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Effect of self-efficacy and social support on medication compliance for tuberculosis patients Jessica Angelina Mangela; Muhammad Jusman Rau; Arwan Arwan; Rasyika Nurul Fadjriah; Ni Wayan Sridani
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.202

Abstract

Introduction: Tuberculosis remains a major public health problem, and medication non-adherence continues to hinder treatment success despite the implementation of the Directly Observed Treatment Short-course (DOTS) strategy. Psychological and social factors, particularly self-efficacy and social support, play an important role in determining patients’ adherence to long-term tuberculosis treatment. This study aimed to analyze the influence of self-efficacy and social support on medication adherence among tuberculosis patients in Palu City. Research Methodology: This study employed a quantitative, comparative, analytical design with a non-experimental, cross-sectional approach. The study population consisted of 489 registered tuberculosis patients in Palu City in 2025. A total of 83 respondents were selected using probability sampling with a cluster random sampling technique from seven public health centers. Data were collected using the Morisky Medication Adherence Scale (MMAS-8), the Tuberculosis Self-Efficacy Scale (TBSES), and the Multidimensional Scale of Perceived Social Support (MSPSS). Data analysis included univariate analysis and bivariate analysis using independent t-tests with a significance level of p < 0.05. Results: Medical care management (p = 0.003), support seeking (p = 0.047), and psychological adjustment (p = 0.038) were significantly associated with medication adherence, whereas transmission management was not (p = 0.993). All dimensions of social support, instrumental (p = 0.031), informational (p = 0.045), appraisal (p = 0.011), and emotional support (p = 0.015), demonstrated significant associations with medication adherence. Conclusion: These findings indicate that medication adherence among tuberculosis patients is strongly influenced by both self-efficacy and social support. Strengthening patients’ confidence in managing treatment and enhancing family and social support are essential to improve adherence and treatment outcomes
Student Smoking Behavior in the Implementation of the Smoke-Free Area Policy at SMA Negeri 1 Palu Arwan Arwan; Firmansyah; Sadli Syam; Herman; Rasyika Nurul Fadjriah; Sendhy Krisnasari; Khairunnisaa; Mohammad Fikri
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 3: July 2026 - International Journal of Health, Economics, and Social Sciences (IJHESS)
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i3.11243

Abstract

Smoking behavior is defined as the activity of inhaling smoke from cigarettes made of rolled dried tobacco leaves that are burned and subsequently exhaled by the individual. Smoking behavior is considered a public health issue that contributes to various health problems and even death, affecting both active smokers and passive smokers who are exposed to cigarette smoke. Smoking behavior among adolescents is no longer a new phenomenon. Low self-motivation to quit smoking, along with environmental and peer influences, are factors that make it difficult for individuals to stop smoking. This study aimed to identify students’ smoking behavior in the implementation of the Smoke-Free Area policy at SMA Negeri 1 Palu. The study employed a qualitative method with a case study approach. A total of 10 informants participated in this study. Data were managed using matrix analysis techniques. The findings indicated that students’ knowledge regarding the harmful effects of smoking was relatively good. However, students’ attitudes toward peer invitations to smoke were still inadequate, as some students continued to accept such invitations. In addition, the availability of facilities and opportunities that enabled students to obtain cigarettes, such as using pocket money provided by parents or receiving cigarettes from friends, also supported smoking behavior. On the other hand, support from certain peers in the form of advice and encouragement helped male adolescents avoid smoking behavior.