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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Promotion and Behavior
Bhisma Murti
Master’s Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Effects of Marital Status and Social Support on Antenatal Depression: A Meta-Analysis Meita Tyas Nugrahaeni; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.05

Abstract

Background: Pregnancy is a period of increased vulnerability to depression incidence, especially if the pregnancy is accompanied by additional demands. Antenatal depression is depression that occurs during pregnancy characterized by certain symptoms, namely anxiety, distress, confusion, and excessive fear. The study aims to estimate the effect size of marital status and social support on the incidence of antenatal depression in pregnant women. Subjects and Method: The study used systematic review and meta-analysis with PICO, Popula­tion: pregnant women; Intervention: marital status and strong social support; Comparison: unmarried marital status and weak social support. Outcome: antenatal depression. The articles used were obtained from several databases namely Google Scholar, Pubmed, SpringerLink, and Science Direct. The article search keywords were "Antenatal Depression" AND "Marital Status" AND "Social Support" AND "Pregnant Women". The inclusion criteria for the articles were full-text articles in English using cross-sectional observational study design, published between 2012 and 2022, the study subject was pregnant women, and the size of the association was presented in adjusted Odds ratio (aOR). The data were analyzed using Review Manager app (RevMan 5.3). Results: A total of 17 cross-sectional articles originated from Asia and Africa including Qatar, Thailand, China, Ethiopia, Tanzania, Nigeria, and Rwanda for systematic review and meta-analysis with a total population of 8,723 pregnant women. Pregnant women with unmarried marital status could contribute to the worsening condition of pregnant women that generated antenatal dep­res­sion (aOR= 2.76; 95% CI= 1.75 to 4.36; p< 0.0001).  Meanwhile, pregnant women with weak social sup­port could contribute to the worsening of the condition of pregnant women that generated antenatal depression (aOR= 2.22; 95% CI= 1.42 to 3.46; p= 0.005). Conclusion: Marital status and social support can improve the prevention of antenatal dep­res­sion in pregnant women. Keywords: marital status, social support, pregnant women, antenatal depression. Correspondence: Meita Tyas Nugrahaeni. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: meitatyas04@gmail.com. Mobile: +628­597­4825459.
Application of Theory of Planned Behavior on COVID-19 Vaccine Uptake in Palu, Central Sulawesi, Indonesia Gadis Nur Anggreani; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.06

Abstract

Background: According to secondary data from the Central Sulawesi Provincial Health Office, updated information regarding the COVID-19 vaccination in Palu City, Central Sulawesi has only reached 4.82%. As of Monday, March 14 2022. This data can be said to be lagging behind vacci­nation coverage rates because there are still many people who have not carried out vacci­nations, this can be applied through Theory Planned Behavior to the use of COVID-19 vaccination at the Palu City Health Center, Central Sulawesi. Subjects and Method: Qualitative study with key informant interviews. Interviews were conducted in Palu, Central Sulawesi, Indonesia. Interviews were conducted with 7 people who had not received the COVID-19 vaccination at all, 4 people who had received the second dose of COVID-19 vaccination, 4 people who had received the third dose of COVID-19 vaccination, and key informant 1 City health center promotion worker Palu, Head of the surveillance section of the Palu City Health Service and immunization as well as the COVID-19 Task Force, as well as 1 additional informant from the family. Results: It can be seen that the lack of knowledge has a great impact on attitudes towards behavior from the community, in which in addition to believing in negative news about the COVID-19 vaccination, there is also the influence of the subjective norm variable, namely the prohibition from the family in carrying out the COVID-19 vaccination, but in the predictive variable behavioral control had little impact on the use of the COVID-19 vaccination in Palu City. Conclusion: In this study it was concluded that the application of the Theory of Planned Behavior on the use of COVID-19 vaccination in Palu City, Central Sulawesi, had an effect especially in terms of attitude towards behavior variables and subjective norm variables. Keywords: vaccination, COVID-19, theory planned behavior. Correspondence: Gadis Nur Anggreani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: anggreanigadis@gmail.com. Mobile: +6281335205131.
Social Support, Depression, and Anxiety as Predictors of Suicidal Ideation in People Living with HIV/AIDS: A Meta-Analysis Aulia Putri Nugraheni; Maoli Zartika; Anis Lupita Ningrum; Bhisma Murti; Ika Yuli Ayuningrum
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.04

Abstract

Background: Acquired Immune Deficiency Syndrome (AIDS) is a disease caused by the Human Immunodeficiency Virus (HIV). People living with HIV/AIDS (PLWHA) are 7 to 36 times more likely to experience suicidal ideation compared to the general population. Suicidal ideation among PLWHA is closely correlated with depression and anxiety. Social support plays a crucial role in helping individuals cope with HIV, serving as a direct protective factor for psychosocial health. This meta-analysis aims to examine the relationship between social support, depression, and anxiety with suicidal ideation among people living with HIV/AIDS (PLWHA) Subjects and Method: The meta-analysis was conducted using the PICO framework. Population: people living with HIV/AIDS (PLWHA). Intervention: high social support, presence of depression, and anxiety. Comparison: low social support, absence of depression, and absence of anxiety. Outcome: suicidal ideation. Research data were obtained from the Google Scholar, PubMed, and ScienceDirect databases. The keywords used were “social support” OR “depression” OR “anxiety” AND “suicidal ideation” AND “HIV/AIDS” OR “PLWHA.” The inclusion criteria included cross-sectional studies published between 2014 and 2024. Data analysis was performed using RevMan version 5.4. Results: The meta-analysis included 19 primary studies conducted in Indonesia, South Korea, China, Ethiopia, Uganda, Nigeria, South Africa, and the United States, with a total sample size of 11,166 participants. PLWHA residing in communities with high social support had 0.65 times lower odds of suicidal ideation compared to those with low social support (aOR= 0.65; 95% CI= 0.57 to 0.74; p<0.001). PLWHA experiencing depression had a 3.21 times higher risk of suicidal ideation compared to those without depression (aOR= 3.21; 95% CI= 2.07 to 4.99; p <0.001). PLWHA with anxiety were 1.67 times more likely to experience suicidal ideation than those without anxiety (aOR= 1.67; 95% CI= 1.29 to 2.18; p= 0.001). Conclusion: Depression and anxiety increase the risk of suicidal ideation, whereas high social support reduces the risk of suicidal ideation among people living with HIV/AIDS.  
Path Analysis: Health Belief Model Application on Predicting Oral Hygiene Behavior of Junior High School Students in Surakarta, Central Java, Indonesia Rifda Muthia Sabrina; Eti Poncorini Pamungkasari; Bhisma Murti; Revi Gama Hatta Novika; Anik Lestari
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.03

Abstract

Background: The high prevalence of orodental diseases, accompanied by low prevalence of appropriate behavior in maintaining orodental health, shows the urgency of health institutions to understand the determinants influencing such behaviors in Indonesia. The aims of this study was to analyze the effect of applying the health belief model on orodental health behavior among middle school students in Surakarta. Subjects and Method: This study was a cross-sectional observational analytical quantitative study, which was conducted in 14 public Junior High Schools in Surakarta, Central Java, Indonesia from January to March 2025. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy, and cues to action. Orodental health behavior acts as the dependent variable. Subjects were determined using a multistage random sampling method with a total of 210 students. The data were collected through a researcher-made questionnaire, which included questions about demographic characteristics and the six HBM constructs. Data analysis was conducted using path analysis by StataMP 13. Results: Orodental health behavior in middle school students was directly influenced by perceived benefit (OR= 0.36; CI 95%= 0.26 to 0.45; p<0.001), perceived susceptibility (OR= 0.47; CI 95%= 0.38 to 0.55; p<0.001), and self-efficacy (OR= 0.20; CI 95%= 0.10 to 0.30; p<0.001). Orodental health behavior was also indirectly influenced by perceived susceptibility and cues-to-action. Conclusion: Perceived benefit, perceived susceptibility, and self-efficacy significantly improved orodental health behavior in students.  
Application of Social Cognitive Theory in Promoting Tertiary Prevention Behavior among Hypertensive Patients in Tulungagung, East Java, Indonesia Anggie Rahmatul Azizah; Ratih Puspita Febrinasari; Bhisma Murti; Okid Parama Astirin; Argyo Demartoto
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.07

Abstract

Background: Hypertension is a non-communicable disease that can affect individuals across all age groups, including the productive age population, largely due to changes in lifestyle. The implementation of tertiary prevention behaviors is essential to prevent disease complications such as coronary heart disease, stroke, kidney failure, and liver disease. This study aimed to analyze the application of Social Cognitive Theory in relation to tertiary prevention behaviors among patients with hypertension. Subjects and Method: This analytic observational study employed a cross-sectional design. The study subjects were patients with hypertension of productive age (15–64 years) in Tulungagung Regency, selected using a non-proportional random sampling technique, with a total sample of 220 participants. Data were collected using a research questionnaire that had been tested for validity and reliability. Multivariate data analysis was conducted using path analysis to examine both direct and indirect effects among variables. Results: There were direct and statistically significant effects of observational learning (b = 0.13; 95% CI = 0.01 to 0.24; p = 0.028), self-efficacy (b = 0.20; 95% CI = 0.05 to 0.35; p = 0.008), and attitude (b = 0.31; 95% CI= 0.17 to 0.45; p < 0.001) on tertiary prevention behaviors. Education was not significantly associated with tertiary prevention behaviors. Age (b = 0.17; 95% CI= 0.05 to 0.29; p = 0.005) and tertiary prevention behaviors (b= −0.38; 95% CI = −0.49 to −0.27; p < 0.001) showed direct and significant effects on blood pressure. Sex was not significantly associated with blood pressure. Social support, outcome expectations, and age had indirect effects on tertiary prevention behaviors through self-efficacy. Conclusion: There are direct effects of observational learning, attitude, and self-efficacy on tertiary prevention behaviors, as well as indirect effects of social support, outcome expectations, age, and education on tertiary prevention behaviors. In addition, age, sex, and tertiary prevention behaviors have direct effects on blood pressure.
Application of Social Cognitive Theory on the Determinants of Tertiary Prevention Behavior and Its Impact on Blood Pressure among Elderly Individuals with Hypertension in Surakarta, Indonesia Tania Febiola; Argyo Demartoto; Bhisma Murti; Revi Gama Hatta Novika; Erindra Budi Cahyanto; Anik Lestari
Journal of Health Promotion and Behavior 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/

Abstract

Background: Hypertension is a noncommunicable disease that commonly affects older adults and may lead to serious complications. Effective hypertension control also depends on tertiary preventive behaviors. This study aimed to examine the reduction of hypertension through tertiary preventive behaviors and to analyze the direct and indirect effects of Social Cognitive Theory constructs on tertiary preventive behaviors and systolic blood pressure among older adults with hypertension. Subjects and Method: This cross-sectional study was conducted in Surakarta, Indonesia. A multistage random sampling technique was employed, resulting in the selection of seven community health centers (Puskesmas) and a total sample of 211 respondents. Data were collected using questionnaires that had been tested for validity and reliability. Multivariate data analysis was performed using path analysis. Results: Tertiary preventive behavior was directly and significantly influenced by behavioral skills (b= 0.26; 95% CI= 0.11 to 0.40; p = 0.001), reinforcement (b = 0.23; 95% CI = 0.10 to 0.36; p = 0.001), self-regulation (b = 0.16; 95% CI = 0.02 to 0.30; p = 0.021), observational learning (b = 0.18; 95% CI = 0.06 to 0.30; p = 0.003), and female sex (b= 0.12; 95% CI= 0.02 to 0.21; p = 0.013). Systolic blood pressure was directly and significantly associated with tertiary preventive behavior in a negative direction (b= −0.14; 95% CI= −0.27 to −0.02; p= 0.027), indicating that better tertiary preventive behavior was associated with lower systolic blood pressure. In contrast, body mass index (b= 0.19; 95% CI = 0.06 to 0.32; p = 0.003) and age (b= 0.21; 95% CI= 0.08 to 0.34; p= 0.001) showed positive associations with systolic blood pressure. Sex was not significantly associated with systolic blood pressure. Outcome expectations indirectly influenced tertiary preventive behavior through self-efficacy and subsequently through behavioral skills. Conclusion: Tertiary preventive behavior is influenced by key constructs of Social Cognitive Theory and plays an important role in reducing systolic blood pressure among older adults with hypertension.
The Role of the Health Belief Model in Antenatal Care Visits among Pregnant Women at Sentru Saude Komunitaria, Baucau Municipality, Timor Leste Natalino de Jesus Varela; Yulia Lanti Retno Dewi; Bhisma Murti; Revi Gama Hatta Novika; Setyo Sri Rahardjo
Journal of Health Promotion and Behavior 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/

Abstract

Background: Antenatal Care (ANC) visits are an essential intervention for reducing the risk of maternal morbidity and mortality. However, ANC coverage in several regions of Timor-Leste, including Baucau Municipality, remains below the national target. This study aimed to analyze factors influencing pregnant women’s compliance with recommended ANC visits according to timing and guidelines using the Health Belief Model (HBM)Subjects and Method: This cross-sectional study involved 200 pregnant women registered at healthcare facilities in Baucau Municipality, Timor-Leste. Data were collected using a question-naire based on HBM constructs that had been tested for validity and reliability. Data were analyzed using path analysis with STATA version 13 to identify direct and indirect effects among variables associated with ANC visits.Results: The results showed that cues to action had a direct and positive effect on ANC visits (b= 0.12; 95% CI= 0.03 to 0.20; p= 0.005). Gestational age had a significant positive effect on ANC visits (b= 0.24; 95% CI= 0.16 to 0.32; p< 0.001). In contrast, distance to healthcare facilities had a significant negative effect (b= -0.70; 95% CI= -0.75 to -0.64; p< 0.001), while parity had a negative but non-significant effect (b= -0.05; 95% CI= -0.14 to 0.03; p= 0.175). Self-efficacy had an indirect effect on ANC visits through perceived benefits (b= 0.15; 95% CI= 0.01 to 0.29; p= 0.040) and perceived benefits also had a significant indirect effect (b= 0.22; 95% CI= 0.08 to 0.37; p= 0.002). Perceived severity indirectly influenced ANC visits as well (b= -0.14; 95% CI= -0.26 to -0.01; p= 0.035).Conclusion: ANC visits increased with stronger cues to action and advancing gestational age. Conversely, ANC visits decreased with greater parity and longer distance to healthcare facilities. ANC visits were indirectly influenced by perceived susceptibility, perceived severity, perceived barriers, perceived benefits, and self-efficacy.
Co-Authors Achmad Arman Subijanto Aem Ismail Alfiana Nur Rohmani Alifia Nadhimah Putri Amalia Choirunnisa Andri Setiawan Anggie Rahmatul Azizah Anik Lestari Anik Lestari Anis Lupita Ningrum Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Argyo Demartoto Aulia Putri Nugraheni Ayu Novita Wulandari Ayu Saidah Betriza Deviana Tristian Dhina Nur Irfani Diani Fadmi Putri Didik Gunawan Tamtomo Dinda Nabila Silva Diba Edi Pramono Elsa Tursina Emirza Nur Wicaksono Emirza Nur Wicaksono Erindra Budi Cahyanto Ervia Fahma Dhony Eti Poncorini Pamungkasari Fauziah Shinta Anindita Fenita Indriani Fenita Indriani Gadis Nur Anggreani Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Ika Sumiyarsi Sukamto Ika Yuli Ayuningrum Indri Nur Utami Isna Andriani Jihan Nabilla Joko Budiyono Karismatika Surya Gumilar Katmini Katmini Khairina Nur Hidayati La Karman Gojali Lestari Indah Maoli Zartika Meita Tyas Nugrahaeni Mentary Febryant Putry Muhammad Fahrezi Al Ghifari Natalino de Jesus Varela Nathanael Aditya Santoso Nindita Arum Veibiani Noor Alis Setiyadi Noor Alis Setiyadi Nurcahyo Aji Legowo Okid Parama Astirin Putri Fortuna Salsabila Ratih Puspita Febrinasari Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gamma Hatta Novika Rifda Muthia Sabrina Rizky Nur Aprilianti Amalia Rumpiati Rumpiati Setyo Sri Rahardjo Shafa Latifah Siti Mar’atul Munawaroh Sukandriani Utami Sumardiyono Sumardiyono Sumardiyono Tania Febiola Virdaria Andriani Wardhatul Livia Yulia Himawati Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yuly Peristiowati