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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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Association between Teaching and Learning Related Stressor and Anxiety Level among Medical Students during COVID-19 Pandemic
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: The COVID-19 pandemic has led to various impacts on public health, one of which is the mental health of medical students who are recognized as an at-risk group for developing anxiety disorders due to the teaching and learning system that has changed dramatically. This study aimed to assess the relationship between teaching and learning-related stressor (TLRS) and their anxiety levels during the COVID-19 pandemic.Subjects and Method: This was a cross-sectional study. The population was medical students at the Faculty of Medicine, Syarif Hidayatullah State Islamic University Jakarta, Indonesia, during September-October 2021. Sampling was carried out using purposive sampling. The dependent variable was anxiety levels during the COVID-19 pandemic. The independent variable was teaching and learning-related stressor based on Medical Student Stressor Questionnaire (MSSQ) instrument. The data were collected through questionnaires and analyzed by Cox proportional regression.Results: A half of medical students experienced anxiety (50.4%), but the data shows a non-significant difference when controlled with other stressor variables (Adjusted PR= 1.485; 95% CI= 0.71 to 2.97; p= 0.300).Conclusion: There is no significant relationship between teaching and learning-related stressor and anxiety level among Medical Students during COVID-19 pandemic.Keywords: mental health, anxiety, stressor, COVID-19, medical studentsCorrespondence:Helda. Department of Epidemiology, Faculty of Public Health Universitas Indonesia. A Building 1st Floor Kampus Baru UI Depok 16424. E-mail: heldanazar1@gmail.com. Phone: +6285216688437Journal of Health Promotion and Behavior (2021), 06(04): 263-271DOI: https://doi.org/10.26911/thejhpb.2021.06.04.01
Meta Analysis: Peer Influence on Smoking Behavior in Adolescents
Journal of Health Promotion and Behavior Vol 7, No 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tobacco smoking is a direct cause of morbidity and mortality worldwide. Five million people die from smoking-related diseases every year in the world. If there is no change, then in the next 3 to 40 years the number of deaths and disabilities due to smoking will increase. This study aims to determine the magnitude of the influence of peers on smoking behavior in adolescents, with a primary study conducted by previous authors.Subjects and Method: This study uses a systematic review and meta-analysis with PICO, population: adolescents. Intervention: having smoking friends. Comparison: has no smoking friends. Outcome: smoking habit. The articles used were obtained from several databases, namely Google Scholar, Pubmed, SpingerLink and Science Direct from 2014 to 2020. The search keywords for the article were “smoking behavior OR “smoking activity” AND “adolescent” AND “friend smoking status”. The inclusion criteria for research articles were full-text articles using a cross-sectional study design. The subjects of the study were adolescents and the results of the study were smoking habits. Multivariate analysis with Adjusted Odds Ratio (aOR) to measure the estimated effect. Data were analyzed using the Review Manager application (RevMan 5.3).Results: A total of 9 articles with a total sample of 101,436 people, articles from Bangladesh, Sweden, Malaysia, Korea, Taiwan, Ethiopia, USA, Indonesia, and India, with selected cross-sectional studies for this systematic review and meta-analysis, Adolescents who have smoking friends are at risk of having smoking habits 13.74 times compared to adolescents who do not have smoking friends (OR= 13.74; 95% CI= 5.13 to 36.78; p< 0.001).Conclusion: Having smoking friends can increase the risk of smoking in adolescents.Keywords: peer, smoking, adolescents, behaviorCorrespondence:Asri Wahyu Azzahro. Faculty of Medicine, Universitas Muhammadiyah Surakarta. Jl. Garuda Mas, Kampus 4 UMS, Gonilan, Kartasura, Surakarta 57102, Central Java, Indonesia. Email: asriwahyu­azzahro@gmail.com. Mobile: 081328543318.Journal of Health Promotion and Behavior (2022), 07(02): 152-160DOI: https://doi.org/10.26911/thejhpb.2021.07.02.07
Assessing Uptake of COVID-19 Preventive Measures among Persons Aged 13-80 Years during Lockdown in Wakiso, Uganda: A Cross-Sectional Study
Journal of Health Promotion and Behavior Vol 6, No 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The unprecedented spread of COVID-19 presents a serious public health concern. However, uptake of COVID-19-related preventive behaviors remains unknown. This study aimed to investigate current uptake of COVID-19 preventive measures and their associated factors in Wakiso, Uganda.Subjects and Method: A cross-sectional study was conducted in Wakiso, Uganda from April to September 2020. A total of 1,014 study subjects aged 13–80 years in the population health survey (PHS) who self-reported following any of the COVID-19 preventive behavioral strategies during lockdown was selected.  The dependent variable was COVID-19 preventive measures. Independent variables were gender, age, education, marital status, religion, occupation. The data were collected by questionnaire and analyzed using Modified Poisson regression test.Results: Female (aPR=1.48; 95% CI= 1.34 to 1.62; p<0.001), construction and mechanics workers (aPR=1.23; 95% CI= 1.10 to 1.38; p<0.001), housework (aPR= 0.72; 95% CI= 0.64 to 0.81; p <0.001), and students (aPR=0.58; 95% CI= 0.45 to 0.74; p<0.001) were associated with staying at home. Aged 45-54 years old (aPR=0.55; 95% CI= 0.50 to 0.61; p<0.001), more than 55 years (aPR=0.80, 95% CI= 0.66 to 0.97; p= 0.022), and housework (aPR=1.18; 95% CI= 1.03 to 1.35; p= 0.015) were associated with sanitize often.Conclusion: Female, construction and mechanic workers, housework, and student are associated with staying at home and it is statistically significant. Aged 45-54 and more than 55 years old, housework were associated with sanitize often and it is statistically significant.Keywords: preventive measures, COVID-19, Wakiso, UgandaCorrespondence:Alex Daama. Africa Medical and Behavioral Sciences Organization (AMBSO). Plot 7441, Nansana, Hoima Road, Wakiso, Uganda P.O Box 25974. Email: daamaalex6141@gmail.com. Mobile: +256702347102Journal of Health Promotion and Behavior (2021), 06(02): 153-162DOI: https://doi.org/10.26911/thejhpb.2021.06.02.08
Parental Role, Social Media, Peer Support, and Their Associations on Attitude Toward Reproductive Health in Female Students in Junior High Schools, Manokwari, West Papua
Journal of Health Promotion and Behavior Vol 8, No 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The risky behavior of adolescents in Indonesia towards their reproductive health makes adolescents vulnerable to experiencing pregnancy at an early age, pregnancy outside of marriage, unwanted pregnancy, and infection with sexually transmitted diseases to unsafe abortions. Adolescent attitudes toward risky behavior depend on information obtained from parents, peers and social media. This study aimed to determine how much influence the role of parents, social media, and peers had on the attitudes of young women to maintain their reproductive health.Subjects and Method: The research design was an observational analytic research study, with a cross-sectional approach. It was carried out at SMP Negeri 1 and SMP Negeri 2, Manokwari, West Papua in April to July 2022. A total of 130 girls were selected by random sampling. The dependent variable is attitude. The independent variables are the role of parents, peers, and social media. Data analysis with logistic regression model using the STATA 17 program.Results: Parental role (OR= 17.40; 95% CI= 5.32 to 56.90; p <0.001), peers OR= 11.28; 95% CI 3.23 to 39.33; p <0.001), and social media (OR= 7.30; 95% CI= 2.25 to 23.71; p= 0.001) positively and significantly affected positive attitude of reproductive health.Conclusion: The role of parents, peers, and social media influences the positive attitudes of adole­scents about their reproductive health.Keywords: reproductive health, attitude, parental role, peers, social media, adolescent.Correspondence:Priscilla Jessica Pihahey. School of Health Polytechnic, Ministry of Health Sorong. Jl. Basuki Rahmat, Klawalu, East Sorong, Sorong 98416, West Papua. Email: pihaheypriscilla@gmail.com. Mobile: +628114852336.Journal of Health Promotion and Behavior (2023), 08(01): 34-43DOI: https://doi.org/10.26911/thejhpb.2023.08.01.05
Health Promotion Model to Increase Maternal Visit and Exclusive Breastfeeding in the Puerperium Period in Sleman, Yogyakarta Ambarwati, Eny Retna; Khoirunnisa, Endang; -, Waryana
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: Exclusive breastfeeding in the puerperium period is beneficial for mother and infant. Breastfeeding stimulate oxytocin release that will increase uterine contraction. It in turn fastens uterine involution process and eventually prevents prolonged post partum bleeding. Breastfed infants are healthier, have better nutritional status, and less probability of dying. Therefore, there is a need to develop a health promotion model that empowers post partum mothers to visit maternity clinic for post partum examination. This study aimed to determine factors that affect maternal visits to maternity clinic for post partum examination.Subjects and Method: This was an analytical observational study with cross-sectional design. This study was conducted in Sleman, Yogyakarta. A total sample of 125 post partum mothers was selected for this study. The dependent variable was number of visits to maternity clinic for post partum examination. The independent variables were maternal knowledge, access to information, husband support, stakeholder role, and participation in maternal health promotion class. The data were collected by a set of questionnaire, and then were analyzed by Structural Equation Model (SEM).Results: The SEM showed Goodness of Fit, with indicators as follows: Chi Square 263.01, p= 0.055, RMSEA=0.025, GFI=0.98, NFI=0.92, and CFI 1.00. Maternal knowledge (b=0.15), access to information (b=0.42), husband support (b=0.52), stakeholder role (b=0.57), participation in maternal health promotion class (b=0.04).Conclusion: Maternal knowledge, access to information, husband support, stakeholder role, participation in maternal health promotion class, are important determinant of maternal visit to maternal clinic for post partum examination.Keywords: maternal visit, maternal clinic, health promotion class, puerperium.Correspondence: Eny Retna Ambarwati. Academyof Midwifery Yogyakarta, Yogyakarta,Indonesia. Email: enyretnaambarwati@gmail.com.Journal of Health Promotion and Behavior (2016), 1(3): 138-148https://doi.org/10.26911/thejhpb.2016.01.03.01
Path Analysis on the Effectiveness of Exclusive Breastfeeding Advocacy Program on Breastfeeding Practice using Theory of Planned Behavior Ariwati, Valentina Dili; Tamtomo, Didik; Sulaeman, Endang Sutisna
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: Exclusive breastfeeding coverage was 52.30% in 2015, which was below the national target of 80%. For the past few years Klaten local government has launched the Exclusive Breastfeeding Advocacy Program with the objective to increase exclusive breastfeeding coverage. This study aimed to determine the effectiveness of Exclusive Breastfeeding Advocacy Program using Theory of Planned Behaviour framework.Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted from 2 August to 16 September 2016 in Klaten and Magelang, Central Java, Indonesia. A total of 200 lactating mothers of infants aged 6 to 12 months was selected for this study by multi-stage random sampling. The dependent variables were exclusive breastfeeding and intention. The independent variables were exclusive breastfeeding advocacy program, attitude, subjective norm, and perceived behavior control. The data were collected  using a set of questionnaire, and analyzed by path analysis.Results: The path model showed Goodness of Fit indices as follows: CMIN=4.24, p=0.374, GFI=0.99, NFI=0.99, CFI=1.00, RMSEA=0.017. Strong intention (b=0.15; p <0.001) had direct effect on exclusive breastfeeding. Positive atittude (b = 0.27; p<0.001), positive subjective norm (b=0.26; p <0.001), strong perception of behavior control  (b=0.25; p<0.001), and exclusive breastfeeding advocacy program (b=0.36; p<0.001), had positive effects on intention.Conclusion: Intention has direct effect on exclusive breastfeeding. Atittude toward exclusive breastfeeding, subjective norm, and perception of behavior control, have positive effects on intention. Exclusive breastfeeding advocacy program is effective in increasing the likelihood of providing exclusive breastfeeding.Keywords: exclusive breastfeeding advocacy program, attitude, subjective norm, perceived behavior control, intention, exclusive breastfeeding behavior.Correspondence: Valentina Dili Ariwati. Masters Program in Public Health, Sebelas Maret University.Journal of Health Promotion and Behavior (2016), 1 (3): 149-159https://doi.org/10.26911/thejhpb.2016.01.03.02
Health Belief Model: Determinants of Hypertension Prevention Behavior in Adults at Community Health Center, Sukoharjo, Central Java Setiyaningsih, Ratna; Tamtomo, Didik; 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: According the WHO the estimated of age standarized prevalence of High blood presure in adults age 25+ years in Indonesia in 2008 was 42.7% in men and 39.2% in women. Hypertension deaths in Indonesia reached 42.226 or 3.02% of total deaths in 2014. Age-adjusted death rate was 25.26 per 100.000 of population (ranked 29 in the world). The prevalence of hypertension in Sukoharjo, Central Java, was 36.827 cases in 2015. This study aimed to examine the determinants hypertension prevention behavior using Health Belief Model.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted in Sukoharjo, Central Java, Indonesia, from September to October 2016. A total of 160 patients visiting Sukoharjo Community Health Center, Sukoharjo, Central Java, was selected for this study by simple random sampling. The sample consisted of 83 (51.9%) patients aged <35 years and 77 (48.1%) patients aged ≥35 years. The exogenous variables were perceived vulnerability, perceived seriousness, cues to action, perceived benefits, perceived barrier, and self efficacy. The endogenous variables were perceived threat and hypertension prevention behavior. The data were collected by questionnaire and analyzed by path analysis.Results: The path model showed goodness of fit with indices as follows: CMIN= 9.03, p=0.172, GFI= 0.99, NFI= 0.99, CFI= 1.00, and RMSEA= 0.06. Self-efficacy (b= 0.11; p<0.001; β=0.31), perceived benefit (b=0.12; p=0.005), and perceived threat (b=-0.10; p<0.001), had positive and statistically significant effect on hypertension prevention behavior. Perceived barrier (b=-0.10; p<0.001) had negative and statistically significant effect on hypertension prevention behavior. Perceived vulnerability (b=0.35; p<0.001), perceived of seriousness (b=0.48; p<0.001), and cues to action (b=0.33; p<0.001) had indirect positive effects on hypertension prevention behavior.Conclusion: Self-efficacy, perceived benefit, and perceived threat, have positive effect on hypertension prevention behavior. Perceived barrier have negative effect on hypertension prevention behavior. Perceived vulnerability, perceived of seriousness, and cues to action have indirect positive effects on hypertension prevention behavior.Keyword: hypertension, prevention behavior, health belief model.Correspondence: Ratna Setyaningsih. School of Nursing Bhakti Mulia, Sukoharjo, Central Java. Email: ratnaa_ zeitiyanie@yahoo.co.id.Journal of Health Promotion and Behavior (2016),1(3): 161-171https://doi.org/10.26911/thejhpb.2016.01.03.03
Theory of Planned Behavior on the Determinants of Participation in the Long-Term Contraceptive Method Among Women of Reproductive Age, in Nganjuk, East Java -, Joeliatin; 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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Background: Unintended pregnancies remain a substantial global public health issue despite considerable advances in contraceptive technologies. The global trend shows that the use of permanent contraception to prevent unintended pregnancy is high. Although the trend also shows a rise in the use of long-acting reversible methods, these are still underutilized despite having contraceptive as well as non-contraceptive benefits. This study aimed to examine the determinants of participation in long-term contraceptive method among women of reproductive age in Nganjuk, East Java, using Theory of Planned Behavior.Subjects and Method: This was an analytic observational study, using case control design. This study was conducted in Bagor, Nganjuk, East Java. A total of 100 women of reproductive age was selected for this study by fixed disease sampling. The independent variables were constructs in the Theory of Planned Behavior, i.e. attitude, subjective norm, and perceived behavior control. The dependent variables were intention and participation in long-term contraceptive use. The data were collected by a set of questionnaire, and analyzed by path analysis.Results: Intention had direct and positive effect on participation in long-term contraceptive use (b=2.07; CI 95% 0.78-3.36; p=0.002). Attitude (b=1.40; CI 95% 0.41-2.40 p=0.006), subjective norm (b=1.64; CI 95% 0.76-2.53; p<0.001), and perceived behavior control (b=1.22; CI 95% 0.32-2.12; p=0.008) had indirect positive effect on participation in long-term contraceptive use through intention. Conclusion: There are direct and indirect effect of Theory of Planned Behavior constructs on participation long-term contraceptive use among women of reproductive age.Keywords: Theory of Planned Behavior, long-term contraceptive method, women of reproductive ageCorrespondence: Joeliatin. School of Midwifery, AKBID Wiyata Mitra Husada, Kertosono, Nganjuk, East Java. Email: yulisuyitno77@gmail.com.Journal of Health Promotion and Behavior (2016), 1(3): 171-179https://doi.org/10.26911/thejhpb.2016.01.03.04
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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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
Path Analysis on the Association Between Predisposing, Enabling, and Reinforcing Factors, and House Sanitation in Bengkulu, Sumatera Nasir, Shinta; 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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Background: Poor sanitation is one of the primary causes of communicable diseases in the world.   According to UNICEF (2012) 116 million people in Indonesia in 2010 were lacking in standard sanitation. In Bengkulu province, only 33.18% household in 2014 and 39.22% in 2015 had access to good sanitation. This coverage was lower than that of the national level at 62.14%.  This study aimed investigating the association between predisposing, enabling, and reinforcing factors, and house sanitation in Bengkulu, Sumatera.Subjects and Method: This was an analytic and observational study with cross sectional design.  This study was conducted in Teluk Segara District, Bengkulu, Sumatera from November to December 2016. A total of 120 households were selected by fixed exposure sampling for this study. The dependent variable was household sanitation. The independent variables were family education, family income, health education, social capital, and health behavior. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Family education (b= 1.08; SE= 0.48; p= 0.024) and health education (b= 0.19; SE= 0.07; p= 0.007) had positive and statistically significant effect on household sanitation. Health education had positive and statistically significant effect on healthy behavior (b= 0.09; SE= 0.04; p= 0.018). Social capital had positive and marginally significant effect on healthy behavior (b= 0.05; SE= 0.03; p= 0.099). Family income (b= 0.14; SE = 0.45; p= 0.756) and family education (b= 0.15; SE= 0.25; p= 0.566) did not show significant effect on household sanitation.Conclusion: Family education and health education had positive and statistically significant effect on household sanitation. Health education had positive and statistically significant effect on healthy behavior. Social capital had positive and marginally significant effect on healthy behavior. Family income and family education did not show significant effect on household sanitation.Keywords: path analysis, predisposing, enabling, reinforcing factors, household sanitationCorrespondence: Shinta Nasir. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: shinta_nasir26@yahoo.co.id.Journal of Health Promotion and Behavior (2016), 1(3): 190-200https://doi.org/10.26911/thejhpb.2016.01.03.06

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