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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 340 Documents
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The Role of Teachers and Structural Barriers in Adolescent Anemia Education in Surabaya Schools Feriyanti, Alma; Nurmala, Ira; Widati, Sri; Muthmainnah, Muthmainnah; Notobroto, Hari Basuki
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.20.4.291-302

Abstract

Background: Anemia in adolescents, particularly young women, remains a significant public health concern in Indonesia, with low adherence to iron supplementation being a key contributing factor. While previous interventions have focused primarily on individual compliance, the role of teachers as health educators in schools is often overlooked. This study aimed to analyze the determinants of teachers’ intention to provide health education on anemia prevention in Surabaya high schools.Method: A cross-sectional survey was conducted among 119 high school and vocational school teachers within the working area of Tanah Kali Kedinding Health Center, selected through simple random sampling from a total population of 170 teachers. Data were collected using structured questionnaires and analyzed using multiple logistic regressions to assess the influence of attitudes, subjective norms, and perceived behavioral control on teachers' intention to deliver health education.Result: The analysis indicated that teacher' attitudes, subjective norms, and perceived behavioral control did not significantly influence their intention to deliver health education on iron supplementation. This indicates that structural and institutional factors, rather than individual psychological characteristics, primarily influence teachers' involvement in health education delivery.of the risks of e cigarettes. Efforts to enhance adolescent anemia prevention should address structural barriers within the educational system. Policy support from schools and educational authorities is critical to institutionalizing health education as part of the teachers' formal responsibilities.
Awareness among Breastfeeding Women Regarding Herbal Medicine Use in Primary Health Care of Tegal, Indonesia Setyatama, Ike Putri; Rahfiludin, Mohammad Zen; Dwidiyanti, Meidiana; Setiani, Onny
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.20.4.303-313

Abstract

Background: Exclusive breastfeeding is essential for infant growth and maternal health. However, factors such as low milk production often hinder breastfeeding success. Herbal medicine is commonly used to stimulate milk production, yet awareness of its proper use among breastfeeding mothers remains inconsistent. Limited evidence exists on the factors influencing this awareness, particularly in primary health care settings.Method: A cross-sectional observational study was conducted in March–April 2025 at the Primary Health Care Centers in Tegal Regency, Central Java, Indonesia. A total of 116 breastfeeding mothers were selected using purposive sampling. Data were collected through structured questionnaires covering maternal, child, and family characteristics as well as awareness of herbal medicine use. Data were analyzed using univariate and bivariate methods.Result: Most breastfeeding mothers reported awareness and use of herbal medicine to support milk production. Factors associated with higher awareness included maternal age, employment status, and parental support. Many mothers, however, did not inform health workers about their herbal use. The conclusion is Awareness of herbal medicine use among breastfeeding mothers is influenced by maternal and family factors. Primary health care providers should play a stronger role in improving mothers’ understanding of breastfeeding challenges, appropriate herbal use, and the safety of herbal preparations.
Qualitative Phenomenological Study: Understanding the Experience of Adolescents’ Mental Health Problems in Urban Areas Rachmayanti, Riris Diana; Ramani, Andrei; Kusumawati, Nur Farida; Wardita, Yulia; Mayasari, Ayu Citra; Yulianti, Anysiah Elly; Haqi, Dani Nasirul
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.20.4.314-322

Abstract

Background: Adolescence is referred to as a period of "storm and pressure" or "storm & stress". At that time, emotional tension increased as a result of physical, glandular, and hormonal changes. This condition causes them to experience stress to mental health problems. Adolescents who experience mental health problems will have a serious impact on adulthood. This study aims to explore mental health problems (stress) experiences from the perspective of adolescents.Method: The method used in this research was qualitative, with a phenomenological approach, and the participants were adolescents aged 15-18 years. The research employed purposive sampling, with 12 participants. Data collection was conducted through semi-structured interviews, with each interview lasting 30-60minutes. Thematic was used for data analysis.Result : The result shows that the experience of mental health problems related to stress begins in elementary school, junior high school, and senior high school. Stress is the most common among adolescents, categorized as low, moderate, and high. It is based on the PSS (Perceived Stress Scale) instrument. Determinants include family factors, individual factors, academic factors, relationship factors, and the social environment in which adolescents live. Coping mechanisms include both positive and negative responses to stress.
Emotional Health, Self-Acceptance in Child Victims of Violence and Parental Perception Faiqah, Syajaratuddur; Annisa, Annisa; Zulaikha, Alodya; Ningsih, Aprilia
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.20.4.333-341

Abstract

Background: Children represent the most vulnerable age group to becoming victims of violence, with estimates indicating that one in every two children experiences some form of violence annually. Recent data show an increasing trend in reported cases, reaching 28,845 in 2025, with the highest prevalence occurring among those aged 13–17 years (35%). Such violence results in substantial psychological consequences, including anger, anxiety, depression, shame, self-blame, fear of social interaction, and diminished self-image. Accordingly, this study aims to examine differences in emotional health and self-acceptance among children who have experienced violence and to assess parental perceptions before and after the provision of educational video interventions.Method: The research employed a One-Group Pre-test Post-test design, with the study population consisting of child victims of violence aged over 10 years. Using a total sampling technique, the sample included 62 child respondents and 62 accompanying parents. Comparative data analysis was carried out using the Wilcoxon test to examine differences between the Pre-test and Post-test results.Result: The results of the statistical analyses demonstrated significant improvements across all measured variables, with emotional health showing a marked increase (p = 0.000), as the mean score rose from 29.81 before the intervention to 50.27 afterward. The self-acceptance variable also exhibited a significant change (p = 0.002), increasing from a mean score of 20.45 prior to the intervention to 23.45 following its implementation. Similarly, parental perception improved significantly (p = 0.000), with mean scores increasing from 35.89 to 55.32 after the intervention. Collectively, these findings indicate that the video-based intervention positively influenced the emotional health and self-acceptance of child victims of violence, while also enhancing the perceptions of their accompanying parents, thereby suggesting that video-based educational materials can be effectively integrated into psychosocial support services.
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.
Community-Led Health Education and Social Mobilization for Improving Stunting Prevention Behavior Kusuma, Erik; Nastiti, Ayu Dewi; Handayani, Dwining; Puspitasari, R.A. Helda; Rahmawati, Iis
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.20.4.323-332

Abstract

Background: Stunting remains prevalent in Indonesia’s coastal regions, where social norms and resource limitations hinder the implementation of preventive practices. In Tapa’an Village, Pasuruan, these challenges are compounded by the influence of extended family, unstable income, and restricted access to clean water. This study aimed to evaluate the effect of a community-led health education program combined with digital reinforcement on mothers’ stunting-prevention behaviors, using the Theory of Planned Behavior (TPB) framework.Method: A quasi-experimental one-group pretest–posttest design was conducted with 57 mothers of children under five. Data on attitude, subjective norms, perceived behavioral control, and behavioral intention were collected using validated questionnaires. Statistical analyses included paired t-tests and ANOVA to assess mean differences, and Pearson correlation to explore inter-domain relationships, chosen to capture both magnitude and interaction of behavioral change.Result : Significant improvements were found across all TPB constructs (p < 0.001) with large effect sizes (η² > 0.80). The most substantial change occurred in behavioral intention, driven by enhanced attitudes and social approval. Mothers described greater motivation, confidence, and collective encouragement after receiving digital reminders. The integration of participatory learning and digital cues effectively transformed individual awareness into a shared community practice. Digital reinforcement uniquely sustained motivation beyond group sessions, especially among digitally active mothers in extended families. Despite the design’s lack of a control group and short observation period, findings highlight the model’s potential for adaptation in coastal maternal health programs. Embedding digital reinforcement into Puskesmas activities could strengthen long-term stunting prevention efforts.
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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