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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 348 Documents
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Reproductive Health Education in Improving Adolescents' Self-Protection Against Sexual Abuse: A Scoping Review Natasya Fauziah Malik; Andari Wuri Astuti; Islamiyatur Rohmah
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.21.1.85-95

Abstract

Background: The issue of sexual abuse among adolescents remains a reproductive health issue, and adolescents' vulnerability increases due to a lack of knowledge about self-protection. This scoping review aims to identify and map scientific evidence regarding reproductive health education in improving adolescents' self-protection skills against sexual abuse.Method: : This scoping review follows the PRISMA-ScR guidelines and uses the PCC (Population, Concept, Context) Framework. Literature searches were conducted using five databases, namely PubMed, ScienceDirect, Wiley Online Library, EBSCO, and Google Scholar. The article screening process was carried out systematically using Rayyan, with duplicate removal, title and abstract screening, and full-text assessment against inclusion and exclusion criteria. Of the 854 articles identified, 10 articles met the criteria and were analyzed further. The methodological quality of the articles was assessed using the Joanna Briggs Institute (JBI) assessment, with 7 articles (70%) receiving a Grade A and 3 articles (30%) receiving a Grade B. The dominant research designs were pre-experimental (30%) and qualitative (30%).Result: This scoping review identified four themes, namely adolescents' knowledge of reproductive health, reproductive health education in schools, educational materials and methods, and improving adolescents' self-protection skills. Reproductive health education shows potential in supporting the strengthening of adolescents' self-protection against sexual abuse through increasing their knowledge and protective skills.
Infectious Diseases and Socio-Demographic Determinants of Stunting among Children Aged 6-24 Months: A Multivariable Analysis Sumarah Sumarah; Dyah Noviawati Setya Arum; Sri Endang Windiarti; Rita Rena Pudyastuti
Jurnal Promosi Kesehatan Indonesia Vol 21 No 2: April 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.21.2.138-145

Abstract

Background: Stunting is a nutritional health issue in Indonesia. It results in growth and developmental disorders among children under five years. Numerous variables can contribute to stunting. This study aimed to determine the influence of a history of infectious diseases on stunting among children aged 6 to 24 months in the Turi Health Center working area, Sleman Regency, Special Region of Yogyakarta.Method: This study employed a case-control design using purposive sampling. The study population consisted of children aged 6-24 months at Turi Primary Health Center, Sleman, Indonesia. A total of 100 respondents were assigned to the case and control groups. Participants were selected from medical records based on inclusion criteria. Data were collected through interviews with parents and medical record review. Anthropometric measurements were obtained from growth monitoring records and measured or confirmed by trained health workers using standardized length boards and calibrated scales. Data analysis used univariable, bivariable (Chi-square and OR), and multivariable logistic regression.Result: The incidence of stunting was significantly associated with a history of infectious diseases and respiratory tract infections, with p-values of 0.000 for both variables. Multivariable analysis showed that Respiratory tract infection was the most dominant factor associated with stunting, with an OR of 5.370 (95% CI: 1.572-18.340; p = 0.007). Mother’s education was also significantly associated with stunting, with an OR of 2.593 (95% CI: 1.208-5.565; p = 0.014). Children’s age showed a borderline association with stunting, with an OR of 0.387 (95% CI: 0.150-0.999; p = 0.050). Keywords: History of infection diseases, Stunting, Children aged 6-24 months
An Analysis of Reproductive Health Risks, Health Worker Role, and Family Prosperity as a Determinant of Stunting Prevention Fikitri Marya Sari; Yusran Fauzi; Wulandari Wulandari
Jurnal Promosi Kesehatan Indonesia Vol 21 No 2: April 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.21.2.146-155

Abstract

Background: Stunting is a complex public health issue, influenced by various biological aspects, medical services, and socioeconomic conditions. In Lebong Regency, the prevalence of stunting showed variability, with a recent increase that requires a thorough investigation of its determinants. Reproductive risks in couples of childbearing age (PUS) related to the 4T criteria (too young, too old, too close pregnancy interval, and too many children), the role of health workers, and family prosperity are thought to correlate with stunting prevention.Method: This study employed a quantitative analytical design with a cross-sectional approach, utilizing secondary data from the National Population and Family Planning Board (BKKBN) in 2024. A total of 20,327 families in Lebong Regency became the study population. Following validation and data cleaning stages, 17,922 families were selected as samples using purposive sampling based on the criteria of adequate data completeness. The analyzed variables included reproductive risks of PUS 4T, the role of health workers, family prosperity, and stunting prevention Data analysis included univariate analysis, bivariate analysis using the chi-square test, and multivariate analysis through multiple logistic regression to determine the most influential factors.Result: The investigation revealed that factors including reproductive risk of PUS 4T, health workers’ involvement, and family prosperity conditions significantly correlated with stunting prevention efforts (p<0.001). Multivariate analysis identified reproductive risk of PUS 4T as the most dominant predictive indicator (OR=2.109; 95% CI: 1.958–2.273). Therefore, this study emphasized the need to strengthen reproductive health programs, increase the effectiveness of the role of health workers, and improve family prosperity through an integrated approach.Keywords: Reproductive risk, Health worker, Prosperity, Stunting
Dimensions and Gaps of Social Support for Type 2 Diabetes Mellitus Patients in a Rural Prolanis Setting: A Qualitative Study Arrum Firda Ayu Maqfiroch; Elviera Gamelia; Windri Lesmana Rubai; Ifa Najiyati; Siti Masfiah
Jurnal Promosi Kesehatan Indonesia Vol 21 No 2: April 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.21.2.107-115

Abstract

ABSTRACT Background: Type 2 diabetes mellitus is a major public health burden in Indonesia, with Central Java reporting a prevalence higher than the national average. Beyond metabolic complications, patients often face psychological burdens and social constraints that influence the capacity for effective self management. Social support was widely recognized as a determinant of diabetes outcomes. Therefore, this study aimed to explore the dimensions and gaps of social support among type 2 diabetes patients enrolled in the Prolanis program at Cilongok I PHC. Methods: A phenomenological method was adopted, and data were collected through in-depth interviews with purposively selected patients, transcribed verbatim, and analyzed thematically to identify patterns across patient, family, and healthcare worker perspectives. Results: Four dimensions of social support were identified, namely emotional, appraisal, instrumental, and informational support. Emotional support was commonly expressed through empathy and encouragement, but remained normative, lacking psychological depth and safe spaces for patients to articulate fear or distress. Appraisal support was limited to clinical feedback, with no structured mechanisms for patients to provide input and low confidence to voice concerns. Instrumental support was present through routine services and transportation assistance, but it was constrained by long waiting times, physical discomfort during procedures, limited family accompaniment, and financial as well as geographic barriers. Informational support was conveyed through brief counseling and WhatsApp reminders. However, educational activities were inconsistent, predominantly administrative, and occasionally countered by misinformation from peers. Keywords : Social support Diabetes mellitus type 2 Prolanis Rural primary care
Self-Efficacy as the Strongest Predictor of Adolescent Reproductive Health Behavior: A Health Belief Model Study among Vocational Students in Rural East Java Kustin Kustin; Lailatul Rahmawati; Firda Ayu Anugrah
Jurnal Promosi Kesehatan Indonesia Vol 21 No 2: April 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.21.2.156-164

Abstract

Background: Adolescents enrolled in vocational high schools, especially in rural areas, are particularly susceptible to reproductive health risks due to limited knowledge, low perception of risk, and restricted access to reliable information. The health belief model presents a comprehensive theoretical framework to explain these behavioural determinants. This study explores the factors influencing reproductive health behaviour among vocational high school students in rural areas of East Java, IndonesiaMethod: A school-based cross-sectional study design was used, with 150 students chosen through random sampling. Data were obtained through a structured questionnaire and subsequently analysed using Chi-square tests and multivariate logistic regression.Result: The findings indicated that all constructs of the Health Belief Model—perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy—were significantly related to reproductive health behaviour (p < 0.05). Students with higher perceived susceptibility and perceived benefits, lower perceived barriers, and greater self-efficacy were more likely to engage in positive behaviours. In the adjusted analysis, self-efficacy emerged as the most dominant predictor (OR = 3.85; 95% CI: 2.01–7.39; p < 0.001). Perceived susceptibility, perceived benefits, perceived barriers, and cues to action remained independently associated, whereas perceived severity showed a relatively weaker effect. These findings highlight the critical role of cognitive and perceptual factors in shaping adolescents’ reproductive health behaviour within vocational school settings. Interventions based on the Health Belief Model—particularly those aimed at enhancing self-efficacy and reducing perceived barriers—are essential for enhancing reproductive health outcomes among adolescents in underserved rural area. Keywords: Adolescent reproductive health. Health belief model, Health behavior, Secondary school students
The Effectiveness of Education Models to Increase Exclusive Breastfeeding Practices: A Scoping Review Murti Ani; Zahroh Shaluhiyah; Anggorowati Anggorowati; Siti Khuzaiyah
Jurnal Promosi Kesehatan Indonesia Vol 21 No 2: April 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.21.2.116-129

Abstract

Background: Experts recommend exclusive breastfeeding for the first six months of life to achieve optimal growth and health. However, this practice has not yet become widespread, and global growth rates remain relatively low. Various educational breastfeeding models have been widely implemented to help mothers succeed in exclusive breastfeeding. This study aims to explore and summarize the evidence for effective education models to increase exclusive breastfeeding.Method: A comprehensive search was conducted across three databases (PubMed, ScienceDirect, and Scopus). The PRISMA guidelines were used to select 20 peer-reviewed studies published between January 2016 and December 2025 that met the inclusion criteria. Data were extracted on education models, intervention objectives, and behavioral outcomes. Result: The results of the study showed that self-disclosure in MSM was influenced by Mothers need access to skilled, practical help and counseling support from trained health workers and counselors to implement optimal breastfeeding practices. A combination of antenatal and postnatal interventions, including home visits and media education such as flipcharts, booklets, videos, educational kits, telephone, SMS text messages, and WeChat support, can also increase exclusive breastfeeding at 6 months. The choice of breastfeeding education model influences the practice of exclusive breastfeeding. Therefore, it is important to consider the available time, resources, and media to support mothers in providing exclusive breastfeeding and achieving their breastfeeding education goals.Keywords: Breastfeeding, Education, Effectiveness, Model
Conflicts and Response Strategies in Sexuality Education Practices by Guest Educators in China: Focusing on Narratives Shixing LI; Xiaowen Tu
Jurnal Promosi Kesehatan Indonesia Vol 21 No 2: April 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.21.2.96-106

Abstract

ABSTRACTBackground: The sexual environment surrounding young people in China has been deteriorating. Although the government has issued policies to promote school-based sexuality education, implementation remains problematic. However, due to the weak institutional positioning of these guest educators and insufficient policy safeguards, they frequently encounter conflicts. While previous research has primarily focused on regular school teachers and institutional barriers, guest educators in China remain an insufficiently theorized category of practitioners. To address this gap, this study examines the conflicts guest educators face, analyzes how they respond, and proposes a Motivation-Conflict-Strategy model.Method: This qualitative study recruited eight guest educators affiliated with the Family Sexuality Education Subcommittee of the Chinese Sexology Association. Data were collected through semi-structured interviews and analyzed using thematic analysis.Result: The analysis yielded a Motivation-Conflict-Strategy model. Guest educators exhibit strong motivation to implement sexuality education, grounded in personal experiences, professional experiences, and value orientations. Yet, during implementation, they face multiple conflicts: (a) conflicts rooted in value frictions, (b) personal dilemmas, (c) conflicts stemming from institutional instability and devaluation, and (d) conflicts arising from positional vulnerability. Crucially, these strategies in turn reshape educators' motivation, making the model a recursive Motivation-Conflict-Strategy-Motivation loop rather than a linear sequence. The “Motivation-Conflict-Strategy” model reconceptualizes sexuality education in China as a dynamic interplay among institutional structures, sociocultural norms, and individual agency, highlighting the urgent need to establish institutional safeguards for diverse practitioners and to develop specialized sexuality education programs at teacher training colleges.Keywords: Sexuality education, Guest educator, Conflict, Response strategies
The Physical Activity-BMI Paradox: Unraveling Gender Disparities and Nutritional Status Complexities in SMK Muhammadiyah 2 Tangerang Rizni Fitriana; Chairinda Dachwan; Zahra Nurusshofa; Yogia Ikhsas; Rafiqa Husna Amalia; Khusnul Khotimah
Jurnal Promosi Kesehatan Indonesia Vol 21 No 2: April 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.21.2.130-137

Abstract

Background: Urban adolescents in Indonesia face the dual challenges of epidemiological transition and the double burden of malnutrition. Although physical activity is a key determinant of health, the association with Body Mass Index (BMI) and nutritional status among vocational high school (SMK) students remains insufficiently explored, particularly using validated assessment tools. Therefore, this study aimed to examine the relationship between physical activity, BMI, and nutritional status.Methods: A cross-sectional study was conducted among 102 tenth-grade students (54 females, 48 males) aged 14–16 years at SMK Muhammadiyah 2 Tangerang. Respondents were recruited through convenience sampling, and physical activity was assessed using the validated Physical Activity Questionnaire for Adolescents (PAQ-A), categorized into three levels. BMI was calculated from standardized anthropometric measurements. In addition, data were analyzed using Chi-square tests, One-Way ANOVA, and Spearman correlation (α=0.05).Results: The results showed that approximately 83.3% of adolescents were insufficiently active. A significant gender gap was identified, with males remarkably more inclined to be active (70.6% of the active group, p=0.004). Contrary to conventional expectations, no significant association was found between physical activity levels and BMI (p=0.631) or categorical nutritional status (p=0.279). The highest prevalence of normal nutritional status was paradoxically observed in the moderately active, not the most active, group (72.7%). It indicates the need for a paradigm shift in adolescent health promotion from a weight-centric physical activity agenda to gender-sensitive, holistic interventions aimed at overall well-being, recognizing that the benefits may not be directly visible in short-term anthropometric measures.Keywords: Physical activity, Adolescent health, Body mass index, Nutritional status, Gender disparity

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