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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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Meta-Analysis: Factors Related to Pap Smear Service Utilization Using Health Belief Model Safitri, Ayun; Demartoto, Argyo; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.01.02

Abstract

Background: Cervical cancer or cervical cancer is the most frequently diagnosed cancer and the fourth leading cause of death from cancer in women. Regular cervical cancer screening with the Papanicolaou (Pap) smear test remains an effective public health intervention in preventing and reducing the incidence of cervical cancer morbidity and mortality. The health belief model (HBM) is a psychological health behavior change model which shows that belief, perception, and attitude about a disease determine their willingness to use preventive interventions such as disease screening. This study aims to analyze the effect of the health belief model on the utilization of Pap smear screening services. Subjects and Method: This was a systematic review and meta-analytic study. This study uses the PICO model. The meta-analytic study was carried out by searching for articles from databases in electronic form using PubMed, Google Scholar and Proquest. Article search was carried out for 1 month. The keywords used were “Cervical Cancer Screening” OR “Pap Smear” AND “Health Belief Model” OR “Health Belief” AND Cervical Cancer”. The inclusion crite­ria for this study were complete articles using cross-sectional, 2013-2023. Analysis of the articles in this study used RevMan5.3 software. Results: A total of 15 cross-sectional studies from several countries, namely Indonesia, Ethiopia, Ghana, Iran, Italy, Lebanon, South Korea and the United States. The results of the meta-analysis showed that women of childbearing age with a high perceived vulnerability had a 1.19 times higher likelihood of utilizing Pap Smear screening services than those with a low perceived vulnerability (aOR= 1.19; 95% CI= 1.08 to 1.32; p< 0.001). High perceived benefit (aOR= 1.12; 95% CI= 1.07 to 1.16; p< 0.001) and high self-efficacy (aOR= 1.17; 95% CI= 1.01 to 1.36; p= 0.040) increased utilization of Pap smear screening services. Conclusion: Perceived vulnerability, perceived usefulness and self-efficacy significantly influence the utilization of Pap Smear screening services
Health Belief Model for the Analysis Factors Affecting Community Acceptance of COVID-19 Vaccination Dose II in Oenggae Village, Pantai Baru Subdistrict, Rote Ndao, East Nusa Tenggara Batukh, Herpri Astince; Sir, Amelya B.; Purnawan, Sigit
Journal of Health Promotion and Behavior Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.01.03

Abstract

Background: Efforts to reduce transmission of COVID-19 by carrying out COVID-19 vaccina­tions. The COVID-19 vaccination coverage in Rote Ndao is 52.92%. Oenggae Village is included in the working area of the Korbafo Health Center which has the lowest dose II COVID-19 vaccination coverage, namely 41.76%. This study aimed to analyze the relationship between the Health Belief Model (HBM) theoretical approach and community acceptance of the COVID-19 Dose II vaccination in Oenggae Village, Pantai Baru District, Rote Ndao in 2022. Subjects and Method: An observational analytic study with a cross-sectional design was conducted in Oenggae Village, Pantai Baru District, Rote Ndao from December 2022 to January 2023. A total of 107 people aged 6->55 years were selected for this study. The dependent variable is people's acceptance of the second dose of COVID-19 vaccination. The independent variables are perceived vulnerability, perceived severity, perceived benefits, perceived barriers and cues to act. Data was collected using a questionnaire. Data were analyzed by chi-square test. Results: Perceived vulnerability is high (OR= 3.91; 95 CI= 1.70 to 9.03; p= 0.002), perceived severity is high (OR= 10.59; 95% CI= 3.27 to 34.25; p< 0.001), perceived benefit is high (OR= 11.27; 95) % CI= 1.33 to 94.94; p= 0.009), perceived inhibition is low (OR= 6.22; 95% CI= 2.21 to 17.46; p= 0.001), and cues to act are high (p= 0.001) statistically significant effect on acceptance of vaccination COVID-19 2nd dose. Conclusion: Community acceptance of COVID-19 dose II vaccination is related to perceptions of vulnerability, perceived severity, perceived benefits, perceived obstacles, and cues to act.
Effect of Mobile Application Use on Oral Hygiene among Orthodontics Users: Meta-Analysis Hapsari, Dini; Pamungkasari, Eti Poncorini; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.01.04

Abstract

Background: The high prevalence of malocclusion causes the need for orthodontic treatment to increase. The results of the 2018 National Basic Health Research, the prevalence of dental and oral problems is 57.6%, especially in adolescents. Oral hygiene is an important factor that must be controlled by patients during orthodontic treatment because it can affect the quality and time of treatment. The mobile application is here to facilitate and provide optimal dental health informa­tion to orthodontic users. This study aims to analyze and estimate the influence of mobile applications on oral hygiene in orthodontic users. Subjects and Method: This study used a systematic review and meta-analysis by following PICO, Population: orthodontic patients. Interventions: mobile applications. Comparation: without a mobile application. Outcome: oral hygiene. The data used were obtained from scientific research articles from electronic databases including Pubmed, Google Schoolar, Science Direct Randomized Control Trial (RCT) designs from 2013 to 2023 which report effect sizes with Mean and SD. The keywords used are “orthodontic” AND “oral hygiene” OR “oral health” AND “mobile application” OR “app”. The selection of articles was carried out using the PRISMA flowchart. Data were analyzed using Review Manager software version 5.3. Results: A total of 9 articles with eligible RCT designs from Asia and Europe were selected for the systematic review and meta-analysis. The results of the meta-analysis showed that oral hygiene for orthodontic users who used mobile applications was better than those who did not use mobile applications, and was statistically significant (SMD= -0.59; 95% CI= -0.90 to 0.29; p= .001). Conclusion: Mobile application improves oral hygiene in orthodontic users.
Meta Analysis of Health Belief Model Theory on the Predictor of HPV Vaccine Uptake in Women of Reproductive Age Qomariah, Nurul; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Health Promotion and Behavior Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.01.05

Abstract

Background: Lack of knowledge about the use of HPV vaccine in women of productive age can result in cervical cancer. This study aims to determine the effect of the Health Belief Model application on the predictor of HPV vaccine uptake in women of reproductive age. Subjects and Method: Systematic review and meta-analyses were conducted using PRISMA guidelines and PICO model including: Population = women of reproductive age; Intervention= high perceived benefits, high perceived severity, high perceived susceptibility; Comparison= low perceived benefits, low perceived severity, low perceived susceptibility; Outcome= HPV vaccine uptake. Articles were collected from databases such as PubMed, Science Direct, and Google Scholar. The keywords used in the database search were "Health Belief Model" AND "Human Papilloma Virus" OR "HPV" AND "Women" AND "cross sectional study". A total of 7 articles met the inclusion criteria, namely full-text primary paper, cross-sectional study design, with a measure of association was the Odds Ratio (OR), the study subjects were women of reproductive age, interventions were in the form of high perceived benefits, high perceived severity, high perceived vulnerability, and the outcome was in the form of HPV vaccine use. They were subsequently assessed for meta-analysis using RevMan 5.3. Results: Meta-analysis from Indonesia, Ethiopia, the United Kingdom, Japan, Romania, Spain, and Italy showed that high perceived benefits of HPV vaccine use (aOR= 1.81; 95% CI= 1.00 to 3.26; p= 0.050), high perceived severity (aOR= 1.78; 95% CI= 0.94 to 3.40; p= 0.080), and high perceived susceptibility (aOR= 1.70; CI 95%= 0.75 to 3.83; p= 0. 200) increased the likelihood of HPV vaccine uptake. Conclusion: High perceived benefits, high perceived severity, and high perceived susceptibility have the likelihood of women of productive age to use HPV vaccine
Application of Social Cognitive Theory on Factors Related to Alcohol Consumption in Adolescents: Meta-Analysis Dasairy, Hana Fathiya; Demartoto, Argyo; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.01.06

Abstract

Background: Alcoholic drinks are all types of drinks that contain ethanol. In several countries, alcohol is a drink that is easy to obtain, so it tends to be abused a lot. Continuous alcohol con­sumption can lead to alcohol dependence. The purpose of this research is to analyze the application of social cognitive theory about the factors that influence alcohol consumption in adolescents. Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: Teenagers. Intervention: anxiety, drinking parents and drinking friends. Comparison: No anxiety, no drinking parents, and no drinking friends. Outcome: Consumption of alcoholic beverages. The online databases used are: PubMed, Google Scholar, Science Direct, and Scopus with the keywords “factors associated” AND “alcohol consumption” AND “anxiety” OR “parents alcohol consumption” OR “peers alcohol consumption” AND “adolescents” AND " cross-sectional." The inclusion criteria for this study were complete articles using cross-sectional research, published years from 2013-2023. Data analysis used RevMan 5 software. Results: A total of 16 cross-sectional studies from several countries namely Ethiopia, Canada, United States, Taiwan, South Africa, Buthan, Myanmar, Uganda, Thailand, Zambia, Brazil, Ghana, and Iran were selected for systematic review and meta-analysis. The results of the meta-analysis showed that adolescents with anxiety had the possibility of consuming alcohol 1.57 times higher than adolescents who were not anxious (aOR= 1.57; 95% CI= 1.30 to 1.89; p< 0.001), adolescents whose parents drank had a probability of consuming alcohol 1.53 times higher than adolescents whose parents do not drink (aOR=1.53; 95%CI= 1.23 to 1.89; p= 0.001), adolescents whose friends drink have the possibility of consuming alcohol 2.63 times higher than adolescents whose friends are not drinkers (aOR=2.63 ; 95%CI= 1.59 to 4.35; p= 0.002). Conclusion: Teenagers with anxiety, have drinking parents, and have drinking friends are more likely to consume alcohol.
Risk Factors for Stunting Incidence in Children Under Three in the Working Area of the Korbafo Community Health Center, Pantai Baru Sub-District, East Nusa Tenggara Kekado, Aprianjen Yehentina; Jutomo, Lewi; Riwu, Rut Rosina
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.01

Abstract

Background: The incidence of stunting in children under three can be generated by several factors, namely family income, maternal education, maternal knowledge concerning nutrition, energy intake, and protein intake. This study aimed to discover the risk factors for stunting in children under three in Korbafo Community Health Center working area, Pantai Baru Sub-District in 2022. Subjects and Method: The analytical survey study with a case-control study design was conducted in Korbafo Community Health Center working area, Pantai Baru Sub-District, East Nusa Tenggara. A total of 96 children under three divided into 2 groups, 48 children in case group and the other 48 in control group, were selected using purposive sampling. The dependent variable was the incidence of stunting. The independent variables consisted of family income, maternal education, maternal knowledge concerning nutrition, energy intake, and protein intake. The data were analyzed using a simple logistic regression test. Results: The incidence of stunting in children under three increased with low family income (b = 1.29; 95% CI= 1.46 to 9.20; p= 0.006), low maternal education (b= 1.69; 95% CI= 2.26 to 13.20; p< 0.001), insufficient maternal knowledge concerning nutrition (b = 2.19; 95% CI= 3.57 to 22.67; p< 0.001), inadequate energy intake (b= 1.86; 95% CI= 2.48 to 16.61; p< 0.001),  and inadequate protein intake (b= 1.79; 95% CI= 2.47 to 14.56; p< 0.001), and they were statistically significant. Conclusion: The incidence of stunting in children under three years increases with low family income, low maternal education, insufficient maternal knowledge concerning nutrition, inadequate energy intake, and inadequate protein intake.
Application of Theory of Planned Behavior on Factors Associated with Pap Smear Uptake: A Meta-Analysis Purnamasari, Elvira; Demartoto, Argyo; Budihastuti, Uki Retno
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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 Fatmawati, Dyah Ayu; Sumardiyono; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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 Afniratri, Atika; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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 Ervidiana, Luly; Peristiowati, Yuli; Ellina, Agusta Dian
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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.

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