Firmansyah, Gusti Fathoni
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Meta-Analysis: Application of Health Belief Model in Encouraging Preventive Behavior of Self-Care for Hypertensive Patients Firmansyah, Gusti Fathoni; Salsabil, Husna Arwa
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is one of the most critical public health problems and has affected more than 1.2 billion people worldwide. Risk factors for hypertension can be divided into two, namely factors that cannot be controlled (such as gender, genetics and age) and those that can be controlled such as obesity, excess BMI, smoking, and excessive salt and fat consumption. Hypertension prevalence in age groups productive tends to increase from year to year, especially in the elderly group which reaches 63.22%. This study aimed to investigate behavior change and prevention of hypertension is the Health Belief Model (HBM).Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO Model as follows Population: Hypertension patients. Intervention: high self-efficacy and perceived susceptibility. Comparison: low self-efficacy and perceived suscepti­bility. Outcome: behavior change. The meta-analysis study was conducted by searching for articles from databases in electronic form including Google Scholar, PubMed, and Scopus. The keywords used are "hypertension" AND "health belief model (OR self efficacy OR perceived susceptibility)" AND "change behavior". The inclusion criteria for this study were full articles using a cross-sectional study, with the publication year 2012-2022. Analysis of articles in this study using RevMan 5.3 . software.Results: A total of 10 articles reviewed in the meta-analysis showed that perceived susceptibility influenced behavioral changes in hypertensive patients (aOR= 2.16; 95% CI= 1.59 to 2.53; p<0.001) and self-efficacy also influenced behavioral changes in hypertensive patients (aOR= 1.37; 95% CI= 1.06 to 1.76; p= 0.020).Conclusion: perceptions of vulnerability and self-efficacy affect behavior changes in hypertensive patients.Keywords: hypertension, health belief model, self efficacy, perceived susceptibility.Correspondence:Gusti Fathoni Firmansyah. Faculity of Dentistry, Universitas Gadjah Mada. Jl. Bulaksumur, Caturtunggal, Depok, Sleman, Yogyakarta 55281. Email: fathonifirmansyah@student.uns.ac.id. Mobile: +62 812-3710-7609.Journal of Health Promotion and Behavior (2022), 07(02): 108-118DOI: https://doi.org/10.26911/thejhpb.2021.07.02.03
Parental Insight and Action: Exploring the Link Between Knowledge and Early Childhood Dental Caries Prevention in Sukoharjo, Central Java, Indonesia Firmansyah, Gusti Fathoni; Pamungkasari, Eti Poncorini; Widyaningsih , Vitri
Journal of Maternal and Child Health 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/thejmch.2025.01.01.06

Abstract

Background: The most common case of dental and oral diseases suffered by early childhood is dental caries, dental caries can be prevented, one of which is by modifying the thoughts, lifestyle, and daily habits of the parents. One of the models that can be used to change dental caries prevention behavior is by using the Health Belief Model (HBM). The purpose of this study is to identify factors such as vulnerability perception, seriousness perception, benefit perception, obstacle perception, motivation to act and parental self-efficacy towards dental caries prevention behavior in early childhood in Sukoharjo Regency. Subject and Method: This study was conducted using a quantitative approach with an analytical observational research method with a cross-sectional research design. The sample amounted to 111 parents from children aged 6 to 8 years in Weru District, Sukoharjo Regency with the Multistage Cluster Random Sampling technique. This study uses primary data sources with data collection techniques through questionnaires and then multivariate analysis with multiple linear regression methods. The content of the questionnaire includes behavior to prevent dental caries in children based on parental perception and parental knowledge about dental caries prevention based on the Health Belief Model (HBM) construct. Results: There was a positive association of vulnerability perception (b=0.16; CI 95%= 0.01 to 0.17; p=0.024), perception of seriousness (b=0.16; CI 95%= 0.01 to 0.19; p=0.050), perception of benefits (b=0.173; CI 95%= 0.005 to 0.21; p=0.040), action signal (b=0.21; CI 95%= 0.01 to 0.27; p=0.036), and self-efficacy (b=0.19; CI 95%= 0.01 to 0.21; p=0.037) on the behavior of preventing dental caries in children, and there was a negative relationship between the perception of obstacles (b=0.15; CI 95%= 0.01 to 0.13; p=0.047) on the behavior of preventing dental caries in children. Conclusion: Perception of vulnerability, perception of seriousness, perception of benefit, action cues, and parental self-efficacy have a positive effect on dental caries prevention behavior in children. On the other hand, the perception of obstacles from parents has a negative effect on dental caries prevention behavior in children.