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Effect of Health Education on Health Behavior in Patients with Hypertension Haryani, Nur; Subiyanto, AA.; Suryani, Nunuk
Journal of Health Promotion and Behavior Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hypertension is a disease that can lead to stroke, heart attack, heart failure that can lead to death. Someone who has a risk factor for hypertension must be more vigilant and earlier in conducting prevention efforts. Prevention is to control the blood and improve the understanding of hypertension through health education in order to identify and reduce risk behavior hypertension. The purpose of this study was to determine the effect health education program 0n health behavior in patients with hypertension.Subjects and Method: This was a quasi-experimental study with pretest-posttest and control design. This conducted in Purwo Bakti Husodo, Purwodiningratan and Mojosongo integrated development post Pos Pembinaan Terpadu (Posbindu). A total sample of patients with hypertension as many as 30 people the treatment group and 32 control group. Data analysis using paired sample t-test or Wilcoxon and using independent sample t-test or Mann Whitney.Results: No effect of hypertension health education to the knowledge of hypertension (p<0.001). There is an effect on the attitudes of health education hypertension patients with hypertension (p=0.014). Health education hypertension influence the change risky behavior is a history of smoking (p=0.005), eating salty foods (p=0.008) and frequency of exercise (p ÃÂ 0.001), while health education hypertension had no effect statistically significant to change risky behavior that is stress (p=0.322) and BMI (p=0.502).Conclusion: Health education about hypertension effect on knowledge, attitudes, smoking, eating salty foods and exercise while no effect on stress and Body Mass Index (BMI).Keywords: health education, knowledge, attitudes and behavior of hypertension risk.Correspondence: Nur Haryani. School of Public Health, Sebelas Maret University, Surakarta.Journal of Health Promotion and Behavior (2016), 1 (1): 9-18https://doi.org/10.26911/thejhpb.2016.01.01.02

Path Analysis on the Effect of Biopsychosocial and Economic Factors during Gestational Period on the Risk of Stunting and Development in Children under Five, in Nganjuk, East Java Viridula, Erike Yunicha; Murti, Bhisma; Suryani, Nunuk
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: There is growing evidence of the connections between slow growth in height early in life and impaired health and educational and economic performance later in life. Basic Health Research (Riset Kesehatan Dasar, Riskesdas) conducted by The Minister of Health in 2010, showed that prevalence of stunting in Indonesia was 35.6% of children aged under five years old. This study aimed to examine path analysis on the effect of biopsychosocial and economic factors during gestational period on the risk of stunting and development in children under five, in Nganjuk, East Java.Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Bagor Community Health Center, Nganjuk, East Java. A total sample of 150 children under five, consisting of 50 stunted children and 100 normal children, was selected for this study by fixed exposure sampling. The dependent variables were stunting and development. The independent variables were middle upper arm circumference (MUAC) and family support at pregnancy, low birthweight, maternal height, maternal schooling, and family income. The stunting was measured by anthropometry (weight for height). The child development was measured by Kuesioner Pra-Skrining Perkembangan (KPSP). Other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Low birth weight had direct negative effect on stunting (b=0.99; p=0.897). Maternal height (b=-2.58; p= 0.029), maternal education (b=-1.55; p=0.002), and family income (b=-1.30; p=0.002) had direct negative effects on stunting. Low birth weight (b=-0.27; p=0.253) and family income (b=-0.007; p=0.976) have negative but statistically non-significant effect on development. Maternal education had positive but statistically non-significant effect on development (b=2.16; p=0.883). MUAC (b=-4.60; p<0.001) had negative and statically significant effect on low birth weight. Family support had positive but statistically non-significant on low birth weight (b=0.52; p=0.492). Maternal height had positive and statistically significant effect on MUAC (b=3.16; p<0.001). Family income had positive but statistically non-significant effect on MUAC (b=0.83; p=0.253).Conclusion: MUAC and maternal education have indirect, negative and statistically significant effect on stunting Maternal height, maternal education, and family income, have direct, negative, and statistically significant effect on stunting.Keywords: stunting, biopsychosocial, economic, gestational periodCorrespondence : Erike Yunicha Viridula. Masters Program in Public Health, Sebelas Maret University. Email: yunichasabdana@gmail.com.Journal of Health Promotion and Behavior (2016), 1(3): 180-189https://doi.org/10.26911/thejhpb.2016.01.03.05

Path Analysis on the Association Between Predisposing, Enabling, and Reinforcing Factors, and House Sanitation in Bengkulu, Sumatera Nasir, Shinta; Murti, Bhisma; Suryani, Nunuk
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: Poor sanitation is one of the primary causes of communicable diseases in the world. According to UNICEF (2012) 116 million people in Indonesia in 2010 were lacking in standard sanitation. In Bengkulu province, only 33.18% household in 2014 and 39.22% in 2015 had access to good sanitation. This coverage was lower than that of the national level at 62.14%. This study aimed investigating the association between predisposing, enabling, and reinforcing factors, and house sanitation in Bengkulu, Sumatera.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted in Teluk Segara District, Bengkulu, Sumatera from November to December 2016. A total of 120 households were selected by fixed exposure sampling for this study. The dependent variable was household sanitation. The independent variables were family education, family income, health education, social capital, and health behavior. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Family education (b= 1.08; SE= 0.48; p= 0.024) and health education (b= 0.19; SE= 0.07; p= 0.007) had positive and statistically significant effect on household sanitation. Health education had positive and statistically significant effect on healthy behavior (b= 0.09; SE= 0.04; p= 0.018). Social capital had positive and marginally significant effect on healthy behavior (b= 0.05; SE= 0.03; p= 0.099). Family income (b= 0.14; SE = 0.45; p= 0.756) and family education (b= 0.15; SE= 0.25; p= 0.566) did not show significant effect on household sanitation.Conclusion: Family education and health education had positive and statistically significant effect on household sanitation. Health education had positive and statistically significant effect on healthy behavior. Social capital had positive and marginally significant effect on healthy behavior. Family income and family education did not show significant effect on household sanitation.Keywords: path analysis, predisposing, enabling, reinforcing factors, household sanitationCorrespondence: Shinta Nasir. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: shinta_nasir26@yahoo.co.id.Journal of Health Promotion and Behavior (2016), 1(3): 190-200https://doi.org/10.26911/thejhpb.2016.01.03.06

Theory of Planned Behavior: Analysis of Factors Affecting the Preventive Behaviors of Alcohol Consumption and Smoking among Students from West Kalimantan, in Yogyakarta Delpia, Yesi Vila; Murti, Bhisma; Suryani, Nunuk
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: Indonesia ranked the third highest country in the world in the prevalence of smokers in 2010. The prevalence of alcohol drinkers reached 4.6% in 2007. West Kalimantan ranked the third highest ÃÂ and the fifth highest province in Indonesia in the number of smokers and drinkers, respectively. This study aimed to analyzeÃÂ factors affecting the preventive behavior of alcoholÃÂ consumption and smoking among studentsÃÂ from West Kalimantan, Indonesia.Subjects and Method: This was an analytical observational study with cross sectional design, conducted in Yogyakarta. A total of 100 students of West Kalimantan were selected by ÃÂ simple random sampling. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Positive attitude toward alcohol consumption (b=0.196; p=<0.001), positive subjective norms (b=0.650; p <0.001), strong perceived behavior control (b=0.296; p=<0.001), strong intention (b=1.755; p <0.001) had positive effect on alcohol consumption preventive behavior. Positive attitude toward smoking (b=0.381; p <0.001), positive subjective norms (b= 0.357; p< 0.001), strong perceived behavior control (b=0.252; p <0.001), and strong intention (b =1.122; p< 0.001) had positive effect on smoking prevention behavior.Conclusion: Theory of planned behavior can be used to predict preventive health behavior of a person, with respect to alcohol consumption and smoking. Attitude, subjective norm, perceive behavior control, and intention, each had either indirect or direct effect on alcohol consumption and smoking prevention behavior.Keywords: Theory of Planned Behavior, alcohol consumption, smoking, preventive behaviorCorrespondence:ÃÂ Yesi Vila Delpia. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: yesiviladelpia137@gmail.com.Journal of Health Promotion and Behavior (2016),1(2): 62-69https://doi.org/10.26911/thejhpb.2016.01.02.01

Health Belief Model: Determinants of Hypertension Prevention Behavior in Adults at Community Health Center, Sukoharjo, Central Java Setiyaningsih, Ratna; Tamtomo, Didik; Suryani, Nunuk
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: According the WHO the estimated of age standarized prevalence of High blood presure in adults age 25+ years in Indonesia in 2008 was 42.7% in men and 39.2% in women. Hypertension deaths in Indonesia reached 42.226 or 3.02% of total deaths in 2014. Age-adjusted death rate was 25.26 per 100.000 of population (ranked 29 in the world). The prevalence of hypertension in Sukoharjo, Central Java, was 36.827 cases in 2015. This study aimed to examine the determinants hypertension prevention behavior using Health Belief Model.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted in Sukoharjo, Central Java, Indonesia, from September to October 2016. A total of 160 patients visiting Sukoharjo Community Health Center, Sukoharjo, Central Java, was selected for this study by simple random sampling. The sample consisted of 83 (51.9%) patients aged <35 years and 77 (48.1%) patients aged ≥35 years. The exogenous variables were perceived vulnerability, perceived seriousness, cues to action, perceived benefits, perceived barrier, and self efficacy. The endogenous variables were perceived threat and hypertension prevention behavior. The data were collected by questionnaire and analyzed by path analysis.Results: The path model showed goodness of fit with indices as follows: CMIN= 9.03, p=0.172, GFI= 0.99, NFI= 0.99, CFI= 1.00, and RMSEA= 0.06. Self-efficacy (b= 0.11; p<0.001; β=0.31), perceived benefit (b=0.12; p=0.005), and perceived threat (b=-0.10; p<0.001), had positive and statistically significant effect on hypertension prevention behavior. Perceived barrier (b=-0.10; p<0.001) had negative and statistically significant effect on hypertension prevention behavior. Perceived vulnerability (b=0.35; p<0.001), perceived of seriousness (b=0.48; p<0.001), and cues to action (b=0.33; p<0.001) had indirect positive effects on hypertension prevention behavior.Conclusion: Self-efficacy, perceived benefit, and perceived threat, have positive effect on hypertension prevention behavior. Perceived barrier have negative effect on hypertension prevention behavior. Perceived vulnerability, perceived of seriousness, and cues to action have indirect positive effects on hypertension prevention behavior.Keyword: hypertension, prevention behavior, health belief model.Correspondence: Ratna Setyaningsih. School of Nursing Bhakti Mulia, Sukoharjo, Central Java. Email: ratnaa_ zeitiyanie@yahoo.co.id.Journal of Health Promotion and Behavior (2016),1(3): 161-171https://doi.org/10.26911/thejhpb.2016.01.03.03

Health Belief Model: Health Preventive Behavior of Sexually Transmitted Infection in Female Sex Workers in Surakarta Wulandari, Yenni Apriana; Suryani, Nunuk; Poncorini, Eti
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: ÃÂ SexuallyÃÂ Transmitted Infection (STI), such as HIV/ AIDS, is a public health problem. The prevalence of HIV in Indonesia in 2014 was 32,711 cases, and the prevalence of AIDS was 5,494 cases. In 2015 the Municipality Health Office of Surakarta ÃÂ found 71 cases of STI, consisting of 18 cases of HIV, 47 cases of AIDS, and 6 cases of Siphilis. A female sex worker may have several sexual partners per day. As studies have shown, female sex workers have 12 times higher risk of HIV infection than loyal housewife. Condom use can reduce up to 85% risk of HIV transmission. This study aimed to investigate the factors affecting STI preventive behavior among female sex workers in Surakarta, using ÃÂ Health Belief Model (HBM).Subjects andÃÂ Method: This was an observational analytic study with cross-sectional design. This study was conducted in Banjarsari, Surakarta, Indonesia, from August to October 2016. A total of 130 femaleÃÂ sex workers were selected at random. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. The dependent variable was STI preventive behavior. The data was collected by questionnaire and analyzed by logistic regression model.Results: Perceived susceptibility (OR=7.45; CI=95%; 1.61 to 49.89; p=0.012), severity (OR=4.02; CI=95%; 1.14 to 14.17; p=0.310), benefit (OR=5.63; 95% CI; 1.10 to 28.91; p=0.390), barrier (OR = 0.18; 95% CI; 0.02 to 0.70; p=0,018), cues to action (OR=7.32; CI=95%; 1,18 to 29.29; p=0.050), self-efficacy (OR=5.10; CI=95%; 1.10 to 23.58; p=0.370), had positive effects on STI preventive behavior.Conclusion: Perceived susceptibility, severity, benefit, barrier, cues to action, self-efficacy, had positive effects on STI preventive behavior. This study supports the applicability of the HBM constructs when they are used to explain factors affecting STI prevention behavior.Keywords: Health Belief Model, sexually transmitted infection, female sex workerCorrespondence:ÃÂ Yenni Apriana Wulandari. Masters Program in Public Health, Sebelas Maret University, SurakartaJournal of Health Promotion and Behavior (2016), 1 (2): 70-78https://doi.org/10.26911/thejhpb.2016.01.02.02

Theory of Planned Behavior on the Determinants of Participation in the Long-Term Contraceptive Method Among Women of Reproductive Age, in Nganjuk, East Java -, Joeliatin; Murti, Bhisma; Suryani, Nunuk
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: Unintended pregnancies remain a substantial global public health issue despite considerable advances in contraceptive technologies. The global trend shows that the use of permanent contraception to prevent unintended pregnancy is high. Although the trend also shows a rise in the use of long-acting reversible methods, these are still underutilized despite having contraceptive as well as non-contraceptive benefits. This study aimed to examine the determinants of participation in long-term contraceptive method among women of reproductive age in Nganjuk, East Java, using Theory of Planned Behavior.Subjects and Method: This was an analytic observational study, using case control design. This study was conducted in Bagor, Nganjuk, East Java. A total of 100 women of reproductive age was selected for this study by fixed disease sampling. The independent variables were constructs in the Theory of Planned Behavior, i.e. attitude, subjective norm, and perceived behavior control. The dependent variables were intention and participation in long-term contraceptive use. The data were collected by a set of questionnaire, and analyzed by path analysis.Results: Intention had direct and positive effect on participation in long-term contraceptive use (b=2.07; CI 95% 0.78-3.36; p=0.002). Attitude (b=1.40; CI 95% 0.41-2.40 p=0.006), subjective norm (b=1.64; CI 95% 0.76-2.53; p<0.001), and perceived behavior control (b=1.22; CI 95% 0.32-2.12; p=0.008) had indirect positive effect on participation in long-term contraceptive use through intention. Conclusion: There are direct and indirect effect of Theory of Planned Behavior constructs on participation long-term contraceptive use among women of reproductive age.Keywords: Theory of Planned Behavior, long-term contraceptive method, women of reproductive ageCorrespondence: Joeliatin. School of Midwifery, AKBID Wiyata Mitra Husada, Kertosono, Nganjuk, East Java. Email: yulisuyitno77@gmail.com.Journal of Health Promotion and Behavior (2016), 1(3): 171-179https://doi.org/10.26911/thejhpb.2016.01.03.04

Health Belief Model: Determinants of Hypertension Prevention Behavior in Adults at Community Health Center, Sukoharjo, Central Java Setiyaningsih, Ratna; Tamtomo, Didik; Suryani, Nunuk
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: According the WHO the estimated of age standarized prevalence of High blood presure in adults age 25+ years in Indonesia in 2008 was 42.7% in men and 39.2% in women. Hypertension deaths in Indonesia reached 42.226 or 3.02% of total deaths in 2014. Age-adjusted death rate was 25.26 per 100.000 of population (ranked 29 in the world). The prevalence of hypertension in Sukoharjo, Central Java, was 36.827 cases in 2015. This study aimed to examine the determinants hypertension prevention behavior using Health Belief Model.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted in Sukoharjo, Central Java, Indonesia, from September to October 2016. A total of 160 patients visiting Sukoharjo Community Health Center, Sukoharjo, Central Java, was selected for this study by simple random sampling. The sample consisted of 83 (51.9%) patients aged <35 years and 77 (48.1%) patients aged ≥35 years. The exogenous variables were perceived vulnerability, perceived seriousness, cues to action, perceived benefits, perceived barrier, and self efficacy. The endogenous variables were perceived threat and hypertension prevention behavior. The data were collected by questionnaire and analyzed by path analysis.Results: The path model showed goodness of fit with indices as follows: CMIN= 9.03, p=0.172, GFI= 0.99, NFI= 0.99, CFI= 1.00, and RMSEA= 0.06. Self-efficacy (b= 0.11; p<0.001; β=0.31), perceived benefit (b=0.12; p=0.005), and perceived threat (b=-0.10; p<0.001), had positive and statistically significant effect on hypertension prevention behavior. Perceived barrier (b=-0.10; p<0.001) had negative and statistically significant effect on hypertension prevention behavior. Perceived vulnerability (b=0.35; p<0.001), perceived of seriousness (b=0.48; p<0.001), and cues to action (b=0.33; p<0.001) had indirect positive effects on hypertension prevention behavior.Conclusion: Self-efficacy, perceived benefit, and perceived threat, have positive effect on hypertension prevention behavior. Perceived barrier have negative effect on hypertension prevention behavior. Perceived vulnerability, perceived of seriousness, and cues to action have indirect positive effects on hypertension prevention behavior.Keyword: hypertension, prevention behavior, health belief model.Correspondence: Ratna Setyaningsih. School of Nursing Bhakti Mulia, Sukoharjo, Central Java. Email: ratnaa_ zeitiyanie@yahoo.co.id.Journal of Health Promotion and Behavior (2016),1(3): 161-171https://doi.org/10.26911/thejhpb.2016.01.03.03

Theory of Planned Behavior on the Determinants of Participation in the Long-Term Contraceptive Method Among Women of Reproductive Age, in Nganjuk, East Java -, Joeliatin; Murti, Bhisma; Suryani, Nunuk
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: Unintended pregnancies remain a substantial global public health issue despite considerable advances in contraceptive technologies. The global trend shows that the use of permanent contraception to prevent unintended pregnancy is high. Although the trend also shows a rise in the use of long-acting reversible methods, these are still underutilized despite having contraceptive as well as non-contraceptive benefits. This study aimed to examine the determinants of participation in long-term contraceptive method among women of reproductive age in Nganjuk, East Java, using Theory of Planned Behavior.Subjects and Method: This was an analytic observational study, using case control design. This study was conducted in Bagor, Nganjuk, East Java. A total of 100 women of reproductive age was selected for this study by fixed disease sampling. The independent variables were constructs in the Theory of Planned Behavior, i.e. attitude, subjective norm, and perceived behavior control. The dependent variables were intention and participation in long-term contraceptive use. The data were collected by a set of questionnaire, and analyzed by path analysis.Results: Intention had direct and positive effect on participation in long-term contraceptive use (b=2.07; CI 95% 0.78-3.36; p=0.002). Attitude (b=1.40; CI 95% 0.41-2.40 p=0.006), subjective norm (b=1.64; CI 95% 0.76-2.53; p<0.001), and perceived behavior control (b=1.22; CI 95% 0.32-2.12; p=0.008) had indirect positive effect on participation in long-term contraceptive use through intention. Conclusion: There are direct and indirect effect of Theory of Planned Behavior constructs on participation long-term contraceptive use among women of reproductive age.Keywords: Theory of Planned Behavior, long-term contraceptive method, women of reproductive ageCorrespondence: Joeliatin. School of Midwifery, AKBID Wiyata Mitra Husada, Kertosono, Nganjuk, East Java. Email: yulisuyitno77@gmail.com.Journal of Health Promotion and Behavior (2016), 1(3): 171-179https://doi.org/10.26911/thejhpb.2016.01.03.04

Path Analysis on the Effect of Biopsychosocial and Economic Factors during Gestational Period on the Risk of Stunting and Development in Children under Five, in Nganjuk, East Java Viridula, Erike Yunicha; Murti, Bhisma; Suryani, Nunuk
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: There is growing evidence of the connections between slow growth in height early in life and impaired health and educational and economic performance later in life. Basic Health Research (Riset Kesehatan Dasar, Riskesdas) conducted by The Minister of Health in 2010, showed that prevalence of stunting in Indonesia was 35.6% of children aged under five years old. This study aimed to examine path analysis on the effect of biopsychosocial and economic factors during gestational period on the risk of stunting and development in children under five, in Nganjuk, East Java.Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Bagor Community Health Center, Nganjuk, East Java. A total sample of 150 children under five, consisting of 50 stunted children and 100 normal children, was selected for this study by fixed exposure sampling. The dependent variables were stunting and development. The independent variables were middle upper arm circumference (MUAC) and family support at pregnancy, low birthweight, maternal height, maternal schooling, and family income. The stunting was measured by anthropometry (weight for height). The child development was measured by Kuesioner Pra-Skrining Perkembangan (KPSP). Other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Low birth weight had direct negative effect on stunting (b=0.99; p=0.897). Maternal height (b=-2.58; p= 0.029), maternal education (b=-1.55; p=0.002), and family income (b=-1.30; p=0.002) had direct negative effects on stunting. Low birth weight (b=-0.27; p=0.253) and family income (b=-0.007; p=0.976) have negative but statistically non-significant effect on development. Maternal education had positive but statistically non-significant effect on development (b=2.16; p=0.883). MUAC (b=-4.60; p<0.001) had negative and statically significant effect on low birth weight. Family support had positive but statistically non-significant on low birth weight (b=0.52; p=0.492). Maternal height had positive and statistically significant effect on MUAC (b=3.16; p<0.001). Family income had positive but statistically non-significant effect on MUAC (b=0.83; p=0.253).Conclusion: MUAC and maternal education have indirect, negative and statistically significant effect on stunting Maternal height, maternal education, and family income, have direct, negative, and statistically significant effect on stunting.Keywords: stunting, biopsychosocial, economic, gestational periodCorrespondence : Erike Yunicha Viridula. Masters Program in Public Health, Sebelas Maret University. Email: yunichasabdana@gmail.com.Journal of Health Promotion and Behavior (2016), 1(3): 180-189https://doi.org/10.26911/thejhpb.2016.01.03.05

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