the school of disability in Sleman, Yogyakarta, have shown their good role in the provision of reproductive health education for students with mild MR. Knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources, are important determinants of teachers role in the provision of reproductive health education.Keywords: teachers role, school of disability, mental retardation, studentCorrespondence: Putri Rahmasari. School of Midwifery, ‘Aissyiah University, Yogyakarta. Email: putrialzam@gmail.com.Journal of Health Promotion and Behavior  (2016), 1(2): 109-119https://doi.org/10.26911/thejhpb.2016.01.02.06
Determinants of Fruits and Vegetables Consumption among Primary School Students: A Path Analysis Evidence Hidayah, Siti Shafridha; Pamungkasari, Eti Poncorini; Sulaeman, Endang Sutisna
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: Around 3.9 million deaths worldwide in 2017 were caused by a lack of fruit and vegetable consumption. Consumption of fruits and vegetables in Indonesia is still less than recommended by World Health Organization. This study aimed to examine determinants of fruits and vegetables consumption among primary school children.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at 25 elementary schools in Tegal, Central Java, from April to May 2019. A sample of 200 primary schools was selected by simple random sampling. The dependent variable was fruits and vegetables consumption. The independent variables were gender, knowledge, eco­no­mic status, fruits and vegetables availability, sources of information, food preference, food selec­tion, and parental role. The data were collected by food frequency questioner (FFQ) and question­naire. The data were analyzed by path analysis.  Results: Fruit consumption was directly influenced by male gender (b=-0.99; 95% CI= -1.86 to -0.12; p=0.025), knowledge (b= 0.92; 95% CI= 0.04 to 1.79; p=0.039), economic status (b=1.96; 95% CI= 1.09 to 2.83; p<0.001), fruits and vegetables availability (b= 0.92; 95% CI= 0.07 to 1.76; p= 0.034), source of information (b= 0.92; 95% CI= 0.01 to 1.82; p= 0.047), food selection (b= 1.77; 95% CI= 0.01 to 3.54; p= 0.049), and parental role (b= 1.19; 95% CI= 0.27 to 2.13; p=0.012). Vegetables consumption was directly influenced by male gender (b= -0.71; 95% CI= -1.37 to -0.05; p= 0.035), economic status (b= 0.81; 95% CI= 0.05 to 1.56; p=0.036), fruits and vegetables availability (b=0.98; 95% CI= 0.33 to 1.64; p=0.003), and parental role (b= 0.95; 95% CI= 0.19 to 1.69; p= 0.013). Fruit and vegetable consumption was indirectly influenced by gender, food preference, and economic status.Conclusion: Fruit consumption is directly influenced by male gender, knowledge, economic status, fruits and vegetables availability, source of information, food selection, and parental role. Vegetables consumption is directly influenced by male gender, economic status, fruits and vege­ta­bles availability, and parental role. Fruit and vegetable consumption is indirectly influenced by gender, food preference, and economic status.Keywords: consumption, fruits and vegetables, path analysisCorrespondence: Siti Shafridha Hidayah. Masters Program Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: shafridhahidayah@yahoo.com. Mobile: +62877­37­376507.Journal of Health Promotion and Behavior (2019), 4(1): 64-75https://doi.org/10.26911/thejhpb.2019.04.01.07
Path Analysis on the Determinants of Visual Inspection Acetic Acid Utilization on Early Detection of Cervical Cancer: Application of Health Belief Model Theory Sunarta, Elfania Arumma; Sulaeman, Endang Sutisna; Budihastuti, Uki Retno
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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Abstract

Background: Cervical cancer was a serious health problem for women and VIA screening provided many benefits to women, which was to detect early cervical cancer. This study aimed to de­ter­mine the determinants that influence the use of VIA with the theory of Health Belief Model on women of reproductive age.Subjects and Method: This was an analytic observational study with a case-control approach, con­ducted in the working area of Wongsorejo Public Health Center, Banyuwangi, East Java from March to April 2019. The sampling technique used was Fixed Disease Sampling, with a ratio of 1:3. Sam­ples from 150 women reproductive age who had not used VIA screening and 50 women who had conducted VIA screening. Independent variables were perceived susceptibility, perceived severity, perceived benefits, cues to action, self-efficacy, knowledge, attitudes, access to services and husband's support. The dependent variable was the use of VIA. Data were collected by questionnaire and analyzed by path analysis.Results: The use of VIA screening was directly affected and has a positive effect on perceived vul­ne­rability (b= 1.45; CI 95%= 0.50 to 2.40; p= 0.003), perceived severity (b= 0.86; CI 95%= -0.16 to 1.88; p= 0.099), perceived benefit (b= 1.61; CI 95%= 0.52 to 2.68; p= 0.003), cues to ac­tion (b= 1.21; CI 95%= 0.05 to 2.37; p= 0.040), high efficacy (b= 1.26; CI 95%= 0.27 to 2.26; p= 0.012), attitude (b= 1.83; CI 95%= 0.81 up to 2.85) and husband support (b= 1.59; CI 95%= 0.63 to 2.55). The use of VIA screening was indirectly influenced by access to health ser­vi­ces and knowledge.Conclusion: The use of VIA screening was directly influenced by perceived vulnerability, per­cei­ved severity, perceived benefits, perceived barriers, cues to act, self-efficacy, attitude and husband sup­port. And it was indirectly influenced by access to services and knowledge.Keywords: VIA, Cervical Cancer, Health Belief Model, Path AnalysisCorrespondence: Elfania Arumma Sunarta. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: elfaniaas@gmail.com. Mobile: +6282272434301Journal of Health Promotion and Behavior (2019), 4(1): 32-42https://doi.org/10.26911/thejhpb.2019.04.01.04
Path Analysis on the Effectiveness of Chronic Disease Prevention Program using Health Belief Model Aprilia, Nafi?ah; Tamtomo, Didik; Sulaeman, Endang Sutisna
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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Background: Chronic disease prevention program is a proactive health service system on chronic diseases which can affect hypertension control. This study aimed to determine the effect of the chronic disease prevention program and the construction of the Health Belief Model (HBM) on the prevention of elderly hypertension with path analysis method.Subjects dan Method: This study used observational analytical study with retrospective cohort study approach. This study was conducted in four community health centers in Ngawi Regency, East Java, in April-May 2019. The total sample of 200 elderly aged 60-74 years was divided into2 groups, such as group which participated in chronic disease prevention program(case) and the group which did not participate in chronic disease prevention program(control) based on fixed exposure sampling. The dependent variable of this study was hypertension control. The independent variables in this study were participants in a chronic disease prevention program, perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy. Variable data collection used questionnaires and analyzed using path analysis.Results: Hypertension control was directly and positively affected by chronic disease prevention program(b= ­­2.85­; ­95%CI= 0.48 to 5.22; p= 0.018), perceived vulnerability (b= 1.35; 95%CI= 0.16 hingga 2.53; p= 0.025), perceived seriousness (b= 0.83; 95%CI= 0.04 to 1.62; p= 0.039), and self-efficacy (b= 0.99; 95%CI= 0.14 to 1.85; p= 0.023). Hypertension control was indirectly affected by perceived benefits, perceived barriers, and cues to action.Conclusion: Hypertension control in the elderly is directly and positively affected by participation in chronic disease prevention program, perceived vulnerability, perceived seriousness, and self-efficacy. Hypertension control is indirectly affected by perceived benefits, perceived barriers, and cues to action.Keywords: Hypertension, chronic disease, prevention, Health Belief Model, path analysisCorrespondence: Nafi?ah Aprilia. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nafiahlia@gmail.com. Mobile: 082230766393Journal of Health Promotion and Behavior (2019), 4(2): 85-97https://doi.org/10.26911/thejhpb.2019.04.02.01
Does the Integrated Health Post have Contextual Effect on Tertiary Preventive Behavior among Hypertensive Patients? A Multilevel Analysis Evidence from Surakarta Ferdianto, Angga; Tamtomo, Didik Gunawan; Sulaeman, Endang Sutisna
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: The Indonesian Ministry of Health has launched a community-based non-com­mu­nicable disease (PTM) control program through the non-communicable disease Integrated Deve­lopment Post (Posbindu PTM). One of the non-communicable disease which is a very serious health problem is hypertension which is called the silent killer. The purpose of this study was to analyze the contextual effect of integrated development posts on the tertiary prevention behavior of patients with hypertension using Theory of Planned Behavior.Subjects and Method: A cross sectional study was conducted at 25 integrated health post in Surakarta, from September to October 2019. A sample of 200 hipertensive patients was selected by stratified random sampling. The dependent variable was tertiary prevention behavior. The inde­pendent variables were education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support. The data were collected by questionnaire and analyzed by multi­ple logistic regression run on Stata 13.Results: Tertiary prevention behavior in patients with hypertention increased with education level ≥Senior high school (b= 1.22; 95% CI= 0.37 to 2.08; p= 0.005), positive attitude (b= 1.51; 95% CI= 0.54 to 2.48; p= 0.002), supportive subjective norm (b= 1.38; 95% CI= 0.46 to 2.29; p= 0.003), strong perceived behavioral control (b= 1.10; 95% CI= 0.17 to 2.03; p= 0.020), strong intention (b= 0.97; 95% CI= 0.13 to 1.82; p= 0.023), strong integrated development post cadre support (b= 1.57; 95% CI= 0.69 to 2.46; p<0.001), and strong peer support (b= 1.46; CI 95% = 0.57 to 2.35; p = 0.001). Integrated development post had a contextual effect on tertiary prevention behavior of hypertension with intra-class correlation (ICC)= 16.03%Conclusion: Education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support increased tertiary prevention behavior of hypertension.Keywords: Tertiary prevention of hypertension, Theory of Planned BehaviorCorrespondence: Angga Ferdianto, Institute of Health Science Ngudia Husada Madura, Jl. RE. Martadinata No. 45 Mlajah, Bangkalan 69116. East Java, Indonesia. Email: angga.rmd@gmail.com. Mobile: +628574­6555354Journal of Health Promotion and Behavior (2019), 4(3): 224-234https://doi.org/10.26911/thejhpb.2019.04.03.07
Path Analysis: Application of Health Belief Model on the Determinants of Clean and Healthy Behavior among Elderly with Hypertension Imtichan, Septian Najib; Tamtomo, Didik; Sulaeman, Endang Sutisna
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: Lifestyle or behavioral factors critically determine high blood pressure in individuals. Elderly with hypertension in Indonesia aged 55-64 years by 45.9%, 65-74 years by 57.6%, and > 75 years by  63.8%. This study aimed to examine factors affecting healthy behavior in elderly with hypertension using the health belief model.Subjects and Method: This was a cross-sectional study conducted in Ngawi, East Java, from June to July 2019. A sample of 200 elderly was selected by multistage random sampling. The dependent variable was clean and healthy behavior. The independent variables were perceived susceptibility, perceived severity, perceived benefit, cues to action, self-efficacy, knowledge, attitude, and access to health service. The data were collected by questionnaire and analyzed by path analysis.Results: Clean and healthy behavior was positively and directly affected by self-efficacy (b= 1.51; 95% CI= 0.29 to 2.74; p= 0.015), attitude (b= 2.37; 95% CI = 1.17 to 3.56; p<0.001) , cues for action (b = 2.48; 95% CI= 1.11 to 3.86; p <0.001), perceived susceptibility (b= 2.07; 95% CI= 0.89 to 3.26; p= 0.001), perceived severity (b= 1.76; 95% CI= 0.54 to 2.99; p= 0.005), perceived benefit (b= 1.47; 95% CI= 0.36 to 2.57; p = 0.009), and access to health services (b= 2.26; 95% CI= 1.00 to 3.53; p<0.001). Clean and healthy behavior was indirectly affected by knowledge.Conclusion: The clean and healthy lifestyle behavior of the elderly is directly affected by the perceived vulnerability, perceived severity, perceived benefits, cues to act, self-efficacy, attitudes, and access to health services. Clean and healthy behavior is affected by knowledge.Keywords: clean and healthy behavior, elderly, health belief model, path analysisCorrespondence:Septian Najib Imtichan. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 54176, Central Java. Email: septianimtichan@gmail.com.Mobile: +6285229799672Journal of Health Promotion and Behavior (2019), 4(2): 110-120https://doi.org/10.26911/thejhpb.2019.04.02.03
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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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
APPLICATION THEORY OF PLANNED BEHAVIOR: DETERMINANTS OF BEHAVIOR TO USE PERSONAL PROTECTIVE EQUIPMENT AMONG TOBACCO FARMERS IN TEMANGGUNG, CENTRAL JAVA: A MULTILEVEL ANALYSIS Kumala, Yovita Eka Ratna; Rahardjo, Setyo Sri; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tobacco farmers has the risk of being exposed by wet nicotine during har­vest­ing tobacco leaves or is often called as Green Tobacco Sick­ness (GTS). GTS preven­tion can be conduc­t­ed by using Personal Pro­tec­tive Equipment (PPE) before farmers har­ves­t­ing tobacco leaves. Beha­vior in using PPE among farmers is affected by sex types, education, attitude, subjective norm, in­ten­tion, and perceived behavioral control. The stu­dy aims to analyze the determinant of beha­vior to use PPE among tobacco farmers in Te­man­g­gung Regency, Central Java.Subjects and Method: It was a cross sectional study, conducted in 25 villages in Temanggung Regency, August ? October 2019.  The sample was a total of 200 tobacco farmers. The sampling technique used was simple ran­dom sampling. Dependent variable of the study was behavior to use PPE among tobacco farmers. Independent va­riables of the study were sex types, education, attitude, subjective norm, intention, and per­ce­i­v­e­d behavioral control. The data collection used was question­nai­res and processed by using mul­tilevel multiple logistic regression with Stata 13.Results: The use of PPE among tobacco farmers during harvesting tobacco leaves was increased by male (b= 2.52;  95% CI= 1.39 up to 3.66; p<0.001), education ? High School (b= 2.15;  95% CI= 1.10 up to 3.19; p<0.001), strong famers? intention (b= 1.82;  95% CI= 0.13 up to 2.22; p= 0.027), positive farmers? attitude (b= 1.63;  95% CI= 0.58 up to 2.68; p= 0.002), supporting subjective norm (b= 1.74;  95% CI= 0.67 up to 2.81; p= 0.001), and strong per­ceived behavioral control (b= 1.53;  95% CI= 0.52 up to 2.54; p= 0.003).Conclusion: Behavior to use PPE among tobac­co farmers is affected by sex types, edu­cation, at­ti­tude, subjective norm, and perceived behavioral control.Keywords: behavior to use PPE, farmers, theory of planned behaviorCorrespondence: Yovita Eka Ratna Kumala. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indo­nesia, 57126. Email: yovitakuma­la­19@gmail­.­com­. Mo­bile: 083867630850Journal of Health Promotion and Behavior (2020), 5(1): 50-58https://doi.org/10.26911/thejhpb.2020.05.01.07
Co-Authors . Ardiningsih . Hudiyono Agatha Widiyawati, Agatha Agustin, Roviana Nurda Andarwati, Dwi Astuti Dian Angga Ferdianto Anom Dwi Prakoso Aprilia, Nafi?ah Aprilyaningsih, Wahyu Ardian, Kukuh Argyo Demartoto, Argyo Arief Suryono Ariwati, Valentina Dili Ariwati, Valentina Dili Bhisma Murti Chasanah, Eka Siti Dewayanti, Nurmala Dezca Nindita Diah Kurnia Mirawati Didik Gunawan Tamtomo Didik Tamtomo, Didik Diffah Hanim Doloh, Nureesa Dono Indarto Drajat Tri Kartono Dwi Handayani Dwi Hidayah Ernawati Ernawati Erynda, Revina Fiandany Estuti, Anak Agung Alit Kirti Eti Poncorini Pamungkasari Fillisita Chandramalina Dewayani Fuad, Lu’luatul Harinto Nur Seha Hariza Adnani Harsono Salimo Hartini, Ninik Hastuti, Heni Hastuti, Heni Heni Rusmitasari Hery Widijanto Hidayah, Siti Shafridha I. G. B Indro N Imtichan, Septian Najib Indita, Wiwen Indriastuti, Latty Inggar Ratna Kusuma Ismiana, Baiq Holisatul Jayanti, Nicky Danur Jayanti, Nur JB Prasodjo Karina Cibro, Adeyle Datna Kumala, Yovita Eka Ratna Lestary, Dewy Indah Lucia Pancani Anggraeni Marwandi, David Mohammad Idzham Reeza Monica, Windhy Novika, Revi Gamma Hatta Nunuk Suryani Nurul Wahidah Oepomo, Tedjo Danudjo Pamungkasari, Ety Poncorini Pangestuti, Restu Pawito Pawito Pradana, Riska Chandra Prasetya, Hanung Pratama, Tegar Wahyu Yudha Prihantina Utami, Okbrinta Wulandari Purwati - Rahardjo, Setyo Sri Rahardjo, Setyo Sri Rahmasari, Putri Ravik Karsidi Reviono Reviono Rifai Hartanto Robbihi, Hilmiy Ila Rosadi, Wahyuni Rosalina, Sintya RUBEN DHARMAWAN Salamah, Siti Nafi'atus Sari, Ambar Sri Hartini Sringatin, Sringatin Subiyanto, AA. Sulistyo, Siwi Anggraini Sumardiyono Sumardiyono Sunarta, Elfania Arumma Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Vidi Aditya Pamori Wibowo Putra Vitri Widyaningsih Waryana Waryana Yeni Tri Utami yulia lanti retno dewi Yuliani, Istri Yuni Fitriani, Yuni Zakiyah, Nisaus Zulaikah, Rahayu