Application Theory of Planned Behavior: Determinants of Behavior to Use Personal Protective Equipment among Tobacco Farmers in Temanggung, Central Java: A Multilevel Analysis

Yovita Eka Ratna Kumala (Masters Program in Public Health, Universitas Sebelas Maret)
Setyo Sri Rahardjo (Faculty of Medicine, Universitas Sebelas Maret)
Endang Sutisna Sulaeman (Faculty of Medicine, Universitas Sebelas Maret)

Journal of Health Promotion and Behavior
Vol. 5 No. 1 (2020)

Background: Tobacco farmers has the risk of being exposed by wet nicotine during har­vest­ing tobacco leaves or is often called as Green Tobacco Sick­ness (GTS). GTS preven­tion can be conduc­t­ed by using Personal Pro­tec­tive Equipment (PPE) before farmers har­ves­t­ing tobacco leaves. Beha­vior in using PPE among farmers is affected by sex types, education, attitude, subjective norm, in­ten­tion, and perceived behavioral control. The stu­dy aims to analyze the determinant of beha­vior to use PPE among tobacco farmers in Te­man­g­gung Regency, Central Java.Subjects and Method: It was a cross sectional study, conducted in 25 villages in Temanggung Regency, August – October 2019.  The sample was a total of 200 tobacco farmers. The sampling technique used was simple ran­dom sampling. Dependent variable of the study was behavior to use PPE among tobacco farmers. Independent va­riables of the study were sex types, education, attitude, subjective norm, intention, and per­ce­i­v­e­d behavioral control. The data collection used was question­nai­res and processed by using mul­tilevel multiple logistic regression with Stata 13.Results: The use of PPE among tobacco farmers during harvesting tobacco leaves was increased by male (b= 2.52;  95% CI= 1.39 up to 3.66; p<0.001), education ≥ High School (b= 2.15;  95% CI= 1.10 up to 3.19; p<0.001), strong famers’ intention (b= 1.82;  95% CI= 0.13 up to 2.22; p= 0.027), positive farmers’ attitude (b= 1.63;  95% CI= 0.58 up to 2.68; p= 0.002), supporting subjective norm (b= 1.74;  95% CI= 0.67 up to 2.81; p= 0.001), and strong per­ceived behavioral control (b= 1.53;  95% CI= 0.52 up to 2.54; p= 0.003).Conclusion: Behavior to use PPE among tobac­co farmers is affected by sex types, edu­cation, at­ti­tude, subjective norm, and perceived behavioral control.Keywords: behavior to use PPE, farmers, theory of planned behaviorCorrespondence: Yovita Eka Ratna Kumala. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indo­nesia, 57126. Email: yovitakuma­la­19@gmail­.­com­. Mo­bile: 083867630850Journal of Health Promotion and Behavior (2020), 5(1): 50-58https://doi.org/10.26911/thejhpb.2020.05.01.07