Bhisma Murti
Masters Program in Public Health, Universitas Sebelas Maret

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Meta-Analysis: Application of Health Belief Model on the Adherence to Antihypertensive Medication Eltigeka Devi Apriliani; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.493 KB) | DOI: 10.26911/thejhpb.2022.07.03.06

Abstract

Background: Non-adherence to treatment and lack of understanding of the use of antihyper­tensive drugs resulted in uncontrolled hypertension. Antihypertensive compliance as a top priority in the treatment of hypertensive patients through the implementation of the Health Belief Model. The purpose of this study was to analyze the effect of perceived benefits and received cues to act on antihypertensive medication adherence.Subjects and Method: This meta-analysis was conducted using the PRISMA flowchart guide­line. The study was conducted using the PICO model, Population: hypertensive patients, Inter­vention: perceived benefits were strong and received cues to act, Comparison: perceived benefits were weak and did not receive cues to act, Outcome: adherence to antihypertensive medication. The article search process was carried out between 2012 and 2022 using databases from Pub¬Med, Google Scholar, ScienceDirect and ProQuest. Search keywords included “health belief model” OR “perceived benefit” OR “cues to action” AND “adherence antihypertensive” OR “compliance antihypertensive” AND “hypertension” OR “high blood pressure”. Based on the database, there were 13 articles that met the inclusion criteria. Research analysis was carried out using RevMan 5.3 software.Results: There are 13 articles from the continents of Africa and Asia. There are 9 meta-analysis articles showing that a strong perceived benefit of hypertension treatment is 1.60 times more likely to adhere to antihypertensive treatment than a weak perception of benefit and is statistically significant (aOR = 1.60; 95% CI = 1.06 to 2.41; p = 0.020), and there were 8 articles discussing the effect of getting cues to act on hypertension treatment on 1.52 times more likely to adhere to anti­hypertensive medication than not getting cues to act and statistically significant (aOR = 1.52; 95% CI = 1.02 to 2.27; p = 0.040).Conclusion: Strong and signaled benefit perception for hypertensive patients improves adherence to antihypertensive medication.Keywords: hypertension, health belief model, perceived benefits, cues to action.Correspondence:Eltigeka Devi Apriliani, Masters Program in Public Health, universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: eltigeka13@gmail.com. Mobile: +62 85735387363.Journal of Health Promotion and Behavior (2022), 07(03): 238-249DOI: https://doi.org/10.26911/thejhpb.2022.07.03.06 
Meta-Analysis: The Effect of Social Support on Medication Treatment Adherence in Tuberculosis Patients Lily Nabillah; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.309 KB) | DOI: 10.26911/thejhpb.2022.07.03.07

Abstract

Background: Tuberculosis is a disease that can be cured by various methods of treatment. How­ever, tuberculosis treatment is often not carried out properly and completely. The importance of medication adherence as a top priority in the effectiveness of treatment of tuberculosis patients through social support. The purpose of this study was to analyze the effect of social support on medication adherence in tuberculosis patients.Subjects and Method: This meta-analysis study used the PRISMA flowchart guideline with PICO, Population= Tuberculosis patients. Intervention= social support. Comparison= without social support. Outcome= medication adherence. The search process was carried out between 2017 and 2022 using Google Scholar, PubMed, Sci-Hub, and Science Direct databases. The keywords used were "Medication Adherence" OR "Drug Adherence" OR "Adherence" OR " treatment adhe­rence" AND "Tuberculosis" OR "multidrug resistant tuberculosis*" OR "Mycobacterium tuber­culosis Infection" AND "Social Support" OR "Social Support System" OR "Psychosocial Support System" OR "Support System". Based on the database, there are 10 articles that fulfill the inclusion criteria. Study analysis was using review manager 5.3 software.Results: There were 10 articles from the continents of Asia and Africa selected in this meta-analysis, the results showed that the presence of social support has the possibility to increase adherence to anti-tuberculosis treatment compared to without social support in tuberculosis patients and it was statistically significant (aOR= 2.10; CI 95%= 1.76 to 2.52; p< 0.001).Conclusion: Tuberculosis patients who have strong social support about tuberculosis adherence are more likely to adhere to anti-tuberculosis treatment.Keywords: tuberculosis, social support, medication adherence, meta-analysis.Correspondence:Lily Nabillah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: lilynabillah09@gmail.com. Mobile: +62 821-1135-6435.Journal of Health Promotion and Behavior (2022), 07(03): 250-261DOI: https://doi.org/10.26911/thejhpb.2022.07.03.07
Meta Analysis: Application of Health Belief Model Theory on COVID-19 Acceptance in General Population Resta Dwi Yuliani; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.525 KB) | DOI: 10.26911/thejhpb.2022.07.03.05

Abstract

Background: The COVID-19 vaccine is an effective strategy to prevent viral infection during global pandemic. Health belief model has been recommended to explain the acceptance of COVID-19 vaccination behavior in the community. This study aimed to estimate the perceived suscep­tibility to COVID-19 and the perceived benefit in receiving the COVID-19 vaccine.Subjects and Method: This study used a systematic review study design and a meta-analysis using PICO, Population: Society, Intervention: Perceptions of high susceptibility to COVID-19 and high perceptions of benefits about the COVID-19 vaccine. Comparison: Low perceived suscep­tibility to COVID-19 and low perceived benefit of COVID-19 vaccine, Outcome: Acceptance of COVID-19 vaccine. The articles used in this study came from 4 databases, namely Pubmed, Sciencedirect, SpringerLink and Google Scholar. The keywords used in the article search were as follows “Health Belief Model” OR “HBM” AND “Acceptance” OR “Receive” AND “COVID-19 Vaccine” AND “General Population”. The articles included in this study were full paper articles, cross sectional study designs, in 2020-2022 and the size of the relationship of Adj Odds Ratio (aOR).Results: A total of 9 cross-sectional studies with 12,713 people from 3 continents, namely America (United States), Asia (Bangladesh, China, Hong Kong, Lebanon, and Saudi Arabia) and Europe (Russia) were obtained. From data processing, it was found that a high perceived susceptibility to COVID-19 increased acceptance of COVID-19 vaccination by 1.33 times compared to a low perceived susceptibility and this result was statistically significant (aOR= 1.33; 95% CI= 1.08 to 1.65; p= 0.008) . A high perceived benefit increased acceptance of COVID-19 vaccination by 3.28 times compared to a low perceived benefit and this result was statistically significant (aOR= 3.28; CI 95%= 1.87 to 5.74; p< 0.001).Conclusion: Perceived susceptibility and perceived benefit increase the likelihood of acceptance of the COVID-19 vaccination in the community. Keywords: Health Belief Model, perceived susceptibility, perceived benefit, COVID-19 vaccination.Correspondence:Resta Dwi Yuliani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: restadwi24@gmail.com. Mobile: +6285­731288002Journal of Health Promotion and Behavior (2022), 07(03): 225-237DOI: https://doi.org/10.26911/thejhpb.2022.07.03.05
Meta-Analysis: Hypnotherapy and Its Effect on Quitting Smoking Behavior Jihan Nafisah Fauziyyah; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.041 KB) | DOI: 10.26911/thejhpb.2022.07.04.01

Abstract

Background: Smoking is still a major health problem, about 23% of the world's population smokes. Indonesia is in the 3rd rank with the number of active smokers worldwide and more than 97 million Indonesians are exposed to cigarette smoke. Hypnotherapy can play a role in controlling smoking habits with a psychological health approach that is used to change human behavior and habits. The purpose of this study was to analyze the effect of hypnotherapy on the success of smoking cessation in active smokers based on the results of previous similar studies.Subjects and Method: This study was a meta-analysis with the following PICO, Population: active adult smokers. Intervention: hypnotherapy. Comparison: no hypnotherapy. Result: decreased pain. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. The keywords to search for articles are “hypnotherapy” OR “hypnosis” AND tobacco OR smoke OR smoked OR smoker AND “smoking cessation”. The articles included are English and Indonesian full text with a randomized control trial study design from 2008-2022. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 Randomized Controlled Trial studies from the continents of Europe, America, Asia and Africa were selected for systematic review and meta-analysis. It was found that hypnotherapy can increase the success of smoking cessation and is statistically significant (SMD= 1.32; CI 95% = 0.53 to 2.12; p=0.001).Conclusion: Hypnotherapy increases the success of smoking cessation in active adult smokers.Keywords: hypnoterapy, hypnosis, tobacco, smoker, smoking cessation.Correspondence: Jihan Nafisah Fauziyyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: jihannafisah321@gmail.com. Mobile: +6289611006503.Journal of Health Promotion and Behavior (2022), 07(04): 273-283DOI: https://doi.org/10.26911/thejhpb.2022.07.04.01
Meta-Analysis: Smoking and Proverty as Risk Factors of Tuberculosis Multidrug Resistance Bibit Irawan; Sumardiyono Sumardiyono; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.03 KB) | DOI: 10.26911/thejhpb.2022.07.04.02

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Background: The financing burden for tuberculosis treatment is increasing along with the increasing number of cases of Multidrug Resistant Tuberculosis (MDR-TB). The main problems that arise in MDR-TB patients are difficult and expensive treatment, high mortality rates and the potential to transmit resistant bacilli to others. The purpose of the study was to estimate the magnitude of the influence of smoking behavior and poverty on the incidence of MDR-TB.Subjects and Method: This was a meta-analysis with PICO, population: active patients on TB treatment. Intervention: Smoking behavior and poverty. Comparison: not smoking and not poor. Result: MDR TB. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “poverty” OR “smoking” AND “multidrug resistant tuberculosis”. Articles included are full-text English from 2012 to 2022. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 12 articles came from the continents of Asia (China India, Indonesia), Africa (Sudan, Ethiopia, Tanzania), North America (Georgia), and South America (Peru). The results of this meta-analysis showed that smoking increased the risk of MDR TB 1.94 times compared to those who did not smoke (aOR = 1.94; 95% CI = 1.64 to 2.30; p = 0.005), and poverty increased the risk of MDR TB 1.85 times compared to those who did not. not in poverty (aOR= 1.85; 95% CI= 1.35 to 2.53; p= 0.004), and both results were statistically significant.Conclusion: Smoking behavior and poverty increase the risk of MDR TB.Keywords: smoking behavior, poverty, MDR TB.Correspondence:Bibit Irawan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: irawanbibit@gmail.com. Mobile: +629311­1570225.Journal of Health Promotion and Behavior (2022), 07(04): 284-298DOI: https://doi.org/10.26911/thejhpb.2022.07.04.02
Meta Analysis: Application of Health Belief Model Theory on Pap Smear Screening Uptake in Women of Reproductive Age Syndia Puspitasari; Bhisma Murti; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.435 KB) | DOI: 10.26911/thejhpb.2022.07.04.05

Abstract

Background: Cervical cancer is the fourth cancer in the world that attacks women and causes death. Until now, cervical cancer causes high morbidity and mortality. Regular cervical cancer screening with the Papanicolaou (Pap) smear test remains an effective public health intervention in the prevention and subsequent reduction of the incidence, morbidity and mortality of cervical cancer. Health Belief Model (HBM) is a model developed to help understand human behavior in seeking health services and explain why people do not engage in behavior for disease prevention or early detection.Subjects and Method: This was a systematic review and meta-analysis. Data collection was obtained from 3 databases, namely: Google Scholar, PubMed, and Science Direct. Analysis of this research using software RevMan 5.3. The inclusion criteria used were full English paper with cross sectional design in 2012-2022. The keywords used were “Pap Smear” OR “Cervical Cancer Screen­ing” AND “Health Belief Model” OR “Health Belief” AND “Cervical Cancer”.Results: A total of 15 cross-sectional study articles from Indonesia, Malaysia, Turkey, Nepal, Lebanon, South Korea, Iran, South Africa, Ethiopia, the United States, and Italy were reviewed in the meta-analysis. Based on the results of the analysis, it was found that the perception of high susceptibility had an effect on the possibility of using Pap smear services 1.13 times compared to the perception of low susceptibility (aOR= 1.13; 95% CI= 1.03 to 1.07; p < 0.001), and the results were statistically significant. The perception of low barriers affects the possibility of using Pap smear services 0.91 times compared to perceptions of high barriers (aOR = 0.91; 95% CI = 0.86 to 0.97; p <0.001), and the results are statistically significant.Conclusion: Perceptions of high susceptibility and perceptions of low barriers affect the possibility of using pap smear services.Keywords: health belief model, cervical cancer, pap smear.Correspondence:Syndia Puspitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: syndiapuss96@gmail.com. Mobile: +628 2234398706.Journal of Health Promotion and Behavior (2022), 07(04): 322-335DOI: https://doi.org/10.26911/thejhpb.2022.07.04.05
Biopsychosocial and Economic Determinants of Low Birth Weight in Jambi, South Sumatera: Path Analysis Iga Trisnawati; Harsono Salimo; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Low birth weight (LBW) is one of the main risk factors of neonatal mortality and morbidity. It is an important public health issue particularly in developing countries. Worldwide, LBW shares around 15-20% of birth outcome. In Indonesia, LBW shares about 10.2% of birth outcome. In theory, the risk factors of LBW include not only biological aspect but also psychosocial and economic aspects. This study sought to estimate the biopsychosocial and economic determinants of LBW in Jambi, South Sumatera, using path analysis approach.Subjects and Method: This was an analytic observational study with case-control design. The study was carried out at 20 community health centers in Jambi, South Sumatera, from December 2017 to January 2018. A total sample of 200 newborn infants consisting of 50 LBW and 150 normal birth weight newborn infants were selected for this study by fixed disease sampling. The dependent variable was birth weight. The independent variables were gestational age, infant sex, maternal mid-upper arm circumference (MUAC), maternal gestational stress, maternal education, family income at gestational period, and sanitation. Data on birth weight and MUAC were taken from obstetric record. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: The risk of LBW directly decreased with gestational age ?37 weeks (b= -5.06; 95% CI= -6.49 to -3.62; p<0.001), male sex (b= -0.99; 95% CI= -2.12 to -0.12; p= 0.081), low maternal stress (b= -2.35; 95% CI= 14.01 to -0.70; p= 0.005), and good sanitation (b= -1.04; 95% CI= -2.13 to -0.05; p= 0.062). Gestational age increased with family income (b= 1.74; 95% CI= 0.96 to 2.52; p<0.001). Low maternal stress was positively affected by high family income (b= 1.34; 95% CI= 0.197 to 2.50; p= 0.022). Good sanitation was positively affected by high family income (b= 0.71; 95% CI= 0.01 to 1.41; p= 0.046). High family income was positively affected by high education level (b= 1.37; 95% CI= 0.57 to 2.18; p= 0.001)Conclusion: The risk of LBW directly decreases with gestational age ?37 weeks, male sex, low maternal stress, and good sanitation. LBW is indirectly affected by maternal education and family income.Keywords: biopsychosocial, economic, determinant, LBWCorrespondence:
Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java Ryanawati Putriarsih; Uki Retno Budihastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: After delivery of psychological disorder otherwise appropriately and immediately handled may lead to postpartum depression (PPD). PPD has a serious impact on mothers that manifests as lower quality of life and inability to care of themselves, their partner, and infants. There is a lack of studies on PPD in Indonesia. Its prevalence and determinants are not well-understood. This study sought to estimate the prevalence and the determinants of PPD in Sukoharjo, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at community health centers in Sukoharjo District, Central Java, from November to December 2017. A total sample of 200 postpartum mothers was selected for this study using cluster random sampling, with a community health center as the cluster. The dependent variable was PPD. The independent variables were maternal age, parity, labor complication, maternal education, self-efficacy, family income, coping strategy, unwanted pregnancy, and family support. The data were collected by questionnaire and analyzed by path analysis.Results: PPD prevalence in Sukoharjo, Central Java, was 18.5%. The risk of PPD increased with labor complication (b= 3.14, SE= 0.45, p<0.001), unwanted pregnancy (b= 1.54, SE= 0.45, p<0.001), and low family income (b= -0.05, SE= 0.01, p<0.001). The risk of PPD decreased with age (b= -0.07, SE= 0.03, p= 0.028), stronger self-efficacy (b= -0.55, SE= 0.09, p<0.001), and improved coping strategy (b= -0.56, SE= 0.03, p= 0.064). PPD was indirectly affected by younger age, parity, weaker family support, lower family income, coping strategy, and maternal education.Conclusion: PPD prevalence is 18.5% in Sukoharjo, Central Java. The risk of PPD increases with labor complication, unwanted pregnancy, and low family income, but decreases with age, stronger self-efficacy, and improved coping strategy.Keyword: prevalence, postpartum depression, determinant, path analysisCorrespondence:
Effect of Family Hope Program on Maternal Health Behavior and Children Under Five Nutritional Status in Poor Families, Jombang, East Java Sintya Rosalina; Endang Sutisna Sulaeman; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family Hope Program, or internationally referred to as Conditional Cash Transfer (CCT), is a government poverty allevation initiative by provision of conditional cash money that induces healthy behavior so as to achieve strong generation. This study sought to examine the effect of Family Hope Program on maternal health behavior and children under five nutritional status in poor families, Jombang, East Java.Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted in Jombang District, East Java, from November to December 2017. A total sample of 210 mothers and their children under five were selected for this study by fixed exposure sampling. The dependent variables were maternal health behavior and child nutritional status. The independent variables were birthweight, history of illness, maternal education, family income, family support, government Family Hope Program,
Psychosocial Factors Associated with Anxiety and Delivery Pain Shofia Maharani Khoirun Nisa; Isna Qadrijati; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anxiety and pain are physiologic symptoms experienced by mothers during birth delivery. However, if these symptoms are not well-managed they can cause low birth weight, prematurity, prolonged labor, and postpartum depression. This study aimed to analyze the psychosocial factors associated with anxiety and delivery pain.Subjects and Method: This was an analytical observational study with cross sectional design. The study was conducted at Gajahan community health center, Surakarta Hospital, and Muhammadiyah Hospital, Delanggu, Central Java, from December 2017 to January 2018. A total sample of 166 delivery mothers were selected for this study by purposive sampling. The dependent variables were anxiety and delivery pain. The independent variables were parity, psychological stress, coping mechanism, family income, and family support. The data were collected by questionnaire. Anxiety was measured by modified Preg
Co-Authors Achmad Arman Subijanto Afiono Agung Prasetyo Agung Kurniawan Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Triyono Agustaria Budinugroho Agustina Utii Ahadyah Miftahul Jannah Ahmad Syauqi Mubarok Ailsa Clarissa Cynara Alvy Nur Hidayati Amallia Wijiwinarsih Ambar Mudigdo Ana Yuliana 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 Arum Wijayanti 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 Bekti Susilowati Bening Rahimi Titisari Bertha Sylvester Maingu Bibit Irawan Burhannudin Ichsan Burhannudin Ischan Cendekia Airedeta Mulianda Christiana Sri Wahyuningsih Citra Ayuningtiyas CSP Wekadigunawan CSP. 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