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Journal of Health Promotion and Behavior
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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
The Effect of Depression, Stigma, and Peer Support Group, on the Quality of Life of People Living with HIV/AIDS in Solo Plus Peer Support Group, Surakarta, Central Java Fajriyah, Yuli Lutfatul; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: People Living with HIV/AIDS (PLWH) often face tough social problems, such as social rejection, stigma, and discrimination. Factors that affect PLWH’s quality of life may include psychosocial factors, economic status, immunological status, social support, and co-morbidity. This study aimed to determine the effect of depression, stigma, and peer support group on the quality of life of people living with HIV/AIDS in Solo Plus peer support group, Surakarta, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Solo plus peer support group, Surakarta, Central Java, from January to February 2018. A sample of 100 PLWH was selected for this study by simple random sampling. The dependent variable was a quality life of PLWH. The independent variables were healthy behavior, depression, family income, stigma, peer support, and social support. The data were collected by questionnaire and analyzed by path analysis.Results: Quality of life of PLWH increased with involvement in peer support group (b= 3.40; 95% CI= 0.71 to 6.10; p=0.001), social support (b= 0.70; 95% CI= 0.01 to 1.40; p=0.046), and healthy behavior (b=9.33; 95% CI= 5.30 to 13.36; p<0.001). Quality of life of PLWH decreased with stigma (b= -1.10; 95% CI=-1.84 to -0.36; p=0.003), and depression (b=-4.23; 95% CI=-6.62 to -1.83; p=0.001). Quality of life of PLWH was indirectly affected by income (b=0.06; 95% CI=10.14 to 18.61; p<0.001).Conclusion: Quality of life of PLWH is affected by healthy behavior, depression, stigma, peer support group, social support, and income.Keywords: Quality of life, PLWH, stigma, peer support group, social support Correspondence: Yuli Lutfatul Fajriyah. Masters Program in Public Health, Sebelas Maret University, Surakarta, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: yuli.luth.15@gmail.com. Mobile: +6285712200298.Journal of Health Promotion and Behavior (2018), 3(1): 27-36https://doi.org/10.26911/thejhpb.2018.03.01.03 
PRECEDE-PROCEED Theory Regarding Socio-Cultural Aspects that Influence the Treatment of Healthy Reproduction Organs among Senior High School Female Students in Surakarta Putri, Santy Irene; Soemanto, RB; Dewi, Yulia Lanti Retno
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The group that has been vulnerable to the abandonment of reproductive health rights in Indonesia is adolescents. The lack of adolescents’ awareness toward their behaviors in maintaining genital organs cleanliness is due to socio-cultural limitations might cause negative impact toward their reproductive health. This study aimed at analyzing the socio-cultural aspects that influenced the behaviors in treating healthy reproductive organs among female senior high school students in the City of Surakarta.Subjects and Method: This was a mixed-method study with quantitative and qualitative approach. This study was conducted in State Senior High School 1, Al-Islam 1 Senior High School and Regina Pacis Senior High School; all of these senior high schools were located in the City of Surakarta, from February to March 2017. A total of 120 subjects were selected by stratified random sampling. In addition, the sample also included 5 mothers and fathers who had been selected by purposive sampling. The dependent variable was the behaviors in treating reproductive organs. The independent variables were knowledge toward reproduction organ health, family support, toilet/ bathroom availability, clean water availability, culture and information exposure. The dependent and independent variables were collected by a set of questionnaire and analyzed by path analysis. The qualitative data were collected by in-depth interview and analyzed by Miles Huberman method.Results: The behaviors in treating reproductive organ were influenced by good knowledge (b= 0.21; SE= 0.09; p= 0.020), high information exposure (b= 0.20; SE= 0.07; p= 0.005), positive culture (b= 0.15; SE= 0.07; p= 0.039), toilet/ bathroom availability (b= 0.21; SE= 0.07; p= 0.026), clean water availability (b= 0.14; SE= 0.08; p= 0.073) and strong family support (b= 0.16; SE= 0.08; p= 0.041). Then, the knowledge of reproductive health was influenced by high information exposure (b= 0.31; SE= 0.07; p<0.001) and positive culture (b= 0.16; SE= 0.07; p= 0.016).Conclusions: The behaviors in treating reproductive organs are influenced by good knowledge, high information exposure, positive culture, toilet availability, clean water availability and strong family support. The knowledge of reproductive health are influenced by high information exposure and positive culture.Keyword: precede-proceed, path analysis, socio-culture, reproductive healthCorrespondence: Santy Irene Putri. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: santyireneputri@yahoo.co.id. Mobile: +6285785836884.Journal of Health Promotion and Behavior (2017), 2(1): 27-40https://doi.org/10.26911/thejhpb.2017.02.01.03
Socioeconomic and Cultural Determinants of Early Marriage in Ngawi, East Java: Application of PRECEDE-PROCEED Model Wijayati, Noviana Ayumi; Soemanto, RB.; Pamungkasari, Ety Poncorini
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Indonesia ranks 37 of the countries in the world with the highest rate of early marriage. Center for Gender and Sexuality Studies, University of Indonesia reported in 2015 that Indonesia rank the second highest rate of early marriage in South East Asia. Approximately 2 millions (7.3%) girls aged under 15  years old have been married and dropped out of school. This number is expected to become 3 million married girls in 2030. This study aimed to determine the effect of socioeconomic and cultural factors on early marriage in Ngawi, East Java.Subjects and Method: This was an analytical observational study with case control design. Study subjects consisted of 75 women of reproductive age who got married before 20 years old and 75 women of reproductive age who got married had 20-30 years of age. The dependent variable was early marriage. The independent variables were paternal education level, maternal education level, family income, family belief, culture, and peers. The data were collected by a set of questionnaire and analyzed by path analysis model.Results: Early marriage was positively affected by family belief (b=1.47; 95% CI= 0.44 to 2.50; p=0.005) and culture (b=1.56; 95% CI= 0.54 to 2.58; p=0.003). Early marriage was negatively affected by family income (b=-2.20; 95% CI= -3.18 to -1.21; p<0.001) and positive peers (b=-2.51; 95% CI= -3.58 to -1.44; p<0.001). Family income was affected by paternal education (b=2.24; 95% CI= 0.37 to 4.12; p=0.019) and maternal education (b= 6.53; 95% CI= 4.25 to 8.80; p<0.001). Family belief  was affected by paternal education (b= -1.20; 95% CI= -2.10 to -0.30; p= 0.009) and maternal education (b= -1.20; 95% CI= -2.10 to -0.30; p= 0.009).Conclusion: Early marriage is directly affected by family income, family belief, culture, and positive peers.Keyword: early marriage, family education, family income, family belief, culture, peersCorrespondence: Noviana Ayumi Wijayati. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: novianaayumi@gmail.com. Mobile: +6285645828766.Journal of Health Promotion and Behaviour (2017), 2(4): 302-312https://doi.org/10.26911/thejhpb.2016.02.04.02 
Path Analysis on the Effect of Biopsychosocial and Economic Factors during Gestational Period on the Risk of Stunting and Development in Children under Five, in Nganjuk, East Java Viridula, Erike Yunicha; Murti, Bhisma; Suryani, Nunuk
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: There is growing evidence of the connections between slow growth in height early in life and impaired health and educational and economic performance later in life. Basic Health Research (Riset Kesehatan Dasar, Riskesdas) conducted by The Minister of Health in 2010, showed that prevalence of stunting in Indonesia was 35.6% of children aged under five years old. This study aimed to examine  path analysis on the effect of biopsychosocial and economic factors during gestational period on the risk of stunting and development in children under five, in Nganjuk, East Java.Subjects and Method: This was an analytic observational study with case control design.  This study was conducted at Bagor Community Health Center, Nganjuk, East Java.  A total sample of 150 children under five, consisting of 50 stunted children and 100 normal children, was selected for this study by  fixed exposure sampling. The dependent variables were stunting and development. The independent variables were  middle upper arm circumference (MUAC) and family support at pregnancy, low birthweight, maternal height, maternal schooling, and family income. The stunting was measured by anthropometry (weight for height). The child development was measured by Kuesioner Pra-Skrining Perkembangan (KPSP). Other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Low birth weight had direct negative effect on stunting (b=0.99; p=0.897). Maternal height (b=-2.58; p= 0.029), maternal education (b=-1.55; p=0.002), and family income (b=-1.30; p=0.002) had direct negative effects on stunting. Low birth weight (b=-0.27; p=0.253) and family income (b=-0.007; p=0.976) have negative but statistically non-significant effect on development. Maternal education had positive but statistically non-significant effect on development (b=2.16; p=0.883). MUAC (b=-4.60; p<0.001) had negative and statically significant effect on low birth weight. Family support  had positive but statistically non-significant on low birth weight (b=0.52; p=0.492). Maternal height had positive and statistically significant effect on MUAC (b=3.16; p<0.001). Family income had positive but statistically non-significant effect on MUAC (b=0.83; p=0.253).Conclusion: MUAC and maternal education have indirect, negative and statistically significant effect on stunting Maternal height, maternal education, and family income, have direct, negative, and statistically significant effect on stunting.Keywords: stunting, biopsychosocial, economic, gestational periodCorrespondence : Erike Yunicha Viridula. Masters Program in Public Health, Sebelas Maret University. Email: yunichasabdana@gmail.com.Journal of Health Promotion and Behavior (2016),  1(3): 180-189https://doi.org/10.26911/thejhpb.2016.01.03.05
Factors Associated with Early Marriage in Sleman, Yogyakarta Husna, Nurul; Demartoto, Argyo; Respati, Supriyadi Hari
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Early marriageis a complex social issue with indirect implication on the quality of family. Early marriage can indirectly contribute to increasing maternal mortality rate and infant mortality rate. There were 135 early marriage cases reported in Sleman district in 2013, 150 cases in 2014, and 123 cases in 2015. The purpose of this study was to analyze factors associates with the incident of early marriage in Sleman, Yogyakarta.Subjects and Method: This was an analytic observational study with case control design conducted in Sleman, Yogyakarta, Central Java, in Indonesia, August to November 2016.A total sample of 120 study subjects consisting of 40 early married young couples and 80 in time married young couples, was selected for this study, by purposive sampling. The dependent variable was early marriage. The indipendent variables included family disharmony, emotional insecurity, promiscuity tendency, unintended pregnancy, maternal education, family social economic class, parent perception of early marriage, and local culture regarding early marriage. The data were collected by questionnaire and document review at the office of religious affairs. The data were analyzed by path analysis using STATA 13.Results: There were direct relationships between unintended pregnancy (b= 3.40; CI95%= 1.08–5.71; p=0.004), income (b=-1.58; CI95%=0.58 sd 2.18; p= 0.001), promiscuity tendency (b=1.93; CI95%=-3.11–0.06; p=0.042), parent perception of early marriage (b=2.75; CI95%=0.49-5.02; p=0.017), local culture regarding early marriage (b=5.62; CI95%=2.63–8.62; p<0.001) and the incidence of early marriage. There were indirect relationsh e. ips between family disharmony, emotional security, promiscuity tendency, maternal education, and incident of early marriage.Conclusion: There were direct relationships between unintended pregnancy, social economic class, promiscuity tendency, parent perception of early marriage, local culture regarding early marriage and the incidence of early marriage.Keywords: Early marriage, family disharmony, unintended early married, local culturCorrespondence: Nurul Husna. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal of Health Promotion and Behavior (2016), 1(2): 87-98https://doi.org/10.26911/thejhpb.2016.01.02.04
Biopsychosocial and Institutional Factors Associated with Exclusive Breastfeeding among Working Mothers in Klaten, Central Java Ekawati, Desi; Salimo, Harsono; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast milk has an important role in health maintenance and survival of infants. It is acknowledged as the best food for infant. The World Health Organization has recommended exclusive breastfeeding (EBF) for infants until 6 months of age. However, many working mothers did not provide EBF to their infants. This study aimed to examine biopsychosocial and institutional factors associated with exclusive breastfeeding among working mothers, using health belief model and PRECEDE-PROCEED model.Subjects and Method: This study was observational analytic with cross sectional design. It was conducted in Klaten District, Central Java, from March to April, 2017. A sample of 120 working mothers was selected for this study by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal education, perceived benefit, perceived barrier, self efficacy, family support, health personnel support, and availability of lactation room at workplace. The data were collected by a pre-tested questionnaire. Logistic regression was employed for data analysis.Results: Maternal education (OR=4.2; 95% CI = 1.09 to 11.51; p=0.001), availability of lactation room at workplace (OR=4.11; 95% CI= 1.21 to 14.29; p=0.001), family support (OR=6.25; 95% CI= 1.45 to 15.96; p<0.001), health personnel support (OR=3.76; 95% CI = 1.43 to 16.06; p=0.002), perceived benefit (OR=2.30; 95% CI = 1.09 to 12.87; p=0.044), self-efficacy (OR= 3.57; 95% CI  = 1.21 to 14.29; p=0.002) had positive effect on EBF. Perceived barrier (OR=0.18; 95% CI = 0.64 to 0.76; p<0.001) had negative effect on the provision of EBF.Conclusion: Maternal education, availability of lactation room at workplace, family support, health personnel support, perceived benefit, self-efficacy have positive effect on EBF. Perceived barrier has negative effect on the provision of EBF among working mothers.Keywords: biopsychosocial factors, exclusive breastfeeding, PRECEDE-PROCEED model, health belief modelCorrespondence: Desi Ekawati. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: eccadesy@yahoo.com. Mobile: +6285725123320.Journal of Health Promotion and Behavior (2017), 2(3): 197-206https://doi.org/10.26911/thejhpb.2017.02.03.01
Factors Associated with Pre-Marital Sexual Behavior Among Adolescents in Bima, West Nusa Tenggara: Theory of Planned Behavior Tarmidi, Mulya; Demartoto, Argyo; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescent reproductive health is a major global challenge. Studies have reported around 16 million women 1519 years old give birth each year, 11% of all births worldwide.95% of these births occur in low- and middle income countries. This study aimed to examine factors associated with pre-marital sexual behavior among adolescents in Bima, West Nusa Tenggara, using Theory of Planned Behavior (TPB).Subjects and Method: This was a cross-sectional study conducted in Bima, East Nusa Tenggara, Indonesia, from April to June 2018. A sample of 200 senior high school students was selected by proportional stratified random sampling. The dependent variable was healthy pre-marital sex behavior. The independent variables were intention, attitude, maternal education, subjective norm, peer norm, perceived behaviour control (PBC), and reproduction health information center (PIK-KRR). The data were analyzed by path analysis.Results: Healthy pre-marital sex behavior was directly increased with intention (b= 0.56; SE= 0.03; p<0.001) and PBC (b= 0.07; SE= 0.03; p= 0.025). Healthy pre-marital sex behavior was indirectly affected bysubjective norm, attitude, maternal education, subjective norm, peer norm, and health information center.Conclusion: Healthy pre-marital sex behavior is directly increased with intention and PBC. Healthy pre-marital sex behavior is indirectly affected bysubjective norm, attitude, maternal education, subjective norm, peer norm, and health information center.Keywords: pre-marital sex behaviour, reproduction health information center, Theory of Planned Behavior, path analysisCorrespondence:Mulya Tarmidi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email:bluedaeng@gmail.com.Mobile: +6285238609735.Journal of Health Promotion and Behavior (2018), 3(1): 78-85https://doi.org/10.26911/thejhpb.2018.03.01.08
Biopsychosocial and Economic Determinants of Condom Use among Gay in Tulungagung District, East Java Permana, Fransisca Novalia; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: HIV/ AIDS epidemics emerged among men who have sex with men, particularly among gay, due to unsafe anal sex practice. As studies have shown having sex without condom increases the risk of HIV/ AIDS 18 times as many as per-vaginal sex. This study aimed to examine biopsychosocial and economic determinants of condom use among gay in Tulungagung district, East Java.Subjects dan Method: This was an analytic observational study using cross-sectional design. The study was conducted in Tulungagung district, East Java, from January to February 2017. A sample of 165 gays was selected by random sampling out of all 300 gays in the community. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, and self- efficacy. The dependent variable was condom use. The data were collected by a set of pre-tested questionnaire, and analyzed by multiple logistic regression.Results: Perceived seriousness (OR=2.83; 95% CI=1.14 to 7.04; p=0.025), perceived benefit (OR= 4.90; 95% CI=2.11 to 11.36; p<0.001), self-efficacy (OR=4.48; 95% CI=2.03 to 9.89; p<0.001), increased the likelihood of condom use. Perceived susceptibility (OR= 1.02; 95% CI=0.40 to 2.59; p=0.972) increased the likelihood of condom use, although it was not statistically significant. Perceived barrier (OR= 0.36; 95% CI=0.13 to 1.00; p=0.050) decreased the likelihood of condom use, and it was statistically significant.Conclusion: Perceived seriousness, perceived benefit, and self- efficacy, increased the likelihood of condom use among gay. Perceived barrier decreased the likelihood of condom use.Keywords: biopsychosocial, determinant, condom use, HIV/ AIDS, GayCorrespondence: Fransisca Novalia Permana. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: fransisca2713@gmail.com. Mobile: +6285645762007.Journal of Health Promotion and Behavior (2017), 2(1): 88-97https://doi.org/10.26911/thejhpb.2017.02.01.08
Association Between Personal and Environmental Factors, Body Position on Low Back Pain at Dr. Moewardi Hospital, in Surakarta Kurnia, Rina; Adriani, Rita Benya
Journal of Health Promotion and Behavior Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low Back Pain or LBP often encountered in daily practice, especially in industrialized countries. The study showed that 90.9% of LBP patients experienced a relapse more than once in a year, the relapse was triggered by personal factor, work environment and lack of health information. The purpose of this study was to analyze factors associated with recurrence prevention in patients with Low Back Pain at Medical Rehabilitation Instalation Dr. Moewardi Surakarta HospitalSubjects and Method: The study was an observational analytic study with cross sectional design. A total of 60 patients with LBP. That data was collected with a questionairre and analyzed by using multiple logistic regression.Results: There was a positive correlation between personal factors and recurrence prevention in Low Back Pain: there was a correlation between age and recurrence prevention in Low Back Pain but it was not statistically significant (O =2.09; 95% CI= 0.36 to 12.09 ; p=0.412), there was  a correlation between sex and recurrence prevention in Low Back Pain but it was not statistically significant (OR=1.52; 95% CI=0.08 to 28.78; p=0.781), there was a correlation between education level and recurrence prevention in Low Back Pain but it was not statistically significant (OR=2.38; 95% CI=0.41 to 14.05; p=0.337), there was a correlation between employment and  recurrence prevention in Low Back Pain and it was statistically significant ( OR=9.16; 95% CI=1.35 to 62.39; p = 0.024), there was a correlation between perceptions of Low Back Pain and recurrence prevention in Low Back Pain and it was statistically significant (OR=27.81; CI=95% 2.14 to 361.33; p=0.011). There was a positive correlation between environmental factors and recurrence prevention in Low Back Pain: there was a correlation between accessibility to health service and recurrence prevention in Low Back Pain but it was not statistically significant (OR=0.49; 95% CI=0.02 to 14.81; p=0.684), there was a correlation between  environment accessibility and recurrence prevention in Low Back Pain but it was not statistically significant (OR=0.73; 95% CI=0.04 to 14.22; p=0.834), there was correlation between family support and recurrence prevention in Low Back Pain and it was not statistically significant (OR=0.30; 95% CI=0.02 to 5.50; p=0.303) .There was a positive correlation between education on Proper Body Mechanics with recurrence prevention in Low Back Pain  and it was statistically significant (OR=35.33; 95% CI=1.65 to 757.32; p=0.023). The most dominant variable in LBP recurrence prevention was patients perceptions of Low Back Pain (p= 0.011).Conclusion: Employment, perceptions of Low Back Pain, and education on proper body mechanic were variables was statistically significant for LBP relaps prevention in this study.Keywords: personal factors, environmental factors, education on proper body mechanics, relapse prevention, LBPCorrespondence: Rina Kurnia. Health Polytechnic, Poltekkes Kemenkes Surakarta University, Surakarta.Journal of Health Promotion and Behavior (2016), 1 (1): 19-25https://doi.org/10.26911/thejhpb.2016.01.01.03
The Effect of Internal and External Factors on Preventive Reproductive Health Behaviors in Adolescents, in Banjarmasin, Kalimantan Arisa, Azura; Soemanto, RB; Rahardjo, Setyo Sri
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Many adolescents had engaged in unhealthy sexual behavior that can result in unintended health outcomes. In theory, the adolescent sexual behavior is influenced by a complex set of interactions between biology, genetics, individual perception, personality characteristics, and sociocultural norms and values. This study aimed to determine the influence of internal and external factors on preventive reproductive health behavior in adolescents, in Banjarmasin, Kalimantan, using Health Belief Model.Subjects and Method: This was an analytic observational study with the cross-sectional design. The study was conducted at 10 senior high schools in Banjarmasin, Kalimantan. A total sample of 200 grade XI students was selected for this study by proportional stratified random sampling. The dependent variable was preventive reproductive health behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived threat, perceived benefit, perceived barrier, self-efficacy, the role of parents, peer role, and information access. The data were collected by questionnaire and analyzed by path analysis. Results: The strong role of parents (b=0.05; SE= 0.01; p<0.001), perceived benefit (b=0.06; SE= 0.02; p=0.006), perceived threat (b=0.10; SE= 0.02; p<0.001), self-efficacy (b=0.13; SE= 0.01; p<0.001), and peer role (b=0.06; SE= 0.01; p<0.001) positively affected preventive reproductive health behavior. Perceived barrier (b= -0.03; SE= 0.01; p=0.026) negatively affected preventive reproductive health behavior. Perceived threat increased with increasing role of parents (b=0.05; SE= 0.02; p= 0.059), perceived susceptibility (b=0.21; SE= 0.05; p<0.001), perceived seriousness (b=0.10; SE= 0.04; p= 0.015), and self efficacy (b= 0.13; SE= 0.06; p= 0.040). Perceived barrier decreased with improving access of information (b=-0.16; SE= 0.05; p= 0.004). Perceived benefit increased with improving access of information (b=0.09; SE= 0.04; p= 0.030) and perceived susceptibility (b=0.20; SE= 0.06; p= 0.002). Perceived susceptibility (b=0.13; SE= 0.04; p= 0.004), perceived seriousness (b=0.10; SE= 0.05; p= 0.057), and self efficacy (b=0.09; SE= 0.03; p= 0.006) increased with access of information. Self efficacy increased with stronger role of parents (b=0.06; SE= 0.02; p= 0.018), and peer role (b=0.07; SE= 0.04; p= 0.062).Conclusion: Preventive reproductive health behavior among adolescents is affected by the role of parents, perceived of threat, self-efficacy, peer role, perceived of benefit, and perceived of a barrier. Health belief model can predict health preventive behavior.Keywords: Preventive behavior, reproductive health, health belief model, internal and external factorsCorrespondence: Azura Arisa, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: azura.syakura@gmail.com.Journal of Health Promotion and Behavior (2017), 2(4): 350-358https://doi.org/10.26911/thejhpb.2017.02.04.07 

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