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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.
Arjuna Subject : -
Articles 509 Documents
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Path Analysis on the Effects of Peer Support and Sanitation Facilities on Personal Hygiene among Female Student having Menstruation in Sragen Central Java Kunaryanti, Kunaryanti; Budihastuti, Uki Retno; Dewi, Yulia Lanti Retno
Journal of Health Promotion and Behavior Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Poor personal hygiene during menstruation causes the risk of Reproductive Tract Infection (RTI) in adolescent. It threatens women's health. Personal hygiene is affected by attitude, peer support, and the availability of personal hygiene facilities. This study aims to analyze the determinant of personal hygiene in adolescents during menstruation in Sragen Regency, Central Java.Subjects and Method: This study was an analytic observational study with a cross sectional design. The study was conducted in June 2019. A sample of 200 study subjects was selected for this study by simple random sampling. The dependent variable was personal hygiene. The inde­pendent variables were attitude, peer support, and the availability of personal hygiene facilities. The study was collected by questionnaire and analyzed by path analysis.Results: Personal hygiene was directly and positively affected by positive attitude (b=1.38; 95% CI=0.78 to 1.98; p<0.001). Personal hygiene was indirectly affected by strong peer support and the availability of good personal hygiene facility.Conclussion: Personal hygiene is directly and positively affected by positive attitude. Personal hygiene is indirectly affected by strong peer support and the availability of good personal hygiene facility.Keywords: personal hygiene, attitude, peer support, personal hygiene facilitiesCorrespondence:Kunaryanti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: kunaryanti@yahoo.com. Mobile: +6285700900029.Journal of Health Promotion and Behavior (2019), 4(3): 170-177https://doi.org/10.26911/thejhpb.2019.04.03.02 
Path Analysis on the Effectiveness of Chronic Disease Prevention Program using Health Belief Model Aprilia, Nafi?ah; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Chronic disease prevention program is a proactive health service system on chronic diseases which can affect hypertension control. This study aimed to determine the effect of the chronic disease prevention program and the construction of the Health Belief Model (HBM) on the prevention of elderly hypertension with path analysis method.Subjects dan Method: This study used observational analytical study with retrospective cohort study approach. This study was conducted in four community health centers in Ngawi Regency, East Java, in April-May 2019. The total sample of 200 elderly aged 60-74 years was divided into2 groups, such as group which participated in chronic disease prevention program(case) and the group which did not participate in chronic disease prevention program(control) based on fixed exposure sampling. The dependent variable of this study was hypertension control. The independent variables in this study were participants in a chronic disease prevention program, perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy. Variable data collection used questionnaires and analyzed using path analysis.Results: Hypertension control was directly and positively affected by chronic disease prevention program(b= ­­2.85­; ­95%CI= 0.48 to 5.22; p= 0.018), perceived vulnerability (b= 1.35; 95%CI= 0.16 hingga 2.53; p= 0.025), perceived seriousness (b= 0.83; 95%CI= 0.04 to 1.62; p= 0.039), and self-efficacy (b= 0.99; 95%CI= 0.14 to 1.85; p= 0.023). Hypertension control was indirectly affected by perceived benefits, perceived barriers, and cues to action.Conclusion: Hypertension control in the elderly is directly and positively affected by participation in chronic disease prevention program, perceived vulnerability, perceived seriousness, and self-efficacy. Hypertension control is indirectly affected by perceived benefits, perceived barriers, and cues to action.Keywords: Hypertension, chronic disease, prevention, Health Belief Model, path analysisCorrespondence: Nafi?ah Aprilia. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nafiahlia@gmail.com. Mobile: 082230766393Journal of Health Promotion and Behavior (2019), 4(2): 85-97https://doi.org/10.26911/thejhpb.2019.04.02.01
Does the Integrated Health Post have Contextual Effect on Tertiary Preventive Behavior among Hypertensive Patients? A Multilevel Analysis Evidence from Surakarta Ferdianto, Angga; Tamtomo, Didik Gunawan; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The Indonesian Ministry of Health has launched a community-based non-com­mu­nicable disease (PTM) control program through the non-communicable disease Integrated Deve­lopment Post (Posbindu PTM). One of the non-communicable disease which is a very serious health problem is hypertension which is called the silent killer. The purpose of this study was to analyze the contextual effect of integrated development posts on the tertiary prevention behavior of patients with hypertension using Theory of Planned Behavior.Subjects and Method: A cross sectional study was conducted at 25 integrated health post in Surakarta, from September to October 2019. A sample of 200 hipertensive patients was selected by stratified random sampling. The dependent variable was tertiary prevention behavior. The inde­pendent variables were education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support. The data were collected by questionnaire and analyzed by multi­ple logistic regression run on Stata 13.Results: Tertiary prevention behavior in patients with hypertention increased with education level ≥Senior high school (b= 1.22; 95% CI= 0.37 to 2.08; p= 0.005), positive attitude (b= 1.51; 95% CI= 0.54 to 2.48; p= 0.002), supportive subjective norm (b= 1.38; 95% CI= 0.46 to 2.29; p= 0.003), strong perceived behavioral control (b= 1.10; 95% CI= 0.17 to 2.03; p= 0.020), strong intention (b= 0.97; 95% CI= 0.13 to 1.82; p= 0.023), strong integrated development post cadre support (b= 1.57; 95% CI= 0.69 to 2.46; p<0.001), and strong peer support (b= 1.46; CI 95% = 0.57 to 2.35; p = 0.001). Integrated development post had a contextual effect on tertiary prevention behavior of hypertension with intra-class correlation (ICC)= 16.03%Conclusion: Education, attitude, subjective norm, perceived behavior control, intention, cadre support, and peer support increased tertiary prevention behavior of hypertension.Keywords: Tertiary prevention of hypertension, Theory of Planned BehaviorCorrespondence: Angga Ferdianto, Institute of Health Science Ngudia Husada Madura, Jl. RE. Martadinata No. 45 Mlajah, Bangkalan 69116. East Java, Indonesia. Email: angga.rmd@gmail.com. Mobile: +628574­6555354Journal of Health Promotion and Behavior (2019), 4(3): 224-234https://doi.org/10.26911/thejhpb.2019.04.03.07
Effects of Chronic Disease Control Club on Physical Activity, Anxiety, and Blood Sugar Level: A Path Analysis Evidence Putra, Fajar Alam; Indarto, Dono; Dharmawan, Ruben
Journal of Health Promotion and Behavior Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes mellitus (DM) is a serious chronic disease with a tendency to worsen. The number of DM cases worldwide in 2015 was 415 million people and is expected to increase by 642 million cases in 2040. Indonesia ranks 7th in the world with 10 million DM cases in 2015, around 90% of which are Diabetes Mellitus Type 2. This study aimed to determine the effects of chronic disease control club on physical activity, anxiety, and blood sugar level.Subjects and Method: This was a cross sectional study conducted at Sukoharjo health center, Sukoharjo, Central Java, from August to September 2018. A sample of 245 type 2 DM patients was selected for this study. The independent variables were physical activity, anxiety, chronic disease control club, and complications. Data were collected using HARS, physical activity, complication and club activitiesquestionnaires. Data were analyzed by using path analysis.Results: Anxiety directly increased with com­plication (b= 12.55; 95% CI= 111.98 to 13.90; p<0.001). Anxiety directly de­cre­ased with chronic disease control club (b= -3.29; 95% CI= -4.72 to -1.85; p<0.001). Fasting blood sugar directly incre­ased with anxiety (b= 2.78; 95% CI= 1.32 to 4.24; p<0.001) and complication (b= 33.14; 95% CI= 8.40 to 57.87; p= 0.009). Fasting blood sugar directly decre­ased with physical activity (b= -15.12; 95% CI= -19.89 to -10.35; p<0.001) and chro­nic disease control club (b= -30.14; 95% CI= -48.80 to -11.48; p= 0.002).Conclusion: Anxiety directly increases with com­plication. Anxiety directly de­cre­ases with chronic disease control club. Fasting blood sugar directly incre­ases with anxiety and compli­cation. Fasting blood sugar directly decre­ases with physical activity and chro­nic disease control club.Keywords: blood sugar level, physical activity, anxiety, chronic disease control clubCorrespondence: Fajar Alam Putra. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: bolodewe88@gmail.comJournal of Health Promotion and Behavior (2019), 4(3): 137-144https://doi.org/10.26911/thejhpb.2019.04.02.06
Risk Factors of HIV among Male Military Personnels: A Meta Analysis Anulus, Ayu; Murti, Bhisma; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Military personnel has a high risk of being exposed to HIV. The transmission of HIV from male military personnel is like an iceberg phenomenon. Based on studies in the US, UK, and France, the military personnel from these countries are much more likely to be contaminated with HIV than the equal age/sex group in the civilian population. This study aimed to analyze the risk factors of HIV among male military personnel by using meta-analysis.Subjects and Method: This study was a systematic and meta-analysis study. The articles used in this study were obtained from several electronic databases including PubMed, Scopus, Springer Link, ScienceDirect, and Clinical key. These articles were collected for 2 weeks. The keywords used in searching for the articles were as follows: "HIV", "soldier", "military", "armed force", "army", "navy", "air force", "armed force", "sex partner", "man having sex with man (MSM)", "homosexual", number of marriage","prostitute","sexually transmitted infection (STI)", and "conscription". The articles included in this study were full-text articles with cross-sectional design. The articles were collected using PRISMA flow diagram. These articles were analyzed using meta-analysis with the Review Manager 5.3 application.Results: MSM (aOR= 9.37; 95%CI= 5.31 to 16.55; p <0.001), sexually transmitted infections (aOR = 3.75; 95%CI= 3.00 to 4.68; p<0.001), sexual partners> 10 (aOR= 3.05; 95 CI= 2.12 to 4.38; p<0.001) increased the incidence of HIV among male military personnel, and it was statistically significant. Sex with CSWs (aOR= 3.93; 95% CI= 0.93 to 16.62; p= 0.060) increased the incidence of HIV among male military personnel, but it was not statistically significant.Conclusion: MSM, STI, and sexual partners >10 increase the incidence of HIV among male military personnels.Keywords: HIV, MSM, commercial sex workers, sexually transmitted infection, CSW, militaryCorrespondence: Ayu Anulus. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anulusayu@gmail.com. Mobile: 082359056395.Journal of Health Promotion and Behavior (2019), 4(3): 178-188https://doi.org/10.26911/thejhpb.2019.04.03.03
Education M-Health Android-based Smartphone Media Application "Mama ASIX" for Third Trimester Pregnant Women as Preparation for Exclusive Breastfeeding Dewi, Mariza Mustika; Djamil, Masrifan; Anwar, M. Choiroel
Journal of Health Promotion and Behavior Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The lack of exclusive breastfeeding coverage is partly due to the low knowledge of mothers and families regarding the benefits and the right way to breastfeed and not maximally activities education, socialization, advocacy, and campaigns related to exclusive breastfeeding. The purpose of this study was to prove the effectiveness of education M-Health using the media application of smartphone Android-based ?Mama ASIX" in third-trimester pregnant women as preparations for exclusive breastfeeding mothers.Subjects and Method: This was a quasi-experiment study with non-equivalent pretest-posttest with control group design. This study was conducted at the Genuk and Pegandan health centers in Semarang, Central Java. The subjects of 36 pregnant women in the third trimester were selected by probability sampling technique were the type of purposive sampling. The independent variables were the application of "Mama ASIX" application and counseling with leaflet, while the dependent variable was the knowledge and attitude of breastfeeding. The instrument in the study is a questionnaire. Data were analyzed using the Wilcoxon test and the Mann-Whitney test.Results: Knowledge about breastfeeding increased (mean = 67.78 to 91.33, 95%CI, p< 0.001), breastfeeding attitudes by mothers increased (mean= 68.67 to 85.94 95%CI, p= 0.001), the application "Mama ASIX" is more effective in increasing knowledge of breastfeeding (difference in mean= 23.55, 95%CI, p= 0.030) and the attitude of breastfeeding (difference in mean = 17.27, 95%CI, p= 0.029).Conclusion: Education M-Health using the Android-based smartphone media application "Mama ASIX" in the third trimester pregnant women can help mothers prepare exclusive breastfeeding by increasing the knowledge and attitude of breastfeeding for their babies.Keywords: Knowledge, Attitude, Education, MHealth, AndroidCorrespondence: Mariza Mustika Dewi. Applied Midwifery, Graduate Program, School of Health Polytechnics, Ministry of Health Semarang. Jl.Tirto Agung, Pedalangan, Banyumanik, Semarang, Central Java. Email: dewimariza1803@gmail.com. Mobile: +6585865776356.Journal of Health Promotion and Behavior (2019), 4(2): 98-109https://doi.org/10.26911/thejhpb.2019.04.02.02
Factors Associated with Dental Care Utilization among Pregnant Women at Klapanunggal Health Centre, Bogor, Indonesia Widita, Itsna; Hastono, Sutanto Priyo
Journal of Health Promotion and Behavior Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Oral health care during pregnancy is important for the health of the mother and child.During pregnancy, many changes occur in oral cavity that can be linked to periodontal di­sea­se, including gingivitis and periodontitis. Oral health condition of pregnant women may adversely bring impacts such as preterm low birth weight (PLBW) and premature birth. Pregnant women need to regularly check oral health to a dentist. However, the number of utilization of dental service which is indicated by pregnant women?s dental visit data in Indonesia is still very low.This study aimed to determine factors associated with dental care visit among pregnant women.Subjects and Method: This was a cross-sectional study conducted at Klapanunggal health cen­ter, Bogor, Indonesia. A sample of 60 pregnant women was selected by consecutive sampling. The de­pendent variable was dental care utilization. The independent variables were oral health problem and knowledge. The data were collected by questionnaires and analyzed by a multiple logistic re­gres­sion.Results: Most of pregnant women claimed that their oral health was good (35%) or average (35%). On the contrary, most of them admitted of having had at least one oral health problem (55%), in­clu­ding bleeding gum (35%), dental cavity (33.3%), and painfull teeth (10%). However, only 23.3% of pregnant women visited dentist during the current pregnancy. Factors associated with dental visit were existence of oral health problem (OR=6.41; p=0.019) and oral health knowledge during preg­nancy (OR= 4.03; p=0.050) after controlling education, employment, income, and health in­su­rance.Conclussion: utilization of oral health care service among pregnant women was low. Pregnant wo­men who reported dental visit were more likely to be those who had oral health problem and who had good oral health knowledge during pregnancy.Keywords: oral health, pregnancy, antenatal care, dental visitCorrespondence: Itsna Widita, Masters Program in Quality of Health Services, Faculty of Public Health, Universitas Indonesia. Email: itsnawidita@gmail.comJournal of Health Promotion and Behavior (2019), 4(2): 145-152https://doi.org/10.26911/thejhpb.2019.04.02.07
The Effect of Community Health Center on Visual Acetic Acid Uptake in Pati, Central Java Wulan, Retno; Pawito, Pawito; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is included in the category of malignant tumors that arise in the cervix of women. The incidence of cervical cancer is high due to lack of awareness to make efforts to examine early detection of cervical cancer by using the visual inspection acetic acid (VIA) method. The purpose of this study was to analyze the effect of community health center on the use of VIA.Subjects dan Method: This was an analytic observational study with a cross sectional design. was The study was conducted at 29 community health centers in Pati, Central Java. A sample of 232 women was selected by simple random sampling. The dependent variable was VIA uptake. The independent variable were perceived susceptibility, perceived seriousness, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, economic status, and social capital. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Result: Community health center had a contextual effect on VIA uptake with intra-class correlation (ICC)= 16.91%. VIA uptake increased with high perceived susceptibility (b= 3.21; 95% CI= 0.22 to 6.19; p = 0.035), high perceived seriousness (b= 4.68; 95% CI= 1.06 to 8.29; p= 0.011), high perceived threat (b= 4.03; 95% CI= 0.61 to 7.45; p= 0.021), high perceived barrier (b= 2.48; 95% CI= 0.06 to 4.91; p= 0.044), high perceived benefit (b= 2.50; 95% CI= 0.10 to 4.91; p= 0.041), and high economic status (b= 11.22; 95% CI= 3.64 to 18.81; p= 0.004). VIA uptake decreased with low cues to action (b= -0.92; 95% CI= -3.08 to 1.24; p= 0.405), low self-efficacy (b= -0.32; 95% CI= -2.45 to 1.80; p= 0.765), and low social capital (b= 0.79; 95% CI= 3.64 to 18.81; p= 0.562).Conclusion: Community health center had a contextual effect on VIA uptake. VIA uptake increases with high perceived susceptibility, high perceived seriousness, high perceived threat, high perceived barrier, high perceived benefit, and high economic status. VIA uptake decreases with low cues to action, low self-efficacy, and low social capital.Keywords: Community Community health center, Acetic Acid Visual Inspection.Correspondence: Retno Wulan. Masters Program of Public Health, Universitas Sebelas Maret, JL. Ir.Sutami 36A, Surakarta, Central Jawa, Indonesia. E-mail: wuland.cimmutzz12@gmail.com. Mobile: 0857­4096­9271.Journal of Health Promotion and Behavior (2019), 4(3): 189-197https://doi.org/10.26911/thejhpb.2019.04.03.04
Path Analysis: Application of Health Belief Model on the Determinants of Clean and Healthy Behavior among Elderly with Hypertension Imtichan, Septian Najib; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Lifestyle or behavioral factors critically determine high blood pressure in individuals. Elderly with hypertension in Indonesia aged 55-64 years by 45.9%, 65-74 years by 57.6%, and > 75 years by  63.8%. This study aimed to examine factors affecting healthy behavior in elderly with hypertension using the health belief model.Subjects and Method: This was a cross-sectional study conducted in Ngawi, East Java, from June to July 2019. A sample of 200 elderly was selected by multistage random sampling. The dependent variable was clean and healthy behavior. The independent variables were perceived susceptibility, perceived severity, perceived benefit, cues to action, self-efficacy, knowledge, attitude, and access to health service. The data were collected by questionnaire and analyzed by path analysis.Results: Clean and healthy behavior was positively and directly affected by self-efficacy (b= 1.51; 95% CI= 0.29 to 2.74; p= 0.015), attitude (b= 2.37; 95% CI = 1.17 to 3.56; p<0.001) , cues for action (b = 2.48; 95% CI= 1.11 to 3.86; p <0.001), perceived susceptibility (b= 2.07; 95% CI= 0.89 to 3.26; p= 0.001), perceived severity (b= 1.76; 95% CI= 0.54 to 2.99; p= 0.005), perceived benefit (b= 1.47; 95% CI= 0.36 to 2.57; p = 0.009), and access to health services (b= 2.26; 95% CI= 1.00 to 3.53; p<0.001). Clean and healthy behavior was indirectly affected by knowledge.Conclusion: The clean and healthy lifestyle behavior of the elderly is directly affected by the perceived vulnerability, perceived severity, perceived benefits, cues to act, self-efficacy, attitudes, and access to health services. Clean and healthy behavior is affected by knowledge.Keywords: clean and healthy behavior, elderly, health belief model, path analysisCorrespondence:Septian Najib Imtichan. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 54176, Central Java. Email: septianimtichan@gmail.com.Mobile: +6285229799672Journal of Health Promotion and Behavior (2019), 4(2): 110-120https://doi.org/10.26911/thejhpb.2019.04.02.03
Emotion Distress and Self-Care Behavior in Type II Diabetes Mellitus Patients in Matsum, Medan, North Sumatera Situmorang, Susy Hariaty; Lubis, Namora Lumongga; Rochadi, Kintoko
Journal of Health Promotion and Behavior Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes mellitus (DM) is currently one of the major health problems in the world because it has an impact on declining productivity and quality of human resources. This disease also causes sufferers to experience a state of disability, loss of productivity, and become a burden for individuals, families and communities that can cause emotional distress in people with diabetes mellitus. The purpose of this study was to determine the effect of emotional distress on self-care behavior of people with type 2 diabetes mellitus at the Matsum Health Center.Subjects and Method: This study used a cross sectional design conducted at Matsum Health Center in Medan. The number of samples was 49 people and taken with non-probability sampling technique by quota sampling. The dependent variable was self-care behavior. The independent variable was emotional distress. Data were collected by questionnaires and analyzed using Chi square test.Results: Low emotional distress increases self-care behavior in patients with type 2 diabetes mellitus (OR= 11.33; 95% CI with p = 0.004).Conclusion: Low emotional distress increases self-care behavior in patients with type 2 diabetes mellitus.Keywords: Emotional distress, self-care behavior, diabetes.Correspondence: Susy Hariaty Situmorang. Masters Program in Public Health, Universitas Sebelas Maret. Email: susysitu­morang88@gmail.com. Mobile: 081220230986.Journal of Health Promotion and Behavior (2019), 4(2): 153-158https://doi.org/10.26911/thejhpb.2019.04.02.08

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