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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 509 Documents
SELF-CARE SKILLS OF CHILDREN WITH MODERATE INTELLECTUAL DISABILITY Pesau, Heni Gerda; Widyorini, Endang; Sumijati, Sri
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Intellectual disability is one of the developmental disorders that showing a delay in self-care skills that need to decrease the physical dependence of children to adults. Children with moderate intellectual disability could show diffe­rences in developmental and level of self-care skills that affected of few factors. The aim of the study is to explore the self-care skills of children with moderate intellectual disability on feeding, dres­sing, toileting, and self-hygiene, and factors that affect these skills.Subjects and Method: This was a qua­lita­tive stu­dy with case study ap­proach. A total of five sub­jects with moderate intellectual disability aged 7-12 years was selected for this study. The data were collected from eleven parents and teachers by interview. All data were analyzed by content analysis.Results: All five subjects have different levels of each of the self-care skills and get help from teachers or parents in some of these activities. The amount of help is influenced by internal fac­tors such as physical and motor problems as indi­ca­ted by observations of subject 2. External fac­tors that are found are parental roles, self-care practicing methods, and differences in parent attitudes. Behavioral problems factor such as aggressive, self-harm, and social withdrawal was not found. Self-care programs and the coordi­nation of parents and school as external factors were only found in subject 2 and 4.Conclusion: All five subjects showed varying abilities of the self-care skills and internal and external factors that affect these skills.Keywords: moderate intellectual disability, self-care skills, factorsCorrespondence: Heni Gerda Pesau. Faculty of Psychology, Uni­versitas Atma Jaya, Makassar. Jl. Tanjung Alang No.23 Makassar, South Sulawesi, Indonesia. Email: henigerda0@gmail.com. Mo­bile: +62853­41­916728Journal of Health Promotion and Behavior (2020), 5(1): 43-49https://doi.org/10.26911/thejhpb.2020.05.01.06
CONTEXTUAL EFFECT OF SCHOOL AND OTHER DETERMINANTS OF NON SMOKING BEHAVIOR AMONG HIGH SCHOOL STUDENTS IN BANTUL, YOGYAKARTA: A MULTILEVEL ANALYSIS Agustin, Roviana Nurda; Sulaeman, Endang Sutisna; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescence is a period of initiation of smoking and not smoking behavior. Non-smo­king behavior in adolescents is influenced by factors of knowledge, attitudes, subjective norms, perceptions of behavioral control, intention, parental support, teacher support, peer support, and in­formation media exposure. The purpose of this study was to analyze the contextual influence of schools on non-smoking behavior in adolescents in Bantul Regency, Yogyakarta.Subjects and Method: This was a cross sectional study conducted on 13 high schools and 12 vo­ca­tional high schools in Bantul Regency, Yogyakarta, from September to October 2019. A sample of 200 male adolescents aged 15-18 years was selected by stratified random sampling. The dependent variable was non-smoking behavior in adolescents. The inde­pendent variables were knowledge, attitudes, subjective norms, behavioral control perceptions, intentions, parental support, teacher support, peer support, and information media exposure. The data collections were performed using a questionnaire and analyzed using multilevel multiple logistic regression with Stata 13.Results: Non-smoking behavior in adolescents increases with high adolescent knowledge (b= 3.09; 95% CI= 0.86 to 5.33; p= 0.007), positive attitude (b= 2.92; 95% CI= 0.79 to 5.06; p= 0.007), norm subjective supportive (b= 2.81; 95% CI= 0.72 to 4.92; p= 0.009), perception of strong beha­vioral control (b= 3.60; 95% CI= 1.22 to 5.99; p = 0.003), non-smoking intention is strong (b= 3.09; 95% CI= 0.92 to 5.27; p= 0.005), strong family support (b= 2.80; 95% CI= 0.76 to 4.85; p= 0.007), strong teacher support (b= 2.98; 95% CI= 0.75 to 5.21; p= 0.009), strong peer sup­port (b= 2.58; 95% CI= 0.04 to 5.13; p= 0.046), and exposed to information media (b= 2.27; 95% CI= 0.45 to 4.09; p= 0.014). There was contextual effect of schools non-smoking be­ha­vi­or (ICC = 20.92%).Conclusion: Non-smoking behavior in adolescents is influenced by knowledge, attitude, sub­jec­tive norm, perceived behavioral control, intention, parental support, teacher support, peer support, and information media exposure. School has a contextual influence on non-smoking behavior in adolescents.Keywords: smoking, teenage behavior, schoolCorrespondence: Roviana Nurda Agustin. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: roviananurda@gmail.com. Mobile: 085­747­082310Journal of Health Promotion and Behavior (2019), 4(4): 274-286https://doi.org/10.26911/thejhpb.2019.04.04.04
The Association between Social Activity and Health-Related Quality of Life in Yogyakarta, Indonesia Minan, Baiq Wardatul; Agustin, Helfi
Journal of Health Promotion and Behavior Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Special Region of Yogyakarta is one of Province which has an old population structure in Indonesia. Total elderly are 45,000 or 13.81% of the total population. House for elderly (Rumah Sehat Lansia/ rusela) is a pro­motive and preventive prog­ram to improve the quality of life of the elderly in Yogyakarta. This study aimed to know the association between health related quali­ty of life with social activity at Rusela Facility in Yogyakarta, Indonesia.Subjects and Method: This was a cross-sec­tional study conducted at Rumah Sehat Lansia, in Yogyakarta. The dependent variable was health-related quality of life. The inde­pen­dent variable was social activity. A sample of 87 elderly was selected purposively. The data were collected by interviews using a struc­tured ques­tionnaire. The data were analyzed by Chi square test.Results: Sample characteristic were female (78.20%) and 56-65 years old (57.50%). There was a positive association between social acti­vity with health-related quali­ty of life in elderly (OR= 6.85; 95%CI= 2.64 to 18.91; p<0.001).Conclusion: There is a positive association between social activity with health-related quali­ty of life in elderly.Keywords: health-related quality of life, social activity, elderlyCorrespondence: Helfi Agustin. Department of Public Health, Ah­mad Dahlan University, Yogyakarta, Jl. Prof. Dr. Soe­po­mo, Janturan, Warung­bo­­to, Um­bul­harjo 55164, Yogyakarta. Email: helfi­agu­stin@­ik­m­.uad.ac.id. Mobile Phone: 0852­7455­4­­097.Journal of Health Promotion and Behavior (2020), 5(2): 87-95https://doi.org/10.26911/thejhpb.2020.05.02.03
THE CORRELATION BETWEEN PERCEPTION OF STIGMA OF HIV/AIDS AND UTILIZATION OF VOLUNTARY COUNSELING AND TESTING AND CARE, SUPPORT AND TREATMENT POLYCLINIC AT DJOELHAM HOSPITAL, BINJAI Rizkani, Ratih Sufra; Utama, Surya; Mutiara, Erna
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The health care services for people living with HIV/AIDS (PLWH; hereinafter is referred to as PLWHA) at Polyclinic of Vo­luntary Counselling and Testing (hereinafter is referred to as VCT) and Care, Support and Treat­ment (hereinafter is referred to as CST) are not optimally utilized because of the large number of Follow-Up Loss by PLWHA. The utilization of the services in 2018 was only 47% of the determined target of 90%. The objective of this study was to analyze the influence of individual characteristics such as age, sex, education level, marital status, and perception of HIV/AIDS negative stigma on the utilization of health services for HIV/AIDS at Polyclinic of VCT and CST.Subjects and Method: This is a cross-sectional study. The population was all visitors at the Poly­clinic who were diagnosed with HIV not later than March, 2018. Sixty eight patients were selec­ted by using total sampling technique. The inde­pen­dent variables consisted of individual charac­te­ris­tics (age, sex, education level, marital status) and perception of HIV/AIDS negative stigma, whereas the dependent variables were the utilization of VCT and CST Polyclinic. The data were collected through questionnaires and were analyzed by multiple logistic regression method.Results: the perception of high negative stigma of HIV/AIDS has led PLWHA to underutilize the health services of VCT and CST Polyclinic (OR= 18.20; 95%CI= 3.89 to 85.19; p< 0.001). The male PLWHA underutilized the health care ser­vi­ces at VCT and CST Polyclinic (OR= 4.91; 95%CI=1.19 to 20.23; p= 0.028).Conclusion: the perception of high negative stigma of HIV/AIDS and being a male PLWHA allowed the underutilization of the health services at VCT and CST Polyclinic.Keywords: perception of stigma, HIV, utiliza­tionCorrespondence: Ratih Sufra Rizkani. A Student at Master Program of Public Health Faculty in University of Sumatera Utara, Medan. ratih86rizkani@gmail.com. Mobile: 0852617­76718Journal of Health Promotion and Behavior (2020), 5(1): 26-34https://doi.org/10.26911/thejhpb.2020.05.01.04
Do Primary Schools Have Contextual Influence on Health Behavior? A Multilevel Evidence from Nganjuk, East Java Indriani, Frida; Pawito, Pawito; Pamungkasari, Eti Poncorini
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: Health problems among primary school age children caused by poor personal hygiene can be prevented by good clean and healthy life behavior. Clean and healthy life behavior is affected by perceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, cues to action, and self-efficacy. This study aimed to analyze the contextual effect of primary school on clean and healthy life behavior in primary school age children in Nganjuk, East Java.Subjects and Method: This was cross sectional study conducted at 25 primary schools in Nganjuk, East Java, from August to December 2019. There were 200 primary school  age children aged 6-12 years involved as the sample of this study. The study used stratified random sampling. The dependent variable was clean and healthy life behavior. The independent variables were pe­rceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, cues to action, and self-efficacy. This study used questionnaires to collect the data. This study used multilevel multiple logistic regression with Stata 13 to analyze the data.Results: Clean and healthy life behavior in the primary school age children increased with high perceived susceptibility (b=1.06; 95%CI=0.31 to 1.80; p=0.005), high perceived seriousness (b= 0.92; 95%CI=0.16 to 1.68; p=0.018 ), strong perceived benefit (b=0.76; 95%CI=0.05 to 1.47; p= 0.036), strong cues to action (b=0.97; 95%CI=0.26 to 1.68; p=0.007), and strong self-efficacy (b= 1.16; 95%CI=0.43 to 1.89; p=0.002). Clean and healthy life behavior in the primary school  age children decreased with strong perceived barrier, but the result was statistically non-significant (b= -0.27; 95%CI=-1.02 to 0.33; p=0.484). Primary school had a contextual effect on clean and healthy life behavior (ICC 17.33%).Conclusion: Clean and healthy life behavior in primary school  age children is affected by per­ceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, cues to action, and self-efficacy. Primary school has a contextual effect on clean and healthy life behavior.Keywords: clean and healthy life behavior, Health Belief Model, contextual of primary schoolCorrespondence:Frida Indriani, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir.Sutami 36A, Surakarta, Central Java, Indonesia. Email: nersfrida15@gmail.com. Mobile: 082226327646Journal of Health Promotion and Behavior (2019), 4(3): 235-245https://doi.org/10.26911/thejhpb.2019.04.03.08
APPLICATION THEORY OF PLANNED BEHAVIOR: DETERMINANTS OF BEHAVIOR TO USE PERSONAL PROTECTIVE EQUIPMENT AMONG TOBACCO FARMERS IN TEMANGGUNG, CENTRAL JAVA: A MULTILEVEL ANALYSIS Kumala, Yovita Eka Ratna; Rahardjo, Setyo Sri; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tobacco farmers has the risk of being exposed by wet nicotine during har­vest­ing tobacco leaves or is often called as Green Tobacco Sick­ness (GTS). GTS preven­tion can be conduc­t­ed by using Personal Pro­tec­tive Equipment (PPE) before farmers har­ves­t­ing tobacco leaves. Beha­vior in using PPE among farmers is affected by sex types, education, attitude, subjective norm, in­ten­tion, and perceived behavioral control. The stu­dy aims to analyze the determinant of beha­vior to use PPE among tobacco farmers in Te­man­g­gung Regency, Central Java.Subjects and Method: It was a cross sectional study, conducted in 25 villages in Temanggung Regency, August ? October 2019.  The sample was a total of 200 tobacco farmers. The sampling technique used was simple ran­dom sampling. Dependent variable of the study was behavior to use PPE among tobacco farmers. Independent va­riables of the study were sex types, education, attitude, subjective norm, intention, and per­ce­i­v­e­d behavioral control. The data collection used was question­nai­res and processed by using mul­tilevel multiple logistic regression with Stata 13.Results: The use of PPE among tobacco farmers during harvesting tobacco leaves was increased by male (b= 2.52;  95% CI= 1.39 up to 3.66; p<0.001), education ? High School (b= 2.15;  95% CI= 1.10 up to 3.19; p<0.001), strong famers? intention (b= 1.82;  95% CI= 0.13 up to 2.22; p= 0.027), positive farmers? attitude (b= 1.63;  95% CI= 0.58 up to 2.68; p= 0.002), supporting subjective norm (b= 1.74;  95% CI= 0.67 up to 2.81; p= 0.001), and strong per­ceived behavioral control (b= 1.53;  95% CI= 0.52 up to 2.54; p= 0.003).Conclusion: Behavior to use PPE among tobac­co farmers is affected by sex types, edu­cation, at­ti­tude, subjective norm, and perceived behavioral control.Keywords: behavior to use PPE, farmers, theory of planned behaviorCorrespondence: Yovita Eka Ratna Kumala. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indo­nesia, 57126. Email: yovitakuma­la­19@gmail­.­com­. Mo­bile: 083867630850Journal of Health Promotion and Behavior (2020), 5(1): 50-58https://doi.org/10.26911/thejhpb.2020.05.01.07
FACTORS AFFECTING EARLY MARRIAGE AMONG FEMALE ADOLESCENTS: A PATH ANALYSIS EVIDENCE FROM BLORA, CENTRAL JAVA Anggraini, Wella; Pawito, Pawito; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Early marriage is a phenomenon which has been a controversy to this day. The prevalence of early marriage in Indonesia has decreased, namely in 2013 by 24% and decreased by 1% in 2015. The purpose of this study was to analyze the factors that influence early marriage in Blora, Central Java, using a path analysis model.Subject and Method: This was a cross sectional study conducted in Blora, Central Java, from September to October 2019. A sample of 200 married women within 5 years was selected by ran­dom sampling. The dependent variable was early marriage. The independent variables were paren­tal income, peer support, society culture, parental support, daughter's status, attitude, subjective norms, perceived control of behavior (PBC), and intention. The data were collected by question­naire analyzed by path analysis run on Stata 13.Results: The likelihood of early marriage in adolescents increased with strong intention (b= 2.06; 95% CI= 3.00 to 1.13; p <0.001) and low family income (<Rp. 1,650,000) (b= 1.83; CI 95% = 2.68 to 0.98; p<0.001). The likelihood of early marriage was decreased with weak status of girls in families (b= -1.71; 95% CI= -2.61 to -0.80; p<0.001) and strong peer support to not do early marriage (b= -2.08; 95% CI=  -2.98 to -1.19; p<0.001). Early marriage was indirectly affected by attitude through society culture, intention through family support, intention through attitude, intention through perceived behavioral control, and family support through subjective norm.Conclusions: The likelihood of early marriage in adolescents increases with strong intention and low family income. The likelihood of early marriage is decreased by weak status of girls in families and strong peer support to not do early marriage. Early marriage is indirectly affected by society culture, family support, attitude, PBC, and subjective norm.Keywords: early marriage, adolescentsCorrespondence: Wella Anggraini. Masters Program of Public Health Science, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: wellaanggraini89@gmail.com. Mobile: 081215216795Journal of Health Promotion and Behavior (2019), 4(4): 287-297https://doi.org/10.26911/thejhpb.2019.04.04.05
Parenting Styles and Resilience towards Reproductive Health in Married Female Adolescents in Gunungkidul, Yogyakarta, Indonesia Yohana, Beby; Sunarsih, Tri; Rokhanawati, Dewi
Journal of Health Promotion and Behavior Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: More than 700 million women were married before turning 18 in all over the world. In 2016, Gunung Kidul Regency, Yogya­karta, Indonesia, had the highest number of child marriages which accounted for 1.395 cases. Con­sider­ing the many negative factors of early preg­nan­cy, possessing the ability to survive and over­come hardship is imperative for married female adolescents. This study aimed to examine the effects of parenting style on resilience toward health repro­ductive.Subjects and Method: This was a cross sec­tion­al study conducted in Gunung Kidul, Yogya­karta, Indonesia. A total of 79 married female adoles­cents were selected for this study. The depen­dent variable was resilience toward repro­ductive health. The indepen­dent variables were age, education, employment, information source, economic status, know­ledge, paternal parenting style, and maternal parent­ing style. The data were collected using questionnaire and analyzed by a multiple logistic regression.Results: High knowledge (OR= 3.48; 95% CI= 0.11 to 10.55; p= 0.028) and democratic parent­ing style (OR= 5.11; 95% CI= 1.62 to 16.05; p= 0.005) increased the resilience toward repro­ductive health in married female adolescents, and they were statistically significant.Conclusion: High knowledge and democratic parent­ing style increases the resilience toward repro­ductive health in married female adolescents.Keywords: resilience, reproductive health parenting styleCorrespondence: Beby Yohana. Masters Program in Midwifery, Universitas Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Gam­ping, Sleman, Yogyakarta, Indonesia Email: yo­ha­na.beby@yahoo.com. Mobile: 0811291­0055Journal of Health Promotion and Behavior (2020): 96-103https://doi.org/10.26911/thejhpb.2020.05.02.04 
THE EFFECTIVITY OF PEER EDUCATION MODULE ON KNOWLEDGE, ATTITUDE, AND FAST FOOD CONSUMPTION IN ADOLESCENTS Manggabarani, Saskiyanto; Said, Irfan; Hadi, Anto J.; Saragih, Rapida; Cristandy, Muhammad; Januariana, Neni Ekowati
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Increasing obesity sufferers every year, in a few decades becomes an impor­tant problem. Increased obesity can lead to an increa­s­­ed risk of degenerative diseases which can cause death. Several attempts have been made to prevent and treat obesity. The pur­­­pose of this study is to determine the effective­­ness of peer edu­­ca­tion on knowledge, attitudes, and con­sump­­tion of fast food in adolescents.Subjects and Method: This study is a ran­do­m­ized controlled trial conducted at a Junior High School (SMP Ne­geri 6 Medan), North Su­matera. Samples taken were 60 stu­dents chosen random­ly. The sample was divided into 2 groups: a peer game edu­cation leaf­let group and a peer edu­cation modu­le group. The depen­dent va­r­i­­­able is know­ledge, attitudes, and habits of fast fo­od con­sumption. The indepen­dent vari­able is the pro­vision of leaflets and peer edu­ca­tion mo­du­­les. The data were obtained through in­­­ter­­­­­view, Food Frequency Question­naire (FFQ), and Food Re­call 24 hours. Data were analy­z­ed using t-test.Results: The results showed that the value of nut­ritional knowledge and obesity in the control group (Mean= 12.07; SD= 1.44) was lower com­pared to the intervention group (Mean= 13.50; SD= 1.99), but not statistically significant (p= 0.523). Attitudes toward nutrition and obesity in the control group (Mean= 11.50; SD= 1.22) were low­er than those in the intervention group (Mean = 13.00; SD= 1.78) and were statistically proven sig­nifi­cant (p= 0.008). The score of fast food con­­sumption habits in the control group (Mean= 8.17; SD= 1.23) is lower than that of the inter­vention group (Mean= 9.50; SD= 1.17) and is statis­tically proven significant (p <0.001).Conclusion: The nutrition peer education mo­dule has been shown to be effective in increas­­ing attitudes about nutrition and obesity and redu­cing fast food consumption habits and this has been statistically significant. The nutri­tion peer education module increases know­ledge scores, but is not statistically significant.Keywords: obesity, consumption of fast food, peer educationCorrespondence: Saskiyanto Manggabarani, Helvetia Health Ins­ti­tute, Jl. Kapten Sumarsono No. 107 Medan, North Sumatera, Indonesia. Email: zhakymang­gabarani@gmail.com.Journal of Health Promotion and Behavior (2020), 5(1): 35-42https://doi.org/10.26911/thejhpb.2020.05.01.05
THEORY OF PLANNED BEHAVIOR AND HEALTH BELIEF MODEL ON FACTORS ASSOCIATED WITH BREAST SELF EXAMINATION AMONG UNIVERSITY STUDENTS Fajriah, Asruria Sani; Respati, Supriyadi Hari; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The new cases of breast cancer worldwide are estimated at 1,384,155 with almost 459,000 related deaths. A common problem for breast cancer treatment is patients who often come to a health care provider when they are in the final stages of cancer. Early detection of breast cancer can be conducted by using the method of Breast Self Examination (BSE). This study aimed to analyze the determinant of Breast Self Examination (BSE) in female university students.Subjects and Method: This study used a cross sectional design. This study was conducted at Universitas Sebelas Maret, Surakarta, Central Java, from August-September 2019. A sample of 200 female university students was selected by simple random sampling. The dependent variable was Breast Self Examination. The independent variables were age, perceived barrier, self-efficacy, subjective norm, and attitude. The data were collected by using questionnaires. The data were analyzed by a multiple logistic regression run on Stata 13.Results: Breast Self Examination (BSE) increased with age ?20 years (OR=5.01; 95%CI=1.79 to 14.00; p=0.002), positive perceived barrier (OR=0.0CI8;95%=0.03 to 0.27; p<0.001), strong self-efficacy (OR=6.40; CI 95%=2.53  to 16.23; p<0.001), strong subjective norm (OR=4.13; 95%CI= 1.55 to 10.99; p=0.004), and positive attitude (OR=7.55; 95%CI= 2.57 to 22.22; p=0.022).Conclusion: Breast Self Examination (BSE) increased with age, perceived barrier, self-efficacy, subjective norm, and attitude.Keywords: breast cancer, breast self examination, theory of planned behavior, screeningCorrespondence: Asruria Sani Fajriah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sanifajriah­@­gmail.com. Mobile: +6285790341801.Journal of Health Promotion and Behavior (2019), 4(4): 246-257https://doi.org/10.26911/thejhpb.2019.04.04.01