Journal of Health Promotion and Behavior
Vol. 10 No. 3 (2025)

Implementation of the Health Belief Model to Explore Elderly Health Post Service Utilization in Jaten, Karanganyar District, Central Java, Indonesia

Herry Putut Cahyono (Master’s Program in Public Health, Postgraduate School, Universitas Sebelas Maret)
Setyo Sri Rahardjo (Faculty of Medicine, Universitas Sebelas Maret)
Bhisma Murti (Master’s Program in Public Health, Postgraduate School, Universitas Sebelas Maret)
Revi Gama Hatta Novika (Master’s Program in Public Health, Postgraduate School, Universitas Sebelas Maret)
Ika Sumiyarsi Sukamto (Study Program of Midwifery, Faculty of Medicine, Universitas Sebelas Maret)



Article Info

Publish Date
16 Jul 2025

Abstract

Background: The utilization of elderly integrated health post (posyandu) visits remains a significant issue affecting the health status of older adults. Elderly health post service serves as a community-based health service platform designed to cater to the needs of the elderly population. However, the utilization of elderly health post service visits is still very low. This study aims to analyze the factors associated with the utilization of elderly health post service services based on the Health Belief Model (HBM). Subjects and Method: The study employed a cross-sectional design and was conducted in Jaten District, Karanganyar, Central Java, Indonesia, from March to April 2025. Sampling was carried out using a multistage sampling method, involving 210 elderly individuals from 30 existing elderly health post service centers. The dependent variable was the utilization of elderly health post service. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. Data were collected using a questionnaire. Path analysis was employed for data analysis. Results: The utilization of elderly health post service was significantly influenced by perceived susceptibility (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001), perceived barrier (b= -0.29; 95% CI= 0.42 to -0.15; p <0.001), and self-efficacy (b= 0.13; 95% CI= 0.01 to 0.26; p= 0.038). It was indirectly affected by perceived benefits, perceived susceptibility, perceived severity, and cues to action. Conclusion: The utilization of elderly health post service services is directly influenced by perceived susceptibility, perceived barriers, and self-efficacy. Indirectly, the utilization of elderly health post service visits is affected by perceived barriers, perceived benefits, perceived susceptibility, perceived severity, and cues to action.

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Journal Info

Abbrev

thejhpb

Publisher

Subject

Medicine & Pharmacology Public Health

Description

Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on health promotion and health-related behaviors. It began its publication on May 21, 2015. The journal is published four times yearly. It seeks to understand ...