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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 330 Documents
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Prevention Program for People Living with Stroke in Low and Middle-Income Country: A Systematic Review Aisyah Lahdji; Dwi Pudjonarko; Zahroh Shaluhiyah
Jurnal Promosi Kesehatan Indonesia Volume 19 No.2 Agustus 2024
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.19.2.93-100

Abstract

Background: Non-communicable diseases (NCDs) are the primary factors responsible for mortality and impairment on a global scale. By 2030, it is estimated that non-communicable diseases will comprise 80% of the global population. According to the World Health Organization (WHO), the risk of stroke will grow by 50% for the entire global population by 2022. Currently, it is projected that 1 in 4 individuals will suffer from a strokeMethod: This review was reported using the “Preferred Reporting Items for Systematic Reviews and Meta-Analysis” guideline and written using the “Synthesis without Meta-Analysis” method. The included studies for this review followed several criteria, including randomized controlled trials (RCT), English and Bahasa articles, using population was people living with stroke, intervention was any prevention and disability limitation, and outcomes were prevention measurements (primary, secondary, and tertiary prevention).Results: The study yielded multiple efficacious and streamlined preventive interventions implemented for stroke patients. Emphasizing risk factors as the main strategy for preventing health issues, using pharmacological treatments such as polypill, aspirin, and vitamins as a supplementary measure under the guidance of medical physicians and cardiologists. In addition, tertiary preventive initiatives encompass more than just administering drug treatment; they also require adherence to pharmaceutical protocols
Risky Sexual Behavior Among Foster Care Adolescents: A Social Cognitive Theory Perspective Hariadi, Febri; Puspita, Alda Tiara; Daud, Muhammad Muzhaffar; Fieldhathama, Fedhilla; Kusumawati, Aditya
Jurnal Promosi Kesehatan Indonesia Vol 20 No 2: April 2025
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.20.2.89-95

Abstract

Background: Previous studies have shown that 3.6% of male adolescents in Indonesia have engaged in sexual intercourse, with permissive neglectful parenting identified as a significant contributing factor. Many children in Indonesia grow up without adequate parental care, leading to the establishment of nonprofit social organizations such as SOS Children's Village Semarang. This study aims to identify the factors contributing to risky sexual behavior among foster care adolescents at SOS Children's Village Semarang using the framework of social cognitive theory.Method: This study employed a mixed-methods approach with a sequential explanatory design. Quantitative data were collected through questionnaires, followed by qualitative data collection through observations and in-depth interviews. Binary logistic regression was used to analyze the quantitative data, while content analysis was used to analyze the qualitative data.Result: This study found that personal factors, including knowledge, attitudes, and expectations, along with environmental factors such as social norms and peer group influence, significantly contribute to risky sexual behavior among foster care adolescents. These findings emphasize the need for comprehensive interventions involving foster parents, orphanage staff, and peers to improve adolescents' understanding of sexual risks, promote positive attitudes toward sexuality, and strengthen their ability to resist negative peer pressures.
The Perspective of the Acehnese Community in Indonesia toward HIV/AIDS Ramadhan, Alvis Syahru; Rahayuwati, Laili; Yamin, Ahmad; Amelia, Vira
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
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.20.1.55-65

Abstract

Background: HIV/AIDS has garnered public attention due to the challenges in its effective control, with its prevalence continuing to rise until 2019. Despite its global impact, public awareness of this disease remains limited. The perspective of the community on People Living with HIV/AIDS (PLWHA) in the Aceh region offers unique insights, indicating existing issues in the community environment. However, a comprehensive understanding of these issues is still lacking. This study aims to explore the challenges related to the Acehnese people's perspective towards PLWHA.Method: A qualitative ethnographic design was employed, focusing on the subjective approach to understanding the perspectives of the Acehnese Community. In-depth interviews were conducted with 8 participants. The researcher served as a human instrument, directly involved in collecting and interpreting the data. Data were analyzed descriptively using iterative coding and thematic categorization.Result: The study identified three themes related to the perspective of the community on People Living with HIV/AIDS (PLWHA): (1) Community Knowledge regarding HIV/AIDS and PLWHA, (2) Experiences of the Acehnese Community with HIV/AIDS and PLWHA and (3) Community Values towards HIV/AIDS and PLWHA. Individuals with knowledge about HIV/AIDS can provide proper care for PLWHA patients, fostering an understanding of transmission dynamics. Society exhibits positive attitudes towards PLWHA when exposed to sufficient information. Conversely, negative perceptions arise when society attributes the disease to certain behaviors or considers it as a curse, leading to non-acceptance and ostracism. The perspectives imposed on PLWHA significantly influence their perception of the surrounding community. Community knowledge is crucial in shaping these perspectives, particularly from individuals with experience caring for PLWHA. Society holds both positive and negative values concerning HIV/AIDS and PLWHA.
Knowledge about Child Growth and Development among Mothers and Community: A Qualitative Study in Wonosobo Khairunnisa, Marizka; Yunitawati, Diah; Ashar, Hadi; Supadmi, Sri; Martiyana, Cati
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
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.20.1.16-22

Abstract

Background: Optimal growth and development will produce qualified human resources. Achieving optimal growth and development requires support from various sectors, including parents, the community, and the government. This study aimed to determine the knowledge and awareness of mothers and the community regarding child growth and development in Wonosobo Regency, Central Java.Method: This qualitative study was conducted in Wonosobo, Central Java, in 2019. Data were collected using FGD with mothers of under-two children and cadres (two groups) and interviews with health workers and related stakeholders (10 informants). The data collected was then analyzed using thematic analysis.Result: The results showed that several themes related to child growth and development were identified, namely knowledge about child growth, development, stunting, and children’s growth and development problems (signs, causes, and prevention). Mothers and the community have the proper knowledge about child growth and development. However, there is still a low awareness of when a child needs special attention due to growth and development problems in mothers’ groups. Within the mothers’ group, the knowledge of growth and development mostly comes from their prior experience. Meanwhile, most of the community’s knowledge about child growth and development has been in line with health indicators. Bringing existing programs closer to the mothers could be an effort to increase knowledge and awareness about child growth and development. 
The Evolution of Adolescent Sexual Practices in Indonesia: A Longitudinal Study Rosyida, Lintang Mela; Winarni, Sri; Agushybana, Farid; Dharminto, Dharminto
Jurnal Promosi Kesehatan Indonesia Vol 20 No 2: April 2025
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.20.2.96-101

Abstract

Background: Adolescents experience significant sexual and hormonal development, which may lead to engagement in premarital sexual practices. This study aims to analyze the factors associated with premarital sexual practices among adolescents in the 2007, 2012, and 2017 survey periods and to describe the trends and relevant variables identified in each period.Method: This longitudinal study utilized secondary data from the Indonesian Demographic and Health Survey (IDHS) on adolescent reproductive health. Respondents included unmarried adolescents aged 15–24 years who had completed the IDHS questionnaire. The sample sizes were 16,412 (2007), 16,998 (2012), and 19,970 (2017). Data analysis was conducted descriptively, followed by statistical analysis using logistic regression with a 95% confidence interval (CI).Result: The proportion of adolescents engaging in premarital sexual practices decreased slightly but not significantly: 5.8% in 2007, 5.4% in 2012, and 5.3% in 2017. Factors consistently associated with premarital sexual practices across all survey periods included sex, age, education level, knowledge of contraceptives, high-risk dating behaviors, and peer influence. Socialization through media and parental involvement are recommended strategies to prevent or delay premarital sexual practices.
Effectiveness of Breastfeeding Counseling Training to Improve Knowledge, Attitude, and Skill of Support Groups Prihanti, Gita Sekar; Wilyani, Dwi; Hasna, Alifah; 'Aisy, Alberta Rohadatul; Kurniawan, Bagus Putra; Saputri, Dita Sulung; Tontowi, Maharani; Elfahmi, Meuthia Quin Lathiefa Geraldine; Mufida, Umi Arof Arum; Musa, Wellystianti Panca Ningrum Aprilia
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
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.20.1.44-54

Abstract

Background: WHO and UNICEF advocate exclusive breastfeeding for the first six months of baby’s life and continue with complementary foods for up to two years, supporting the 2030 SDGs target for optimal health during the first 1000 days. The success of exclusive breastfeeding is still limited in some areas; therefore, it is necessary to establish breastfeeding support groups. Effective breastfeeding also requires educational interventions that change attitudes, knowledge, and skills in breastfeeding support groups. This study aims to determine the effect of breastfeeding counseling training on the knowledge, attitude, and skills of breastfeeding support groups.Method: The study was conducted in three villages in the work area of the Pesantren (Islamic Boarding House) II Public Health Center Kediri: Jamsaren, Tosaren, and Pakunden villages. The study was administered from January to February 2020.  The sample was taken with Purposive Sampling, and the number of samples was 60, varying from pregnant women, nursing mothers, husband/family, cadres, and midwives. This study used a quasi-experiment with one group pre-test-post-test design where all respondents did a pre-test, got lactation counseling training, and then took a post-test. The questionnaire evaluated knowledge, attitudes, and skills, and assessed by modifying lactation counseling training observation sheets from WHO.Result: This study exercised a quasi-experimental model with one group pre-test-post-test design. Data were analyzed univariately, while comparative testing was carried out bivariate using the Wilcoxon test, and the Mann-Whitney. Wilcoxon's analysis showed that breastfeeding counseling training had an influence on the knowledge (p=0.000), attitudes (p=0.001), and skills (p=0,000) of the breastfeeding support group. Breastfeeding counseling training is effective in increasing knowledge, attitudes, and skills. It was expected that the Health Department and Public Health Center implement it regularly with wider coverage and automatically create a new breastfeeding support group.
A Comparative Study of Porn Use Behavior in Public and Private Schools, Semarang, Indonesia Datu, Angeline Dayatri Wulan; Mubarokah, Kismi
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
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.20.1.1-7

Abstract

Background: Pornography is one of the factors contributing to the decline in productivity among today's youth. Excessive pornography consumption is an issue among today's youngsters. The widespread consumption of pornography can lead to free sex in today's youth, as well as unplanned pregnancies. The purpose of this study is to compare attitudes, perceptions of behavior control, intentions, and actions related to online pornography consumption in adolescents attending public and private schools in Semarang City.Method: This study used a cross-sectional design with 1,844 stratified random samples. Secondary data from the website http://sehariku.dinus.ac.id comprised participants ranging from junior and senior high school (including vocational schools) to university students. The Mann-Whitney non-parametric test was employed to do a bivariate analysis and compare these variables between the two groups.Result: The findings revealed that the majority of respondents were women (55.4%), in early adolescence (50.6%), and lived with their parents (74.2%). Compared to private schools, public schools had better attitudes (mean rank 937.04), perceptions of behavior control (mean rank 950.37), intents (mean rank 932.73), and behavior (mean rank 927.26). However, no significant difference was found between attitude (p-value 0.129), conduct (p-value 0.584), and intention (p-value 0.288). Only the perceived behavior control variable differed substantially across public and private schools (p=0.004). In this regard, private and public schools are primarily comparable. Some private educational foundations must devise an effective method to increase students' perceived behavior control over pornography, at least to compete with public schools.
Quality of Life, Perceived Stigma, and Depression among People Living with HIV/AIDS Stefanovic, Claudio; Buntoro, Ika Febianti; Iswaningsih, Iswaningsih; Legoh, Dickson Alan
Jurnal Promosi Kesehatan Indonesia Vol 20 No 2: April 2025
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.20.2.102-108

Abstract

Background: The intersecting challenges of a growing population of people living with HIV/AIDS (PLWHA), efforts to improve their quality of life (QoL), and the ongoing persistence of stigma contribute to an increasing incidence of depression among PLWHA. Existing research presents conflicting evidence and seldom addresses the interplay between QoL, perceived stigma, and levels of depression. This study aims to fill that gap by examining the effects of QoL and perceived stigma on the depression levels of PLWHA.Method: A cross-sectional study involving 97 PLWHA was conducted. The face-to-face measures included the WHOQOL-BREF, the Modified Berger HIV Stigma Scale, and Hamilton Depression Rating Scale (HDRS). An ordinal logistic regression model was employed to identify associations between QoL, perceived stigma, depression, and other potential predictor variables.Result: Among the 97 PLWHA, the majority were male (55.7%), belonged to the early adult age group (39.2%), and had completed senior high school (53.6%). The QoL results indicated that 47.4% reported good QoL, while 52.6% reported poor QoL. Regarding perceived stigma, 50.5% felt not stigmatized, whereas 49.5% felt stigmatized. The levels of depression were categorized as follows: normal/not depressed (68%), mildly depressed (11.3%), moderately depressed (8.2%), severely depressed (6.2%), and very severely depressed (6.2%). This research underscores that QoL serves as a protective factor against depression and mitigates the negative effects of stigma on mental health, highlighting the urgent need for targeted interventions and holistic approaches.
Association of Comorbidities and Levels of Depression among Pre-elderly with HIV in DKI Jakarta Suta, Ni Wayan Mutiara Suasti; Surilena, Surilena; Agus, Dharmady; Suryani, Eva
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
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.20.1.66-70

Abstract

Background: The presence of comorbidities in pre-elderly with HIV can worsen the disease symptoms, and disabilities, and lead to the emergence of depressive symptoms. Depression in the pre-elderly can cause a decrease in quality of life and failure to achieve successful aging. This study aims to determine the association between comorbidities and the level of depression among pre-elderly with HIV. Method: This is an observational analytic study with a cross-sectional method using a characteristic questionnaire (age, gender, education level, occupation, economic status, and marital status), comorbidities questionnaire, and PHQ-9 questionnaire. This study used convenience sampling and obtained 161 pre-elderly respondents (45—59 years) with HIV among pre-elderly with HIV in DKI Jakarta. The data analysis was done using the Fisher Exact test using STATA. Result: There were 161 pre-elderly with HIV, 74,16% were men, 55,28% were in Senior High School, 72,67% were working, 76,4% had low economic status, and 44,72% were not married. A total of 59,85% have one comorbid condition. There were 81,37% with physical comorbidities, including 40,82% arthritis, 38,27% hypertension, 6,63% diabetes mellitus, and 51,55% with depression including 27,95% mild depression, 16,15% moderate depression, 5,59% moderate severe depression, and 1,86% severe depression. No significant association was found between comorbidities and the levels of depression among pre-elderly with HIV (p=0,341). The presence of physical comorbidities in pre-elderly with HIV can affect the disease progression and its treatment. However, in this study, There is no significant association between comorbidities and the levels of depression among pre-elderly with HIV in DKI Jakarta.  It is recommended that further research be conducted using in-depth interviews to explore the relationship between physical comorbidities and depression in pre-elderly with HIV.
Education Role in Stunting Under Two Years among Poor Communities in Indonesia Yunitawati, Diah; Laksono, Agung Dwi; Khairunnisa, Marizka; Purwoko, Sidiq; Wulandari Muis, Early; Nursafingi, Afi; Riyanto, Slamet; Samsudin, Mohamad
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
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.20.1.30-36

Abstract

Background: Indonesia still has a stunting problem, even though the stunting rate has decreased. The study analyses the association of the maternal education level with the incidence of stunted children under the age of two in poor communities in Indonesia.Method: The cross-sectional data from the Indonesian National Nutritional Status Survey 2021 examined 24,920 children under two years old. The relationship between the variables was tested using binary logistic regression.Result: The odds of having stunted children below the age of two are 1.705 times greater for women with no education than women with higher levels of education (AOR 1.705; 95% CI 1.667-1.744). Primary-educated mothers were 1.178 times increased risk of having stunted children under age two compared to higher-educated mothers (AOR 1.178; 95% CI 1.157-1.199). The study analysis found no significant difference between secondary and higher education to have stunted children. In addition to education level, the study also identified six other important control variables associated with stunting in children under the age of two: residence location, age of mother, married status, child's age, child's gender, and EIBF. According to the study's findings, stunting in children under the age of two is related to maternal educational levels among Indonesia's poor communities. An increased incidence of stunting in children under the age of two is associated with lower levels of maternal education.

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