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Journal of Health Promotion and Behavior

thejhpb
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Published by Universitas Sebelas Maret

ISSN : - EISSN : 25491172 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.

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Articles 347 Documents

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Meta-Analysis: Application of Health Belief Model in Encouraging Preventive Behavior of Self-Care for Hypertensive Patients Gusti Fathoni Firmansyah; Husna Arwa Salsabil
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Hypertension is one of the most critical public health problems and has affected more than 1.2 billion people worldwide. Risk factors for hypertension can be divided into two, namely factors that cannot be controlled (such as gender, genetics and age) and those that can be controlled such as obesity, excess BMI, smoking, and excessive salt and fat consumption. Hypertension prevalence in age groups productive tends to increase from year to year, especially in the elderly group which reaches 63.22%. This study aimed to investigate behavior change and prevention of hypertension is the Health Belief Model (HBM).Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO Model as follows Population: Hypertension patients. Intervention: high self-efficacy and perceived susceptibility. Comparison: low self-efficacy and perceived susceptibility. Outcome: behavior change. The meta-analysis study was conducted by searching for articles from databases in electronic form including Google Scholar, PubMed, and Scopus. The keywords used are "hypertension" AND "health belief model (OR self efficacy OR perceived susceptibility)" AND "change behavior". The inclusion criteria for this study were full articles using a cross-sectional study, with the publication year 2012-2022. Analysis of articles in this study using RevMan 5.3 . software.Results: A total of 10 articles reviewed in the meta-analysis showed that perceived susceptibility influenced behavioral changes in hypertensive patients (aOR= 2.16; 95% CI= 1.59 to 2.53; p<0.001) and self-efficacy also influenced behavioral changes in hypertensive patients (aOR= 1.37; 95% CI= 1.06 to 1.76; p= 0.020).Conclusion: perceptions of vulnerability and self-efficacy affect behavior changes in hypertensive patients.Keywords: hypertension, health belief model, self efficacy, perceived susceptibility.Correspondence:Gusti Fathoni Firmansyah. Faculity of Dentistry, Universitas Gadjah Mada. Jl. Bulaksumur, Caturtunggal, Depok, Sleman, Yogyakarta 55281. Email: fathonifirmansyah@student.uns.ac.id. Mobile: +62 812-3710-7609.Journal of Health Promotion and Behavior (2022), 07(02): 108-118DOI: https://doi.org/10.26911/thejhpb.2021.07.02.03

Good Knowledge of COVID-19 Increased Preventive Behavior on Last Year Undergraduate Medical Students at University of Jember, East Java, Indonesia Raghda Gita Safitri; Ancah Caesarina Novi Marchianti; Laksmi Indreswari
Journal of Health Promotion and Behavior Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Indonesia is in first place in ASEAN regarding the high number of confirmed cases and deaths of Covid-19 on November 9, 2020. This can be caused by a lack of preventive behavior related to Covid-19, one of which is influenced by knowledge. The purpose of this study was to determine the relationship between knowledge level of Covid-19 and Covid-19 preventive behavior in last year undergraduate medical students at University of Jember.Subjects and Method: A cross sectional study was conducted online through a questionnaire that will be distributed using Google form in May 2021. A total of 121 last year undergraduate medical students at University of Jember were enrolled using a total sampling technique. The dependent variable is level of knowledge related to Covid-19 and the independent variable is Covid-19 preventive behavior. The data obtained through Google form will be analyzed using the SPSS version 26.0 application and using the Spearman Rho Correlation method. Results: Based on univariate analytic, 97.5% students have a good knowledge and 90.9% students perform high preventive behavior of Covid-19. Bivariate analytic by testing correlation ¬between one’s knowledge of Covid-19 and the preventive behavior obtained p <0.001 correlation coefficient of 0.504.Conclusion: The good knowledge of Covid-19 increased preventive behavior on last year undergraduate medical students at University of Jember.Keywords: Physical distancing, Covid-19, online questionnaire.Correspondence: Ancah Caesarina Novi Marchianti. Faculty of Medicine, University of Jember. Jl. Kalimantan Tegalboto 37, Jember, East Java, Indonesia. Email: ancah@unej.ac.id. Mobile Phone:+62331-337877.Journal of Health Promotion and Behavior (2021), 06(02): 97-103https://doi.org/10.26911/thejhpb.2021.06.02.02

COVID-19 Vaccination: Prevalence and Associated Factors among Students and Staff (A Case of Islamic University in Uganda) Naziru Rashid; Nabukeera Madinah; Nazziwa Aisha; Aleemu AbdulMujeeb Babatunde; Ummusalam Araphat; Kyejjusa Yusuf
Journal of Health Promotion and Behavior Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: COVID-19 Vaccination is an important control measure for the spread of covid -19 with in Academic Institutions. This study aimed to investigated the Prevalence of COVID-19 Vaccination and associated factors among University Students and staff.Subjects and Method: This was a cross-sectional study conducted at Islamic University, Uganda, from July to October 2021. A number of 397 students and staff of IUIU were selected purposively. The dependent variable was vaccination status. The independent variables were age, gender, education status, source of income, religion, marital status, nationality risk perception. Data were collected using an online google form sent via emails WhatsApp and ERP and analyze using Chi-square.Results: There were 397 participants, the modal age was 16-25 years 233 (58.7%) were male, the prevalence of COVID-19 Vaccination was 20.4 % (81). Factors such as age (OR= 0.59; 95% CI= 0.25 to 1.37; p<0.001), Gender (OR= 0.59; 95% CI= 1.06 to 3.00; p=0.026), marital status (OR= 1.55; 95% CI= 0.20 to 0.56; p<0.001) were associated with uptake of COVID-19 vaccination.Conclusion: The Study found a low Prevalence of COVID-19 Vaccination (20.4%) among students and staff at IUIU, and a number of factors presented above were responsible for this. More Education and sensitization on the importance of Vaccination is still needed. A follow up study on the same should be done after full opening of academic institutions.Keywords: prevalence, COVID-19, vaccination, factor, studend and staff, UgandaCorrespondence:Naziru Rashid. University Medical Officer. Islamic University in Uganda (IUIU). Soroti, Mbale Rd, Mbale, Uganda. Email: nazrash2013@gmail.com. Mobile phone: +256702038 741Journal of Health Promotion and Behavior (2022), 07(01): 18-27 DOI: https://doi.org/10.26911/thejhpb.2021.07.01.03

Meta Analysis: Application of Health Belief Model Theory on Pap Smear Screening Uptake in Women of Reproductive Age Syndia Puspitasari; Bhisma Murti; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Cervical cancer is the fourth cancer in the world that attacks women and causes death. Until now, cervical cancer causes high morbidity and mortality. Regular cervical cancer screening with the Papanicolaou (Pap) smear test remains an effective public health intervention in the prevention and subsequent reduction of the incidence, morbidity and mortality of cervical cancer. Health Belief Model (HBM) is a model developed to help understand human behavior in seeking health services and explain why people do not engage in behavior for disease prevention or early detection.Subjects and Method: This was a systematic review and meta-analysis. Data collection was obtained from 3 databases, namely: Google Scholar, PubMed, and Science Direct. Analysis of this research using software RevMan 5.3. The inclusion criteria used were full English paper with cross sectional design in 2012-2022. The keywords used were “Pap Smear” OR “Cervical Cancer Screening” AND “Health Belief Model” OR “Health Belief” AND “Cervical Cancer”.Results: A total of 15 cross-sectional study articles from Indonesia, Malaysia, Turkey, Nepal, Lebanon, South Korea, Iran, South Africa, Ethiopia, the United States, and Italy were reviewed in the meta-analysis. Based on the results of the analysis, it was found that the perception of high susceptibility had an effect on the possibility of using Pap smear services 1.13 times compared to the perception of low susceptibility (aOR= 1.13; 95% CI= 1.03 to 1.07; p < 0.001), and the results were statistically significant. The perception of low barriers affects the possibility of using Pap smear services 0.91 times compared to perceptions of high barriers (aOR = 0.91; 95% CI = 0.86 to 0.97; p <0.001), and the results are statistically significant.Conclusion: Perceptions of high susceptibility and perceptions of low barriers affect the possibility of using pap smear services.Keywords: health belief model, cervical cancer, pap smear.Correspondence:Syndia Puspitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: syndiapuss96@gmail.com. Mobile: +628 2234398706.Journal of Health Promotion and Behavior (2022), 07(04): 322-335DOI: https://doi.org/10.26911/thejhpb.2022.07.04.05

Meta-Analysis: Application of Health Belief Model on the Adherence to Antihypertensive Medication Eltigeka Devi Apriliani; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Non-adherence to treatment and lack of understanding of the use of antihypertensive drugs resulted in uncontrolled hypertension. Antihypertensive compliance as a top priority in the treatment of hypertensive patients through the implementation of the Health Belief Model. The purpose of this study was to analyze the effect of perceived benefits and received cues to act on antihypertensive medication adherence.Subjects and Method: This meta-analysis was conducted using the PRISMA flowchart guideline. The study was conducted using the PICO model, Population: hypertensive patients, Intervention: perceived benefits were strong and received cues to act, Comparison: perceived benefits were weak and did not receive cues to act, Outcome: adherence to antihypertensive medication. The article search process was carried out between 2012 and 2022 using databases from Pub¬Med, Google Scholar, ScienceDirect and ProQuest. Search keywords included “health belief model” OR “perceived benefit” OR “cues to action” AND “adherence antihypertensive” OR “compliance antihypertensive” AND “hypertension” OR “high blood pressure”. Based on the database, there were 13 articles that met the inclusion criteria. Research analysis was carried out using RevMan 5.3 software.Results: There are 13 articles from the continents of Africa and Asia. There are 9 meta-analysis articles showing that a strong perceived benefit of hypertension treatment is 1.60 times more likely to adhere to antihypertensive treatment than a weak perception of benefit and is statistically significant (aOR = 1.60; 95% CI = 1.06 to 2.41; p = 0.020), and there were 8 articles discussing the effect of getting cues to act on hypertension treatment on 1.52 times more likely to adhere to antihypertensive medication than not getting cues to act and statistically significant (aOR = 1.52; 95% CI = 1.02 to 2.27; p = 0.040).Conclusion: Strong and signaled benefit perception for hypertensive patients improves adherence to antihypertensive medication.Keywords: hypertension, health belief model, perceived benefits, cues to action.Correspondence:Eltigeka Devi Apriliani, Masters Program in Public Health, universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: eltigeka13@gmail.com. Mobile: +62 85735387363.Journal of Health Promotion and Behavior (2022), 07(03): 238-249DOI: https://doi.org/10.26911/thejhpb.2022.07.03.06

The Role of Knowledge, Self-Efficacy, and Social Support in Self-Care Behaviors among Diabetic Patients: A Meta-Analysis Ayu Nanda Sari; Diyah Nawangwulan
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.143 KB)

Background: Diabetes mellitus is recognized as one of the emerging public health problems globally, in which the number of cases and prevalence have been steadily increasing over the past few decades. To reduce the burden posed to health systems and afflicted individuals, patients need to adopt self-care practices. At the same time, some studies found knowledge, self-efficacy, and support were essential. Hence, this meta-analysis aimed to assess these predictors of self-care behaviors among diabetic patients.Subjects and Method: This meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We conducted a systematic search in electronic databases for observational studies about knowledge, self-efficacy, and family or social support for diabetic self-care behaviors published between 2012 and 2022. The Joanna Briggs Institute’s Critical Appraisal tool was used. For statistical analysis such as I-squared and Begg and Egger’s tests, the Review Manager (RevMan) 5.3 software was employed. Tables and forest plots were presented with 95% confidence intervals (CI). Statistical significance was declared at a p-value < 0.05.Results: Twelve studies with 5,482 participants were included. Good self-care behaviors were significantly associated with adequate diabetic knowledge (AOR= 2.22; 95% CI= 1.24 to 3.98; p= 0.007) and having family or social support (AOR= 2.5; 95% CI= 1.98 to 3.16; p<0.001), whereas poor self-efficacy was a significant predictor of poor self-care behaviors (AOR= 2.46; 95% CI= 1.66 to 3.65; p<0.001).Conclusion: Diabetic knowledge, self-efficacy, and family or social support are essential correlates and predictors of self-care behaviors. Researchers, healthcare professionals, third-sector organizations, and policymakers can use these findings to re-evaluate.Keywords: diabetes, self-care behaviors, knowledge, self-efficacy, social support, meta-analysisCorrespondence:Ayu Nanda Sari. Faculty of Medicine, Universitas Malikussaleh. Jl. H. Meunasah Uteunkot Cunda, Lhokseumawe 24351, Aceh, Indonesia. Email: ayunandasari@student.uns.ac.id. Mobile: +6285210688872. Journal of Health Promotion and Behavior (2021), 06(03): 250-262DOI: https://doi.org/10.26911/thejhpb.2021.06.03.08

Meta-analysis Effect of Compliance with Folic Acid Supplement Consumption in Pregnant Women on the Risk of Birth Defects Fathia Mutiara Zahra; Frannesty Estu Winahyu; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Low concentrations of folic acid supplement intake during pregnancy can cause birth defects in the baby. Therefore, this study was conducted to identify those associated with adherence to folic acid supplement consumption in pregnant women and provide a shadow for further research. The purpose of this study was to investigate the effect of birth defects and pregnant women's adherence to taking folic acid supplements during pregnancy.Subjects and Method: This study uses the PRISMA flowchart to perform the meta-analysis. The article review process took place between 2017 and 2022 with PICO as follows, Population: Pregnant Women. Intervention: Folic acid consumption before and during pregnancy, Comparison: no folic acid consumption before and during pregnancy, Outcome: risk of birth defects, articles collected using databases such as PubMed, Google Scholar, and Science Direct used. The articles obtained will be filtered using the stages according to the PRISM flow diagram. The analysis was carried out using RevMan 5.3.Results: A total of 9 articles, including 6 articles from the Asian continent, namely China, Japan, India, and Bangladesh, 2 articles from the Americas, namely Mexico and New York, and 1 from the African continent, namely Ethiopia. Wherefrom the meta-analysis of 9 articles, it is known that adherence to folic acid supplementation can reduce the risk of birth defects in pregnant women (aOR= 0.69; 95% CI= 0.50 to 0.96; p= 0.003).Conclusion: Adherence to folic acid supplementation can help reduce the risk of birth defects in pregnant women.Keywords: pregnant women, folic acid, birth defects.Correspondence:Fathia Mutiara Zahra. Study Program of Pharmacy, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: efemzahra31@student.uns.ac.id. Mobile: +62815-67987661.Journal of Health Promotion and Behavior (2022), 07(02): 97-107DOI: https://doi.org/10.26911/thejhpb.2021.07.02.02

Accessing Government Eye Care Services: Expriences of Children With Eye Health Conditions in Mubende, Uganda Odette Tumwesigye Niyisabwa; Elijah Musenyente
Journal of Health Promotion and Behavior Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Apart from parents reluctance towards childrens early eye-care, government eye care services are costly, few ophthalmologists are in place, yet people suffering from eye infections are increasing. This study aimed to explore the response of parents towards exposing their children with eye health conditions to early eye care services, the efficiency of eye care services offered and the costs involved in accessing eye care services.Subjects and Method: This was a qualitative study with in-depth interview. Conducted in Mubende, Uganda, from June 2019 to May 2020. A total of 12 informants were selected by purposive sampling. The data were collected using semi structured interviews from 12 participants involving children with eye health conditions and one (1) ophthalmic Officer (OCO). Investigator triangulation method was used whereby each participant was interviewed by more than one investigator as a way of obtaining several differing opinions concerning issues in question. The transcribed data were analyzed using content analysis.Results: The findings indicated that, parental responsibility for children with eye health conditions for early assessment, diagnosis and treatment was generally lacking among fathers than among mothers. Poverty, illiteracy and ignorance among parents, use of traditional herbal treatment of eyes often resulted in serious consequences. Regarding efficiency, there were a lot of hardships in accessing the eye care services due to limited eye care centres, inadequate skilled or specialized personnel and irregular attendance by medical staff in government eye-care centres. The eye health care services were found to be expensive and unaffordable by the community.Conclusion: The study concluded that overall, opportunities for visual assessment, diagnosis and treatment for children with eye health conditions in Mubende District were generally limited. Comprehensive eye care services that covers every member of the community are highly recommended.Keywords: eye-care services, eye health conditions, Mubende-UgandaCorrespondence: Odette Tumwesigye Niyisabwa. Department of Community and Disability Studies, Kyambogo University. Kyambogo Road, Kampala, Uganda. Email: niyisabwa.odette@gmail.com. Mobile: +256772968235Journal of Health Promotion and Behavior (2021), 06(02): 121-132DOI: https://doi.org/10.26911/thejhpb.2021.06.02.05

Factors Associated with Stunting in Children Under Five: A Cross-Sectional Study from Ritaebang Health Center, West Solor, East Flores, Indonesia Marina A.B Ndetu; Pius Weraman; Petrus Romeo
Journal of Health Promotion and Behavior Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Stunting in children under five years of age is a global nutritional problem. World Health Organization (WHO) puts Indonesia as the third country with the highest cases in Asia. Prevalence of stunting in children under five years of age in East Nusa Tenggara touches 40.3%, the highest compared to other provinces in Indonesia. The study aims to discover factors associated with stunting incidences in children under five years of age in the working area of Ritaebang Community Health Center, West Solor, East Flores.Subjects and Method: This cross-sectional study was conducted in the working area of Ritaebang Community Health Center, West Solor, East Flores during the month of June – July 2022. A total of 70 children under five years of age were selected by using random sampling. The dependent variables were birth weight, consumption pattern, clean water availability, maternal education, number of family members, and family income. The independent variable was stunting children under five years of age. The data were collected by using questionnaires, and analyzed by using SPSS.Results: The stunting incidences in children under five years of age were significantly associated with exclusive breastfeeding (OR= 3.91; p= 0.046), consumption pattern (OR= 19.63; p<0.001), the availability of clean water (OR= 6.37; p= 0.001), maternal education, (OR= 3.14; p= 0.033), number of family members (OR= 6.71; p= 0.007), and family income (OR= 12.25; p= 0.008), and were also associated with birth weight (OR= 3.61; p= 0.214), however it was not statistically significant.Conclusion: Stunting incidences is associated with birth weight, breastfeeding, consumption pattern, clean water availability, maternal education, number of family members, and family income.Keywords: stunting, birth weight, clean water, environment.Correspondence:Marina A.B Ndetu. Public Health Department, Public Health Faculty, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, East Nusa Tenggara. 85001. Email: Marinandetu12@gmail.com piusweraman@yahoo.com.Journal of Health Promotion and Behavior (2023), 08(01): 1-7DOI: https://doi.org/10.26911/thejhpb.2023.08.01.01

The Relationship of the Health Belief Model to the Prevention Behavior of Metabolic Syndrome: A Meta-Analysis Study Cendekia Airedeta Mulianda; Dena Tri Solehaini
Journal of Health Promotion and Behavior Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.296 KB)

Background: Risk factors for Metabolic Syndrome include hypertension, glucose intolerance, central obesity and dyslipidemia. These conditions if they occur together are referred to as Metabolic Syndrome which can increase the risk of non-communicable diseases, namely heart, stroke, and type 2 diabetes. This study aimed to estimated the relationship between the constructs of the Health Belief Model (HBM) on the prevention of metabolic syndrome (SM) risk factors.Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO Model. The meta-analysis study was conducted by searching for articles from databases in electronic form including Google Scholar, Pub-Med, and Science Direct. The keywords used are "Health Belief Model" or "Metabolic Syndrome Prevention" or "MetS" or "Risk Factors Metabolic Syndrome" or "Hypertension" or "High Blood Glucose" or "Insulin Resistance" or "Central Obesity" or "Dyslipidemia". The inclusion criteria for this study were full articles using a cross-sectional study, with the publication year 2012-2021. Analysis of articles in this study using RevMan 5.3 . software.Results: A total of 12 cross-sectional studies from Asia, and Africa were selected for systematic review and meta-analysis. The data collected showed that high perceived severity increases 1.38 times to metabolic syndrome risk factor prevention behavior compared with low perceived severity, but its statistically not significant (aOR= 1.38; 95% CI= 0.82 to 2.30; p= 0.220), high susceptibility perception increases metabolic syndrome risk factor prevention behavior 1.15 times compared with low susceptibility perception (aOR= 1.15; 95% CI= 0.83 to 1.58; p= 0.410) but it was statistically not significant.Conclusion: Perceived severity, and susceptibility perception was not statistically significant in predicting preventive behavior for metabolic syndrome risk factors.Keywords: health belief model, risk factors, syndrome metabolic, meta-analysis Correspondence:Cendekia Airedeta Mulianda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: c.airedeta@gmail.com. Mobile: +6282336712311.Journal of Health Promotion and Behavior (2022), 07(01): 28-41DOI: https://doi.org/10.26911/thejhpb.2021.07.01.04

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