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Journal of Health Promotion and Behavior
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on health promotion and health-related behaviors. It began its publication on May 21, 2015. The journal is published four times yearly. It seeks to understand factors at various layers associated with health behavior and health-impacting policy and find evidence-based social and behavioral strategies to improve population health status.
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Articles 24 Documents
Search results for , issue "Vol. 10 No. 2 (2025)" : 24 Documents clear
Disparities among The Baby Boomer, X, Y, And Z Generations regarding internet-based mental health literacy in Indonesia Anulus, Ayu; Dahlia, Yolly; Adiwibawa, Danang Nur; Hidayati, Lilik
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.06

Abstract

Background: Mental health literacy is important as the prevalence of mental health disorders increases, while access to information through digital media on the internet is becoming more widespread. With the different characteristics and patterns of internet consumption in each gene­ration, the level of understanding of internet-based mental health information is expected to vary. This study aims to examine the differences in internet-based mental health literacy among the Baby Boomer, X, Y, and Z generations in Indonesia. Subjects and Method: This study uses a cross-sectional study method with an online survey involving 400 respondents from various generation groups in Indonesia. The independent vari­ables were Baby Boomer, X, Y, and Z generations. The dependent variable was internet-based mental health literacy. Generational difference data was measured using a questionnaire and internet-based mental health literacy understanding was measured using a modified internet-based health literacy scale (eHEALS) questionnaire. The data were analyzed using the Kruskal-Wallis Test and the Mann-Whitney as the post hoc test. Results: The results of the study show that generation Z has a higher level of internet-based mental health literacy. The Kruskal-Wallis test shows that there is a statistically significant difference in internet-based mental health literacy between generations (p=0.025). The results of Mann-Whitney show that internet-based mental health literacy of baby boomers vs. generation X (p= 0.006) and baby boomers vs. generation Z (p=0.005) is significantly different. Conclusion: There are significant differences in internet-based mental health literacy between generations. These findings emphasize the importance of an intergenerational approach to online mental health education programs, so that information can be accessed and understood properly by all age groups.
Application of Information Motivation Behavior Skill Model on Maternal Parenting Behavior on Child Growth in Sleman, Yogyakarta, Indonesia Hariyadi, Agustin Mahardika; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.01

Abstract

Background: Toddler growth disorders in Indonesia reach 59% of the highest ranking in the ASEAN continent, including: physical growth disorders, motor development, language and behavior. Suboptimal child growth can be avoided if mothers are able to support toddler growth by providing the right parenting pattern. Proper parenting can optimize child growth and develop­ment. This maternal behavior can be done by applying the Information Motivation Behavior (IMB) skill model. The purpose of this study aims to explore the application of the IMB model-based applica­tion to maternal parenting behavior on child growth in Sleman Regency. Subjects and Method: This was a cross-sectional study was conducted at 25 integrated health posts (Posyandu) in Sleman Regency, Yogyakarta, in April-May 2024. A sample of 200 mothers who have toddlers aged 24-60 months was selected using the stratified random sampling. The dependent variable was child growth. The independent variables were information, motivation, skills, and maternal parenting behavior. Data collection was using questionnaires and data analysis was using path analysis with Stata 13. Results: Maternal parenting behavior increased with good behavioral skills (OR = 1.28; 95% CI 0.60 to 1.97; p <0.001), good information (OR = 1.20; 95% CI 0.52 to 1.88; p <0.001), and strong motivation (OR= 0.98; 95% CI= 0.31 to 1.66; p= 0.004). Toddler growth is positively influenced by maternal parenting behavior (OR= 1.29; 95% CI= 0.46 to 2.13; p= 0.002) and family income (OR = 3.15; 95% CI = 1.92 to 4.38; p <0.001). Conclusion: Maternal parenting behavior increases with good behavioral skills, good information and strong motivation. Toddler growth is positively influenced by maternal parenting behavior and family income.
Meta-Analysis: The Effect of HBM-Based Health Education on Obesity Prevention among Students Wulandari, Ayu Novita; Haryanti, Titik; Sartika, Iik
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.02

Abstract

Background: Students engage in various health-risk behaviors such as lack of physical activity and unhealthy diet. Obesity is a worldwide health problem with increased prevalence every year, both in developed and developing countries. This study aims to analyze and estimate the influence of HBM-based health education on obesity prevention in students. Subject and Method: Meta-analysis was conducted according to the PRISMA flow diagram and PICO model. The search for articles in this study was through databases including PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "Obesity" AND "Health Belief Model" OR "Health Belief" AND "Students". Full paper articles with RCT studies, research subjects were students, the relationship measure used was SMD, the outcome of the study was knowledge and perceived severity of obesity prevention. The analysis was conducted with RevMan 5.3 program. Results: There are 12 articles with randomized control trial designs originating from Iran, Iraq, India, Thailand, Australia with 2,261 research samples. Meta-analysis of 8 randomized control trial studies concluded that students who received HBM-based health education had knowledge in preventing obesity by 1.65 times higher than those without HBM education (SMD= 1.65; 95% CI= 0.60 to 2.70; p= 0.002). Meta-analysis of 6 randomized control trial studies concluded that students who received HBM-based health education had a perceived severity in preventing obesity by 1.85 times higher than those without HBM education (SMD= 1.08; 95% CI = 0.52 to 1.64; p= 0.002). Conclusion: HBM-based health education has a significant effect on increasing knowledge and perceived severity of obesity prevention in students.
Application of Health Belief Model of Tertiary Prevention Behavior in Elderly People with Hypertension: A Multilevel Analysis Zahro, Hallisa’tu; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.03

Abstract

Background: The health of the elderly is influenced by various risk factors and changes from within themselves and their environment. These various conditions can affect health problems, functional status, level of independence and quality of life of the elderly. Deterioration of health in the elderly can manifest in a variety of diseases, including hypertension. Efforts to control the incidence of hypertension can be done through the provision of health education about hyper­ten­sion, which aims to raise awareness of hypertensives about the concept of hypertension, compli­cations, and how to overcome. This study aims to examine the application of the Health Belief Model (HBM) as a predictor by taking into account the contextual effects of the Elderly Integrated Healthcare Posts in Kepanjen, Malang, East Java, Indonesia. Subjects and Method: This study was an observational analytical study with a cross-sectional approach using a multilevel analysis model. The population in this study was all elderly people with hypertension at the Elderly Integrated Healthcare Posts in the working area of Kepanjen Commu­nity Health Center, Malang, East Java, Indonesia. The sample in this study was 200 elderly with hypertension at the Elderly Integrated Healthcare Posts in the Kepanjen Community Health Center Working Area, Malang, East Java, Indonesia. The study used the Stratified Sampling technique at the healthcare level (Elderly Integrated Healthcare Posts), and Stratified Random Sampling in the selection of the elderly. Results: Tertiary prevention behavior among elderly with hypertension increased with high self-efficacy (b= 0.57; CI 95%= 0.39 to 0.73; p<0.001), cues to action (b= 0.27; CI 95%= 0.35 to 1.71; p<0.001), female gender (b= 0.76; CI 95%= 0.10 to 0.42;  p<0.001), age 70-90 years (b= 0.37; CI 95%= -0.01 to 0.75; p= 0.060). Integrated health posts for elderly on the tertiary prevention beha­vior of hypertension. The Integrated Healthcare Posts had contextual effect on tertiary prevention behavior (ICC=29.87%; p<0.001). Conclusion: Tertiary prevention behavior of hypertension in the elderly increases with high self-efficacy, cues to action, female gender, age 70-90 years.
Application of Social Cognitive Theory to Promote Healthy Behavior Among the Elderly at Integrated Health Post for Elderly Afandi, Agil Rafi’ah; Demartoto , Argyo; Murti , Bhisma
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.04

Abstract

Background: The results of a survey by the Central Statistics Agency in 2021 reported that as many as 42.22% of the elderly population in Indonesia experience health problems. One of the factors that determines healthy behavior in the elderly is implementing healthy behavior. This study aims to examine the application of social cognitive theory as a determinant of healthy behavior of the elderly in Sukoharjo Regency, Central Java. Subjects and Method: This was a cross-sectional study carried out at integrated health post (posyandu) in Grogol, Sukoharjo Regency, Central Java, in June-July 2024. A sample of 200 elderly was selected purposively. Five villages were randomly selected. From each village, 6 primary strata Posyandu, 6 intermediate strata Posyandu, 6 purnama strata Posyandu, and 7 independent Posyandu were chosen. Then, from each selected Posyandu, 8 elderly individuals were randomly selected. The dependent variable is healthy behavior in the elderly. The independent variables are a number of constructs in social cognitive theory, namely observational learning, outcome expectation, outcome expectancy, reinforcement, and self-efficacy. Data were analyzed by multiple linear regression. Results: Healthy behaviors increased with observational learning (b= 0.17; 95% CI= 0.12 to 0.43; p= 0.001), outcome expectation (b=0.24; 95% CI= 0.02 to 0.473; p= 0.036), outcome expectancy (b= 0.36; 95% CI= 0.05 to 0.68; p= 0.025), reinforcement (b= 0.36; 95% CI= 0.10 to 0.84; p= 0.013),  and self efficacy (b= 0.55; 95% CI= 0.19 to 0.91; p= 0.003). Conclusion: Healthy behavior in the elderly is positively associated with observational learning, outcome expectation, outcome expectancy, reinforcement, and self efficacy.
Meta-Analysis: The Effect of HBM-Based Health Education on Improving Oral Health in Students Suryani, Weni Irma; Haryanti , Point; Sartika, Iik
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.05

Abstract

Background: Oral health problems are an important concern in health development, one of which is caused by the vulnerability of school-age children from oral and dental health disorders. School age is an important age in the growth and physical development of children. One of them is the habit of maintaining oral and dental health. This study aims to analyze and estimate the influence of HBM-based health education on oral and dental health in students. Subject and Method: The meta-analysis was performed according to the flow of the PRISMA diagram and the PICO model. The search for articles in this study is through databases that include PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "Oral health" AND "Health Belief Model" AND "Students". Full paper article with RCT study, the subject of the study is the student, the measure of the relationship used is SMD, the outcome of the research is knowledge and perception of the severity of obesity prevention. Analysis was done with Revman 5.3 Results: There were 6 articles with randomized control trial designs from Iran and Hong Kong with 829 research samples. A meta-analysis of 6 randomized control trial studies  concluded that students who received HBM-based education had a 1.04-fold higher perceived benefit for improving oral health compared to students who did not receive education, and the effect was statistically significant (SMD= 1.04; CI 95%= 0.28 to 1.79; p= 0.007). A meta-analysis of 5 rando­mized control trial studies  concluded that students who received HBM-based education had a higher perception of severity to improve oral health 1.73 times compared to students who did not receive education, and the effect was statistically significant (SMD= 1.73; CI 95%= 0.49 to 2.98; p=0.006). Conclusion: HBM-based education has benefit to improve oral health.
Effect of Social Capital on Smoking and Alcohol Consumption Behavior in Adults Zartika, Maoli; Murti, Bhisma; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.07

Abstract

Background: Clinical epidemiological studies show that smoking and alcohol are often used together as social activities. Smoking and alcohol consumption are related to the risk of developing non-communicable diseases. According to data from the Indonesian Health Survey (SKI), (2023) the percentage of smokers in Surakarta City is 23.6% and the percentage of alcohol consumption is 1.4%. This study aims to analyze the influence of social capital on smoking behavior and alcohol consumption in adults. Subjects and Method: The research design used is a cross-sectional study. The population in this study is adults aged 19-59 years in the city of Surakarta. Sampling in the study was carried out by the snowball sampling method, then as many as 200 adults domiciled in the city of Surakarta were obtained. The method used in collecting data for this study is a questionnaire. The analysis used in this study is the Structural Equation Model (SEM) to analyze the influence of social capital elements on smoking behavior and alcohol consumption in adults. The dependent variables are smoking habits and alcohol consumption. The independent variable is social capital including 3 elements, namely structural elements, cognitive elements and relational elements. Results: Social capital had a negative effect on smoking behavior (b= -0.80; 95% CI= -0.88 to -0.71; p= 0.001), and social capital has a negative effect on alcohol consumption (b= -0.71; 95% CI= -0.80 to -0.63; p= 0.001). Conclusion: The results of this study show that social capital constructs include structural elements, cognitive elements and relational elements that are high have a lower likelihood of smoking behavior and alcohol consumption in adults.
Relationships Between the Health Belief Model Constructs and Post-Stroke Patient Preferences in Choosing Acupuncture Therapy in Ngawi East Java Puspitaningrum, Cynthia Ayu Dian; Prasetya , Hanung; Demartoto , Argyo; Murti, Bhisma; Novika , Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.08

Abstract

Background: Stroke is a serious medical condition that poses a significant risk of mortality and long-term disability, making it one of the leading causes of death and disability worldwide. Select­ing an appropriate therapy is crucial to enhancing the quality of life among post-stroke patients. The Health Belief Model (HBM), which emphasizes individual beliefs regarding health and illness, is thought to play a pivotal role in influencing patients' decisions when choosing therapeutic inter­ventions. This study aims to analyze the application of the Health Belief Model in the selection of acupuncture therapy among post-stroke patients. Subjects and Method: This study employed a cross-sectional design and was conducted in Ngawi Regency from October to December 2024. 200 samples of post-stroke patients were taken using the fixed disease sampling technique, consisting of 100 patients undergoing acupuncture and 100 patients undergoing physiotherapy. Dependent variables were the preference of acupuncture therapy and physiotherapy. Independent variables were perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data was collected using questionnaires and analyzed using path analysis on STATA 17. Results: The preference for acupuncture therapy was directly influenced by self-efficacy (b=3.41; CI95%=2.59 to 4.23; p<0.001). Self-efficacy to undergo acupuncture therapy was influenced by the perceived benefits (=2.75; CI95%=1.74 to 3.75; p<0.001), perceived barrier (b=-0.94; CI95%=-1.96 to 0.80; p<0.001), and cues to action (b=3.36; CI95%=2.32 to 4.40; p<0.001). Perceived benefit was influenced by perceived severity (b=1.25; CI95%=0.62 to 1.88; p<0.001). Conclusion: Self-efficacy directly influences the preference for acupuncture therapy. Meanwhile, the perceived benefit, the perceived barrier, and cues of action indirectly affect the preference for acupuncture therapy through self-efficacy. Perceived benefit was influenced by severity perception.
Application of Social Cognitive Theory as a Predictor for Health Screening Utilization among Pre-Marital Couples Fidyaningrum, Fifi; Demartoto , Argyo; Murti, Bhisma; Hapsari , Happy Indri; Novika, Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.09

Abstract

Background: Circumstances in the early stages of development have a tremendous impact on a person's risk of developing diseases in adulthood. Numerous diseases can start in childhood and are generated by various traumas in early life, including improper treatment during pregnancy, maternal malnutrition, and maternal disease, one of which is diseases related to reproductive health. Premarital health screening is a series of tests that must be carried out by prospective brides and grooms before marriage, which aims to reduce the burden of inherited diseases by reducing the number of high-risk marriages. This study aimed to analyze the use of health screen­ing among pre-marital couples through the Social Cognitive Theory. Subjects and Method: A cross-sectional study was conducted in Nias, Indonesia, in October-November 2024. A sample of 200 brides and grooms was selected using fixed disease sampling. The data were collected using questionnaire and analyzed using a path analysis. Results: Outcome expectation was positively and indirectly associated with pre-marital health screening (b= 0.58; 95% CI= 0.01 to 1.15; p= 0.046). Knowledge, reinforcement, and observational learning were indirectly associated with pre-marital health screening among pre-marital couples. Conclusion: Social cognitive theory can be used to predict health screening uptake among pre-marital couples.
Application of Social Cognitive Theory as a Predictor of Quitting E-Cigarette Use among College Students Candra, Kintan; Murti, Bhisma; Novika , Revi Gama Hatta; Prasetya, Hanung; Rahardjo , Setyo Sri
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.10

Abstract

Background: Social Cognitive Theory was selected as the framework of this study because it can be used to explain, prevent, or reduce risky behaviors such as e-cigarette use. This study aimed to analyze and predict the behavior of quitting e-cigarettes through social cognitive theory among students. Subjects and Method: This study was conducted in October-November 2024 with a sample of 200 students. The study was a cross-sectional study with study subjects selected using the fixed disease sampling technique. The dependent variable was the behavior of quitting using e-cigarettes. And the independent variables were knowledge, self-regulation, outcome expectation, self-efficacy, and observational learning. Results: Quitting e-cigarettes was directly influenced by self-efficacy (b= 1.63; CI 95%= 0.93 to 2.33; p< 0.001) and outcome expectation (b= 0.82; CI 95%= 0.15 to 1.50; p= 0.017). Self-efficacy was directly influenced by knowledge (b= 0.94; CI 95%= 0.32 to 1.57; p= 0.003). Likewise, the outcome expectation was influenced by knowledge (b= 0.90; CI 95%= 0.28 to 1.53; p= 0.004). Knowledge was influenced by observational learning (b= 1.28; CI 95%= 0.65 to 1.92; p< 0.001). And self-regulation was influenced by the decision to quit using e-cigarettes (b=0.94; CI 95%= 0.37 to 1.51; p=0.001). Conclusion: This study concludes that constructs in Social Cognitive Theory can be used as a predictor of quitting e-cigarettes.

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