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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 333 Documents
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Effectiveness of Prenatal Class Participation on Maternal Anxiety: A Scoping Review Rahmawati, Rahmawati; Hidayat, Asri; Suryaningsih, Endang Koni
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 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.20.3.228-242

Abstract

Background: Pregnancy-related anxiety is a common condition that can negatively affect both maternal and fetal health. This type of anxiety has been associated with a higher risk of complications such as premature birth and low birth weight. One intervention shown to be effective in reducing anxiety during pregnancy is prenatal education through structured classes for expectant mothers.Method: The scoping review adapted the PICO (Population, Intervention, Comparison, Outcome). Framework and was systematically reported using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart, then selected from the PubMed, Biomed Central, Wiley Online Library, and ResearchGate databases. A total of 2.078 articles were screened using inclusion and exclusion criteria, resulting in 16 articles to be reviewed. These were then further selected by assessing the quality of the articles using the Critical Appraisal JBI (Joanna Briggs Institute) Checklist based on the type of research from the reviewed articles.Result: Five main themes emerged from the reviewed studies: the role of prenatal classes in reducing anxiety, their impact on birth outcomes and maternal-infant health, the use of technology-based and online learning platforms, maternal mental health during pregnancy and postpartum, and various models and approaches in delivering prenatal education. Both in-person and online formats were found to be beneficial, especially when tailored to the individual needs and circumstances of pregnant women. Prenatal education classes are an effective strategy to lower anxiety levels during pregnancy and to improve maternal readiness for childbirth. Additionally, such education supports better health outcomes for both mother and baby. The delivery method whether face-to-face or digital should be selected based on the specific needs of the participants to maximize the benefits of the program. 
Prospective Brides’ Experiences of Reproductive Health and Premarital Care: A Scoping Review Fitri, Fitri; Hakimi, Mohammad; Sulistyaningsih, Sulistyaningsih
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 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.20.3.216-227

Abstract

Background: Reproductive health and premarital services are important aspects of marriage preparation to prevent health hazards for the bride and groom. There are still many prospective brides who have limited knowledge about reproductive health and the benefits of premarital screening and counseling. Low utilization of premarital services can increase the risk of pregnancy complications, sexually transmitted infections, as well as early marriage, which poses a high risk to maternal and child health. This study aims to explore the experiences of prospective brides related to reproductive health and premarital services through a systematic review using the scoping review method.Method: This study employed a scoping review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Flowchart approach. The literature search was performed in the main databases such as PubMed, ScienceDirect, and Wiley, using keywords determined based on the PEOS (Population, Exposure, Outcome, and Study Design) framework. The literature review was conducted on scientific publications in English, primary research articles or reviews relevant to the same theme, as well as studies published within the last 10 years. In addition, it was analyzed thematically to identify patterns of key findings.Result: The level of knowledge of future husbands and wives’ reproductive health and premarital services still varies, with most individuals having limited understanding before undergoing educational interventions. Interventions such as premarital courses, counseling, and brochure-based counseling are effective in improving the knowledge and attitudes of future husbands and wives. However, there are barriers to the implementation of premarital services, such as limited access, social stigma, and a lack of rules regulating obligatory premarital examinations. Therefore, stronger policies are needed from the government, as well as ongoing education in schools and universities to increase public awareness of the importance of reproductive health before marriage. 
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. 
Maternal Factors Influencing Low Birth Weight in Newborns: A Retrospective Study Nurmawati, Ida; Arum, Puspito; Muna, Niyalatul; Sutantio, R Alamsyah; Nurjihan, Ikha; Anelia, Zaifatul; Hanin, Tasya Nadia
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 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.20.3.209-215

Abstract

Background: Birth weight is a critical indicator of an infant's health. Research conducted in Indonesia has identified low birth weight (LBW) as a leading cause of neonatal mortality, accounting for approximately 35% of all cases. This study aims to determine the factors influencing the incidence of LBW.Method: The study used a retrospective design and included 83 respondents selected through quota sampling. Data were collected from the Maternal and Child Health (MCH) handbooks at Manggis Integrated Service Post (posyandu). Univariate analysis was performed to calculate frequency and percentage values. Bivariate analysis was carried out using the chi-squared test to examine relationships between variables. Multivariate analysis was conducted using the logistic regression test to assess the influence of multiple variables.Result: Maternal age at pregnancy (p=0.037) and maternal mid-upper arm circumference (MUAC) (p=0.034) were significantly associated with the occurrence of LBW in newborns. The odds ratio (OR) analysis revealed MUAC as the primary factor influencing LBW (OR=4.278), followed by maternal age during pregnancy (OR = 3.750). In comparison, haemoglobin levels (p = 0.500), maternal height (p = 0.408), and gestational age (p=0.118) were not significantly associated with the occurrence of LBW. MUAC was found to influence the occurrence of LBW in Kemuning Lor Village (p = 0.027). The MUAC variable accounted for 16.9% of the variance in LBW cases (R2 = 0.169). Improving the nutritional status of adolescent girls is imperative to ensure optimal health outcomes in future pregnancies. 
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.
Parent-Child Interactions in Preventing Childhood Language and Speech Delays: A Systematic Review Gaol, Ruth Evita Gloria Lumban; Fajar, Nur Alam; Rahmiwati, Anita
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 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.20.3.185-191

Abstract

Background: Speech and language delay is a condition in which a child's speech and language abilities do not meet age-appropriate developmental expectations. Without timely intervention, such delays may lead to more significant disorders, including developmental language disorders and learning difficulties upon reaching school age. Interactive parent-child engagement plays a critical role in promoting speech and language development and in preventing delays among typically developing children.Method: This systematic review was conducted in accordance with the PRISMA guidelines. The process involved analyzing online articles published between 2020 and 2024, sourced from ScienceDirect, PubMed, and Google Scholar, using the keywords "parent-child interaction" and "language and speech development".Result: Eight relevant studies were reviewed and analyzed. The findings consistently highlight the significant role of parent-child interactions in preventing speech and language delays. Parents contribute not only to supporting age-appropriate development but also to identifying potential delays or abnormalities early, thereby enabling timely intervention. Reciprocal interactions provide children with meaningful experiences that foster language acquisition. Shared activities such as reading together offer children opportunities to imitate, create narratives, and receive corrective feedback from parents on aspects such as articulation and intonation.
Factors Associated with the Activeness of Posyandu Cadres in Providing Supplementary Food in Banyuasin District Apriliani, Ferenadia; Fajar, Nur Alam; Rahmiwati, Anita; Flora, Rostika; Zulkarnain, Mohammad; Sunarsih, Elvi; Lubis, Adelina Irmayani
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 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.20.4.259-270

Abstract

Background: Stunting is a condition of failure to thrive in toddlers (babies under the age of five) due to chronic malnutrition, causing children to have a shorter height than they should for their age. Banyuasin Regency has the third highest prevalence of stunting in South Sumatra Province (13.3% in 2022). The Supplementary Feeding Program (PMT) is designed to improve the nutritional status of under-fives, and posyandu cadres play an important role in its successful implementation. This study aims to analyze the factors associated with the active role of posyandu cadres in providing supplementary food in Banyuasin Regency.Method: Quantitative research with a cross-sectional design using 100 samples with the Proportional random sampling method which was carried out in early October - early November 2024 in Banyuasin Regency.Result: The results of the chi square test showed that knowledge (p = 0.001), attitude (p = 0.025), age (p = 0.039), education (p = 0.524), incentives (p = 0.269), training (p = 0.019), length of time as a cadre (p = 0.045) facilities and infrastructure (p = 0.090) and active cadres as many as 59 posyandu cadres. This study indicates that the better the cadres’ knowledge, attitudes, and experience, and the more frequently they attend training, the more likely they are to play an active role in implementing the PMT program. In contrast, educational background, the provision of incentives, and the availability of facilities do not necessarily influence the cadres’ active involvement in the delivery of the PMT program. Efforts to increase the training of posyandu cadres are the main recommendations to support the success of the PMT program in stunting prevention in Banyuasin district.
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.
Secondhand Smoke as an Indirect Cause of Stunting: A Study at Nipah Health Center in North Lombok Wardani, Yuniar; Nugraheni, Irin Azzahra; Hariyanti, Baiq Qatrunnada
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 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.20.4.271-277

Abstract

Background: Stunting is a growth and development disorder in children resulting from poor nutrition, repeated infections, and inadequate psychosocial stimulation. Children affected by stunting are more vulnerable to various diseases. Long-term consequences include impaired cognitive and motor development, along with increased healthcare costs. Exposure to secondhand smoke, whether direct or indirect, is believed to contribute to stunting. This study aimed to investigate secondhand smoke exposure as an indirect cause of stunting.Method: This study used a cross-sectional approach with a sample of 99 children under five years old residing in the Nipah Health Center area, Malaka Village, North Lombok. The sample was taken using stratified proportional random sampling. Descriptive statistics and Chi-square tests were employed to analyze the data and test the research hypothesis.Result The prevalence of stunting was 38.38%. Although none of the mothers reported smoking during pregnancy, 98.98% of them were exposed to cigarette smoke from their husbands, family members, or neighbors. Exposure occurred multiple times in both home and public environments, typically lasting less than 15 minutes. The statistical analysis showed no significant association between secondhand smoke exposure and stunting. Despite the lack of a statistically significant relationship, exposure to secondhand smoke remains a public health concern. Preventive measures should be prioritized. Health promoters are encouraged to intensify anti-smoking campaigns. Smoking cessation counseling should be delivered door-to-door, particularly targeting households with pregnant women and toddlers. Educational materials such as flyers, short messages, and inspirational stories disseminated via social media platforms like WhatsApp can serve as effective health promotion tools.
Fathers’ Behavior in Providing Reproductive Health Information to Male Adolescents in Surakarta: A Qualitative Study Kusumaningrum, Tanjung Anitasari Indah; Kusumawati, Yuli; Purworini, Dian; Arifah, Izzatul; Athaya, Muhamad Rivandi; Setyawati, Anisa; Had, Fairus El; Kurniawati, Nurdika; Trijaya, Trijaya; Almayda, Mutiara Bahi; Brilliyanti, Aulia Suffah; Livia, Wardhatul
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 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.20.4.278-290

Abstract

Background: Adolescent males generally demonstrate a lesser understanding of reproductive health compared to their female peers. Paternal involvement is crucial in addressing this disparity, as fathers are perceived as facilitators of more comfortable same-gender interactions. This research employed the Theory of Planned Behaviour and the Health Belief Model to analyse fathers' roles in disseminating reproductive health information to male adolescents.Method: A qualitative study was conducted in Surakarta between January and April 2025. Seventeen fathers of male adolescents, aged 10–19 years, served as the primary informants. They were selected via purposive sampling based on specific inclusion criteria: being married and having prior exposure to reproductive health materials. The exclusion criterion was non-local employment without a daily commute. Source triangulation involved an additional 17 wives and 19 adolescents. Data were collected through in-depth interviews and analysed using Colaizzi's method.Result : The majority of fathers educated their children on reproductive health, indicating positive attitudes and an understanding of its significance for adolescents. Wives significantly influenced fathers' perceptions and communication regarding this topic. Time constraints emerged as a key issue, with fathers expressing willingness to participate when their teenagers were available. It was found that the simultaneous availability of fathers and teenagers was necessary to foster closeness and effective communication. 

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