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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Bhisma Murti
Masters Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Risk Factors of HIV among Male Military Personnels: A Meta Analysis Ayu Anulus; Bhisma Murti; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Military personnel has a high risk of being exposed to HIV. The transmission of HIV from male military personnel is like an iceberg phenomenon. Based on studies in the US, UK, and France, the military personnel from these countries are much more likely to be contaminated with HIV than the equal age/sex group in the civilian population. This study aimed to analyze the risk factors of HIV among male military personnel by using meta-analysis.Subjects and Method: This study was a systematic and meta-analysis study. The articles used in this study were obtained from several electronic databases including PubMed, Scopus, Springer Link, ScienceDirect, and Clinical key. These articles were collected for 2 weeks. The keywords used in searching for the articles were as follows: "HIV", "soldier", "military", "armed force", "army", "navy", "air force", "armed force", "sex partner", "man having sex with man (MSM)", "homosexual", number of marriage","prostitute","sexually transmitted infection (STI)", and "conscription". The articles included in this study were full-text articles with cross-sectional design. The articles were collected using PRISMA flow diagram. These articles were analyzed using meta-analysis with the Review Manager 5.3 application.Results: MSM (aOR= 9.37; 95%CI= 5.31 to 16.55; p <0.001), sexually transmitted infections (aOR = 3.75; 95%CI= 3.00 to 4.68; p<0.001), sexual partners> 10 (aOR= 3.05; 95 CI= 2.12 to 4.38; p<0.001) increased the incidence of HIV among male military personnel, and it was statistically significant. Sex with CSWs (aOR= 3.93; 95% CI= 0.93 to 16.62; p= 0.060) increased the incidence of HIV among male military personnel, but it was not statistically significant.Conclusion: MSM, STI, and sexual partners >10 increase the incidence of HIV among male military personnels.Keywords: HIV, MSM, commercial sex workers, sexually transmitted infection, CSW, militaryCorrespondence: Ayu Anulus. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anulusayu@gmail.com. Mobile: 082359056395.Journal of Health Promotion and Behavior (2019), 4(3): 178-188https://doi.org/10.26911/thejhpb.2019.04.03.03
Theory of Planned Behavior and Health Belief Model on Factors Associated with Breast Self Examination among University Students Asruria Sani Fajriah; Supriyadi Hari Respati; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: The new cases of breast cancer worldwide are estimated at 1,384,155 with almost 459,000 related deaths. A common problem for breast cancer treatment is patients who often come to a health care provider when they are in the final stages of cancer. Early detection of breast cancer can be conducted by using the method of Breast Self Examination (BSE). This study aimed to analyze the determinant of Breast Self Examination (BSE) in female university students.Subjects and Method: This study used a cross sectional design. This study was conducted at Universitas Sebelas Maret, Surakarta, Central Java, from August-September 2019. A sample of 200 female university students was selected by simple random sampling. The dependent variable was Breast Self Examination. The independent variables were age, perceived barrier, self-efficacy, subjective norm, and attitude. The data were collected by using questionnaires. The data were analyzed by a multiple logistic regression run on Stata 13.Results: Breast Self Examination (BSE) increased with age ≥20 years (OR=5.01; 95%CI=1.79 to 14.00; p=0.002), positive perceived barrier (OR=0.0CI8;95%=0.03 to 0.27; p<0.001), strong self-efficacy (OR=6.40; CI 95%=2.53  to 16.23; p<0.001), strong subjective norm (OR=4.13; 95%CI= 1.55 to 10.99; p=0.004), and positive attitude (OR=7.55; 95%CI= 2.57 to 22.22; p=0.022).Conclusion: Breast Self Examination (BSE) increased with age, perceived barrier, self-efficacy, subjective norm, and attitude.Keywords: breast cancer, breast self examination, theory of planned behavior, screeningCorrespondence: Asruria Sani Fajriah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sanifajriah­@­gmail.com. Mobile: +6285790341801.Journal of Health Promotion and Behavior (2019), 4(4): 246-257https://doi.org/10.26911/thejhpb.2019.04.04.01
Multilevel Analysis on Factors Affecting Caries Preventive Behavior among Primary School Children: Application of Health Belief Model Dewi Mustika Ratih; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Dental caries (tooth decay) is a problem of children’s dental health in the world. Primary school age is a strategic group for the precaution of dental and oral diseases. There is a transition from baby teeth to permanent teeth in the early childhood. Primary school age children do not have good self-care behavior. Therefore, they need parental supervision such as maintenance of dental and oral health. The theory of Health Belief Model (HBM) is used by the community to take positive health action such as precaution of a disease. This study aimed to analyze the caries preventive behavior by using the theory of the Health Belief Model.Subjects and Method: This study used analytic observational method with cross sectional approach. This study was conducted at 25 Primary Schools, Klaten Regency, in September 2019. This study used stratified proportional random sampling and random sampling techniques of 200 primary school children at 25 primary schools in Klaten Regency as the sampling technique. The dependent variable was caries preventive behavior. The independent variables were perceived susceptiblity, perceived severity, perceived benefit, and perceived barrier. This study used questionnaires to collect the data. The data were analyzed by using multilevel analysis on Stata 13.Results: Caries preventive behavior increased with perceived susceptibility (b=0.89; 95%CI=0.85 to 1.69; p=0.030), perceived severity (b=1.59; 95%CI=2.73 to 0.44; p=0.006), perceived benefit (b=1.05; 95%CI=1.97 to 0.12; p=0.026), and perceived barrier (b=-1.54; 95%CI=-2.84 to 0.25; p=0.019). The variation of caries preventive behavior by 7% was determined by variables at the primary school level. This rate was smaller than the standard size of rule of thumb by 8-10%. Therefore, there was a contextual effect shown from the multilevel analysis, but the result was statistically low.Conclusion: There is an effect of perceived susceptibility, perceived severity, perceived benefit, and perceived barrier on caries preventive behavior in primary school children. There is a contextual effect of primary school on caries preventive behavior based on the theory of Health Belief Model, but the result was statistically low.Keywords: multilevel analysis, primary school children, theory of Health Belief Model, precaution of caries.Correspondence: Dewi Mustika Ratih, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dewiratih1822@gmail.com. Mobile: +625640041822Journal of Health Promotion and Behavior (2019), 4(4): 258-266https://doi.org/10.26911/thejhpb.2019.04.04.02
Application of Health Belief Model and Social Cognitive Theory on the Use of Personal Protective Equipment among Workers at the Plywood Plant: Path Analysis Evidence from Lumajang, East Java Bayu Putra Dewantara; Bhisma Murti; Vitri Widyaningsih
Journal of Health Promotion and Behavior Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Work safety and health is one of the efforts in preventing work accidents. One of the protective measures for factory workers is to use personal protective equipment (PPE) when carrying out work activities in the workplace. In the production of plywood wood dust exposure and formaldehyde can cause acute irritation to the skin, eyes and respiratory tract can also be associated with chronic respiratory symptoms. Awareness of the use of personal protective equipment needs to be instilled in every factory worker. This study aims to analyze the determinants of the behavior of the use of personal protective equipment in plywood factory workers.Subjects and Method: This study was conducted using a cross sectional research design. This was done at the plywood factory of PT Mustika Buana Sejahtera Lumajang, East Java, in December 2019. Sampling was carried out by 200 factory workers using simple random sampling. The dependent variable is the behavior of using personal protective equipment. The independent variables are motivation, training, attitude, outcome expectation, perceived benefits, vicarious experience, observational learning, obedience to regulations on the use of PPE, and reinforcement. Data were collected using a questionnaire. The data were analyzed by path analysis run on Stata 13.Results: The behavior of using personal protective equipment on workers directly increased with high motivation (b= 2.65; 95% CI= 1.36 to 3.95; p<0.001), observational learning (b= 3.82; 95% CI= 2.25 to 5.39; p<0.001), vicarious experience (b= 2.19; 95% CI= 0.90 to 3.48; p= 0.001), posi­tive attitude (b= 2.38; 95% CI= 1.02 to 3.73; p= 0.001), obedient to the rules (b = 2.16 ; 95% CI= 0.83 to 3.49; p= 0.001), and experienced a strengthening (b= 2.64; 95% CI= 1.34 to 3.93; p <0.001). The use of PPE on workers was indirectly influenced by outcome expectation, perceived usefulness, and training.Conclusion: PPE use directly increases with high motivation, observational learning, vicarious experience, having a positive attitude, obeying the rules, and experiencing reinforcement. The possibility of using PPE indirectly is influenced by outcome expectation, perceived usefulness, and training.Keywords: PPE, factory workers, social cognitive theory, health belief modelCorrespondence: Bayu Putra Dewantara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta, 57126, Jawa Tengah. Email: bayuputradewantara­@gmail.com. Mobile: +6281352347536.Journal of Health Promotion and Behavior (2019), 4(4): 306-319https://doi.org/10.26911/thejhpb.2019.04.04.07
Theory of Planned Behavior and Social Cognitive Theory on the Effect of the Community Health Center Tertiary Preventive Behavior among Patients with Type 2 Diabetes Mellitus: A Multilevel Analysis Yudi Andriyaningtiyas; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Type 2 diabetes mellitus (DM) accounts for 90% to 95% of all diabetes cases. Complications of type 2 diabetes increase the risk of death for suf­ferers. Complications and deaths from type 2 dia­betes can be prevented by changes in behavior. This study aimed to determine the effect of health cen­­ters and other factors on the prevention of ter­­tiary diabetes type 2, using the theory of plan­ned behavior and social cognitive theory.Subjects and Method: This was an analytic ob­ser­­vational study with cross sectional de­sign, conducted at 25 community health centers, in Bantul Re­gen­cy, Yogyakarta, Indonesia. A sample of 200 type 2 DM patients was selected by exha­ustive samp­­ling. The dependent variable was type 2 DM tertiary prevention. The indepen­dent vari­ables at level 1 are intention, attitude, sub­jective norm, perceived behavior con­trol/ self-efficacy, experience, modelling, self-re­gu­­­­lation, and out­come expectation. Community health center was an independent variable at level 2. The data were col­­lected by questionnaire and analyzed by a mul­ti­level multiple linear regression.Results: Tertiary preventive behavior in type 2 DM patients increased with strong intention (b= 1.19; 95% CI= 0.62 to 1.76; p <0.001), positive atti­tude (b= 1.19; 95% CI= 0.58 to 1.80; p <0.001), supportive subjec­­tive norm (b= 0.79; 95% CI= 0.12 to 1.45; p= 0.019), perceived be­ha­vior control (b= 1.16; 95% CI= 0.60 to 1.72; p <0.001), abundant experience (b= 0.65; 95% CI= 0.62 to 1.25; p<0.001), strong modelling (b= 1.07; 95% CI= 0.53 to 1.67; p= 0.030), strong self-regulation (b= 0.87; 95% CI= 0.34 to 1.40; p= 0.001), and positive outcome expectation (b= 0.82; 95% CI= 0.25 to 1.38; p = 0.004). Commu­nity health center had con­textual effect on the tertiary pre­ventive behavior in type 2 DM patients with ICC= 19.18%.Conclusion: Tertiary preventive behavior in type 2 DM patients increases with strong intent­ion, positive atti­tude, supportive subjec­­tive norm, perceived be­ha­vior control, abundant experience, strong modelling, strong self-regula­tion, and positive outcome expectation. Commu­nity health center has con­textual effect on the tertiary pre­ventive behavior in type 2 DM patients.Keywords: tertiary prevention behavior, type 2 diabetes, TBP, SCT, multilevel analysis.Correspondence: Yudi Andriyaningtiyas. Masters Program in Pub­lic Health, Universitas Sebelas Maret, Jl. Ir. Su­tami No. 36A, Surakarta. Email: yudi.andriya­ning­­tiyas@gmail.com. Mobile: +6281392704899Journal of Health Promotion and Behavior (2020), 05(01): 59-71https://doi.org/10.26911/thejhpb.2020.05.01.08
Factors Associated with Herbs Clinic Utilization in Patients with Diabetes Mellitus in Tawangmangu, Central Java Agus Triyono; Bhisma Murti; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: The utilization of herbs incre­ased for complementary medicine and alterna­tive chro­nic diseases including Diabetes Melli­tus (DM). There are many factors that affect patients with Diabetes Mellitus to utilize herbal clinic. This study aimed to analyze the effects of age, gender, education, occupation, income, marital status, family support, knowledge of herbs, attitude towards herbs, and duration of Dia­betes Mellitus on herbs clinic utilization.Subjects and Method: This was a cross-sec­tional study. This study was conducted in Tawangmangu, Central Java, from January to March 2020. A sample of 200 DM patients aged 15-60 years who were examined at Jamu Research House (rrj) or community health center in Tawangmangu. The sample was col­lected by purposive sampling. The dependent variable was herbs clinic utilization. The inde­pendent variables were sex, age, education, occupation, income, marital status, family sup­port, knowledge of herbs, attitude towards herbs, and duration of DM. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Herbs clinic utilization was directly increased by positive attitude towards herbs (OR= 5.37; 95% CI= 2.49 to 11.60; p<0.001), duration of DM ≥5 years (OR= 2.02; 95% CI= 1.00 to 4.07; p=0.040), high family income (OR= 2.67; 95% CI= 1.41 to 5.01; p= 0.003), good family support (OR= 1.93; 95% CI= 0.96 to 3.87; p= 0.063), age ≥35 years (OR= 1.45; 95% CI= 0.27 to 7.19; p= 0.666), female (OR= 0.59; 95% CI= 0.31 to 1.12; p= 0.108), and married (OR= 0.64; 95% CI= 0.26 to 1.61; p= 0.343). Herb clinic utilization was indirectly affected by knowledge of herbs, education, and occupation.Conclusion: Herbs clinic utilization is directly increased by positive attitude towards herbs, duration of DM ≥5 years, high family income, good family support, age ≥35 years, female, and married. Herb clinic utilization is indirectly affected by knowledge of herbs, education, and occupation.Keywords: herbs clinic utilization, Diabetes Mellitus, path analysisCorrespondence: Agus Triyono. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir.Sutami No 36 A, Surakarta 57126, Central Java,Indonesia. Email: agustriyono_21@yahoo.com. Mobile: +6281329038465.Journal of Health Promotion and Behavior (2020), 05(03): 147-156https://doi.org/10.26911/thejhpb.2020.05.03.01 
Application of Social Cognitive Theory: Tertiary Prevention Behavior in Patients with Type 2 Diabetes Mellitus in Ponorogo Hospital, East Java, Indonesia Nur Aida Yuliana; Pawito Pawito; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Diabetes Mellitus (DM) is a non-com­municable disease that becomes a serious threat to global health. This disease is a serious chronic disease because it cannot be cured. An increasing number of cases of non-communicable diseases that are associated with risk factors are in line with lifestyle changes that increasingly mo­dern. This study aimed to analyze the effect of the variables in Social Cognitive Theory on ter­tiary prevention behavior in patients with type 2 Dia­betes Mellitus.Subjects and Method: This was a cross-sec­tio­nal study design. This study was conducted on pa­tients with type 2 DM in the hospital in Po­no­rogo Regency, East Java, from January to Feb­ruary 2020. There were 200 patients with type 2 DM as the sample of the study. The sample was taken by random sampling. The dependent vari­able was Tertiary prevention behavior of type 2 DM. The independent variables were obser­va­tio­nal learning, role model, vicarious experience, imi­tation, attitude, outcome expectations, know­led­ge, reinforcement, self-efficacy, and self-mana­ge­ment. The data were collected through a set of ques­tionnaires. The data were analyzed based on Path Analysis using stata 13 application.Results: Tertiary prevention behavior of type 2 DM was directly increased by strong imi­tation (b= 1.40; 95% CI= 0.51 to 2.28; p= 0.002), good knowledge (b= 1.36; 95% CI= 0.48 to 2.25; p= 0.002), positive attitude (b= 1.32; 95% CI­= 0.44 to 2.19; p= 0.003), strong self-efficacy (b= ­1.­07; 95% CI= 0.18 to 1.96; p= 0.018), and good self-management (b= 2.26; 95% CI= 1.31 to 3.22; p <0.001). Ter­tiary prevention behavior of type 2 DM was in­directly affected by observational learning, role model, vicarious experience, outcome expectation, and reinforce­ment.Conclusion: Tertiary prevention behavior of type 2 DM is directly increased by strong imi­tation, good knowledge, positive attitude, strong self-efficacy, and good self-management. Ter­tiary prevention behavior of type 2 DM is in­directly affected by observational learning, role model, vicarious experience, outcome expectation, and reinforce­ment.Keywords: social cognitive theory, type 2 Dia­be­tes Mellitus.Correspondence: Nur Aida Yuliana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Aidayuliana17@gmail.com.Mobile: +628-5790767582.Journal of Health Promotion and Behavior (2020), 5(1): 157-168https://doi.org/10.26911/thejhpb.2020.05.03.02
Contextual Effect of the Integrated Health Post (Posbindu) and Biopsychosocial Determinants of Tertiary Preventive Behavior in Patients with Hypertension Very Retnowati; Pawito Pawito; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Tertiary prevention of hyper­ten­sion is a preventive effort to make patients with hypertension do not have disabilities and further complications. It also improves the quality of life and makes life longer. The bio­psy­chosocial aspect affects individuals in lear­n­ing, doing, and maintaining certain beha­viors based on social cognitive theory. This stu­dy aimed to analyze the biopsychosocial deter­mi­nants of tertiary preventive behavior among patients with hypertension.Subjects and Method: This study was an analytical observational study with a cross-sectional design. The study was conducted at 25 Integrated Health Posts (Pos­bin­du) in Sragen, Central Java. A sample of 200 hypertensive patients was selected by stratified random sam­pling. The dependent variable was the ter­tiary preventive behavior of hypertension. The in­­de­pendent variables were observational lear­ning, role model, imitation, vicarious learning, rein­forcement, self-efficacy, self-regulation, out­­­­­come expectation, and attitude. The data were collected by ques­tion­naire and analyzed by a multilevel multiple logis­tic regression.Results: Hypertension preventive behavior in­crea­sed with observational learning (b= 2.85; 95% CI= 0.17 to 5.53; p= 0.037), role model (b= 2.73; 95% CI =0.73 to 4.73; p=0.007), imi­tation (b= 3.46 ; 95% CI= 0.73 to 6.19; p= 0.013), vica­­rious learning (b= 2.54; 95% CI =0.16 to 4.93; p= 0.036), reinforcement (b= 3.89; 95% CI= 0.96 to 6.82; p= 0.009), self-efficacy (b= 3.04; 95% CI= 0.41 to 5.67; p= 0.024), self-re­gu­­­­lation (b= 2.28; 95% CI= 0.02 to 4.54; p= 0.048), outcome expectation (b= 3.56; 95% CI= 0.75 to 6.38; p= 0.013), and a positive attitude (b= 2.86; 95% CI= 0.26 to 5.47; p= 0.031). Posbindu had a contextual effect on ter­tiary preventive behavior of hypertension with an Intra Class Correlation (ICC) value of 63.05%.Conclusion: Tertiary preventive behavior of hypertension increases with high observational learning, strong role model, strong imitation, high vicarious learning, strong reinforcement, high self-eff­icacy, high self-regulation, positive outcome expec­­­­tation, and positive attitude. Posbindu has a contextual effect on tertiary preventive behavior of hyper­ten­sion.Keywords: tertiary prevention, hypertension, social cognitive theory, multilevel analysisCorrespondence: Very Retnowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: veryretnowati@gmail.com. Mobile: +628154­8­5­92491.Journal of Health Promotion and Behavior (2020), 05(03): 174-186https://doi.org/10.26911/thejhpb.2020.05.03.04 
Factors Affecting Exclusive Breastfeeding Practice using Social Cognitive Theory Constructs: A Multilevel Evidence from Madiun, East Java Rezyana Budi Syahputri; Pawito Pawito; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Exclusive breastfeeding for infants up to 6 months of age is the most effective way to ensure the health and the viability of the child. Exclusive breastfeeding coverage still does not meet the target due to various factors. This study aimed to determine the effectiveness level of health promotion of exclusive breastfeeding program in the integrated health service in Madiun, East Java.Subjects and Method: This was an a cross-sectional study conducted in Madiun, East Java, from February to May 2020. A sample of 200 lactating mother who had infants aged 6 to 24 months was selected randomly. The dependent variable was exclusive breastfeeding practice. The independent variables were health promotion program, observational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, rein­forcement, and integrated health post contextual. The data were collected using questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Exclusive breastfeeding practice increased with adequate health pro­motion program (OR= 3.08; 95% CI= 1.06 to 8.94; p= 0.038), high observational learning (OR= 3.86; 95% CI= 1.31 to 11.39; p= 0.014), strong role model (OR= 4.01; 95% CI= 1.12 to 14.29; p= 0.033), vicarious learning (OR= 4.46; 95% CI= 1.34 to 14.82; p= 0.015), strong imitation (OR= 2.74; 95% CI= 1.02 to 7.35; p= 0.045), positive attitude (OR= 3.51; 95% CI= 1.04 to 11.88; p= 0.043), positive outcome expectation (OR= 4.04; 95% CI= 1.32 to 12.38; p= 0.014), strong self-regulation (OR= 2.36; 95% CI= 0.93 to 5.99; p= 0.068), strong self-efficacy (OR= 5.35; 95% CI= 1.81 to 15.77; p= 0.002), and strong reinforce­ment (OR= 3.90; 95% CI= 1.21 to 12.57; p= 0.022). There was a contextual effect of inte­grated health post on exclusive breastfeeding practice with intraclass correlation (ICC)= 10.97%.Conclusion: Exclusive breastfeeding practice is affected by health promotion program, obser­vational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, and reinforcement. Integrated health post has a contextual effect on exclusive breastfeeding practice.Keywords: exclusive breastfeeding, health promotion, social cognitive theory.Correspondence: Rezyana Budi Syahputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: rezyanabs@gmail.com. Mobile: +6282325750134.Journal of Health Promotion and Behavior (2020), 05(03): 169-173https://doi.org/10.26911/thejhpb.2020.05.03.03
Effectiveness of Chronic Disease Management Program in Improving “CERDIK” Healthy Behavior in Patients with Hypertension in Gunungkidul, Yogyakarta Tri Puji Pangesti; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Hypertension is the single largest con­tributor to the global burden of disease (GBD). The Chronic Disease Management Prog­ram (Prolanis) is a health service system and a pro­active approach implemented in an integrated manner. This study aimed to determine the ef­fec­tive­ness of Prolanis on the "CERDIK" healthy be­ha­vior for hypertensive patients.Subjects and Method: This cross-sectional stu­dy was conducted in hypertensive patients in 25 working areas of health centers in Gunung­ki­dul, Special Region of Yogyakarta, from January to February 2020. A sample of 200 hypertensive pa­tients was selected by simple random sampl­ing. The dependent variable was the "CERDIK" healt­hy behavior for hypertensive patients. The in­dependent variables were chronic disease ma­na­gement program (Prolanis), education level, peer support, family support, and sex. Other data we­re collected by using a questionnaire. Data we­re analyzed by path analysis using the Stata 13 application.Results: “CERDIK" healthy behavior for hyper­ten­­sive patients increased with active prolanis acti­vity (b= 5.00; 95% CI= 2.80 to 7.20; p <0.001), higher education (b= 1.52; 95% CI= 0.48 to 2.54; p= 0.004), strong family support (b= 1.­38; 95% CI= 0.20 to 2.57; p= 0.023), strong pe­er support (b= 0.61; 95% CI= -0.67 to 2.51; p= 0.­352), and female (b= 2.8; 95% CI= -5.01 to -0.64; p= 0.011). Education, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Conclusion: “CERDIK" healthy behavior for hyper­ten­­sive patients increases with active pro­lanis acti­vity, higher education, strong family support, strong pe­er support, and female. Edu­cation, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Keywords: Prolanis, “CERDIK” healthy beha­vi­our, hypertension, path analysisCorrespondence: Tri Puji Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: tri­pu­ji­pangesti8@gmail.com. Mobile: 0823­126­57­­779.Journal of Health Promotion and Behavior (2020), 05(03): 187-196https://doi.org/10.26911/thejhpb.2020.05.03.05. 
Co-Authors Achmad Arman Subijanto Afiono Agung Prasetyo Agung Kurniawan Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Triyono Agustaria Budinugroho Agustina Utii Ahmad Syauqi Mubarok Ailsa Clarissa Cynara Alvy Nur Hidayati Ambar Mudigdo Anastasia Dwi Anggraeni Andi Siswanto Anggi Putri Aria Gita Anggun Fitri Handayani Anindhita Saviorel Rivaldy Anisa Andriani Anitasari Kartika Putri Annisa Widya Panduwinata Annissa Devi Permata Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Argyo Demartoto Argyo Demartoto Argyo Dermatoto Arinda Mukti Yuhanani Aris Widiyanto Arlina Azka Arum Kusuma Rini Arum Nuryati Asri Wahyu Azzahro Asrori Ibnu Utomo Asruria Sani Fajriah Atika Dwi Minawati Atthahira Amalia Hafiizha Aulia Noorvita Ramadani Ayu Anulus Ayu Laela Fitriyani Ayu Novita Wulandari Ayu Trisni Pamilih Bayu Putra Dewantara Bening Rahimi Titisari Bertha Sylvester Maingu Bibit Irawan Burhannudin Ichsan Burhannudin Ischan Cendekia Airedeta Mulianda Christiana Sri Wahyuningsih Citra Ayuningtiyas Cynthia Octaviani Danti Narulita Dena Tri Solehaini Destinady Kadiser Miden Dewi Mustika Ratih Dian Estiningtyas Dian Handayani Dian Surya Kartika Dian Winiarti Diana Sayidah Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Tamtomo Didik Tamtomo Didik Tamtoto Didik Tantomo Dily Ekasari Dinda Ika Pratiwi Dinda Nur Asri Mutiara Ramadhani Dono Indarto Dwi Tour Kumalasari Dyah Ayu Agustin Dyah Ayu Saputri Eka Miftakhul Jannah Elsa Tursina Eltigeka Devi Apriliani Endang Palupi Endang Sutisna Sulaeman Endang Sutisna Sulaeman Eni Nur Rahmawati Etanaulia Marsim Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Farida Nurhayati Fatchurrohmah Ines Prabandari Fathia Mutiara Zahra Fathiyyatu Assa’diy Firda Fatimah Hasna Karima Fiqih Agustyna Murti Fitriah Fitriah Florida Betty Apriliyani Frannesty Estu Winahyu Gabriela Advitri Febriani Galuh Tunjung Pertiwi Genn Andrean Pratama Hanifah Hanifah Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Haris Sutopo Harsono Salimo Hendra Dwi Kurniawan Hepti Widia Ningsih Herawati Prianggi Hermanu Joebagio Hermanu Joebagio Hermanu Joebagyo Ignatius Loyola Sukamto Ikhtiarisca Olifia Mufidatun Ila Izzatus Salamah Indah Adhitama Chrisnanda Isna Andriani Isna Nur Rohmah Isna Qadrijati Istri Yuliani Jemmi Sastrawijayah Jihan Nafisah Fauziyyah Joko Tri Atmodjo Lailatul Rohmah Latifah Nur Alifia Lely Tri Pangesti Lily Nabillah Lina Eta Safitri Lisa Safaah Novia Larsiani Lusia Arina Cahyaningrum Mahendra Wijaya Malinda Capri Nurul Satya Maria Regina Tri Yonita Mario Febrianus Helan Sani Maya Ayu Riestiyowati Maya Sofiyani Mei Kusumaningtyas Melinda Febianca Gaurinindi Muhammad Akhyar Mujiran Mujiran Mustainu Habibi Muvida Muvida Nadia Ayu Irma Nindiyastuti Nila Widya Keswara Nita Aprilia Nur Aida Yuliana Nurul Fatimah Nurul Ulya Luthfiyana Okky Nurlita Sari Oktaviana Kurniawati Pawito Pawito Priscilla Jessica Pihahey Putri Pamungkas Putu Anggi Widia Karmany Ratna Purwani Siwi Ravik Karsidi RB. Soemanto RB. Soemanto Resta Dwi Yuliani Retno Wulan Reza Ramadhana Tahta Firmansyah Rezyana Budi Syahputri Ristamaya Danar Dewi Rita Benya Adriani Rita Benya Adriani Riyesti Hero Fresna Rizki Aqsyari Rizki Kurniawan Saputra Rofana Aghniya Ruben Dharmawan Ruth Apriyanti Satriyo Fajar Wicaksono Septa Decelita Wahyuni Septyandi Ramadhan Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Raharjo Silvalia Rahma Pratiwi Sinar Perdana Putra Sisybania Sisybania Siti Damayanti Siti Luluk Khamidahtun Ni'mah Siti Mar'atul Munawaroh Siti Mar’atul Munawaroh Siti Nurhalimah Sri Hartini Sri Panuntun Sri Umiati Sumardiyono Sumardiyono Supriyadi Hari Respati Syndia Puspitasari Tedjo Danudjo Oepomo Titis Eka Gusti Tri Puji Pangesti Tri Subaeti Tyas Aisyah Putri Uki Retno Budhiastuti Uki Retno Budihastuti Uki Retno Budihastuti Ulfah Hidayati Umi Nadhiroh Ummy Prasetyowati Very Retnowati Veterina Rizki Amalia Victoria Husadani Permata Sari Vitri Widyaningsih Vitri Widyaningsih Wardhatul Livia Wawan Diyantana Wekadigunawan, Cri Sajjana Prajna Widya Kurnianingsih Wulandari Wulandari Yeti Rahelli Yovita Galuh Eka Ariska Yudi Andriyaningtiyas Yuli Astuti Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulianda Yeimo Yunita Rusdiyanti Yusuf Bachtiyar Lobis Yuzana Maung