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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Promotion and Behavior
Argyo Demartoto
Department of Sociology, Faculty of Social and Political Sciences, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Effects of Sexual Behavior, Family Support, Peer Support, Stigma, and Discrimination on Quality of Life Among Gay Community in Tulungagung, East Java Dily Ekasari; Argyo Demartoto; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (386.936 KB)

Abstract

Background: Stigma and discrimination that are experienced by gay community have long been documented to occur in Indonesia, including Tulungagung District, East Java. Gay community often experience stigma, discrimination, and rejection by the society and health personnel. Stigma and discrimination may worsen the quality of life among gay community. This study aimed to examine the effects of sexual behavior, family support, family income, peer support, stigma, and discrimination on quality of life among gay community in Tulungagung, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Pelangi Gay Community, Tulungagung District, from October to November, 2017. A total sample of 181 gays was selected by stratified random sampling. The exogenous variables were sexual behavior, family income, peer support, stigma, and discrimination. The endogenous variables were family support and quality of life. The data were collected by questionnaire and analyzed by path analysis.Results: Better quality of life was positively affected by safe sexual behavior (b= 1.32; 95% CI= 0.18 to 2.46; p= 0.023) and strong family support (b= 1.47; 95% CI= 0.42 to 2.51; p= 0.006). Strong family support was positively affected by family income (b= 1.62; 95% CI= 0.97 to 2.27; p= 0.001). Better quality of life was positively affected by participation in peer support program (b= 2.84; 95% CI= 1.77 to 3.91; p= 0.001), freedom of stigma (b= 1.11; 95% CI= -0.04 to 2.26; p= 0.060), and freedom of discrimination (b= 1.43; 95% CI= 0.37 to 2.48; p= 0.008).Conclusion: Safe sexual behavior and strong family support have direct positive effect on the quality of life among gay community. Stigma and discrimination have indirect effect on lower quality of life among gay community.Keyword: quality of life, sexual behavior, family support, stigma, discrimination, gayCorrespondence: Dily Ekasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: dilyekasari89@gmail.com.Journal of Epidemiology and Public Health (2018), 3(1): 50-59https://doi.org/10.26911/jepublichealth.2018.03.01.04 
Application of the Health Belief Model to Non-Alcohol Drinking Behavior Among Adolescents in Surakarta, Central Java, Indonesia Muhammad Azim Zaqfaryawan; Ika Sumiyarsih Sukamto; Setyo Sri Rahardjo; Argyo Demartoto; Yulia Lanti Retno Dewi
Journal of Health Promotion and Behavior Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.03.07

Abstract

Background: Alcohol consumption among adolescents is an important public health concern due to its adverse physical, psychological, and social consequences. The Health Belief Model (HBM) provides a theoretical framework for understanding health-related behaviors based on individual perceptions and beliefs. This study aimed to analyze the relationships among HBM constructs and non-alcohol consumption behavior among adolescents. Subjects and Method: A case control study was conducted in Surakarta, Central Java, Indone­sia, from May to June 2025. A total of 200 adolescents aged 15–19 years were recruited, consisting of 100 adolescents who had consumed alcohol and 100 who had never consumed alcohol. Parti­cipants were selected using fixed disease sampling. Data were collected using a structured question­naire measuring perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy, and alcohol consumption behavior. Data were analyzed using path analysis. Results: Non-alcohol drinker behavior was negatively associated with high perceived suscepti­bility (β= −0.02; 95% CI= −0.05 to −0.01; p= 0.044). It was positively associated with strong self-efficacy (β= 0.98; 95% CI= 0.94 to 1.02; p<0.001). Non-alcohol drinker behavior was positively associated with strong cues to action, but it was statistically non-significant (β= 0.03; 95% CI= −0.01 to 0.07; p= 0.190). Self-efficacy decreased with high perceived severity (β= −0.08; 95% CI= −0.13 to −0.03; p= 0.002) but increased with high perceived barrier (β= 0.5; 95% CI= 0.93 to 0.96; p<0.001). Non-alcohol drinker behavior was indirectly associated with self-efficacy through cues to action (β= 0.98; 95% CI= 0.83 to 1.13; p<0.001). Conclusion: Strong self-efficacy was an important factor associated with non-alcohol drinker behavior among adolescents. Strengthening adolescents’ confidence to refuse alcohol and increasing awareness of alcohol-related risks may support alcohol prevention efforts.
Traditional Treatment Choices for Managing Dysmenorrhea Among Adolescent Girls: An Application of the Health Belief Model A&#039;maliatul Khoiriyah; Argyo Demartoto; Bhisma Murti; Revi Gama Hatta Novika; Ratih Puspita Febrinasari
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.907

Abstract

Background: Dysmenorrhea is a common reproductive health problem among adolescent girls and often interferes with daily activities. Various management strategies are used to alleviate dysmenorrhea, including the use of traditional medicine. This study aimed to examine the influence of Health Belief Model (HBM) constructs on the choice of traditional medicine for reducing dysmenorrhea among adolescent girls. Subject and Methods: This quantitative study employed a cross-sectional design carried out in Boyolali Regency, Central Java, Indonesia. A total of 200 female adolescents were selected using stratified random sampling. Data were collected using a standardized questionnaire that had been tested for validity and reliability. Multivariate data analysis was conducted using path analysis to identify both direct and indirect effects among variables. Results: The selection of traditional medicine for dysmenorrhea management among adolescent girls was directly influenced by perceived benefits (b = 1.29; 95% CI= 0.61–1.97; p < 0.001) and perceived severity (b= −0.14; 95% CI= −0.71 to 0.43; p= 0.631). Meanwhile, perceived susceptibility (b= 0.81; 95% CI= 0.17–1.45; p= 0.013), perceived barriers (b= −1.53; 95% CI= −2.29 to −0.77; p < 0.001), cues to action (b= 1.44; 95% CI= 0.80–2.09; p < 0.001), and self-efficacy (b= −0.98; 95% CI= −1.61 to −0.34; p = 0.003) had indirect effects on the choice of traditional medicine. The resulting path model demonstrated good goodness-of-fit. Conclusion: Health Belief Model constructs can be effectively applied as a framework for understanding the selection of traditional medicine. HBM-based interventions that emphasize increasing perceived benefits and managing perceived barriers are recommended to support informed reproductive health decision-making among adolescents.
Associations Between Non-Ergonomic Working Posture, Work-Related Stress, Smoking Habits, and Physical Activity with Low Back Pain among Police Personnel in the Special Region of Yogyakarta Viola Widyanita Mahardhika; Sumardiyono Sumardiyono; Bhisma Murti; Revi Gama Hatta Novika; Argyo Demartoto
Indonesian Journal of Medicine Vol.11 No.1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.1.941

Abstract

Background: Low back pain is one of the most common musculoskeletal complaints among police personnel. Several factors, including working posture, work-related stress, smoking habits, and physical activity, are presumed to be associated with the occurrence of low back pain. This study aimed to analyze factors associated with low back pain among police personnel. Subjects and Method: This analytic observational study with a cross-sectional design involved 226 male and female police personnel aged 20–40 years in the Special Region of Yogyakarta, selected using total sampling. The dependent variable was the occurrence of low back pain, while the independent variables included working posture, work-related stress, smoking habits, physical activity, age, and years of service. Data were collected using the Rapid Upper Limb Assessment (RULA) to assess working posture, the Police Stress Questionnaire–Operational (PSQ-Op) to measure work-related stress, and the Numeric Rating Scale (NRS) to assess low back pain intensity. Data were analyzed using the Chi-square test and path analysis. Results: Path analysis showed significant direct effects of non-ergonomic working posture (b = 0.19; 95% CI = 0.09 to 0.29; p < 0.001), work-related stress (b = 0.35; 95% CI = 0.23 to 0.46; p < 0.001), smoking habits (b = 0.17; 95% CI = 0.05 to 0.29; p = 0.007), physical activity (b = −0.16; 95% CI = −0.27 to −0.05; p = 0.006), and age (b = 0.11; 95% CI = 0.01 to 0.22; p = 0.034) on the occurrence of low back pain. Years of service had an indirect effect on low back pain through age (b = 0.99; 95% CI= 0.98 to 0.99; p < 0.001). Conclusion: Non-ergonomic working posture, work-related stress, smoking habits, physical activity, and age have direct effects on the occurrence of low back pain.
Co-Authors A&#039;maliatul Khoiriyah Bhisma Murti Bhisma Murti Dily Ekasari Ika Sumiyarsih Sukamto Muhammad Azim Zaqfaryawan Ratih Puspita Febrinasari Revi Gama Hatta Novika Revi Gama Hatta Novika Setyo Sri Rahardjo Sumardiyono Viola Widyanita Mahardhika Yulia Lanti Retno Dewi