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Journal : Journal of Health Promotion and Behavior

Application of Health Belief Model on Obesity Prevention Behavior in Adolescents Flora, Viola Holly; Pamungkasari, Eti Poncorini; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.08

Abstract

Background: Adolescent obesity is a global challenge with serious health impacts. This study aimed to explore the application of the Health Belief Model (HBM) in the context of preventing obesity in adolescents. Subjects and Method: This research uses an observational analytical design with a cross sectional approach. The population consists of teenagers aged 15-19 years in the city of Surakarta, with a sample of 200 teenagers chosen randomly. The dependent variable is obesity prevention behavior. The independent variable is the HBM construct (perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy). Data was collected using a questionnaire, and analyzed using multiple linear regression. Results: There is a positive and statistically significant relationship between perceived vulnerability (b= 0.08; 95% CI= 0.03 to 0.13; p = 0.004), perceived seriousness (b= 0.37; 95% CI= 0.29 to 0.46; p<0.001), perceived benefits (b= 0.22; 95% CI= 0.14 to 0.29; p<0.001), cues to action (b= 0.15; 95% CI= 0.05 to 0.25; p= 0.005) and self-efficacy (b= 0.05; 95% CI = 0.01 to 0.10; p= 0.027) on obesity prevention behavior. Adjusted R-squared= 72.15%. This means that the HBM construct includes perceptions of vulnerability, perceptions of severity, perceptions of benefits, cues to action, and self-efficacy, together they are able to explain variations in obesity preventive behavior in adolescents by 72.15%. Conclusion: The results of this study indicate that the Health Belief Model construct includes perceptions of vulnerability, perceptions of seriousness, perceptions of benefits, cues to action, and self-efficacy, which play a role together in shaping obesity prevention behavior in adolescents.
Implementation of Social Cognitive Theory on Smoking Cessation Nisriina, Zain Nadaa; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.04

Abstract

Background: Most people have understood the negative effects of smoking behavior, but not all of them can make the decision to stop the behavior. Like smoking behavior, quitting smoking is also influenced by various factors. This study aimed to analyze smoking cessation behavior in individuals who have quit smoking through Social Cognitive Theory in the Semarang City area. Subjects and Method: The study was conducted with a cross-sectional study design involving as many as 205 participants, including 123 active smokers and 82 who had quit smoking. This research was conducted in the Semarang City area, Central Java. This research was conducted in March-April 2024. The sample was selected using fixed disease sampling for active smoking par­ticipants and snowball sampling for participants who had quit smoking. The dependent variable is smoking cessation behavior. The independent variables are expectation of results, self-regulation, self-efficacy, and strengthening. Data collection was carried out using a questionnaire and the data was analyzed using a path analysis model. Results: Smoking cessation behavior increased with high self-efficacy (OR= 19.99; 95% CI= 7.46 to 53.62; p<0.001) and strong self-regulation (OR= 3.05; 95% CI= 1.51 to 6.13; p= 0.002). Self-efficacy increased with the expectation of positive results (OR= 8.64; 95% CI= 4.52 to 16.52; p<0.001) and strong self-regulation increases with strengthening (OR = 3.61; 95% CI= 1.99 to 6.53; p<0.001). Thus, social cognitive theory can be used to explain and predict smoking cessation behavior. Conclusion: Smoking cessation behavior increases with high self-efficacy, strong self-regulation, positive outcome expectations, and strengthening. Thus, social cognitive theory can be used to explain and predict smoking cessation behavior. Keywords: social cognitive theory, smoking cessation, early adulthood.
Application of Social Cognitive Theory for Tertiary Preventive Behavior in Elderly with Hypertension: A Multilevel Analysis in Cirebon, West Java Sanusi, Sita Rahayu; Murti, Bhisma; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.11

Abstract

 Background: Hypertension is the first non-communicable disease diagnosed in various health facilities up to 185,857 cases. Hypertension is one of the main causes of mortality and morbidity in Indonesia, so the management of this disease is a very common intervention carried out at various levels of health facilities, especially in the elderly. This study aims to analyze the influence  of the application of social cognitive theory on the preventive behavior of the elderly tertiary with hypertension in Cirebon Regency. Subjects and Method: The study was conducted with  a cross-sectional study design  involving as many as 200 research subjects, including 102 positive tertiary preventive behavior research subjects and 93 negative tertiary preventive behavior research subjects. This research was conducted in 25 elderly posyandu in Cirebon Regency, West Java. This research was conducted in March-April 2024. The sample was selected using simple random sampling to select elderly research subjects with hypertension and stratified random sampling to select the type of Posyandu. The dependent variable is tertiary preventive behavior behavior in the elderly with hypertension. The independent variables were knowledge, expectations, self-regulation, self-efficacy, reinforcement and observational learning. Data collection was carried out using questionnaires and data were analyzed using a multilevel analysis model.. Results: Tertiary preventive behavior in older age with hypertension was influenced by knowledge (b = 1.89; 95% CI = 1.54 to 2.23; p <0.001), expectations (b = 0.15; 95% CI = 0.01 to 0.29; p = 0.031), self-regulation (b = 0.15; 95% CI = 0.01 to 0.29; p = 0.035), self-efficacy (b = 0.14; 95% CI = 0.00 to 0.29; p = 0.042), reinforcement (b = 0.15; 95% CI = 0.00 to 0.29; p = 0.042), reinforcement (b = 0.36; 95% CI = 0.22 to 0.50; p <0.001), and observational (b = 0.22; 95% CI = 0.07 to 0.38; p = 0.004). Posyandu has a contextual influence on tertiary preventive behavior in the elderly with hypertension with ICC = 40%. Conclusion: Tertiary preventive behavior in the elderly with hypertension is influenced by knowledge, expectations, self-regulation, self-efficacy, reinforcement and positive outcomes of observational learning. Thus, social cognitive theory can be used to explain and predict tertiary preventive behavior in the elderly with hypertension.  Variations at the Posyandu level have a strong contextual effect on tertiary preventive behavior in the elderly with hypertension.
Application of Health Belief Model of Tertiary Prevention Behavior in Elderly People with Hypertension: A Multilevel Analysis Zahro, Hallisa’tu; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.03

Abstract

Background: The health of the elderly is influenced by various risk factors and changes from within themselves and their environment. These various conditions can affect health problems, functional status, level of independence and quality of life of the elderly. Deterioration of health in the elderly can manifest in a variety of diseases, including hypertension. Efforts to control the incidence of hypertension can be done through the provision of health education about hyper­ten­sion, which aims to raise awareness of hypertensives about the concept of hypertension, compli­cations, and how to overcome. This study aims to examine the application of the Health Belief Model (HBM) as a predictor by taking into account the contextual effects of the Elderly Integrated Healthcare Posts in Kepanjen, Malang, East Java, Indonesia. Subjects and Method: This study was an observational analytical study with a cross-sectional approach using a multilevel analysis model. The population in this study was all elderly people with hypertension at the Elderly Integrated Healthcare Posts in the working area of Kepanjen Commu­nity Health Center, Malang, East Java, Indonesia. The sample in this study was 200 elderly with hypertension at the Elderly Integrated Healthcare Posts in the Kepanjen Community Health Center Working Area, Malang, East Java, Indonesia. The study used the Stratified Sampling technique at the healthcare level (Elderly Integrated Healthcare Posts), and Stratified Random Sampling in the selection of the elderly. Results: Tertiary prevention behavior among elderly with hypertension increased with high self-efficacy (b= 0.57; CI 95%= 0.39 to 0.73; p<0.001), cues to action (b= 0.27; CI 95%= 0.35 to 1.71; p<0.001), female gender (b= 0.76; CI 95%= 0.10 to 0.42;  p<0.001), age 70-90 years (b= 0.37; CI 95%= -0.01 to 0.75; p= 0.060). Integrated health posts for elderly on the tertiary prevention beha­vior of hypertension. The Integrated Healthcare Posts had contextual effect on tertiary prevention behavior (ICC=29.87%; p<0.001). Conclusion: Tertiary prevention behavior of hypertension in the elderly increases with high self-efficacy, cues to action, female gender, age 70-90 years.
Effect of Social Capital on Smoking and Alcohol Consumption Behavior in Adults Zartika, Maoli; Murti, Bhisma; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.07

Abstract

Background: Clinical epidemiological studies show that smoking and alcohol are often used together as social activities. Smoking and alcohol consumption are related to the risk of developing non-communicable diseases. According to data from the Indonesian Health Survey (SKI), (2023) the percentage of smokers in Surakarta City is 23.6% and the percentage of alcohol consumption is 1.4%. This study aims to analyze the influence of social capital on smoking behavior and alcohol consumption in adults. Subjects and Method: The research design used is a cross-sectional study. The population in this study is adults aged 19-59 years in the city of Surakarta. Sampling in the study was carried out by the snowball sampling method, then as many as 200 adults domiciled in the city of Surakarta were obtained. The method used in collecting data for this study is a questionnaire. The analysis used in this study is the Structural Equation Model (SEM) to analyze the influence of social capital elements on smoking behavior and alcohol consumption in adults. The dependent variables are smoking habits and alcohol consumption. The independent variable is social capital including 3 elements, namely structural elements, cognitive elements and relational elements. Results: Social capital had a negative effect on smoking behavior (b= -0.80; 95% CI= -0.88 to -0.71; p= 0.001), and social capital has a negative effect on alcohol consumption (b= -0.71; 95% CI= -0.80 to -0.63; p= 0.001). Conclusion: The results of this study show that social capital constructs include structural elements, cognitive elements and relational elements that are high have a lower likelihood of smoking behavior and alcohol consumption in adults.
Co-Authors Achmad Arman Subijanto, Achmad Arman Adita, Kingkin Aditya, Stefanus Adriyani, Rita Benya Al Ghifari, Muhammad Fahrezi Ambar Mudigdo Ambarsari, Maecelina Hestin Anawati, Sri Andriyani, Shofia Annuchasari, Helmi Aprilia Susanti, Aprilia Ari Natalia Probandari Aris Sudiyanto Arisona, Widya Lusi Ayu, Elsa Jumasni Bagus Haryono Bhisma Murti Cahyanto, Erindra Budi Dasairy, Hana Fathiya Desiderius Priyo Sudibyo, Desiderius Priyo DEVI INDRAWATI Didik Tamtomo, Didik Dono Indarto Drajat Tri Kartono Ekasari, Dily Endang Gerilyawati IES, Endang Gerilyawati Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Fajriyah, Yuli Lutfatul Fetty Rosyadia Wachdin Flora, Viola Holly Hakim, Fatwa Nur Hapsari, Dini Harsono Salimo Hastjarjo, Sri Himawati, Yulia I Wayan Sutama Indrawati, Fika Lilik Indriani, Fenita Karima, Fatimah Hasna Karina Cibro, Adeyle Datna Keswara, Nila Widya Khalifah, Intan Noor Khasanah, Widia Nur Kogoya, Tena Kurniasari, Mia Ashari Laksana, Budi Lestari, Anis Dwi Lestari, Heni Eka Lianawati, Feny Lina Puspitasari Mahendra Wijaya Marsela, Chesa Amanda Masriyatun, Masriyatun Ma’rufah, Aprilia Nurul Mubarok, Ahmad Syauqi Mulya Tarmidi, Mulya Mundayat, Aris Arif Nabillah, Lily Nahak, Maria Paula Marla Nazalah, Rajba Ningrum, Anis Lupita Nisa, Azka Zahrotun Nisriina, Zain Nadaa Novika, Revi Gama Hatta Novika, Revi Gamma Hatta Nugraheni, Aulia Putri Nuha, Riya Ulin Nurul Husna Nuryuliana, Nuryuliana Paramita, Windya Kartika Pawito Pawito Perdana, Muhammad Vidi Permana, Fransisca Novalia Perwitosari, Henny Poncorini, Eti Pranita, Liliana Dwi Prasetya, Hanung Pratiwi, Ajeng Christiana Putri Pujihartati, Sri Hilmi Purbanova, Reni Purbondari, Elysa Wahyu Purnamasari, Elvira Purwanti, Titis Cipta Purwanto - Puspitaningtyas, Danty Indra Putry, Mentary Febryant Rachmadi, Aditya Yudha Rahmawati, Dechoni Rahmawati, Fatimah Raraningrum, Vita Ratih Rahmawati Respati, Supriyadi Hadi Retnaningsih, Isna Rahmawati Rita Adriani Benya Adriani Rosyidah Alfitri RUBEN DHARMAWAN Safitri, Ayun Saidah, Ayu Santoso, Nathanael Aditya Sanusi, Sita Rahayu Saputri, Chelsy Sumardi Saputri, Enriawati Ika Dyah Sari, Heni Elmiani Setyadi, Ahmad Wasis Setyani, Rizka Ayu Setyowati, Eka Yuni Silvia Ari Agustina Soemanto, RB Soesyasmoro, R. Asto Soesyasmoro, R. Asto Sofiani, Hindun Solikatun Solikatun, Solikatun Subaeti, Tri Sugma, Saras Vati Manvatarini Sukma, Sukma Sumardiyono Sunaryo - Supriyadi Hari Respati Surya Gumilar, Karismatika Suryono, Anike Nurmalita Rizki Putri Sutopo, Haris Syarifah Syarifah, Syarifah Syefira Ayudia Johar Tiyas Nur Haryani, Tiyas Nur Tri Sulistyawati, Tri Trisni Utami Tristian, Deviana Uki Retno Budihastuti Utami, Fitria Nur Utami, Indri Nur Utari, Sri Utsani, Wimmy Safaati Veibiani, Nindita Arum Wardhani, Putri Kusuma Wardhani, Yeni Wekadigunawan, C.S.P Wibowo, Galih Aprilia Yuni Lestari Yuvrista, Yuliana Yuyun Sunesti Zahro, Hallisa’tu Zahroh Shaluhiyah Zartika, Maoli