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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 361 Documents
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Cognitive Dysfunction, Psychophysiological Regulation, and Psychosocial Factors in Psychosomatic Disorders: A Narrative Review Dela Riadi
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.21.2.165-172

Abstract

Background: Psychosomatic disorders result from complex interactions among biological, psychological, cognitive, and social factors. Growing evidence suggests that cognitive dysfunction, particularly in attention, executive functioning, and working memory, contributes to the development and persistence of psychosomatic symptoms. This review aimed to synthesize current evidence on cognitive dysfunction, psychophysiological regulation, self-regulation mechanisms, and psychosocial factors associated with psychosomatic disorders..Method: A narrative review was conducted using articles published between 2016 and 2026 and retrieved from Scopus, PubMed, ScienceDirect, and ProQuest through a literature search conducted on April 24, 2026. The search strategy was based on the PICOS framework and included terms related to psychosomatic disorders, somatic symptom disorder, executive functions, attention, working memory, self-regulation, and psychosocial factors. Following the screening and eligibility assessment, 14 articles were included in the review.Result: The findings indicate that impairments in attention, executive functioning, and working memory are consistently associated with psychosomatic disorders and may influence symptom severity and treatment response. Psychophysiological regulation, particularly autonomic nervous system functioning, plays an important role in self-regulation and symptom management. Furthermore, psychosocial factors, including depression, illness beliefs, maladaptive coping, chronic pain, and childhood trauma, contribute to psychosomatic vulnerability and disease progression. Psychosomatic disorders are influenced by interactions among cognitive, psychophysiological, and psychosocial factors, highlighting the importance of integrated, patient-centered approaches to assessment and treatment.
Parental Perceptions of Secondhand Smoke Exposure as a Risk Factor for Stunting in Indonesia Heni Trisnowati; Yesika Adi Ningsih; Septian Emma Dwi Jatmika; Lina Handayani; Isah Fitriani
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.261-272

Abstract

Background: Secondhand smoke exposure is increasingly recognized as a risk factor contributing to stunting; however, it remains underemphasized in stunting prevention policies in Indonesia. The KaBar BesTi (Smoke-Free and Stunting-Free Family) program was developed to address this gap. Aim: This study aimed to explore parental perceptions of secondhand smoke exposure as a risk factor for stunting among children under five using the Health Belief Model framework.Method: A qualitative case study approach was conducted in Sumberan Hamlet, Candibinangun Village, within the catchment area of the Pakem Community Health Center, Sleman, Indonesia. Five parents of children under five and one nutrition officer were selected through purposive sampling. Data were collected through in-depth interviews and household observations and were analyzed thematically using the Health Belief Model constructs; including perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action. Result:Participants perceived that the KaBar BesTi Program strengthened parental awareness of the risk associated with secondhand smoke exposure, particularly regarding perceived susceptibility and perceived severity in relation to stunting. Nevertheless, a gap between perception and practice persisted, as smoking behaviors remained common within family and social environments. Despite these barriers, parents reported adopting protective practices, including restricting smoking around children and participating more actively in health programs. The KaBar BesTi Program appears to contribute to strengthening parental perceptions of the risks associated with secondhand smoke exposure.
EduDiab-Online: Uses Peer support to Improve Health Literacy in Type 2 Diabetes Patients Nopriadi Nopriadi; Yuda Irawan; Emy Leonita
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.223-230

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) remains a leading contributor to premature mortality and long-term complications, particularly in Indonesia, where health literacy levels are alarmingly low. This study aims to evaluate the effectiveness of EduDiab-Online, a web-based diabetes education model integrated with a peer-support approach, in improving health literacy and clinical outcomes among patients with type 2 diabetes mellitus (T2DM) in community settings. Method: A quasi-experimental pretest-posttest design with a control group was employed by involving 120 T2DM patients from two primary healthcare centers in Pekanbaru, Indonesia, divided equally into intervention and control groups. The intervention consisted of six weekly online educational modules combined with peer-support forums facilitated by trained peer mentors. Data were collected over four months using validated instruments assessing health literacy, self-efficacy, HbA1c, body mass index (BMI), and blood pressure. Statistical analyses, including paired and independent t-tests, were performed using SPSS version 25. Result: Compared with the control group, the intervention group demonstrated significantly greater improvements in health literacy (N-Gain = 0.61 vs. 0.08, p < 0.001), accompanied by a significantly greater increase in self-efficacy and greater reductions in HbA1c, BMI, and blood pressure (all p < 0.05). Furthermore, 88% of participants actively engaged in peer-support activities, indicating high adherence to the program. These findings suggest that EduDiab-Online is an effective and scalable community-based diabetes education model that integrates digital learning with peer support to improve both behavioral and clinical outcomes. Further studies are recommended to evaluate its long-term effectiveness and applicability to other chronic disease management programs.
Lifestyle Factors Associated with Premenstrual Syndrome among Female Students Islamic Boarding School Lu&#039;lu Nafisah; Farah Dwi Radistya; Leni Maryati
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.273-281

Abstract

Background: Premenstrual syndrome (PMS) is one of the most common reproductive health problems among female adolescents. Lifestyle-related factors, including dietary habits, physical activity, sleep quality, and psychological stress, are considered modifiable determinants of PMS. This study aims to analyze the association between these lifestyle-related factors and PMS among female adolescents in an Indonesian Islamic boarding school, which remains underexplored in previous research.Method: This quantitative cross-sectional study involved 90 female adolescents residing at Al-Amin Islamic Boarding School, Banyumas Regency, Indonesia. Respondents were selected using simple random sampling. PMS was assessed using the Shortened Premenstrual Assessment Form (SPAF), while lifestyle variables (fast-food consumption, physical activity, sleep quality, and perceived stress) were measured using standardized questionnaires. Data analyses employed descriptive statistics, Chi-square tests, and multiple logistic regression, with statistical significance determined at p<0.05.Result: The findings showed a high prevalence of severe PMS at 55.6%. Bivariate analysis indicated significant associations between fast-food consumption (p=0.040), sleep quality (p=0.001), stress level (p<0.001), and PMS, whereas physical activity was not significantly related to PMS (p=0.508). Multiple logistic regression identified poor sleep quality (AOR=3.867; 95%CI:1.465–10.204) and high stress level (AOR=6.468; 95%CI:1.883–22.223) as independent predictors of PMS, with stress representing the strongest determinant. These findings suggest that interventions focusing on stress management and sleep improvement should be incorporated into adolescent reproductive health promotion programs, particularly in Islamic boarding school settings.
Beyond Social Media: Gender and Health Information Exposure in Adolescent Sexual Risk Behavior Literacy Febry Alberto; Eva Savitri
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.231-243

Abstract

Background: Sexual risk behavior literacy is essential for helping adolescents understand, evaluate, and apply sexual and reproductive health information in making safe health decisions. However, the increasing use of digital media as a health information source does not always ensure adequate literacy. This study aimed to examine factors associated with literacy in sexual risk behavior among high school students in Central Kalimantan, Indonesia, with particular attention to gender and exposure to health information.Method: : A cross-sectional study was conducted from February to March 2026 among Grade X students at a public vocational high school in Palangka Raya, Central Kalimantan, Indonesia. From a population of 451 students, 90 participants were included using proportionate stratified random sampling across 12 classes. Data were collected using a structured self-administered questionnaire covering socio-demographic characteristics, health information exposure, and sexual risk behavior literacy. Data were analyzed using IBM SPSS Statistics version 25. Result: Most respondents had poor literacy in sexual risk behaviors (74.4%), whereas 25.6% demonstrated good literacy. In the multivariable model, female students had higher adjusted odds of good literacy than male students (AOR = 4.654; 95% CI: 1.454–14.896; p = 0.010). Adolescents obtaining information from formal sources had approximately four times higher adjusted odds of good literacy than those relying primarily on social media (AOR = 4.003; 95% CI: 1.213–13.207; p = 0.023). Strengthening credible school-based and healthcare-based education, gender responsive engagement, and critical appraisal of digital information is therefore necessary. 
Influence of Educational Game-Based Learning on Knowledge and Ability in Nutritional Selection Risma Verani Arvina Putri; windi Chusniah Rachmawati; Sapto Adi; Nurnaningsih Herya Ulfa
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.282-291

Abstract

Background: Malnutrition, particularly stunting, remains a global health issue that impedes child development and affects overall human quality. This study aimed to examine the effectiveness of "SPINERGY," an educational game-based health promotion media, in improving knowledge of stunting, balanced nutrition, and food selection skills among adolescents at SMPN 5 Batu. Method: A quasi-experimental design with pre-test and post-test control groups was used, following a research and development (R&D) approach with the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The study involved 116 students from grades VII to IX selected via proportional stratified random sampling. Data were collected using valid and reliable questionnaires (20 items each) to assess knowledge and food selection abilities before and after the intervention. Statistical analysis was conducted using the Mann-Whitney U Test.  Result: The findings showed a significant improvement in knowledge in the intervention group across all grades (VII, VIII, IX) compared to the control group (p < 0,05). For the food selection ability variable, a significant improvement was noted in grades VII (p = 0,023) and VIII (p = 0,022), while grade IX (p = 0,112) showed no significant change, likely due to a higher initial ability level. Developing SPINERGY into a digital format or dare game is recommended to make this medium more accessible, engaging for the younger generation, and relevant to current learning technology developments. Collaboration with educational institutions and health departments is also needed to strengthen the implementation and appeal of this game-based nutrition education program.   
The Improvement of Stress Coping Behaviour and Learning Engagement Artificial Intelligence Personalized Mental Health Education Emy Leonita; Yuda Irawan; Nopriadi Nopriadi
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.195-205

Abstract

Background: Mental health problems and declining learning engagement among university students have become major concerns within digitally intensive higher education environments. Although artificial intelligence (AI) technologies have increasingly been integrated into educational systems, previous studies have rarely combined personalized mental health education, adaptive coping recommendations, and behavioral engagement analytics within a single intervention framework. Therefore, this study aimed to examine the effectiveness of AI. personalized mental health education in improving stress coping behavior and learning engagement among university students.Method: This study employed a sequential explanatory mixed methods intervention design involving 289 undergraduate students from Universitas Hang Tuah Pekanbaru and Institut Kesehatan Payung Negeri Pekanbaru, Indonesia, during 2025. Data were collected using structured questionnaires and behavioral engagement analytics from digital learning activities. Quantitative data were analyzed using paired sample t tests and SEM PLS, while qualitative data were analyzed thematically.Result: The findings demonstrated statistically significant improvements across all psychosocial and academic engagement dimensions (p<0.001). It induced positive changes in students stress coping behavior and learning engagement following the intervention. SEM PLS analysis additionally revealed significant direct and indirect effects of AI personalized mental health education on stress coping behavior, emotional wellbeing, and learning engagement. Qualitative findings further indicated that students perceived the intervention as adaptive, emotionally supportive, and beneficial for improving self regulation and academic motivation. These findings provide preliminary evidence that AI personalized mental health education may contribute to improved stress coping behavior and learning engagement among university students.
IIntegrative Strategy for Improving Hypertension Medication Adherence Based on Social Determinants of Health and Health Philosophy Andis Triyanto; Bambang Budi Raharjo
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.244-250

Abstract

Background: Hypertension remains a major public health problem in Indonesia, with a steadily increasing prevalence and a significant contribution to cardiovascular morbidity and mortality. One of the main challenges in its management is low patient adherence to long-term treatment. This study aims to develop an integrative strategic model to improve adherence to hypertension treatment by combining the perspectives of social determinants of health and health philosophy, which are still rarely integrated in public health studies.Method: This study employed a mixed-methods explanatory sequential design. Quantitative data were collected from 250 hypertensive patients using structured questionnaires and analyzed using multiple linear regression to identify determinants of medication adherence. Subsequently, 20 purposively selected participants were interviewed in-depth, and qualitative data were analyzed using thematic analysis. Significant quantitative determinants were integrated into an adherence model, and its performanceResult: The results showed that treatment adherence was significantly influenced by health literacy (β = 0.41; p < 0.001), family support (β = 0.32; p < 0.01), quality of healthcare services (β = 0.29; p < 0.05), and patient autonomy awareness (β = 0.27; p < 0.05). The developed integrative model demonstrated higher predictive power (R= 0.62) compared to conventional sociodemographic-based models (R² = 0.38). Qualitative findings further confirmed that reflective awareness and individual moral responsibility play important roles in shaping long-term adherence. This integrative approach has the potential to improve long-term medication adherence among patients with hypertension through the integration of health literacy, family support, healthcare service quality, and patient autonomy.
Correlation Between Depression Symptoms and Physical Activity Among University Students Zidni Imanurrohmah Lubis; Alfidah Idnu Fadillah; Anita Faradilla Rahim; Syiar Aprilla Tanazza
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.206-214

Abstract

Background: Depression represents a critical public health concern among university students, with prevalence rates in Indonesia reaching 50.76%. While physical activity is known to benefit mental health, the relationship between depression symptoms and physical activity among Indonesian university students remains poorly understood, with previous studies showing mixed findings. This study aimed to examine the relationship between depression symptoms and physical activity among university students across multiple academic disciplines at Muhammadiyah University of Malang.Method: This cross-sectional study involved 383 undergraduate students from class of 2023 across ten faculties. Depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9), while physical activity was measured using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Random sampling was employed with inclusion criteria of students aged 18-25 years. Data were analyzed using descriptive statistics and Spearman's rho correlation test with significance level set at α=0.05.Result: The mean depression symptoms score was 10.45 (SD=5.596), indicating moderate depression symptoms, while mean physical activity level was 1812.93 MET-minutes/week (SD=1766.542). Spearman's rho analysis revealed a statistically significant negative correlation between depression symptoms and physical activity (r=-0.135, p=0.008), indicating that higher depression levels were associated with reduced physical activity. Routine depression symptoms screening using PHQ-9 should be integrated into student health assessments, and physical activity interventions should employ low-barrier, flexible approaches starting with modest achievable goals to address depression-related barriers.
Beyond Stigma: How Family Support Relates to Antiretroviral Therapy Adherence in Pariaman City Adila Kasni Astiena; Dyanti Oktalina; Yuniar Lestari
Jurnal Promosi Kesehatan Indonesia Vol 21 No 3: July 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.21.3.251-260

Abstract

IBackground: HIV is still a national and international health concern, with an annual increase in cases, but treatment adherence is still poor. Strong family support is essential for people living with HIV who are receiving antiretroviral therapy (ART), but stigma frequently prevents them from getting it. The purpose of this study is to examine the connection between patient adherence to antiretroviral therapy (ART) and family support (emotional, informational, instrumental, and appraisal)Method: 84 HIV patients who were chosen by chance were included in a cross-sectional quantitative study design. Relationships between variables were evaluated using the Chi-Square test. Result: The majority of patients who did not follow their treatment plan received inadequate emotional support (59.1%) and inadequate informational support (60.0%). Inadequate instrumental support (42.5%) and insufficient appraisal support (43.5%) were also experienced by nearly half of the non-adherent patients. Significant associations were found between ART adherence and living with family (p=0.046), emotional support (p=0.001), informational support (p=0.000), instrumental support (p=0.028), and appraisal support (p=0.005). Conclusion: Overall, family support is crucial in strengthening patients’ motivation and treatment adherence. Feeling valued and supported encourages patients to remain committed to their therapy.

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