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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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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 
Reasons for Quitting, Reasons for Relapse, and Knowledge toward the Danger of Smoking in Active Smokers Ichsan, Burhannudin; Nuredis, Yudwari Adhicha; Priscillah, Wildan
Journal of Health Promotion and Behavior Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Smoking is a national and world problem. The prevalence of smoking in Indo­nesia is quite high. Not all smokers have the motivation to quit smoking. Most people who quit smoking have relapse experiences. There have been many advertisements about the dangers of smoking. The dangers of smoking on average are known by everyone, including smokers themselves.Subjects and Method: This study is a quail­tative study which intends to determine the reasons for quitting and relapse and their knowledge of the dangers of smoking. The research subjects consisted of 29 people who met the criteria, namely smokers who had quit and then relapsed again in the city of Surakarta.Results: The results showed that the reasons for the respondents to quit smoking were: sick­ness, not allowed by their parents, no money, a work environment that did not allow them for smoking, having children, reflexes or suddenly wanting to not smoke, wanting to live healthy, because they wanted to register for official school, and because they like sports. Reasons for respondents who had stopped smoking relapsed, namely: recovery from illness, factors from friends and the environment, due to accidentally or suddenly smoking, addiction or dependence, and because of stress. The know­ledge of respondents who relapsed from smoking cessation behavior about the dangers of smoking, namely: smoking is a danger, ciga­rettes can cause cancer, smoking is detrimental to health, smoking can cause lung disease, coughing, shortness of breath, heart, smoking can cause throat disease, smoking can cause stroke, don't know the dangers of smoking, and some say it all depends on God.Conclusion: This study shows that people who return to smoking have a good knowledge of the dangers of smoking. The results of this study indicate that there are factors other than knowledge that influence smoking behavior.Keywords: smoker, quit, relapse, knowledgeCorrespondence: Burhannudin Ichsan. Department of Medical Community/ Public Health, Faculty of Medi­cine, Universitas Muhammadiyah Surakarta. Komplek Kampus 4 UMS Gonilan Kartasura, Jl. A. Yani Tromol Pos 1 Pabelan Kartasura, Sukoharjo, Surakarta, Central Java, Indonesia. Email: bi268@ums.ac.id. Mobile: 081325­49­5988.Journal of Health Promotion and Behavior (2020), 05(04): 232-239https://doi.org/10.26911/thejhpb.2020.05.04.01. 
The Effects of Physical Activity and Obesity on Hypertension in Adolescents: Meta-Analysis Berek, Maria Imakulata; Kristiyanto, Agus; Widyaningsih, Vitri
Journal of Health Promotion and Behavior Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The incidence of hypertension is always increasing every year both in Indo­nesia and in the world. Adolescents with high blood pressure are more likely to become adults with hypertension if not treated immediately. This study aimed to review the effects of phy­sical activity and obesity on hypertension in adolescents using meta-analysis.Subjects and Method: Meta-analysis was performed by searching for articles from the database, namely Pubmed, Science Direct, Springer Link and Google Scholar. The key­words used are "physical activity" AND "obe­sity" AND "hypertension" OR "high blood pres­sure" AND "adolescent" AND "cross-sectional". The inclusion criteria in this study were full-text articles with a cross-sectional design, in English, for the period of 2010-2020. Article analysis was using RevMan 5.3.Results: The total number of articles analyzed was 14 articles from Nigeria, Brazil, Gabon, Germany, Tunisia, Algeria, China, Egypt, Indo­nesia, Lithuania, Greece, and Ghana. The results of the meta-analysis showed that phy­sical activity increased the incidence of hyper­tension in adolescents (aOR= 2.70; 95% CI= 1.81 to 4.04; p<0.001; I2= 87%). Obesity increased the incidence of hypertension in adolescents (aOR = 1.71; CI 95% = 1.34 –2.17; p < 0.001; I2 = 41%).Conclusion: Physical activity affects the inci­dence of hypertension in adolescents. Obesity affects the incidence of hypertension in adolescents.Keywords: hypertension, physical activity, obesity, adolescentsCorrespondence: Maria Imakulata Berek, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: imma123433@gmail.com. Mobile: 085­311622368.Journal of Health Promotion and Behavior (2020), 05(04): 296-305https://doi.org/10.26911/thejhpb.2020.05.04.07. 
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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Abstract

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. 
Path Analysis of Sociodemography Determinants, Sexual Behavior, and HIV Status in Sragen, Central Java Murti, Fiqih Agustyna; Dermatoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: HIV/ AIDS is a global pro­blem, including Indonesia. HIV/ AIDS sufferers in Sragen Regency have increased every year. Sociodemographic factors and the many places as hosts for sexual behavior are the causes of HIV cases that cannot be sup­pressed. The pur­pose of this study was to determine the deter­minants of sociodemography, sexual behavior and HIV status.Subjects and Method: This was a cross sectional study conducted in Sragen Regency, Central Java, from August to December 2018. The sample consisted of 200 residents who did VCT. The sampling technique chosen was fixed disease sampling. The dependent was HIV status. The independent variables were occupa­tion, knowledge of sexual partner HIV status, social support, sexual behavior and locus of control. Data were collected using a question­naire and analyzed using path analysis.Results: HIV risk increased directly with risky work (b= 7.5; 95% CI= 0.79 - 1.42; p= 0.029), risky sexual behavior (b= 0.48; 95% CI= -0.63 - 1.73; p = 0.405 ), and sexual partners who did not know the HIV status of their sexual part­ners (b= 0.48; 95% CI= -0.63 to 1.73; p= 0.405). HIV risk is indirectly influenced by locus of control, social support, occupation, and sexual partners who do not know the HIV status of their sexual partners through sexual behavior.Conclusion: HIV status is directly influenced by occupation, sexual behavior and knowledge of sexual partners' HIV status, as well as indirectly by locus of control, social support, occupation and knowledge of sexual partners HIV status through sexual behavior.Keywords: HIV, sociodemographic, sexual behaviorCorrespondence: Fiqih Agustyna Murti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: murti.fiqih@gmail.com. Mobile: +6285­729752541.Journal of Health Promotion and Behavior (2020), 05(04): 240-247https://doi.org/10.26911/thejhpb.2020.05.04.02. 
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
Effects of Social Support, Functional Status, and Depression on the Quality of Life of Stroke Patients: A Meta-Analysis Wahyudi, Anwar; Tamtomo, Didik Gunawan; Soemanto, RB
Journal of Health Promotion and Behavior Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke patients have physical, social, and psychological disorders. It inhibits their daily activities, thus affecting the quality of life. This study aimed to analyze the effect of social support, functional status, and depress­ion on the quality of life of stroke patients.Subjects and Method: This study was a meta-analysis study. The data were obtained from Clinical Key, DOAJ, PubMed, Science Direct, Proquest, Scopus, and Google Scholar. The keywords were "social support" AND "functional status" AND "depression" AND "quality of life "AND" stroke". The articles were published from January 1991 to September 2020. The articles studied were full-text-articles with a cross-sectional and cohort study design. The articles were collected using the PRISMA diagram and analyzed using the RevMan 5.3 program.Results: This study obtained 12 articles consisted of 2,015 selected stroke patients. The result of the meta-analysis showed that social support had a significant positive effect on the quality of life of stroke patients (b= 0.03; 95% CI= 0.02 to 0.05; p= 0.0001), functional status had a significant positive effect on the quality of life of stroke patients (b= 0.63; 95% CI= 0.52 to 1.08; p=0.0001), and depression had a significant negative effect on the quality of life of stroke patients (b= -0.18; 95%CI= -0.26 to -0.10; p=0.0001).Conclusion: Social support and functional status improve the quality of life of stroke patients. Depression reduces the quality of life of stroke patients.Keywords: social support, functional status, depression, quality of life, strokeCorrespondence: Anwar Wahyudi. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir Sutami 36A, Surakarta 57126, Central Java. Email: arwanwahyudi851@gmail.com. Mobile: +62813106121049.Journal of Health Promotion and Behavior (2020), 05(04): 284-295https://doi.org/10.26911/thejhpb.2020.05.04.06. 
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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Abstract

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.  
Effects of Peers and Family Members on Smoking Habits in Adolescents: A Meta-Analysis Apriliyani, Florida Betty; Kristiyanto, Agus; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 5, No 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Nowadays, smoking is one of the biggest public health problems worldwide. It is a major cause of disease and mortality that can be prevented early. One out of 10 deaths worldwide is caused by tobacco use. 40 million people died each year due to tobacco. Adoles­cents start smoking in response to social effects, imitating the behavior of friends, family members, and others they admire. This meta-analysis study aimed to analyze the effect of peers and family members who smoked on smoking habits in adolescents.Subjects and Method: Meta-analysis was conducted by searching for articles from data­bases such as PubMed, SpringerLink, Elsevier, Science Direct, and Google Scholar. The key­words were "peers" OR "parenting style" OR "family influence" AND "smoking" AND "beha­vior" AND "adolescents" AND "cross-sectional". The inclusion criteria were full-text articles with a cross-sectional design, English and Indo­nesian languages, students aged 14-24 years as the study subjects. The final results of the study were presented using the adjusted odds ratio (aOR). The articles were analyzed using Revman 5.3 software.Results: 17 articles were analyzed. The results showed that peers and family members increased smoking habits in adolescents; the result was statistically significant with peers (aOR= 2.77; 95% CI= 1.67 to 4.60; p <0.001; I2= 96%) and family members (aOR= 1.69; 95% CI= 1.35 to 2.13; p<0.001; I2=65%).Conclusion: Peers and family members affects smoking habits in adolescents. It is statistically significant.Keywords: Peers, family members, smoking habits, adolescents, cross-sectionalCorrespondence: Florida Betty Apriliyani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ridhaflorida@gmail.com. Mobile: 0813­29329417.Journal of Health Promotion and Behavior (2020), 05(04): 248-263https://doi.org/10.26911/thejhpb.2020.05.04.03. 
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 

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