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The Impact of Cyberbullying on Self-Harming Behavior and Suicidal Thoughts among Adolescents: A Meta-Analysis Mahzunah, Amalia Khurotul; Sari, Ica Yuniar; Paradela, Berti Vega; Murti, Bhisma; Tursina, Elsa
Journal of Health Promotion and Behavior Vol. 9 No. 4 (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.2024.09.04.07

Background: Online bullying often occurs among teenagers. This is an important risk factor for self-injurious behavior and suicidal ideation. This study aimed to analyze and estimate the magnitude of the effect of online bullying on self-injurious behavior and suicidal ideation in adolescents. Subjects and Method: This research is a systematic review and meta-analysis using the PICO model. Population: Adolescents, Intervention: Online bullying, Comparison: No online bullying, Outcome: Self-injurious behavior and suicidal ideation. The research data used was obtained through Google Scholar, Science Direct, BMC Public Health, and Scopus with the keywords (“Cyberbullying”) AND (“Self-harm”) AND (“Suicidal Ideation”) AND (“Mental Health”) AND (“Cross-sectional”). Inclusion criteria were cross-sectional articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Results: Meta-analysis was conducted on 8 primary studies with outcomes for self-harm behavior and 9 primary studies with outcomes for suicidal ideation. These primary studies come from Singapore, Vietnam, Taiwan, China, South Korea, Iran, Australia and America. The sample size was 47,708 adolescents for self-injurious behavior outcomes and 63,173 adolescents for suicidal ideation outcomes. Adolescents with online bullying are 3.64 times more likely to have self-injurious behavior (aOR= 3.64; 95% CI= 3.14 to 4.22; p<0.001) and 2.64 times more likely to have suicidal ideation (aOR= 2.64; 95% CI= 1.94 to 3.60; p<0.001) compared to adolescents without online bullying. The funnel plot indicates the existence of publication bias which tends to reduce the true effect (underestimate) on the outcome of suicidal ideation. Conclusion: Online bullying statistically significantly increases the risk of self-injurious behavior and suicidal ideation in adolescents.

Path Analysis of the Influence of the Theory of Planned Behavior Construct on Visual Inspection of Acetic Acid Uptake in Banjarnegara Mahzunah, Amalia Khurotul; 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.2025.10.01.07

Background: The death rate for women of childbearing age is increasing. This indicates the need for useful interventions to prevent deaths from cervical cancer. One way is to carry out an Acetic Acid Visual Inspection (VIA) screening. Unfortunately, the rate of VIA screening is still low. So it is necessary to conduct research on how the behavior of using VIA screening is viewed from health promotion theory. This study aimed to determine the application of one of the health promotion theories, namely the Theory of Planned Behavior (TPB), to the use of VIA screening in Banjarnegara Regency. Subjects and Method: The study was conducted with a cross-sectional study design involving 200 female participants of reproductive age ranging from 20 to 50 years. This research was conducted in Banjarnegara Regency, Central Java Province, Indonesia. This study was conducted in April-May 2024. The sample was selected using fixed disease sampling to find participants who had undergone VIA screening. Data collection was carried out using questionnaires and data was analyzed using univariate, bivariate and path analysis. Results: The results of this study showed that the behavior of using VIA screening was directly influenced by intentions and perceived behavioral control. The possibility of subjects to undergo VIA screening can increase by strong intentions (OR= 6.56; 95% CI= 2.97 to 14.48; p< 0.001) and high perceived behavioral control (OR= 6.23; 95% CI= 3.07 to 12.65; p < 0.001). In addition, the results of path analysis showed that intentions were influenced by attitudes (OR= 2.73; 95% CI= 1.31 to 5.69; p= 0.007), subjective norms (OR= 3.48; 95% CI= 1.71 to 7.07; p= 0.001), and perceived control treatment (OR= 3.03; 95% CI= 1.50 to 6.09; p= 0.002). Conclusion: The use of VIA screening is directly influenced by intention and perceived behavioral control. In addition, intentions are influenced by attitudes, subjective norms, and perceived behavioral control. All results of the analysis are statistically significant.

Hubungan Proses Pemberdayaan dengan Kinerja Tim Percepatan Penurunan Stunting Tingkat Desa/Kelurahan di Kabupaten Karanganyar Hastuti, Heni; Mahzunah, Amalia Khurotul; Sutisna, Endang Sulaeman; Putri, Anak Agung Alit Kirti Estuti Narendra; Rahman, Abdul
Jurnal Kesehatan Vol 13 No 1 (2025): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v13i1.562

Parental support is an important asset in raising toddlers. However, there are very few studies on "caring"-based parental support. The research aims to analyze the relationship between "caring"-based parental support and parenting patterns for toddlers—cross-sectional research design. The population is parents who have children under five in Jelbuk District, Jember Regency, East Java, Indonesia. The sample numbered 331 which were chosen randomly. The input variable is "caring" support which consists of trustworthy, respectful, empathetic, caring, and communicative. The outcome variable is parenting patterns for toddlers. Data were collected using a questionnaire technique, with the instrument being a structured questionnaire form. Data analysis uses logistic regression. The results of the study show that there is a relationship between parental support based on "caring" and parenting patterns for toddlers. Parents who care enough have a 3.46 times higher potential to provide good parenting compared to parents who care less (AOR 3.46; CI 95% 1.160-10.314). Parents who care a lot have 11,368 times higher potential to provide good parenting compared to parents who care less (AOR 11.368; CI 95% 3.411-37.883). Highly communicative parents have a 39.580 times higher potential for providing good parenting compared to less communicative parents (AOR 39.580; CI 95% 4.680-34.717). Caring and communicativeness are caring elements in parental support most related to child parenting. This study recommends a collaborative parenting program to improve parents' ability to build healthy communication and meaningful care for children under five.

The Impact of Cyberbullying on Self-Harming Behavior and Suicidal Thoughts among Adolescents: A Meta-Analysis Mahzunah, Amalia Khurotul; Sari, Ica Yuniar; Paradela, Berti Vega; Murti, Bhisma; Tursina, Elsa
Journal of Health Promotion and Behavior Vol. 9 No. 4 (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.2024.09.04.07

Background: Online bullying often occurs among teenagers. This is an important risk factor for self-injurious behavior and suicidal ideation. This study aimed to analyze and estimate the magnitude of the effect of online bullying on self-injurious behavior and suicidal ideation in adolescents. Subjects and Method: This research is a systematic review and meta-analysis using the PICO model. Population: Adolescents, Intervention: Online bullying, Comparison: No online bullying, Outcome: Self-injurious behavior and suicidal ideation. The research data used was obtained through Google Scholar, Science Direct, BMC Public Health, and Scopus with the keywords (“Cyberbullying”) AND (“Self-harm”) AND (“Suicidal Ideation”) AND (“Mental Health”) AND (“Cross-sectional”). Inclusion criteria were cross-sectional articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Results: Meta-analysis was conducted on 8 primary studies with outcomes for self-harm behavior and 9 primary studies with outcomes for suicidal ideation. These primary studies come from Singapore, Vietnam, Taiwan, China, South Korea, Iran, Australia and America. The sample size was 47,708 adolescents for self-injurious behavior outcomes and 63,173 adolescents for suicidal ideation outcomes. Adolescents with online bullying are 3.64 times more likely to have self-injurious behavior (aOR= 3.64; 95% CI= 3.14 to 4.22; p<0.001) and 2.64 times more likely to have suicidal ideation (aOR= 2.64; 95% CI= 1.94 to 3.60; p<0.001) compared to adolescents without online bullying. The funnel plot indicates the existence of publication bias which tends to reduce the true effect (underestimate) on the outcome of suicidal ideation. Conclusion: Online bullying statistically significantly increases the risk of self-injurious behavior and suicidal ideation in adolescents.

Path Analysis of the Influence of the Theory of Planned Behavior Construct on Visual Inspection of Acetic Acid Uptake in Banjarnegara Mahzunah, Amalia Khurotul; 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.2025.10.01.07

Background: The death rate for women of childbearing age is increasing. This indicates the need for useful interventions to prevent deaths from cervical cancer. One way is to carry out an Acetic Acid Visual Inspection (VIA) screening. Unfortunately, the rate of VIA screening is still low. So it is necessary to conduct research on how the behavior of using VIA screening is viewed from health promotion theory. This study aimed to determine the application of one of the health promotion theories, namely the Theory of Planned Behavior (TPB), to the use of VIA screening in Banjarnegara Regency. Subjects and Method: The study was conducted with a cross-sectional study design involving 200 female participants of reproductive age ranging from 20 to 50 years. This research was conducted in Banjarnegara Regency, Central Java Province, Indonesia. This study was conducted in April-May 2024. The sample was selected using fixed disease sampling to find participants who had undergone VIA screening. Data collection was carried out using questionnaires and data was analyzed using univariate, bivariate and path analysis. Results: The results of this study showed that the behavior of using VIA screening was directly influenced by intentions and perceived behavioral control. The possibility of subjects to undergo VIA screening can increase by strong intentions (OR= 6.56; 95% CI= 2.97 to 14.48; p< 0.001) and high perceived behavioral control (OR= 6.23; 95% CI= 3.07 to 12.65; p < 0.001). In addition, the results of path analysis showed that intentions were influenced by attitudes (OR= 2.73; 95% CI= 1.31 to 5.69; p= 0.007), subjective norms (OR= 3.48; 95% CI= 1.71 to 7.07; p= 0.001), and perceived control treatment (OR= 3.03; 95% CI= 1.50 to 6.09; p= 0.002). Conclusion: The use of VIA screening is directly influenced by intention and perceived behavioral control. In addition, intentions are influenced by attitudes, subjective norms, and perceived behavioral control. All results of the analysis are statistically significant.

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