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Journal of Health Promotion and Behavior
ISSN : -     EISSN : 25491172     DOI : -
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 347 Documents
Application of Theory of Planned Behavior on Factors Associated with Pap Smear Uptake: A Meta-Analysis Elvira Purnamasari; Argyo Demartoto; Uki Retno Budihastuti
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.02

Abstract

Background: Pap smear is a cervical cancer prevention method that has been proven to be effective in reducing the incidence of cervical cancer. Utilization of Pap smears is influenced by various factors. Family or partner support can also affect the use of Pap smears in women of reproductive age. This study aimed to estimate the effects of Theory of Planned Behavior (TPB) and family support on Pap Smear utilization. Subjects and Method: This was a systematic review and meta-analysis based on data obtained through Google Scholar, PubMed, and Science Direct published in the last 10 years. Article search was performed using the PICO model. Population: women of reproductive age. Intervention: positive attitude, perception of strong behavioral control and positive family support. Comparison: negative attitude, perception of weak behavioral control and negative family support. Outcome: utilization of Pap smears. Article searches were carried out using the keywords “Papanicolau test” OR “Pap test” AND “attitude” AND “self-efficacy” OR “perceived behavior control” AND “family support” OR “spouse support” OR “husband support”. The article used is full text in English with a cross sectional design. Articles were collected using PRISMA flow diagrams and then analyzed using the Review Manager 5.4 application. Results: 22 cross-sectional study from Nigeria, Ghana, South Africa, Uganda, Ethiopia, Malaysia, Hong Kong, Iran, and the US were selected for meta-analysis. The total sample size is 13,330. Recent meta-analysis found that positive attitude (aOR= 1.53; 95% CI= 1.35 to 1.72; p<0.001) and perceived strong behavioral control (aOR= 2.01; 95% CI= 1.56 to 2.59; p< 0.001) increased Pap smear utilization. Strong family support increased Pap smear utilization, but it was statistically non-significant (aOR= 2.53; 95% CI= 0.79 to 8.10; p< 0.001). Conclusion: Positive attitudes, perceptions of strong behavioral control and positive family support can increase Pap smear utilization.
Meta-Analysis the Effects of Hand Washing Behavior Using Soap and Latrine Availability on the Diarrhea Incidence in Children Under Five Dyah Ayu Fatmawati; Sumardiyono; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.03

Abstract

Background: Diarrheal disease is a major problem in developing countries, including Indonesia. Apart from being a cause of death, diarrhea is also a major cause of malnutrition and can cause extraordinary events. This study aimed to analyze and estimate the effect of washing hands with soap and availability of latrines on the incidence of diarrhea in toddlers, with a meta-analysis based on previous primary studies. Subjects and Method: The meta-analysis was carried out using the PICO format including: (1) Population: Children under five; (2) Intervention: Mother washing hands with soap and having latrines available; (3) Comparison: Mothers who don't wash their hands with soap and don't have latrines available; and (4) Outcome: Incidence of diarrhea. Article searches were performed using several databases such as PubMed, Google Scholar, ScienceDirect, BioMed Central, and PLOS ONE. The keywords used are “Hand Washing OR Hand Hygiene AND “Latrine OR Latrine Availability” AND “Infection” AND “Diarrhea Childhood” AND “Children”. The inclusion criteria for the included articles were full text articles with a cross-sectional design, published years from 2013 to 2022. This study was conducted according to PRISMA guidelines (Preferred Reporting Item for Systematic Reviews and Meta-Analysis). Data were analyzed using the Review Manager 5.3 application. Results: A total of 14 cross-sectional studies were included in this meta-analysis study which contained a total of 12,851 children under five who were at risk of diarrhea. This research article comes from Ethiopia which is on the African continent. The results of this meta-analysis show that mothers who wash their hands with soap can reduce the incidence of diarrhea in toddlers by 0.31 times compared to mothers who do not wash their hands with soap (aOR= 0.31; 95% CI= 0.17 to 0.57; p= 0.001), and the availability of latrines can reduce the incidence of diarrhea in toddlers by 0.38 times compared to the unavailability of latrines (aOR= 0.38; 95% CI= 0.15 to 0.96; p= 0.040). Conclusion: The behavior of washing hands with soap and the availability of latrines can reduce the incidence of diarrhea in toddlers.
Meta-Analysis: Effectiveness of Health Education Based on Health Belief Model in Type 2 Diabetes Mellitus Patients Atika Afniratri; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.04

Abstract

Background: The effectiveness of health education based on the Health Belief Model in diabetes mellitus patients can improve diabetes mellitus prevention behavior. This study aimed to determine the effect of the application of the Health Belief Model on health education in patients with diabetes mellitus. Subjects and Method: A systematic review and meta-analysis was performed using the PRISMA guidelines and the PICO model including Population= Type 2 diabetes patients; Intervention = Education based on the Health Belief Model; Comparison= Not using an educational method based on the Health Belief Model; Outcome= Perceived vulnerability, Perceived compliance, Perceived benefits, Perceived obstacles. Articles are collected from PubMed, Science Direct, and Google Schoolar. The keywords used “Health Belief Model” AND “DM” OR “Diabetes Mellitus” AND “Type-2”. A total of 8 articles met the inclusion criteria, namely primary full text paper, randomized controlled trial study design, based on the Health Belief Model, and outcomes in the form of perceptions of vulnerability, perceived compliance, perceived benefits, perceived obstacles for the meta-analysis were then assessed using RevMan 5.3. Results: Meta-analyses from Iran, India and Turkey showed that diabetes patients who were given education had an average perceived susceptibility score 1.37 units higher than those without education (SMD= 1.37; 95% CI= 0.74 to 2.01; p= 0.050). Diabetes patients who received education or education had an average severity perception score of 0.86 units higher than those without education (SMD= 0.86; 95% CI= 0.23 to 1.48; p= 0.007). Diabetes patients who received education on average had a perceived benefit score of 1.02 units higher than those who did not receive education (SMD= 1.02; 95% CI= 0.54 to 1.50; p < 0.001). Conclusion: Education based on the health belief model is effective for increasing perceptions of vulnerability, perceptions of adherence, and perceptions of benefits in diabetes patients with type 2 diabetes mellitus.
Qualitative Study of Solid Medical Waste Management at dr. R. Koesma Regional Hospital, Tuban, East Java Luly Ervidiana; Yuli Peristiowati; Agusta Dian Ellina
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.05

Abstract

Background: Activities in the hospital generate various kinds of waste. One of them is medical waste. Medical waste is part of the Hazardous and Toxic Material (HTM) waste which is very dangerous if it is disposed of directly at the Final Disposal Site (FDS). This study aimed to determine the management of Solid Medical Waste at RSUD dr. R.  Koesma, Tuban Regency. Subjects and Method: A qualitative research with interviews was conducted at RSUD Dr. R.  Koesma, Tuban Regency, East Java in March 2022. Participants consisted of 27 informants and 2 source triangulations. Data transcripts were analyzed using content analysis. Results: Human Resources involved in solid medical waste management are all employ­ees or employees who work at dr. R.  Koesma Regional Hospital, Tuban, East Java which produces waste. All waste management hospital staff have received medical waste training through PPI training, solid medical waste management has been labeled. The transportation of solid medical waste does not have a special route for transportation to garbage dump but instead uses the same route used by visitors to the hospital. Conclusion: Waste management hospital staff have received medical waste training through PPI training, solid medical waste management at dr. R.  Koesma Hospital Tuban has been going well.
Adherence to Direct Observed Treatment Short-Course Treatment in Tuberculosis: Application of the Health Belief Model Pusporini; Didik Gunawan Tamtomo; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.06

Abstract

Background: Tuberculosis (TB) is a disease that is a public health priority, because it was the leading infectious disease killer before COVID-19 which caused more than 1.4 million deaths in 2019. Non-compliance of TB patients to undergo regular treatment can be an obstacle in achieving a cure rate. and high treatment success. This study aimed to analyze the effect of the Health Belief Model application on Direct Observed Treatment Short-Course (DOTS) treatment adherence for Tuber­culosis in Karanganyar Regency. Subjects and Method: Cross-sectional study was conducted in Karanganyar, Central Java, Indonesia. The study population was Tuberculosis patients undergoing Direct Observed Short-Course Treatment. A total of 200 Tuberculosis Patients undergoing DOTS was selected using purposive sampling. The dependent variable was DOTS compliance. The independent variable was construct of health belief model. Data were collected using a questionnaire and analyzed using a multiple logistic regression. Results: Perceived threat (b= 0.20; 95% CI= 0.06 to 0.35; p= 0.007), perceived benefit (b= 0.31; 95% CI= 0.14 – 0.49; p= 0.001), and self-efficacy (b= 0.24; 95% CI= 0.13 to 0.36; p< 0.001) significantly increased TB-DOTS compliance. Perceived barrier significantly decreased TB-DOTS compliance (b= -0.21; 95% CI= -0.31 to -0.11; p< 0.001). Conclusion: Perceived threat, perceived benefit, and self-efficacy significantly increase TB-DOTS compliance. Perceived barrier significantly decreases TB-DOTS compliance.
Application of Theory of Planned Behavior on Periodic Testing among People Living with HIV/AIDS in Jombang, East Java, Indonesia Helmi Annuchasari; Argyo Demartoto; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.07

Abstract

Background: HIV/AIDS is one of the sexually transmitted diseases that is still high in the world. As many as 650,000 people died from this disease, around 38.4 million people were living with HIV/AIDS (PLWHA), by the end of 2021 with 1.5 million people newly infected with HIV. This study aimed to explore the behavior of people with HIV/AIDS based on the theory of planned behavior. Subjects and Method: A qualitative design with a case study approach was conducted at the Jombang District Health Service, Jombang Care Center, and the Kabuh Community Health Center Work Area. A total of 5 key informants, 10 people with HIV/AIDS as main informants, 1 supporting informant were selected purposively and snowballed. Data collection was carried out by interviews, observation, documentation (taking photos and reviewing control cards of people with HIV/AIDS). Data were analyzed using the Miles and Huberman method. Results: Behavioral intentions are related to the behavior of regular examinations in PLWHA. Attitudes are related to the behavior of regular examinations of PLWHA. Subjective norms are related to the behavior of regular examinations in PLWHA. Perceived behavioral control is related to the behavior of periodic examinations of PLWHA in Jombang Regency, East Java. Conclusion: Informants have high intentions or positive intentions to carry out periodic examinations aimed at maintaining their health so that it is much better. Informants accept and believe that with regular check-ups their body condition and health will be much better. The role of family and peer support groups is stronger than the influence of health workers. All key informants had positive control behavior to carry out examinations at community health centers that were not close to where they lived when the service from health workers was non-discriminatory and provided accurate information.
COVID-19 Research in Africa: A Bibliometric Analysis (2019-2021) Shamsudeen Ademola Sanni; Yusuf Olugbenga Aliyu; Vusi Wonderboy Tsabedze; Ntombikayise N Mathabele
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.05

Abstract

Background: The COVID-19 pandemic has generated an unprecedented volume of research globally, with a significant but varied focus on Africa. Given the unique socio-economic and healthcare challenges faced by the continent, understanding the landscape of COVID-19-related research in Africa is crucial. This study aimed to analyse the body of literature focused on Africa, identifying patterns, trends, and the conceptual, intellectual, and social structures underlying the research. By uncovering these elements, the study provides insights into the strengths and gaps within the existing body of work, offering a foundation for future research and policy formulation. Subjects and Method: A quantitative approach was employed to examine 4,290 documents related to COVID-19 research focused on Africa, sourced from the Web of Science (WoS) database between November 1, 2019 to February 1, 2022. The Bibliometrix R-package was utilized for data processing and visualization, enabling the identification of patterns, trends, and underlying structures within the literature. Results: The analysis revealed significant local and international collaboration in COVID-19 research focused on Africa. Four major themes emerged: (1) Health Systems, Policy, Workers, and Public Health; (2) Mental Health, Depression, and Anxiety; (3) COVID-19’s impact on HIV, Poverty, and Children; and (4) its impact on Education. Institutional collaborations were parti­cularly strong among the top five South African universities, highlighting a robust social structure. The productivity of authors conformed to Lotka’s Law, while periodical distribution followed Bradford's Law of Scattering. Keywords Plus and Abstract Words offered a comprehensive description of the research domain. Conclusion: The findings highlight the collaborative nature and thematic focus of COVID-19 research in Africa, emphasizing the importance of international collaboration. Future research should address identified gaps to deepen and enhance the impact of studies in this area.
Meta Analysis: Application of Health Belief Model on Tertiary Preventive Behavior in Type 2 Diabetes Mellitus Patients Afifah Nur Haliza; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.01

Abstract

Background: Tertiary prevention of DM is taking action on DM sufferers who experience complications to prevent further disability by providing health education to DM sufferers about the importance of drug compliance, diet and exercise. The study aimed to analyze the effectiveness of the Health Belief Model application in improving tertiary preventive behavior in type 2 diabetes mellitus patients. Subjects and Method: This study is a systematic review and meta-analysis study using PICO. P: Patients with Diabetes Mellitus type 2; I: High perceived severity, high perceived benefit, high self-efficacy; C: Low perceived severity, low perceived benefit, low self-efficacy; O: Tertiary preventive behavior. Data collection was obtained from data bases, namely PubMed, Google Scholar, Elsevier and Springer Link. The inclusion criteria used were full-text articles with a cross-sectional design, published from 2013 to 2023, in English, the final results of the study were reported using the Adjusted Odd Ratio. The keywords used are “Health Belief Model” OR “HBM” AND “diabetes” AND “preventive behavior” OR “type 2” Health Belief Model” AND “type 2 diabetes mellitus” AND “Cross Sectional Study”. Articles were analyzed using Review Manager 5.3. Results: Meta-analysis showed the significant results. The study from Ethiopia, Nepal, and China concluded that high perceived severity had a 2.60 times higher influence than low perceived severity on tertiary preventive behavior (aOR= 2.60; 95% CI= 1.06 to 6.37; p= 0.040). Meta-analysis from Ethiopia, Malaysia, China, and Taiwan concluded that high perceived benefits had an influence of 1.76 times higher than low perceived benefits. (aOR= 1.76; 95% CI= 1.09 to 2.82; p= 0.020). The meta-analysis was obtained from Ethiopia, Sudan, India, and China it showed that high self-efficacy has an effect of 2.69 times higher than low self-efficacy (aOR= 2.69; 95% CI= 1.48 to 4.89; p= 0.001). Conclusion: Perceived severity, perceived benefits and self-efficacy increase tertiary preventive behavior in diabetes mellitus.
Path Analysis: Application of Health Belief Model and Social Cognitive Theory in Smoking Cessation in Surakarta Muhammad Fahrezi Al Ghifari; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.02

Abstract

Background: Smoking is harmful to health. The percentage of smoking in Surakarta City is 23.11%. This study aims to analyze the theory of social cognitive and health belief models in smoking cessation behavior in Surakarta, Central Java. Subjects and Method: It was a cross-sectional study conducted in Surakarta City from September to November 2023. A total of 200 adults aged ≥15 years were selected using snow­balling sampling in the study. The dependent variable was smoking cessation behavior. The inde­pendent variables were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived cues to action, self-efficacy, observational learning, reinforcement, expectations, expectancy, and behavioral capabilities. Results: Self-efficacy had a direct effect on smoking cessation behavior (b = 3.30; CI 95%= 2.54 to 4.06; p<0.001). Perceived benefits, perceived barriers, cues to action, perceived severity, perceived susceptibility, and observational learning had indirect effects on smoking cessation behavior. Conclusion: Self-efficacy has a direct effect on smoking cessation behavior. Perceived benefits, perceived barriers, cues to action, perceived severity, perceived susceptibility, and observational learning have indirect effects on smoking cessation behavior.
Meta-Analysis: Factors Related with Premarital Sexual Behavior in Adolescents Aktif Cahyaning Tyas; Hallisa'tu Zahro; Putri Fortuna Salsabila; Aem Ismail; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.03

Abstract

Background: Premarital sexual behavior is a sexual activity carried out before marriage. Pre­marital sexual behavior is a health priority in adolescents because it causes unwanted pregnancies, abortions, STIs, HIV/AIDS and even death. Parents, peers, community environment, economic and cultural conditions influence premarital sexual behavior. This study aims to analyze the effect of peers, smoking behavior, alcohol consumption, exposure to pornography and rural areas on premarital sexual behavior in adolescents. Subjects and Method: This was a systematic review and meta-analysis of study articles. Data obtained from databases including Google Schoolar, Pubmed and Science Direct. Article search was carried out by considering eligibility criteria with the PICO model. Population: adolescents. Intervention: high peer pressure, smoking behavior, alcohol consumption, exposure to porno­graphy, and rural areas. Comparation: low peer pressure, non-smoking, no alcohol consumption, no exposure to pornography, and urban areas. Outcome: premarital sexual behavior. The articles were collected with keywords including "Peer Pressure" AND "Smoking" AND "Alcohol Compsumtion" AND "Pornography Exposure" AND "Rural" OR "Premarital Sexual Behavior" AND "Cross Sectional Study". Study articles were collected with PRISMA flow diagrams and analyzed using Review Manager 5.3 application. Results: The results of the meta-analysis indicated that adolescents were influenced by premarital sexual behavior in the presence of high peer pressure (aOR= 3.57; CI95%= 1.38 to 9.26; p<0.001), smoking behavior (aOR= 1.17; CI95%= 0.63 to 2.16; p<0.001), alcohol consumption (aOR=2.11; CI95%=1.34 to 3.33; p<0.001), and exposure to pornography (aOR= 2.43; CI95%= 1.44 to 4.09; p<0.001). Conclusion: Adolescent premarital sexual behavior increases with high peer pressure, smoking, alcohol consumption, and exposure to pornography.