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INDONESIA
JURNAL PROMOSI KESEHATAN INDONESIA
Published by Universitas Diponegoro
ISSN : 19072937     EISSN : 26204053     DOI : -
Core Subject : Health,
Public Health
The articles of this journal are published every six months, that is on January and August (2 issues per year), and developed by the Master Program of Health Promotion, Faculty of Public Health, Diponegoro University
Arjuna Subject : -
Articles 9 Documents
 1 
Search results for , issue "Vol 21 No 1: January 2026" : 9 Documents clear
Exploring the Impact of Lifestyle Habits and Environmental Factors on the Risk of Hypertension in Rural Populations Apriza, Apriza; Shafie, Zainab Mohd; Langputeh, Prapaporn; Nurman, Muhammad
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.17-25

Abstract

Background: Hypertension remains a significant risk factor for cardiovascular disease (CVD), stroke, and kidney failure, particularly in low- and middle-income countries (LMICs), where access to healthcare is often limited. This study explores the impact of lifestyle habits and environmental factors on the risk of hypertension in rural ethnic minority populations.Method: A cross-sectional study was conducted with 1,500 participants from the rural area of Tarai Bangun village in Kampar Regency, Riau Province, Indonesia, focusing on lifestyle habits such as eating habits, physical activity, smoking, alcohol consumption, and environmental conditions like air quality, pedestrian convenience, and access to health. This study used stratified random sampling, bivariate test analysis, and multivariate logistic regression analysis. This study aimed to determine the impact of lifestyle habits and environmental factors on hypertension in rural communities.Result: The prevalence of hypertension in this population was 45.6%, with rural areas having a higher incidence of systolic-diastolic hypertension (SDH) than urban populations, who had a higher prevalence of isolated systolic hypertension (ISH). Major lifestyle factors such as smoking (39.7%), alcohol consumption (45.6%), and high sodium intake, all had a substantial association with hypertension in both urban and rural settings. Environmental factors such as poor pedestrian convenience and limited access to healthcare were found to contribute to a higher prevalence of hypertension among rural populations. In contrast, better air quality and access to green space were associated with lower rates of hypertension in urban settings. Socio-economic factors, especially lower income and education levels, are also associated with an increased risk of hypertension. The study highlights the importance of tailored public health interventions in rural ethnic minority populations, with a focus on reducing risky behaviors such as smoking and alcohol consumption, improving eating habits, and increasing access to health care. In addition, urban and environmental planning policies that encourage physical activity and improve air quality can considerably lower the risk of hypertension in urban populations. These findings underscore the importance of addressing lifestyle and environmental factors when managing hypertension in underserved rural communities. 
Diffusion of Educational Digital Innovation: Implementing The OKY App for Menstrual Education in Junior High Schools Siswantara, Pulung; Muthmainnah, Muthmainnah; Khaerati, Mutmainnah; Amalia, Aisyah; Restuti, Dini Yulia; Qariati, Nurul Indah; Ramadhani, Kurnia
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.1-8

Abstract

Background: Menstruation is a natural phenomenon that occurs in all women. However, it can result in various physical and psychological issues, including elevated stress levels. Inadequate management of menstrual hygiene has been demonstrated to result in reproductive health complications. Recently, the popularity of menstrual tracking applications such as the OKY App has increased, with these applications assisting women in the monitoring of their menstrual cycles. However, it is evident that a significant proportion of adolescents, including those enrolled at State Junior High School (SMPN) 30 Surabaya, have not yet adopted this application. The objective of this study was to analyze the relationship between relative advantage, compatibility, complexity, trialability, observability, and knowledge with the decision and implementation of using the OKY App at SMPN 30 Surabaya.Method: The present research employed a quantitative methodology, adopting a cross-sectional approach and an explanatory research design. The population under study comprised students in 7th and 8th grade at SMPN 30 Surabaya. A simple random sampling technique was used to select 70 respondents. The data was collected via a questionnaire that encompassed a range of variables, including relative advantage, compatibility, complexity, trialability, observability, knowledge, decision, and implementation.Result: The findings indicated that relative advantage exhibited no correlation with the decision-making process concerning the utilization of the OKY App. Complexity was related to the decision to use the app but not to its implementation. Therefore, this variable needs to be considered to ensure the app is more easily accepted by potential users. In conclusion, compatibility, trialability, observability, and knowledge are significantly related to both the decision and implementation of using the OKY App. Relative advantage has no impact on either decision or implementation, while complexity only influences the decision-making process but not the actual use of the app. The findings emphasize the significance of addressing user perceptions and understanding in order to enhance the adoption and sustained utilization of menstrual health technology. 
The Association between Adverse Childhood Experiences, Social Support, Body Mass Index, and Physical Activity among Adolescents Ifroh, Riza Hayati; Rabiautsani, Muhamad Aziz; Permana, Lies; Tenrisau, Dhihram
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.9-16

Abstract

Background: Association with levels of social support and physical activity, which play a role in adolescents’ future health. This cross-sectional study aimed to examine the associations between ACEs, social support, Body Mass Index (BMI), and physical activity among adolescents in Samarinda, Indonesia.Method: A sample of 246 participants completed an online self-administered questionnaire. Descriptive statistics, Pearson correlation coefficients, and chi-square tests were used to explore associations among variables. Mediation and moderation analyses were conducted using the PROCESS macro.Result: The findings revealed that ACEs were negatively associated with perceived social support (β = -0.1949, p < 0.001) and positively associated with physical activity (β = 0.0834, p = 0.0062). Perceived social support was negatively associated with physical activity (β = -0.2002, p = 0.0004) and partially mediated the relationship between ACEs and physical activity, with a significant indirect effect (β = 0.0390, 95% CI [0.0156, 0.0675]). The moderated mediation analysis revealed that BMI did not significantly moderate the direct or indirect effects, although the indirect pathway remained significant across different levels of BMI. The study demonstrated that perceived social support partially mediated the relationship between ACEs and physical activity. This mediation pathway remained significant regardless of BMI level, while BMI did not show a moderating effect. Conclusion these findings suggest that social support partially explains how ACEs influence physical activity, regardless of BMI.
Exposure to Electronic Cigarette Advertisements on the Internet and Smoking Behavior in Adolescents Sutha, Diah Wijayanti; Zulkifli, Nathratul Ayeshah Binti; Christine, Christine; Faida, Eka Wilda; Drastyana, Serlly Frida; Novianti, Siti
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.26-34

Abstract

Background: E-cigarettes are increasingly popular among adolescents, driven by massive advertising on the internet, especially through social media. These advertisements often display modern and attractive images without including sufficient information about health risks. Social media influencers also play a role in strengthening the appeal of e-cigarettes to adolescents. The purpose of this study is to analyze the relationship between exposure to e-cigarette advertising on the internet and smoking behavior among adolescents in Indonesia.Method: This study used a cross-sectional design with an online survey conducted over three months, from March to June 2024. A total of 625 adolescents aged 14–19 years participated in this study. Respondents reported exposure to e-cigarette advertising on the internet, which was analyzed by age, gender, social media used, and smoking status. Data were analyzed using logistic regression to see the relationship between advertising exposure and smoking behavior.Result The results showed that adolescents who were more frequently exposed to e-cigarette advertising were 2.3 times more likely to try e-cigarettes than those who rarely saw these advertisements. Instagram and YouTube were the main platforms where adolescents were exposed to e-cigarette advertisements. In addition, 50% of respondents reported seeing influencers using e-cigarettes, and 40.2% of them were interested in trying them. Most e-cigarette advertisements were also found not to include clear health warnings. This study confirms that exposure to e-cigarette advertisements on social media plays a significant role in increasing smoking interest and behavior in adolescents. Therefore, stricter regulations are needed for e-cigarette marketing on the internet, including supervision of the role of influencers and the obligation to include health warnings in every advertisement. In addition, broader health education is needed to increase adolescent awareness of the risks of e-cigarettes.
Effect of Peer Education on Knowledge and Attitudes Toward Menstrual Hygiene Management Among Boarding School Students Berliana, Besty; Defrin, Defrin; Adrial, Adrial; Yusrawati, Yusrawati; Purna, Rozi Sastra; Asri, Ennesta
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.35-47

Abstract

Background: More than half of adolescents in low- and middle-income countries feel unprepared for menarche due to a lack of menstrual knowledge, which leads to poor menstrual hygiene practices that increase reproductive health risks. This problem worsens in boarding schools, where restrictions like bans on mobile phones, limited contact with parents, and the absence of formal health programs severely limit access to accurate menstrual health information. Peer education leverages adolescents' natural dependence on peers for sensitive issues and is especially vital in environments with limited information, such as boarding schools. This study aimed to evaluate the effectiveness of peer education in enhancing Menstrual Hygiene Management (MHM) knowledge and attitudes among female students in a boarding school and to explore their experiences with this intervention.Method: An explanatory sequential mixed-methods design was employed. The quantitative phase involved a One Group Pre-test Post-test design with 31 purposively selected students to assess changes in knowledge and attitude following the peer education intervention. Five trained peer educators conducted 120-minute sessions using standardized modules. Quantitative data were analyzed using paired t-tests and N-gain scores. The qualitative phase adopted a phenomenological approach with in-depth interviews involving six primary informants (students) and five supporting informants (peer educators) to explore the intervention experiences and the mechanisms behind observed changes. Qualitative data were analyzed thematically with source triangulation to enhance credibility.Result: Mean knowledge scores increased significantly from 30.10 to 72.04 (p<0.001, N-gain=0.612, moderate effectiveness), with the largest improvement in pad disposal knowledge (90.3 percentage points). Mean attitude scores rose from 54.41 to 80.72 (p<0.001, N-gain=0.586, moderate effectiveness). Qualitative findings showed that students gained evidence-based knowledge, corrected menstrual myths, and expressed readiness to adopt proper hygiene practices. However, deeply rooted cultural beliefs remained resistant after a single session. The findings confirmed that knowledge improvements do not automatically lead to uniform behavioral change. Boarding schools should implement multiple-session peer education programs with spaced repetition, invest in peer educator training, establish student-led health clubs, and incorporate a formal MHM curriculum before menarche. 
Condom Use Practices for HIV Prevention Among Men Who Have Sex with Men in Banjarnegara Haryani, Calista; Handayani, Novia; Indraswari, Ratih
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.48-57

Abstract

Background: Men who have sex with men (MSM) are a key population at high risk of HIV AIDS transmission, largely due to inconsistent condom use. This study analyzes determinants of condom use behavior among MSM in Banjarnegara Regency using Lawrence Green’s theoretical framework.Method: A cross-sectional study was conducted with 115 respondents. Respondents in this study were MSM residing in Banjarnegara. Respondents were selected based on inclusion and exclusion criteria. The inclusion criteria were MSM who had sexual intercourse in the last month, while the exclusion criteria were MSM who were Field Officers (PL) and MSM who were HIV AIDS positive. The sampling technique used in this study was purposive sampling. Data collection was conducted using a questionnaire method. Data were collected via questionnaires and analyzed using Chi-square tests and logistic regression.Result: Condom use remains low, with 47.8% of respondents not using condoms consistently. Bivariate analysis showed a significant association with marital status (p=0.007; OR=6.62), occupation (p=0.001; OR=2.3), attitude (p=0.001; OR=3.51), community support (p=0.000; OR=4.62), and partner support (p=0.003; OR=3.77 Multivariate analysis identified attitude as the dominant factor (p=0.021; OR=2.856). These findings conclude that the formation of positive attitudes plays a central role in increasing consistent condom use among MSM. Therefore, it is recommended that HIV prevention programs focus on strengthening attitudes, increasing community and partner support, and optimizing safe sexual behavior education among the MSM population.
Determining Factors Associated with Adolescents' Knowledge of the Impact of Early Marriage Mamuroh, Lilis; Nentika, Rindayu Bidara Caela; Mulya, Adelse Prima
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.58-66

Abstract

Background: Early marriage continues to be a significant social issue with far-reaching consequences for adolescents, particularly in psychological, health, and economic domains. One of the key factors influencing early marriage is the level of adolescents’ knowledge. Adequate understanding of the impacts of early marriage is therefore essential in preventing the practice. This study aims to determine the determinants associated with adolescents' knowledge levels about the impact of early marriage at Junior Islamic School.Method: This was a descriptive analysis employing cross-sectional design. Population of the study were students at MTs Al Ishlah, and used total sampling technique. We included a total of 111 students. The validity test prove that value of r larger than r table (0.361), and the result of questionnaire reliability test was > 0.60 (α: 0.082). Data collection was carried out in May 2025 and was assisted by fellow researchers in each classroom.Result: The results of the analysis showed that most respondents were in the middle adolescent age category and were dominated by the male gender. The majority of respondents came from families with lower to middle parental education levels and income levels below the UMK. A correlation was found between several factors such as age, parents’ educational level, parental income, and the sources of information accessed by adolescents and their level of knowledge about the consequences of early marriage. This relationship was statistically significant, with a p-value of ≤ 0.05. It can be concluded that parental education level, parental income, information sources, and age are factors that are significantly related to the level of adolescent knowledge about the impact of early marriage. The implication of this study is the need for direct educational intervention programs by health workers or schools by considering determinant factors to be able to increase adolescent knowledge.
Key Factors Influencing Help-Seeking Behavior Toward Hypertension Treatment Among the Productive-Age Population Ratnawati, Riska; Putri, Mega Arianti
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.67-76

Abstract

Background: Hypertension remains a major public health concern, particularly among the productive-age population, where delayed treatment-seeking behavior contributes to poor disease control and an increased risk of complications. Guided by the Health Belief Model (HBM), this study aims to identify key factors influencing help-seeking behavior toward hypertension treatment among individuals aged 15–59 years.Method: This cross-sectional study was conducted in Taman Subdistrict, Madiun City, involving 146 respondents with documented long-standing hypertension selected through purposive sampling. Data were collected using a structured Likert-scale questionnaire assessing treatment-seeking behavior and HBM constructs, including perceived seriousness, perceived vulnerability, perceived barriers, perceived usefulness, self-efficacy, and cues to action.Result: Data were analyzed using descriptive statistics, chi-squared tests, and binary logistic regression. The results showed that 72.6% of participants demonstrated positive help-seeking behavior. Multivariate analysis revealed four significant predictors: perceived vulnerability (OR = 33), perceived barriers (OR = 0.02), perceived usefulness (OR = 0.03), and self-efficacy (OR = 0.04). Within the HBM framework, perceived seriousness and cues to action were not associated with help-seeking behavior. These findings highlight the critical role of psychological and perceptual factors in shaping treatment-seeking decisions. Strengthening patients’ self-efficacy, reducing barriers, and improving understanding of treatment benefits may enhance timely care-seeking among individuals with hypertension. Future studies employing more representative sampling and longitudinal designs are recommended to confirm and extend these findings.
Determinant of Neonatal Mortality in Rural Gorontalo: A Population-Based Case Control Study Nurdin, St. Surya Indah; Ahmad, Zul Fikar
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.77-84

Abstract

Background: Neonatal mortality remains a significant public health challenge, particularly in rural areas, where multiple maternal, perinatal, and neonatal risk factors contribute to adverse outcomes. This study aims to identify the determinants of neonatal mortality in a rural setting.Method: A case–control design was employed involving 224 participants (56 neonatal deaths and 168 surviving controls). Data were obtained from maternal and child health records and structured questionnaires. Descriptive, bivariate, and logistic regression analyses were performed to assess factors associated with neonatal mortality.Result: Significant determinants of neonatal mortality included maternal undernutrition (AOR = 3.54), low birth weight (AOR = 6.77), pregnancy complications (AOR = 8.04), intrapartum complications (AOR = 7.39), and neonatal complications (AOR = 9.17). Meanwhile, variables such as maternal age, education level, socioeconomic status, parity, antenatal care attendance, maternal anemia, interpregnancy interval, referral delay, healthcare access, exposure to cigarette smoke, and clean and healthy living behavior were not significantly associated with neonatal mortality. Neonatal mortality in rural areas is primarily influenced by maternal and neonatal factors related to nutrition and complications. Preventive efforts should focus on improving maternal nutritional status, strengthening early detection of pregnancy and intrapartum complications, and enhancing the management of neonatal complications to reduce neonatal mortality. 

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