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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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Effect of Bullying on the Risk of Anxiety and Social Interaction Disorder among Senior High School in Yogyakarta Privetera, Hainas Sani; Soemanto, RB; Prasetya, Hanung
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: Bullying is a widespread pheno­menon among young people and is used to describe interpersonal relationships charac­te­rized by an imbalance of power. The Indone­sian Child Protection Commission noted that there were 161 cases of bullying in 2018. Ado­lescents who are involved in bullying expe­ri­ence risks such as psychiatric symptoms, alco­hol and drug abuse and even suicide. This study aims to analyze the effects of bullying on self-concept and social disorders in high school students in Sleman Yogyakarta.Subjects and Method: This study used a cross sectional study design. This study was conducted in Sleman Regency in August 2019. The sample was taken by using stratified ran­dom sampling with a total of 200 senior high school students. The independent variables include parental education, social environment, anxiety level, self-concept, and social interac­tion disorders. The dependent variable was bullying behavior. Data were collected using a questionnaire. Data were analyzed by using multilevel multiple logistic regression with stata 13.Results: Low family education (b= 3.11; 95% CI= 0.83 to 3.67; p= 0.002), social environ­ment in the city (b=3.15; 95% CI= 0.71 to 3.09; p= 0.002), have social media (b=4.13; 95% CI= 1.46 to 3.83; p= 0.000), have a level of anxiety (b= 2.92; 95% CI= 0.62 to 3.17; p= 0.005), negative self-concept (b=2.83; 95% CI= 0.62 to 3.40; p= 0.005), social interaction disorder (b= 3.23; 95% CI= 0.87 to 3.55; p= 0.001) increased the likelihood of experiencing bullying in adolescents. Variations at the school level indicated that there was a contextual influence on bullying behavior (ICC= 13.18%).Conclusion: There is a statistically significant influence of parental education, social environ­ment, social media, anxiety levels, self-concept, and social interaction disorders on bullying behavior in adolescents. Variations at the level of school show that there is a contextual influ­ence on bullying behavior in adolescents.Keywords: bullying, adolescents, multi­level analysisCorrespondence: Hainas Sani Privetera. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: sariprivitera@gmail.com. Mobile: +628­2328848001.Journal of Health Promotion and Behavior (2020), 05(04): 306-316https://doi.org/10.26911/thejhpb.2020.05.04.08. 
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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Abstract

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 
The Effectiveness of Melati Book Program to Improve Healthy Behavior and Reduce Blood Pressure in Hypertensive Patients at Sidorejo Kidul Community Health Center in Salatiga Suciati, Ony; Tamtomo, Didik Gunawan; Prawito, Prawito
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: 319 cases of hypertension pati­ents occurred in the community health center in the last 2 years throughout 2019 and 256 cases up to March 2020. Therefore, fighting hypertension was one of the main programs at Sidorejo Kidul Community Health Center. This program was realized by publishing and distri­buting Melati Book or Books Against Hyper­tension to hypertension patients. However, the hospital has never conducted a study on whether the distribution of the Melati Book was effective in fighting hypertension in patients in Sidorejo Kidul Community Health Center.Subjects and Method: The study method was Quasi-experiment. This study used a random-number method to obtain the sample. A sample of 150 hipertensive patients was classified into 2 groups: 75 patients were in the intervention group and 75 other patients were in the control group. The data were analyzed by t-test.Results: After intervention, mean score of healthy behavior in the intervention group (Mean= 3.57; SD= 0.10) was higher than the control group (Mean= 0.49; SD= 0.19) and it was statistically significant (p<0.001). After intervention, mean score of systolic blood pressure in the intervention group (Mean= -32.59; SD= 1.02) was lower than the control group (Mean= -6.83; SD= 1.02) and it was statistically significant (p<0.001).Conclusion: Melati book can be used to improve the healthy behavior and reducing blood pressure in hypertensive patients at Sidorejo Kidul Community Health Center in Salatiga.Keywords: melati book, healthy behavior, decrease in blood pressureCorrespondence: Oni Suciati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ony­suci­ati975@gmail.com. Mobile: 081327073562.Journal of Health Promotion and Behavior (2020), 06(04): 264-271https://doi.org/10.26911/thejhpb.2020.05.04.04. 
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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Abstract

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
Local Perspective: Factors Associated with Covid-19 Preventive Behavior in West Nusa Tenggara, Indonesia Duarsa, Artha Budi Susila; Mardiah, Aena; Hanafi, Fachrudi; Karmila, Dany; Anulus, Ayu
Journal of Health Promotion and Behavior Vol 6, No 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The case fatality rate (CFR) of Co­vid­-19 death­s in Indonesia on June 16, 2020 was 5.52% and 4.19% in West Nusa Tenggara. One of the causes of this high percentage of deaths is the lack of preventive behavior against Covid-19. This study aims to analyze factors as­so­ciated with Co­vid-19 preventive behavior among people in West Nusa Tenggara, Indonesia.Subjects and Method: A cross-sectional study was conducted in 10 cities/districts in West Nusa Tenggara from May-June 2020. A total of 385 people were enrolled in this study. Data were collected using a questionnaire distributed in the form of Google form and analyzed using multiple linear regressions with Stata 13.Results: High education level (≥high school) (aOR= 0.43; 95%CI=0.03 to 0.82; p=0.033), perceived benefits (aOR=0.16; 95%CI= 0.07 to 0.25; p=0.001), and good knowledge (aOR=0.19; 95%CI= 0.01 to 0.37; p=0.034) were increased the preventive behavior. While, male (aOR= 0.54; 95% CI= -0.89 to -0.19; p=0.002), perceived barriers (aOR= -0.16; 95%CI= -0.25 to -0.07; p= 0.001) were decreased the preventive behavior toward Covid-19, and they were statis­ti­cally sig­nificant.Conclusion: Education higher than high school, high perceived benefit, and good knowledge are increase the local people behavior to prevent Co­vid-19 in West Nusa Tenggara.Keywords: Covid-19, preventive behavior, West Nusa TenggaraCorrespondence: Artha Budi Susila Duarsa. Faculty of Medicine, Universitas Islam Al-Azhar, Mataram. Unizar-Street Number 20, Turida, Sandubaya, Mataram, West Nusa Tenggara. Email: duarsaartha­@un­i­zar.ac.id. Mobile Phone: +62 812-9125-5000.Journal of Health Promotion and Behavior (2021), 06(01): 1-8https://doi.org/10.26911/thejhpb.2021.06.01.01 
Multilevel Analysis of the Biopsychosocial Determinants and Contextual Peer Groups on Smoking Habit in High School Students in East Lampung, Lampung, Indonesia Sulistyani, Retno; Rahardjo, Setyo Sri; Pawito, Pawito
Journal of Health Promotion and Behavior Vol 6, No 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Smoking is still one of the great­est public health threats faced by citizens of the world. Data from the Central Statistics Agency in 2018 shows that smoking behavior in Lampung Province has a prevalence of 35.95%. The World Health Organization (WHO) states that smoking kills more than 8 million people per year worldwide. This study aimed to ana­lyze the determinants of adolescent smoking beha­vior at the individual level and at the school level.Subjects and Method: This was a cross sec­tional study conducted in East Lampung Re­gency, Indonesia, from October to November 2020. A number of 200 male adolescents were selected by random sampling. The dependent variable was smoking behavior. The  indepen­dent variables were the influence of parents, peers, media exposure, pocket money, cigarette price, intention, attitude, and contextual effect of school. The data were collected by question­naire and analyzed using a multiple multilevel logistic regression with Stata 13.Results: The influence of family (b=2.88; 95% CI= 0.73 to 3.85; p= 0.004), peers (b= 2.85; 95% CI= 0.65 to 3.52; p= 0.004), media expo­sure (b= 3.04; 95% CI= 0.78 to 3.62; p= 0.002), money pocket (b= 3.22; 95% CI= 0.87 to 3.59; p= 0.001), cigarette price (b= 2.73; 95% CI= 0.54 to 3.28; p= 0.006), intention to smoke (b= 2.80; 95% CI= 0.69 to 3.95; p= 0.005), attitude toward smoking (b=3.83; 95% CI= 1.80 to 5.58; p<0.001) increased the likeli­hood to smoke in male adolescents. School had strong contextual effect on smoking in adoles­cents with ICC= 21.83%.Conclusion: The influence of family, peers, media exposure, money pocket, cigarette price, intention to smoke, attitude toward smoking increase the likelihood to smoke in male adolescents. School has strong contextual effect on smoking in adolescentsKeywords: smoking behavior, adolescents, contextual effect of schoolCorrespondence: Retno Sulistiani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: retnosulistiani91@gmail.com. Mobile: +6285867006699.Journal of Health Promotion and Behavior (2021), 06(01): 9-20https://doi.org/10.26911/thejhpb.2021.06.01.02 
The Effect of Personal Protective Equipment Uptake on the Risk of Leprosy in Adults: Meta Analysis Saputra, Rizki Kurniawan; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 6, No 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Leptospirosis is an acute infec­tious disease that can attack humans and ani­mals caused by the Leptospira bacteria. Lepto­spirosis contributes to morbidity and mortality in the high-risk group, namely adults. Compli­ance with the use of personal protective equip­ment and direct contact with animal tissue infected with Leptospira sp. bacteria increase the risk of leptospirosis. This study aims to ana­lyze the magnitude of the effect of using per­sonal protective equipment on the risk of leptospirosis with a meta-analysis.Subjects and Method: This was a systematic review and meta-analysis carried out by follow­ing the PRISMA flow diagram. The process of searching for articles is through a journal data­base which includes: PubMed, Springer Link, Google Scholar and Science Direct by selecting articles published in 1999-2020. Keywords used "Leptospirosis AND Personal Protective Equipment", "leptospirosis" AND "risk factors", "leptospirosis AND adjusted odds ratio", "lepto­spirosis" AND "adults", "leptospirosis AND risk factors AND adjusted odds ratio". The inclu­sion criteria were full paper articles with observa­tio­nal study design, articles in English and Indo­nesian, multivariate analysis used with adjusted odds ratio. Articles that meet the requirements are analyzed using the Revmen 5.3 application.Results: A total of 8 articles were reviewed in this study with a cross-sectional and case-control study design. Meta-analysis of 4 case-control studies showed that non-adherence to the use of personal protective equipment had a 2.77 times increased risk of leptospirosis compared with using personal protective equipment (aOR= 2.77, 95% CI= 1.76 to 4.36, p <0.001). A meta-analysis of 4 cross-sectional studies concluded that non-adherence to the use of personal protective equip­ment had a 2.73 times increased risk of lepto­spirosis compared with using personal protective equipment (aOR= 2.73, 95% CI= 1.99 to 3.74; p= <0.001).Conclusion: Non-compliance with the use of personal protective equipment increases the risk of leptospirosis.Keywords: leptospirosis, personal protective equipment, meta-analysisCorrespondence: Rizki Kurniawan Saputra. Masters Program in Public Health, Universitas Sebelas Maret. Jl.Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rizkikurniawansaputra@gmail.com. Mobile: 087738152955.Journal of Health Promotion and Behavior (2021), 06(01): 21-3https://doi.org/10.26911/thejhpb.2021.06.01.03 
Meta-Analysis the Effect of School Based Intervention on Smoking in Adolescents Azhary, Muhammad Rifqi; Pamungkasari, Eti Poncorini; Dewi, Yulia Lanti Retno
Journal of Health Promotion and Behavior Vol 6, No 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tobacco is a global problem, in which at least 5 million people die from diseases caused by the consumption of tobacco products such as cigarettes each year, such as cervical cancer, heart disease, gastric ulcers, tuberculosis, kidney failure, pancreas, leukemia, pneumonia, gum and mouth disease as well as lung cancer. This study aims to estimate the magnitude of the effect of School based intervention on cigarette consumption based on the results of a number of previous studies.Subjects and Method: This research is a systematic study and meta-analysis, with PICO as follows Population = junior high school and high school students, Intervention = School based intervention. Comparison = No School based intervention. Outcome = cigarette consumption. The articles used in this study were obtained from several databases including PubMed, ScienceDirect and Google Scholar. This article article was collected for 2 months. The keywords for searching articles are as follows: "School-based intervention" AND tobacco OR smoke OR cigarette AND RCT OR "Randomized Controlled Trial". The articles included in this study are full text articles with a randomized controlled trial study design. Articles were collected using PRISMA flow diagrams. They were analyzed using the Review Manager 5.3 application.Results: A total of 11 articles reviewed in this meta-analysis study originated from the United States, Sweden, California, Brazil, Germany, Ireland, China, Australia and Indonesia. Studies show that School based intervention has no significant effect on cigarette consumption (Standardized Mean Difference = -0.74; 95% CI = -1.67 to 0.18; p = 0.110).Conclusion: School based intervention reduces cigarette consumption.Keywords: School based intervention, tobacco, cigarette consumptionCorrespondence: Muhammad Rifqi Azhary. Masters Program In Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Rifqiazhary.ra@gmail.com.Journal of Health Promotion and Behavior (2021), 06(01): 32-44https://doi.org/10.26911/thejhpb.2021.06.01.04
The Effect of Family-based Intervention on Overweight/ Obesity in Children: Meta Analysis Sani, Mario Febrianus Helan; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 6, No 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Childhood overweight and obe­sity is one of the most serious public health challenges of the 21st century. Overweight and obesity are one side of the double burden of malnutrition because more than 1.9 billion people are overweight and of that number more than 650 million are obese. Meanwhile, for children aged 5-19 years, more than 340 million children are overweight and obese. One category of intervention to prevent overweight / obesity in children who have developed rapidly in recent years is family-based intervention. This study aims to estimate the magnitude of the effect of family-based intervention on overweight / obesity based on the results of a number of previous studies.Subjects and Method: This was a systematic study and meta-analysis carried out by follow­ing the PRISMA flow diagram. The process of searching for articles through a journal data­base which includes: Google Scholar, PubMed, ScienceDirect and SpingerLink by selecting articles published in 2005-2020. Keywords used include: “family-based intervention” OR “family-based program” OR “family-based treatment” OR “family-based” OR “home-based intervention” OR “household based interven­tion” AND “children overweight OR "childhood overwight" AND "pediatric obesity" OR "child­ren obesity" OR "children obese" OR "child­hood obesity" OR "childhood obese" AND RCT OR "randomized controlled trial" OR "cluster-randomized controlled trial". The inclusion criteria were a full paper article with a rando­mized controlled trial (RCT) study design, the article used English, the study subjects were overweight / obese children (aged 5-19 years) and the intervention given was family-based intervention. Articles that meet the require­ments are analyzed using the Review Manger 5.3 application.Results: A total of 11 articles reviewed in this meta-analysis study came from Malaysia, the United States, Australia, England, Spain, Denmark and Sweden. Meta-analysis of 11 articles with a randomized controlled trial (RCT) study design showed that family-based intervention had an effect on reducing children's body mass index but it was not statis­tically significant (Standarized Mean Diffe­rence= -0.46; 95% CI -1.05 to 0.13 p= 0.130).Conclusion: Family-based intervention reduces body mass index for overweight / obese children.Keywords: family-based intervention, over­weight, obesity, children, meta analysisCorrespondence: Mario Febrianus Helan Sani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: rhyansani@gmail.com. Mobile: 081326­608972.Journal of Health Promotion and Behavior (2021), 06(01): 45-56https://doi.org/10.26911/thejhpb.2021.06.01.05
Application of the Health Belief Model on the Reproductive Health Services Uptake in Adolescents: A Meta-Analysis
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescence is a period of transition from childhood to adulthood and is characte­rized by changes in physical, psychological, and social behavior that can affect their lives at high risk. Various problems that occur in adolescents are influenced by various dimensions of life within them, both biological, cognitive, moral and psychological dimensions as well as the influence of the surrounding environment. This study aimed to estimate the effect of the Health Belief Model, especially its construction of perceived vulnerability, perceived seriousness, and perceived benefits in the use of reproductive health services with a meta-analysis.Subjects and Method: This study is a review of meta-analytical studies. This research article was obtained from the electronic databases of PubMed, Springer Link, Elsevier and Google Scholar. The articles used in this study are articles published from 2011-2021. The search for articles was carried out by considering the eligibility criteria defined using the PICO model. P: adolescents. I: perceived vulnerability, perceived seriousness, perceived benefit. C: Low perceived vulnerability, perceived seriousness, perceived benefit. O: use of reproductive health services. The articles included in this study are full text articles with a Srocsectional study design. This article was analyzed using the Review Manager 5.3 application.Results: There are 9 articles in total. The results showed that there was high heterogeneity (I2= 82%; p <0.0001), so that the data analysis on the florest plot used a random effect model. The perception of vulnerability that is felt to be strong increases the likelihood of using reproductive health services by 2.42 times compared to the perception of vulnerability that is felt to be weak, and it is not statistically significant (aOR= 2.42; 95% CI= 1.60-3.67; p= 0.001).Conclusion: The use of reproductive health services is not statistically significant in predicting reproductive health in adolescents.Keywords: health belief model, belief, reproductive health service, reproductive health careCorrespondence:Dyah Ayu Kusumawardani. Universitas Muhammadiyah Surakarta, Central Java, Indonesia. Email: dijeayu16@gmail.com. Mobile: +6281466847498.Journal of Health Promotion and Behavior (2021), 06(04): 318-326DOI: https://doi.org/10.26911/thejhpb.2021.06.04.06 

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