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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health Journal of Community Empowerment for Health
Eti Poncorini Pamungkasari
Faculty of Medicine, Universitas Sebelas Maret
Education Health Professions Medicine & Pharmacology Nursing Public Health

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Contextual Effect of the Integrated Health Post and Social Capital on Completeness of Child Immunization in Pacitan, East Java Puspita Mayangsari Prabowo; Setyo Sri Rahardjo; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 5 No. 5 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Around 2-3 million deaths each yearwere caused by diseases that could be pre
Multilevel Analysis on the Predictors of Safe Sexual Behavior among Girl Adolescents in Karanganyar, Central Java Melda Kumalaningrum; Eti Poncorini Pamungkasari; Ismi Dwi Astuti Nurhaeni
Journal of Health Promotion and Behavior Vol. 2 No. 4 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Studies have shown that the number of adolescents who have premarital sex is increasing. Unsafe sex can increase the risk of sexual transmitted disease, unwanted pregnancy, and suicide in adolescents. The study aimed to determine the associations between attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure, on safe sexual behavior among girl adolescents in Karanganyar, Central Java.Subjects and Method: This was an analytic and observational study with cross-sectional design. The study was conducted in 25 senior high schools in Karanganyar, Central Java, from Desember, 2017 to January, 2018. A total sampel of 200 girl adolescents were selected by stratified random sampling, consisting of 8 girl adolescents from each of the 25 senior high schools. The dependent variable was safe sexual behavior. The independent variables were attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure on safe sexual behavior. The data was collected using questionnaire and analyzed by multilevel analysis. The contextual effect of school, which distinguished rural and urban schools, on safe sex behavior was measured by intra-class correlation (ICC).Results: Positive attitude (b= 0.41; 95% CI= 0.14 to 0.69; p= 0.004), positive subjective norm (b=0.23; 95% Cl= 0.21 to 0.43; p= 0.031), strong perceived behavior control (b= 0.69; 95% Cl= 0.44 to 0.96 ; p< 0.001), equal gender relation (b= 0.41; 95% Cl =0.18 to 0.63; p<0.001), and exposure to media on safe sex behavior (b= 0.17; 95% Cl= -0.02 to 0.36; p= 0.085), predicted positively the likelihood of safe sexual behavior in girl adolescents. The contextual effect of school on safe sex behavior was small with ICC= 5.55%.Conclusion: Positive attitude, positive subjective norm, strong perceived behavior control, equal gender relation, and exposure to media on safe sex behavior, predict positively the likelihood of safe sexual behavior in girl adolescents.Keyword: predictor, safe sexual behavior, multilevel analysisCorrespondence: Melda Kumalaningrum. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36A, Surakarta. Email: melda.kumalanigrum@gmail.com. Mobile: 6282134359845.Journal of Health Promotion and Behavior (2017), 2(4): 323-331https://doi.org/10.26911/thejhpb.2017.02.04.04 
Effectiveness of Health Promotion by Indonesian Breastfeeding Association in Increasing Exclusive Breastfeeding Coverage in Surabaya City, East Java Diani Octaviyanti Handajani; Eti Poncorini Pamungkasari; Uki Retno Budihastuti
Journal of Health Promotion and Behavior Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Breastfeeding is essential for health, development, and child survival by preventing child illness. However, exclusive breastfeeding has not reached the desired target. Health promotion by Indonesian Breastfeeding Association (AIMI) participation is one way to increase exclusive breastfeeding coverage. There are several causative factors that influence exclusive breastfeeding, which can be explained by the PRECEDE-PROCEED model. This study aimed to determine the effectiveness of health promotion through the Association of Indonesian Breastfeeding Mothers (AIMI) in increasing coverage of exclusive breastfeeding in Surabaya, East Java.Subjects and Method: This was an analytic observational study with a cohort retrospective design. The study was conducted at AIMI Surabaya branch office and 6 community health centers in Surabaya, East Java, from December 2017 and January 2018. A total sample of 120 lactating mothers was selected for this study by simple random sampling. The dependent variable was breastfeeding. The independent variables were AIMI participation, maternal knowledge, maternal education, maternal attitude, family support, and peer support. The data were collected by questionnaire and analyzed by path analysis.Results: Exclusive breastfeeding increased with AIMI participation (b= 1.02; 95% CI= -0.19 to 2.24; p=0.101), better maternal knowledge (b= 1.48; 95% CI= 0.15 to 2.79; p=0.029), positive maternal attitude (b= 2.22; 95% CI= 1.03 to 3.38; p<0.001), and stronger family support (b= 2.69; 95% CI= 1.25 to 4.11; p<0.001). Maternal attitude increased with AIMI participation (b= 0.69; 95% CI= -0.18 to 1.57; p=0.116), better maternal knowledge (b= 1.56; 95% CI= 0.72 to 2.39; p<0.001), and higher maternal education (b= 0.71; 95% CI= -0.11 to 1.52; p=0.089). AIMI participation increased with higher education (b= 1.07; 95% CI= 0.26 to 1.87; p=0.009). Family support increased with stronger peer support (b= 2.24; 95% CI= 0.73 to 3.75; p=0.004).Conclusion: Exclusive breastfeeding increases with AIMI participation, better maternal knowledge, positive maternal attitude, and stronger family support.Keywords: exclusive breastfeeding, PRECEDE-PROCEED model, Indonesian Breastfeeding Association (AIMI)Correspondence: Diani Octaviyanti Handajani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: diani.octaviyanti@gmail.com. Mobile: +628563328666Journal of Health Promotion and Behavior (2018), 3(1): 1-15https://doi.org/10.26911/thejhpb.2018.03.01.01 
Factors Associated with Pre-Marital Sexual Behavior Among Adolescents in Bima, West Nusa Tenggara: Theory of Planned Behavior Mulya Tarmidi; Argyo Demartoto; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Adolescent reproductive health is a major global challenge. Studies have reported around 16 million women 15
Determinants of Fruits and Vegetables Consumption among Primary School Students: A Path Analysis Evidence Siti Shafridha Hidayah; Eti Poncorini Pamungkasari; Endang Sutisna Sulaeman
Journal of Health Promotion and Behavior Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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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
Application of Theory of Planned Behavior on Sexual Behavior in Female Adolescents Tri Ayu Setiowati; Eti Poncorini Pamungkasari; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: In Indonesia, someone starts having a relationship for the first time in their teens. A woman starts having a relationship at the age of 15-17 years (33.3%). In addition, a man starts having a relationship at the age of 15 years (34.5 %). Sex behavior in adolescents had high conse­quences in physical and psychosocial health problems. The purpose of this study was to determine sexual behavior in female adolescents using Theory of Planned Behavior.Subjects and Method: This was a cross-sectional study conducted in Bantul, Yogyakarta, from June to July 2019. A sample of 200 female adolescents was selected by sample using random sampling. The dependent variable was sexual behavior. The independent variables were intention, attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief. The data were collected by questionnaire and analyzed by path analysis.Results: Positive sexual behavior in female adolescents was directly and positively affected by intention (b= 3.22; 95% CI= 1.46 to 4.97; p<0.001) and perceived behavioral control (b= 2.42; 95% CI= 1.23 to 3.61; p<0.001). Positive sexual behavior was indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.Conclusion: Positive sexual behavior in female adolescents is directly and positively affected by intention and perceived behavioral control. It is indirectly affected by attitude, subjective norm, perceived behavioral control, behavioral belief, normative belief, and control belief.Keywords: sexual behavior, adolescents, Theory of Planned Behavior, path analysisCorrespondence: Tri Ayu Setiowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: triayu.setiowati@gmail.com. Mobile: 085329680266.Journal of Health Promotion and Behavior (2019), 4(2): 126-136https://doi.org/10.26911/thejhpb.2019.04.02.05
Determinants of Premarital Sex Behavior: Application of Theory of Planned Behavior and Social Cognitive Theory Nur Laili Qomariah; Eti Poncorini Pamungkasari; Uki Retno Budihastuti
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Health problems in adolescents are among the most important problems in the human life cycle, especially reproductive and sexual problems. Actively conducted premarital sex behavior poses a risk to teenage pregnancy and transmission of sexually transmitted dise­ases. This study aims to analyze the theory of planned behavior and social cognitive theory on the determinants of premarital sex behavior in adolescents.Subjects and Method: This was a cross-sectional study design. The study was con­ducted at 25 high schools/vocational high schools in Gresik, East Java, from September to October 2020. A sampling of 200 adolescents used stratified random sampling and simple ran­dom sampling. The dependent variable was premarital sex behavior. The independent varia­­bles were the intention, attitude, subjec­tive norms, peer support, family intimacy, and self-efficacy. The data were collected by using a questionnaire. Data were analyzed using multi­ple logistic regression with Stata 13.Results: Premarital sexual behavior increased with strong intention (b= 1.06; 95% CI= 0.15 to 1.98; p= 0.015), positive attitude (b= 1.22; 95% CI= 0.38 to 2.13; p= 0.009), subjective norms supportive (b= 1.09; 95% CI= 0.14 to 2.04; p= 0.024), and strong peer support (b= 1.37; 95% CI= 0.44 to 2.30; p= 0.004). Premarital sexual behavior decreased with strong family intimacy (b= -1.32; 95% CI= -2.23 to -0.40; p= 0.005) and strong self-efficacy for abstinence (b=                 -1.03; 95% CI= -2.23 to -1.93; p= 0.025). There was an effect at the school level on premarital sex behavior with ICC 24.6%.Conclusion: Premarital sexual behavior in­crea­ses with strong intentions, positive attitu­des, supportive subjective norms, and strong peer support. Premarital sexual behavior de­crea­ses with strong family intimacy and strong abstinence self-efficacy. There is an effect at the school level on premarital sexual behavior.Keywords: premarital sex behavior, theory of planned behavior, social cognitive theory, ado­les­cents.Correspondence: Nur Laili Qomariah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, Surakarta 57126. Email: lailiqomar­@gmail.com. Mobile: +6281­234190160.Journal of Health Promotion and Behavior (2020), 05(04): 272-283https://doi.org/10.26911/thejhpb.2020.05.04.05. 
Meta-Analysis: The Effect of Screen Time and Fast-Food Intake on Obesity in Children and Adolescents Salwa Annisaa; Yulia Lanti Retno Dewi; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Obesity has reached epidemic proportions worldwide, making obesity a serious global public health challenge. Obesity is not only found in adults but also in children and adoles­cents which can lead to various physical and mental health problems that are detrimental to the quality of life and are very risky into adulthood. Obesity in children and adolescents today is caused by a lifestyle that makes a person increase in consuming fast food, lack of sleep and the longer duration of screen time. This study aims to analyze the effect of screen time and fast food on obesity in children and adolescents.Subjects and Method: This was a systematic review and meta-analysis. Population= children and adolescents, Intervention= screen time and fast food, Comparison= no screen time and no fast food, Outcome= obesity. Article searches through journal databases include: PubMed, Science Direct, Google Scholar and Springerlink. The articles used in this study are articles that have been published from 2011-2021. The keywords used are obesity OR obese OR overweight AND “fast foods” OR snacks OR “fried foods” AND “social media” OR “screen time” OR television AND child OR adolescent. Articles were selected with the help of PRISMA flow diagrams. The inclusion criteria included full-text articles with a cross-sectional study design. The analysis used logistic regression with adjusted odds ratio and published in English. Articles that have met the requirements are analyzed using the Revman 5.3 application.Results: Fifteen articles came from Nepal, China, Pakistan, Canada, Darussalam, Ethiopia, Italy, Australia, Indonesia. Meta-analysis of 8 cross-sectional studies showed that screen time 3 hours/ day can affect obesity in children and adolescents 2.4 times compared to screen time < 3 hours/ day. The results of the meta-analysis in 8 cross-sectional studies showed that fast food 3 times/ week had an effect on obesity in children and adolescents by 2.74 times compared to fast food < 3 times/week.Conclusion: The long duration of screen time and the frequency of consuming fast food often increase the risk of obesity in children and adolescents.Keywords: obesity, screen time, fast foods, meta-analysisCorrespondence:Salwa Annisaa. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: salwaannisaa@gmail.com. Mobile: 0815411­80488.Journal of Health Promotion and Behavior (2021), 06(02): 164-175DOI: https://doi.org/10.26911/thejhpb.2021.06.03.01   
Multilevel Analysis: Contextual Effects of School and Psychosocial Determinants on Healthy Sexual Behavior of High School Adolescents in Banyuwangi, East Java, Indonesia Lia Ulfah Luthfiana; Pawito Pawito; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Along with the development of the era, teenagers began to be faced with various problems and the biggest problems faced by teenagers were sexual problems. Sexual behavior in adolescents who are carried out actively poses a risk of teenage pregnancy and transmission of sexually transmitted diseases. This study aims to analyze the influence related to school context and psychosocial determinants on healthy sexual behavior of adolescents at the age of 15-19 years in Banyuwangi Regency.Subjects and Method: This study used a cross sectional research design. The study was conducted in 25 high schools/vocational high schools in Banyuwangi Regency, East Java in August to September 2020. Sampling of 225 adolescents was carried out using stratified random sampling and simple random sampling. The dependent variable is healthy sexual behavior. The independent variables include knowledge, self-efficacy, parental support, sources of information/technology, perception of seriousness. Data were collected using a questionnaire. Data were analyzed using multiple logistic regression with Stata 13.Results: Adolescents will have healthy sexual behavior with high knowledge about healthy sexual behavior (b= 0.23; 95% CI= 0.05 to 0.41; p= 0.014), have strong self-efficacy (b= 0.14; 95% CI= 0.01 to 0.27; p= 0.035), had good parental support (b= 0.21; 95% CI= 0.09 to 0.34; p = 0.001), had high exposure to information sources (b= 0.36; 95% CI= 0.15 to 0.56; p = 0.001 ), and had a high perception of seriousness for weak sexual behavior (b= 0.82; 95% CI= 0.45 to 1.19; p <0.001). There is an effect of school level on healthy sexual behavior with an ICC of 16.4%.Conclusion: Healthy sexual behavior in adolescents can increase with high knowledge, strong self-efficacy, having exposure to high sources of information, and having a high perception of seriousness. There is an effect of school level on healthy sexual behavior.Keywords: healthy sexual behavior, school contextual, psychosocial determinants, adolescentsCorrespondence: Lia Ulfah Luthfiana. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, 57126. Email: luthfianalia7@gmail.com. Mobile: +6285236800700.Journal of Health Promotion and Behavior (2021), 06(03): 188-200DOI: https://doi.org/10.26911/thejhpb.2021.06.03.03
Meta-Analysis the Effect of Screen Time on the Risk of Overweight in Children and Adolescents in Asia Nita Putriasti Mayarestya; Eti Poncorini Pamungkasari; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Overweight and obesity are a growing threat to the well-being of the world's children. In 2010-2016, the prevalence of underweight was growing rapidly among children and adolescents in Asia. With the development of technology, screen time has become a behavior that can have a negative effect on children and adolescents if it is associated with being overweight. One in three internet users in the world are children and adolescents under the age of 18 years. Asia has the highest rates of child internet use globally. Several studies in Asian countries reported high screen time in children and adolescents. On average, children and adolescents in Asia have screen time duration > 2 hours per day outside of study/school time. This study aims to analyze the effect of screen time duration on overweight children and adolescents in Asia.Subjects and Method: This research is a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: Google Schoolar, Science Direct, Researchgate and PubMed by selecting articles published in 2010-2021. “Screen Time” OR “Sedentary Behavior” AND “Overweight” OR “Body Mass Index” OR “BMI” OR “Weight” OR “Obesity” AND “Children” OR “Child” OR “Adolescent” OR “Teen” AND “Cross Sectional". Inclusion criteria were articles using English or Indonesian, full paper articles with cross sectional design, 5-19 years old sample, screen time duration > 2 hours per day, research locations in Asia. Eligible articles were analyzed using the Revman 5.3 application.Results: A meta-analysis of 11 cross-sectional articles concluded that children and adolescents with screen time duration > 2 hours per day had a 1.63 times greater risk of being overweight than children and adolescents with screen time duration 2 hours (aOR = 1.63; 95% CI = 1.13). up to 2.35; p=0.009).Conclusion: Children and adolescents with screen time duration > 2 hours per day are at risk of being overweight.Keywords: Screen time, overweight Correspondence:Nita Putriasti Mayarestya. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nmayarestya@gmail.com Mobile: 085252493555.Journal of Health Promotion and Behavior (2021), 06(03): 201-211DOI: https://doi.org/10.26911/thejhpb.2021.06.03.04
Co-Authors Ailsa Clarissa Cynara Ambar Mudigdo Anggi Resina Putri Anik Lestari Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Ari Natalia Probandari Asri Wahyu Azzahro Asrori Ibnu Utomo Bhisma Murti Bhisma Murti Bhisma Murti Bulan Kakanita Hermasari Dian Handayani Diani Fadmi Putri Diani Octaviyanti Handajani Endang Sutisna Sulaeman Endang Sutisna Sulaeman Hanung Prasetya Hanung Prasetya Hanung Prasetya Harsono Salimo Hartono Hartono Hendri Hermawan Adinugraha Ismi Dwi Astuti Nurhaeni Lely Tri Pangesti Lia Ulfah Luthfiana Mayasari Kurnianingsih Melda Kumalaningrum Melinda Febianca Gaurinindi Mulya Tarmidi Nadya Susanti Nisaus Zakiyah Nita Putriasti Mayarestya Nur Laili Qomariah Pawito Pawito Puspita Mayangsari Prabowo RB. Soemanto Revi Gama Hatta Novika Rifda Muthia Sabrina Rita Benya Adriani Rizka Amalia Dewi Salwa Annisaa Samara Rahma Dania Setyo Sri Rahardjo Siti Nur Hanifah Siti Shafridha Hidayah Sri Anggarini Parwatiningsih Tri Ayu Setiowati Tri Nyantosani Widyawardani Uki Retno Budihastuti Yulia Lanti Retno Dewi Yuzana Maung Zahratul Aini Zela Tunurrohmin