Rahardjo, Setyo Sri
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Journal : Journal of Health Promotion and Behavior

The Effect of Internal and External Factors on Preventive Reproductive Health Behaviors in Adolescents, in Banjarmasin, Kalimantan Arisa, Azura; Soemanto, RB; Rahardjo, Setyo Sri
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Many adolescents had engaged in unhealthy sexual behavior that can result in unintended health outcomes. In theory, the adolescent sexual behavior is influenced by a complex set of interactions between biology, genetics, individual perception, personality characteristics, and sociocultural norms and values. This study aimed to determine the influence of internal and external factors on preventive reproductive health behavior in adolescents, in Banjarmasin, Kalimantan, using Health Belief Model.Subjects and Method: This was an analytic observational study with the cross-sectional design. The study was conducted at 10 senior high schools in Banjarmasin, Kalimantan. A total sample of 200 grade XI students was selected for this study by proportional stratified random sampling. The dependent variable was preventive reproductive health behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived threat, perceived benefit, perceived barrier, self-efficacy, the role of parents, peer role, and information access. The data were collected by questionnaire and analyzed by path analysis. Results: The strong role of parents (b=0.05; SE= 0.01; p<0.001), perceived benefit (b=0.06; SE= 0.02; p=0.006), perceived threat (b=0.10; SE= 0.02; p<0.001), self-efficacy (b=0.13; SE= 0.01; p<0.001), and peer role (b=0.06; SE= 0.01; p<0.001) positively affected preventive reproductive health behavior. Perceived barrier (b= -0.03; SE= 0.01; p=0.026) negatively affected preventive reproductive health behavior. Perceived threat increased with increasing role of parents (b=0.05; SE= 0.02; p= 0.059), perceived susceptibility (b=0.21; SE= 0.05; p<0.001), perceived seriousness (b=0.10; SE= 0.04; p= 0.015), and self efficacy (b= 0.13; SE= 0.06; p= 0.040). Perceived barrier decreased with improving access of information (b=-0.16; SE= 0.05; p= 0.004). Perceived benefit increased with improving access of information (b=0.09; SE= 0.04; p= 0.030) and perceived susceptibility (b=0.20; SE= 0.06; p= 0.002). Perceived susceptibility (b=0.13; SE= 0.04; p= 0.004), perceived seriousness (b=0.10; SE= 0.05; p= 0.057), and self efficacy (b=0.09; SE= 0.03; p= 0.006) increased with access of information. Self efficacy increased with stronger role of parents (b=0.06; SE= 0.02; p= 0.018), and peer role (b=0.07; SE= 0.04; p= 0.062).Conclusion: Preventive reproductive health behavior among adolescents is affected by the role of parents, perceived of threat, self-efficacy, peer role, perceived of benefit, and perceived of a barrier. Health belief model can predict health preventive behavior.Keywords: Preventive behavior, reproductive health, health belief model, internal and external factorsCorrespondence: Azura Arisa, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: azura.syakura@gmail.com.Journal of Health Promotion and Behavior (2017), 2(4): 350-358https://doi.org/10.26911/thejhpb.2017.02.04.07 
PRECEDE- PROCEED Model on Determinants of Completeness Immunization Status among Infants in Bangkalan District, Madura Putri, Lidia Aditama; Dewi, Yulia Lanti Retno; Rahardjo, Setyo Sri
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Universal Child Immunization is a government program aimed at preventing infectious diseases. However, its target level has not been attained. Bangkalan is one of the districts with low immunization coverage. This study aimed to analyze PRECEDE-PROCEED model on determinants of complete immunization status among infants in Bangkalan District, Madura.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at 10 community health centers in Bangkalan, Madura, from August to October, 2017. A total sample of 200 infants aged 9-12 months were selected by cluster sampling with community health center serving has the cluster. The dependent variable was completeness of immunization status. The independent variable were education, knowledge, maternal job status, attitude, distance to health facility, information exposure, family support, and health personnel support. The data was collected using questionnaire and analyzed by path analysis.Results: Completeness of immunization status was increased by positive maternal attitude (b=0.82; 95% CI= 0.10 to 1.55; p= 0.027), strong health personnel support (b= 0.79; 95% CI = -0.10 to 1.67; p= 0.081), and information exposure (b= 1.52; 95% CI= 0.75 to 2.29; p= 0.001), but was decreased by distance to health facility (b= -1.28; 95% CI= -2.13 to -0.44; p= 0.003). Positive maternal attitude was increased by strong family support (b= 1.35; 95% CI= 0.71 to 2.00; p= 0.001) and better knowledge (b= 2.29; 95% CI= 1.06 to 3.54; p= 0.001). Better knowledge was increased by information exposure (b= 1.54; 95% CI= 0.58 to 2.51; p= 0.002). Strong family support was increased by maternal working outside the house (b= 0.64; 95% CI= 0.03 to 1.26; p= 0.040). Maternal working outside the house (b= 1.12; 95% CI= 0.51 to 1.75; p= 0.001) and better knowledge (b= 1.27; 95% CI= 0.42 to 2.13; p= 0.003) were increased by high level of education.Conclusion: Completeness of immunization status is increased by positive maternal attitude, strong health personnel support, and information exposure, but was decreased by distance to health facility.Keyword: determinant, universal child immunization, PRECEDE-PROCEED modelCorrespondence: Lidia Aditama Putri. Prodi Kebidanan di STIKES Insan Unggul Surabaya,  Jln. Raya Kletek No. 4 Taman, Sidoarjo 61257, Jawa Timur. E-mail: liydya30@gmail.com. Mobile +6285230752110Journal of Health Promotion and Behavior (2017), 2(4): 291-301https://doi.org/10.26911/thejhpb.2016.02.04.01  
Biopsychosocial Determinants of Human Papilloma Virus Immunization in Women of Reproductive Age in Surakarta, Central Java Febriani, Gabriela Advitri; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cervical cancer ranks second as the cause of death in women worldwide. Cervical cancer is preventable by Human Papilloma Virus (HPV) immunization. It was hypothesized that use of HPV immunization is determined by biopsychosocial factors as involved in the Health Belief Model and Social Learning Theory. This study aimed to analyze the determinants of HPV immunization use in women of reproductive age.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Permata Harapan Clinic and Budi Sehat Laboratory Clinic, Surakarta, Central Java. The data were collected from February to March 2018. A sample of 200 women was selected by random sampling, consisting of 50 women undertaking screening and 150 women not undertaking screening. The dependent variable was HPV immunization. The independent variables were perceptions of susceptibility, seriousness, benefit, barrier, respectively, and self-efficacy, education, family income, employment status, family support, social environment, and cervical cancer screening. Data on HPV vaccine use were taken from medical record. The data were collected by questionnaire and analyzed by path analysis.Results: Use of HPV immunization was directly associated with perceived susceptibility (b= 2.01; 95% CI= 1.03 to 3.00; p<0.001), perceived seriousness (b= 1.52; 95% CI 95%= -0.08 to 3.13; p=0.063), self efficacy (b= 1.55; 95% CI= 0.05 to 3.05; p=0.043), and perceived barrier (b= -2.25; 95% CI= -3.22 to -1.28; p<0.001). It was indirectly associated with perceived benefit, education, family income, employment status, family support, social environment, and cervical cancer screening.Conclusion: Use of HPV immunization is directly associated with perceived susceptibility, perceived seriousness, self-efficacy, and perceived barrier. It is indirectly associated with perceived benefit, education, family income, employment status, family support, social environment, and cervical cancer screening. Keywords: Human Papilloma Virus, immunization, women of reproductive age, health belief model, social learning theoryCorrespondence:Gabriela Advitri Febriani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: gabrielaadvitri8@gmail.com. Mobile: +6285743809055.Journal of Health Promotion and Behavior (2018), 3(1): 66-77https://doi.org/10.26911/thejhpb.2018.03.01.07
Path Analysis on the Factors Affecting the Use of Personal Protection Equipment among Airport Construction Workers in Yogyakarta Dewi, Ristamaya Danar; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Occupational accidents in the construction sector are still a major problem in every infrastructure development in Indonesia. The lack of supervision in the use of personal protective equipment (PPE) is one reason for the high number of occupational accidents. This study aimed to determine the factors that influence the implementation of the use of PPE.Subjects and Method: A cross sectional study was conducted at Yogyakarta International Airport, Kulon Progo, Yogyakarta, Indonesia, in March 2019. A sample of 200 active field workers was selected by proportional random sampling. The dependent variable was the use of PPE. The independent variables were age, education, working experience, knowledge, perception of vulnerability, perceived benefit, perceived severity, and cues to action. The data were collected by questionnaire and analyzed by path analysis.Results: The use of PPE was directly and positively affected by high knowledge (b= 2.14; 95% CI= 1.17 to 3.10; p<0.001), high perceived susceptibility (b= 1.94; 95% CI= 0.95 to 2.93; p< 0.001), high perceived severity (b= 1.33; 95% CI= 0.42 to 2.24; p= 0.004), high perceived benefit (b= 1.79; 95% CI= 0.85 to 2.73; p<0.001), and high cues to action (b= 1.64; 95% CI= 0.67 to 2.61; p= 0.001). The use of PPE was indirectly affected by age, work experience, and education.Conclusion: The use of PPE is directly and positively affected by knowledge, perceived suscep¬tibility, perceived severity, perceived benefit, and cues to action. The use of personal protective equip¬ment is indirectly affected by age, work experience, and education.  Keywords: personal protective equipment, construction workers, path analysis Correspondence: Ristamaya Danar Dewi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ristamayadd@gmail.com. Mobile: 082-131666953. Journal of Health Promotion and Behavior (2019), 4(1): 12-21https://doi.org/10.26911/thejhpb.2019.04.01.02
Linear Regression Analysis on the Determinants of Hypertension Prevention Behavior Nurjannah, Nurjannah; Rahardjo, Setyo Sri; Sanusi, Rossi
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hypertension is a risk factor for cardiovascular events and the highest contributor to death in the world, including Indonesia. 90.08% of health centers in DI Yogyakarta have im­ple­me­nted integrated non-communicable disease (NCD) control. However, the incidence of NCD including hypertension is still the highest disease seen from the top 10 diseases in Yogyakarta. This study aimed to examine the determinants of hypertension preventive behavior.Subjects and Method: This was a cross sectional study conducted in Bantul, Yogyakarta, from Feb­ruary to March 2019. A total of 200 study subjects was selected by simple random sampling. The dependent variable was hypertension preventive behavior. The independent variables were self­-efficacy, knowledge, family support, gender, age, and health personnel support. The data were collec­ted by questionnaire and analyzed by a multilevel linear regression.Results: Self-efficacy (b= 0.09; 95% CI= 0.03 to 0.15; p= 0.003, knowledge (b= 0.25; 95% CI= 0.08 to 0.43; p= 0.004), family support (b= 0.64; 95% CI= 0.34 to 0.93; p <0.001), and health per­son­nel support (b= 0.26; 95% CI= 0.08 to 0.44; p= 0.008) increased hypertension preventive be­ha­vior. Gender (b= 0.65; 95% CI= -0.79 to 2.10; p= 0.372) and age (b= 0.01; 95% CI= -0.03 to 0.03; p= 0.911) were associated with hypertension preventive behavior but it was statistically non-significant.Conclusion: Self-efficacy, knowledge, family support, and health personnel support increase hy­per­­­tension preventive behavior. Gender and age were associated with hypertension preventive be­ha­­vi­or but it was statistically non-significant.Keywords: hypertension preventive behavior, self-efficacy, health personnel support                                              Correspondence: Nurjannah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nurjannah9420­@gmail.com. Mobile: +628­5­293622882.Journal of Health Promotion and Behavior (2019), 4(1): 22-31https://doi.org/10.26911/thejhpb.2019.04.01.03