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Journal of Health Promotion and Behavior
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public 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 8 Documents
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Search results for , issue "Vol. 5 No. 3 (2020)" : 8 Documents clear
Factors Associated with Herbs Clinic Utilization in Patients with Diabetes Mellitus in Tawangmangu, Central Java Triyono, Agus; Murti, Bhisma; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The utilization of herbs incre­ased for complementary medicine and alterna­tive chro­nic diseases including Diabetes Melli­tus (DM). There are many factors that affect patients with Diabetes Mellitus to utilize herbal clinic. This study aimed to analyze the effects of age, gender, education, occupation, income, marital status, family support, knowledge of herbs, attitude towards herbs, and duration of Dia­betes Mellitus on herbs clinic utilization.Subjects and Method: This was a cross-sec­tional study. This study was conducted in Tawangmangu, Central Java, from January to March 2020. A sample of 200 DM patients aged 15-60 years who were examined at Jamu Research House (rrj) or community health center in Tawangmangu. The sample was col­lected by purposive sampling. The dependent variable was herbs clinic utilization. The inde­pendent variables were sex, age, education, occupation, income, marital status, family sup­port, knowledge of herbs, attitude towards herbs, and duration of DM. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Herbs clinic utilization was directly increased by positive attitude towards herbs (OR= 5.37; 95% CI= 2.49 to 11.60; p<0.001), duration of DM ≥5 years (OR= 2.02; 95% CI= 1.00 to 4.07; p=0.040), high family income (OR= 2.67; 95% CI= 1.41 to 5.01; p= 0.003), good family support (OR= 1.93; 95% CI= 0.96 to 3.87; p= 0.063), age ≥35 years (OR= 1.45; 95% CI= 0.27 to 7.19; p= 0.666), female (OR= 0.59; 95% CI= 0.31 to 1.12; p= 0.108), and married (OR= 0.64; 95% CI= 0.26 to 1.61; p= 0.343). Herb clinic utilization was indirectly affected by knowledge of herbs, education, and occupation.Conclusion: Herbs clinic utilization is directly increased by positive attitude towards herbs, duration of DM ≥5 years, high family income, good family support, age ≥35 years, female, and married. Herb clinic utilization is indirectly affected by knowledge of herbs, education, and occupation.Keywords: herbs clinic utilization, Diabetes Mellitus, path analysisCorrespondence: Agus Triyono. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir.Sutami No 36 A, Surakarta 57126, Central Java,Indonesia. Email: agustriyono_21@yahoo.com. Mobile: +6281329038465.Journal of Health Promotion and Behavior (2020), 05(03): 147-156https://doi.org/10.26911/thejhpb.2020.05.03.01 
Application of Social Cognitive Theory: Tertiary Prevention Behavior in Patients with Type 2 Diabetes Mellitus in Ponorogo Hospital, East Java, Indonesia Yuliana, Nur Aida; Pawito, Pawito; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Diabetes Mellitus (DM) is a non-com­municable disease that becomes a serious threat to global health. This disease is a serious chronic disease because it cannot be cured. An increasing number of cases of non-communicable diseases that are associated with risk factors are in line with lifestyle changes that increasingly mo­dern. This study aimed to analyze the effect of the variables in Social Cognitive Theory on ter­tiary prevention behavior in patients with type 2 Dia­betes Mellitus.Subjects and Method: This was a cross-sec­tio­nal study design. This study was conducted on pa­tients with type 2 DM in the hospital in Po­no­rogo Regency, East Java, from January to Feb­ruary 2020. There were 200 patients with type 2 DM as the sample of the study. The sample was taken by random sampling. The dependent vari­able was Tertiary prevention behavior of type 2 DM. The independent variables were obser­va­tio­nal learning, role model, vicarious experience, imi­tation, attitude, outcome expectations, know­led­ge, reinforcement, self-efficacy, and self-mana­ge­ment. The data were collected through a set of ques­tionnaires. The data were analyzed based on Path Analysis using stata 13 application.Results: Tertiary prevention behavior of type 2 DM was directly increased by strong imi­tation (b= 1.40; 95% CI= 0.51 to 2.28; p= 0.002), good knowledge (b= 1.36; 95% CI= 0.48 to 2.25; p= 0.002), positive attitude (b= 1.32; 95% CI­= 0.44 to 2.19; p= 0.003), strong self-efficacy (b= ­1.­07; 95% CI= 0.18 to 1.96; p= 0.018), and good self-management (b= 2.26; 95% CI= 1.31 to 3.22; p <0.001). Ter­tiary prevention behavior of type 2 DM was in­directly affected by observational learning, role model, vicarious experience, outcome expectation, and reinforce­ment.Conclusion: Tertiary prevention behavior of type 2 DM is directly increased by strong imi­tation, good knowledge, positive attitude, strong self-efficacy, and good self-management. Ter­tiary prevention behavior of type 2 DM is in­directly affected by observational learning, role model, vicarious experience, outcome expectation, and reinforce­ment.Keywords: social cognitive theory, type 2 Dia­be­tes Mellitus.Correspondence: Nur Aida Yuliana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Aidayuliana17@gmail.com.Mobile: +628-5790767582.Journal of Health Promotion and Behavior (2020), 5(1): 157-168https://doi.org/10.26911/thejhpb.2020.05.03.02
Factors Affecting Exclusive Breastfeeding Practice using Social Cognitive Theory Constructs: A Multilevel Evidence from Madiun, East Java Syahputri, Rezyana Budi; Pawito, Pawito; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding for infants up to 6 months of age is the most effective way to ensure the health and the viability of the child. Exclusive breastfeeding coverage still does not meet the target due to various factors. This study aimed to determine the effectiveness level of health promotion of exclusive breastfeeding program in the integrated health service in Madiun, East Java.Subjects and Method: This was an a cross-sectional study conducted in Madiun, East Java, from February to May 2020. A sample of 200 lactating mother who had infants aged 6 to 24 months was selected randomly. The dependent variable was exclusive breastfeeding practice. The independent variables were health promotion program, observational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, rein­forcement, and integrated health post contextual. The data were collected using questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Exclusive breastfeeding practice increased with adequate health pro­motion program (OR= 3.08; 95% CI= 1.06 to 8.94; p= 0.038), high observational learning (OR= 3.86; 95% CI= 1.31 to 11.39; p= 0.014), strong role model (OR= 4.01; 95% CI= 1.12 to 14.29; p= 0.033), vicarious learning (OR= 4.46; 95% CI= 1.34 to 14.82; p= 0.015), strong imitation (OR= 2.74; 95% CI= 1.02 to 7.35; p= 0.045), positive attitude (OR= 3.51; 95% CI= 1.04 to 11.88; p= 0.043), positive outcome expectation (OR= 4.04; 95% CI= 1.32 to 12.38; p= 0.014), strong self-regulation (OR= 2.36; 95% CI= 0.93 to 5.99; p= 0.068), strong self-efficacy (OR= 5.35; 95% CI= 1.81 to 15.77; p= 0.002), and strong reinforce­ment (OR= 3.90; 95% CI= 1.21 to 12.57; p= 0.022). There was a contextual effect of inte­grated health post on exclusive breastfeeding practice with intraclass correlation (ICC)= 10.97%.Conclusion: Exclusive breastfeeding practice is affected by health promotion program, obser­vational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, and reinforcement. Integrated health post has a contextual effect on exclusive breastfeeding practice.Keywords: exclusive breastfeeding, health promotion, social cognitive theory.Correspondence: Rezyana Budi Syahputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: rezyanabs@gmail.com. Mobile: +6282325750134.Journal of Health Promotion and Behavior (2020), 05(03): 169-173https://doi.org/10.26911/thejhpb.2020.05.03.03
Contextual Effect of the Integrated Health Post (Posbindu) and Biopsychosocial Determinants of Tertiary Preventive Behavior in Patients with Hypertension Retnowati, Very; Pawito, Pawito; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tertiary prevention of hyper­ten­sion is a preventive effort to make patients with hypertension do not have disabilities and further complications. It also improves the quality of life and makes life longer. The bio­psy­chosocial aspect affects individuals in lear­n­ing, doing, and maintaining certain beha­viors based on social cognitive theory. This stu­dy aimed to analyze the biopsychosocial deter­mi­nants of tertiary preventive behavior among patients with hypertension.Subjects and Method: This study was an analytical observational study with a cross-sectional design. The study was conducted at 25 Integrated Health Posts (Pos­bin­du) in Sragen, Central Java. A sample of 200 hypertensive patients was selected by stratified random sam­pling. The dependent variable was the ter­tiary preventive behavior of hypertension. The in­­de­pendent variables were observational lear­ning, role model, imitation, vicarious learning, rein­forcement, self-efficacy, self-regulation, out­­­­­come expectation, and attitude. The data were collected by ques­tion­naire and analyzed by a multilevel multiple logis­tic regression.Results: Hypertension preventive behavior in­crea­sed with observational learning (b= 2.85; 95% CI= 0.17 to 5.53; p= 0.037), role model (b= 2.73; 95% CI =0.73 to 4.73; p=0.007), imi­tation (b= 3.46 ; 95% CI= 0.73 to 6.19; p= 0.013), vica­­rious learning (b= 2.54; 95% CI =0.16 to 4.93; p= 0.036), reinforcement (b= 3.89; 95% CI= 0.96 to 6.82; p= 0.009), self-efficacy (b= 3.04; 95% CI= 0.41 to 5.67; p= 0.024), self-re­gu­­­­lation (b= 2.28; 95% CI= 0.02 to 4.54; p= 0.048), outcome expectation (b= 3.56; 95% CI= 0.75 to 6.38; p= 0.013), and a positive attitude (b= 2.86; 95% CI= 0.26 to 5.47; p= 0.031). Posbindu had a contextual effect on ter­tiary preventive behavior of hypertension with an Intra Class Correlation (ICC) value of 63.05%.Conclusion: Tertiary preventive behavior of hypertension increases with high observational learning, strong role model, strong imitation, high vicarious learning, strong reinforcement, high self-eff­icacy, high self-regulation, positive outcome expec­­­­tation, and positive attitude. Posbindu has a contextual effect on tertiary preventive behavior of hyper­ten­sion.Keywords: tertiary prevention, hypertension, social cognitive theory, multilevel analysisCorrespondence: Very Retnowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: veryretnowati@gmail.com. Mobile: +628154­8­5­92491.Journal of Health Promotion and Behavior (2020), 05(03): 174-186https://doi.org/10.26911/thejhpb.2020.05.03.04 
Effectiveness of Chronic Disease Management Program in Improving “CERDIK” Healthy Behavior in Patients with Hypertension in Gunungkidul, Yogyakarta Pangesti, Tri Puji; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hypertension is the single largest con­tributor to the global burden of disease (GBD). The Chronic Disease Management Prog­ram (Prolanis) is a health service system and a pro­active approach implemented in an integrated manner. This study aimed to determine the ef­fec­tive­ness of Prolanis on the "CERDIK" healthy be­ha­vior for hypertensive patients.Subjects and Method: This cross-sectional stu­dy was conducted in hypertensive patients in 25 working areas of health centers in Gunung­ki­dul, Special Region of Yogyakarta, from January to February 2020. A sample of 200 hypertensive pa­tients was selected by simple random sampl­ing. The dependent variable was the "CERDIK" healt­hy behavior for hypertensive patients. The in­dependent variables were chronic disease ma­na­gement program (Prolanis), education level, peer support, family support, and sex. Other data we­re collected by using a questionnaire. Data we­re analyzed by path analysis using the Stata 13 application.Results: “CERDIK" healthy behavior for hyper­ten­­sive patients increased with active prolanis acti­vity (b= 5.00; 95% CI= 2.80 to 7.20; p <0.001), higher education (b= 1.52; 95% CI= 0.48 to 2.54; p= 0.004), strong family support (b= 1.­38; 95% CI= 0.20 to 2.57; p= 0.023), strong pe­er support (b= 0.61; 95% CI= -0.67 to 2.51; p= 0.­352), and female (b= 2.8; 95% CI= -5.01 to -0.64; p= 0.011). Education, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Conclusion: “CERDIK" healthy behavior for hyper­ten­­sive patients increases with active pro­lanis acti­vity, higher education, strong family support, strong pe­er support, and female. Edu­cation, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Keywords: Prolanis, “CERDIK” healthy beha­vi­our, hypertension, path analysisCorrespondence: Tri Puji Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: tri­pu­ji­pangesti8@gmail.com. Mobile: 0823­126­57­­779.Journal of Health Promotion and Behavior (2020), 05(03): 187-196https://doi.org/10.26911/thejhpb.2020.05.03.05. 
Meta-Analysis: The Effectiveness of Web-Based Health Promotion Interventions on Vegetable Consumption in Children Putra, Sinar Perdana; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Consuming healthy food throughout life helps prevent malnutrition in all forms of various diseases. In the first 2 years of a child's life, optimal nutrition fosters healthy growth. Vegetables and fruit are food sources that contain many nutrients that humans must consume at every meal. EHealth is playing an increasingly large role in life and the internet has great potential to be a source of low cost and effective health promotion interventions.Subjects and Method: This study was a meta-analysis of a number of Randomized Controlled Trial study designs. The articles used in this study were obtained from several databases including PubMed, Google Scholar, and Springer Link. The articles used in this research are those published from 2010-2020. The article search was carried out by con­sidering the eligibility criteria defined using the PICO model. The population in the study was children aged 2 to 12 years old with an inter­vention in the form of web-based health promotion, comparison, which was not given a web outcome-based health promotion interven­tion in the form of vegetables consumption. The keywords for finding articles are as follows: "Intervention Health Promotion Web-Based" OR "eHealth Intervention" AND "Non-Inter­vention Health Promotion Web-Based" OR "Non eHealth Intervention" AND "Child" AND "Vegetables" AND "Randomized Controlled Trial”. The articles included in this study were full text articles with the design of a Rando­mized Controlled Trial (RCT) study. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Mana­ger 5.3 application.Results: A total of 9 articles were reviewed in this study. Meta-analysis of 9 primary data shows that web-based health promotion inter­ventions can increase children's vegetable con­sumption with statistically significant results (Standarized Mean Difference= 0.82; 95% CI= 0.26 to 1.37; p= 0.004).Conclusion: Web-based health promotion interventions can increase vegetables consump­tion in children.Keywords: Intervention Health Promotion Web-Based, eHealth, vegetables consumptionCorrespondence: Sinar Perdana Putra. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: perdanasinarp@gmail.com Mobile: 085727777227.Journal of Health Promotion and Behavior (2020), 05(03): 197-208https://doi.org/10.26911/thejhpb.2020.05.03.06.  
The Effects of Diet, Physical Activity, and Social Support on Overweight and Obesity in Female Adolescents Rahelli, Yeti; Kristiyanto, Agus; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Obesity is reaching global epidemic proportions with a threefold increase from 1975-2016. The percentage of adolescents aged 12-19 years old who are obese has increased from 5% -21% in the same period. The SCT can determine dietary behavior and regular physical activity. Study shows that a healthy diet, regular activity and social support contribute to weight gain. This study aims to estimate the effect of diet, physical activity, social support on overweight girls.Subjects and Method: This study was an observational analytic study with a cross sectional design. The sample size was 120 study subjects using stratified random sampling. Data analysis with path analysis using the Stata 14 program.Results: Overweight/ obesity was directly reduced by healthy diet (b= -3.62; 95% CI= -5.08 to -2.15; p<0.001), healthy behavior (b= -2.02; 95% CI= -3.40 to -0.67; p= 0.003), and high physical activity (b= -1.74; 95% CI= -3.40 to -0.10; p= 0.038). Overweight/ obesity was indirectly affected by vicarious learning, maternal education, family income, and family support.Conclusion: Overweight/ obesity is directly reduced by healthy diet, healthy behavior, and high physical activity. Overweight/ obesity is indirectly affected by vicarious learning, mater­nal education, family income, and family supportKeywords: diet, physical activity, family support, SCT, path analysisCorrespondence: Yeti Rahelli. Master of Public Health Sciences, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A Kentingan Surakarta 57126, Central Java, Indonesia. Email: yetirahelli@student.uns.ac.idJournal of Health Promotion and Behavior (2020), 05(03): 209-220https://doi.org/10.26911/thejhpb.2020.05.03.07 
Application of Health Belief Model on Breast Self-Examination: A Meta-Analysis Maranata, Maranata; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Breast cancer is a type of cancer and the leading cause of cancer death in wo­men. BSE is an early detection method for breast can­cer. Health Belief Model is a model of health behavior that can predict women's interest in prac­ticing BSE. This study aims to estimate the Health Belief Model's effect in the practice of BSE by meta-analysis.Subjects and Method: Meta-analysis was performed by searching for articles from the Pub­Med database, Springer Link, Elsevier, and Google Scholar. The keywords used were "health belief model," OR "health belief" OR "belief" AND "breast self-examination," OR "breast cancer screening." This study's inclu­sion criteria were full-text articles published in 2011-2020, a cross-sectional study design. Article analysis using RevMan 5.3 software.Results: There were 12 articles in total. The results showed that perceived benefits were strong (aOR= 1.02; 95% CI= 0.94-1.11; p= 0.590; I2= 73%), perceived barriers were weak (aOR = 1; 95% CI= 0.95-1.05; p= 0.920; I2= 87%).Conclusion: Perceived benefits and perceived barriers are not statistically significant in predi­c­t­i­ng BSE practice in women.Keywords: health belief model, perceived be­ne­­­fits, perceived barriers, BSECorrespondence: Maranata. Masters Program in Public Health, Universitas Sebe­las Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: marana­taima­@­gmail­.­com­. Mobile­: 085867548771Journal of Health Promotion and Behavior (2020), 05(03): 221-231https://doi.org/10.26911/thejhpb.2020.05.03.08. 

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