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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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Adherence to Direct Observed Treatment Short-Course Treatment in Tuberculosis: Application of the Health Belief Model Pusporini; Tamtomo, Didik Gunawan; Prasetya, Hanung
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.2024.09.02.06

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 Annuchasari, Helmi; Demartoto, Argyo; Prasetya, Hanung
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.2024.09.02.07

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.
Meta Analysis: Application of Health Belief Model on Tertiary Preventive Behavior in Type 2 Diabetes Mellitus Patients Haliza, Afifah Nur; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.01

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 Al Ghifari, Muhammad Fahrezi; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.02

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 Tyas, Aktif Cahyaning; Zahro, Hallisa'tu; Salsabila, Putri Fortuna; Ismail, Aem; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.03

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.
Multilevel Analysis of Information Motivation Behavioral Skill Models and Its Effect on Tertiary Preventive Behavior in Elderly with Type II Diabetes Mellitus Khairiyyah, Alimah Ulfah; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.04

Abstract

Background: Diabetes Mellitus (DM) is an important health condition for the elderly population, about a quarter of people over the age of 65 suffer from diabetes. Complications of type 2 diabetes increase the risk of death for sufferers. Complications and death from type 2 diabetes can be prevented by implementing tertiary preventive behavior. This study aimed to determine the influence of Integrated services post and other factors on tertiary preventive behavior for type 2 diabetes, using information motivation behavioral skill models theory. Subjects and Method: A cross-sectional study was conducted at 25 Integrated services post in Sukoharjo Regency, Central Java from October to November 2023. A total of 200 elderly patients with type II DM were selected by the stratified random sampling. The dependent variable is tertiary preventive behavior. The independent variables used are information, motivation, behavioral skills, age and gender. Data collection was carried out by interviews and questionnaires. Data analysis uses multilevel multiple linear regression analysis. Results: Tertiary preventive behavior is positively related to motivation (b= 0.31; 95% CI= 0.01 to 0.61; p= 0.037), behavioral skills (b= 0.74; 95% CI= 0.43 to 1.05; p= 0.001). Tertiary preventive behavior was positively related to information but was not statistically significant (b= 0.01; 95% CI= -0.30 to 0.32; p= 0.945). Tertiary preventive behavior was negatively related to age but was not statistically significant (b= -0.04; 95% CI= -0.11 to 0.01; p= 0.168) and gender (b= -0.07; 95% CI= -0.98 to 0.83; p= 0.878). Integrated services post has a contextual influence on tertiary preventive behavior in elderly patients with type-II DM (ICC= 35.99%). Conclusion: Tertiary preventive behavior in elderly patients with type 2 DM increases with good information, strong motivation and good behavioral skills. Integrated services post has a contextual effect on tertiary preventive behavior in type 2 DM patients.
Multilevel Analysis of the Implementation of the Health Belief Model on Antenatal Visit at Integrated Health Posts in Kapuas Hulu, West Kalimantan, Indonesia Purwanti, Titis Cipta; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.05

Abstract

Background: Antenatal care (ANC) is carried out to prevent causes of morbidity (illness or complications) and mortality (death) in pregnant women and children. This study aimed to determine the relationship between the application of the health belief model and the behavior of utilizing/visiting antenatal services. Subjects and Method: The research was conducted with a cross-sectional study design. The approach taken was to use an analytical observational model with a sample size of 213 pregnant women. This research was conducted at the Kapuas Hulu District Health Center. This research was conducted in November-December. A sample of 213 pregnant women was selected using stratified random sampling. The dependent variable in this study is ANC visits. Meanwhile, the independent variables in this study were perceived vulnerability, perceived severity, perceived benefits, self-efficacy, and gestational age. Data collection was carried out using a questionnaire and data was analyzed using a multilevel multiple linear regression analysis model. Results: ANC visits increased with high perceived susceptibility (b= 0.13; 95% CI= 0.06 to 0.20; p < 0.001), high perceived severity (b= 0.17; 95% CI= 0.12 to 0.21; p < 0.001), high perceived benefit ( b=0.13; 95% CI= 0.09 to 0.18; p <0.001), high self-efficacy (b= 0.11; 95% CI= 0.03 to 0.18; p=0.005), and high gestational age (b= 0.15; 95% CI = 0.10 to 0.20; p < 0.001). Conclusion: Several constructs in the Health Belief Models which include perceived vulnerability, perceived severity, perceived benefits and perceived self-efficacy can be used as predictors of antenatal visits for pregnant women at Integrated service post, Kapuas Hulu Regency, West Kalimantan Province. Resulting in an ICC of 14.9%, which means there is a contextual influence of Integrated service post on antenatal visits of pregnant women.
Implementation of the Information Motivation Behavior Skill Model on Cadre's Performance in Surakarta: A Structural Equation Model Saputri, Chelsy Sumardi; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.06

Abstract

Background: Integrated service post cadres are individual volunteers at the community level who are selected by residents based on their ability, integrity, loyalty and commitment to improving community health and playing a role in developing strategies to overcome stunting. This research aims to determine whether there is an effect of implementing the Information-Motivation-Behavior Skill Model on the performance of Integrated services post cadres. Subjects and Method: This was a cross-sectional study conducted in Surakarta, Central Java, form November to December 2023. A sample of 210 integrated services post cadres was selected using stratified random sampling. 25 integrated service posts in 3 community health centers The data were collected using a structural equation modeling (SEM). Results: Performance was positively and significantly influenced by behavioral skill (b= 0.26; 95% CI= 0.13 to 0.38; p< 0.001), information (b= 0.16; 95% CI= 0.03 to 0.28; p= 0.014), and motivation (b= 0.18; 95% CI= 0.05 to 0.32; p= 0.008). Goodness of fit of SEM model indicated fit (p= 0.190; RMSEA= 0.037; CFI= 0.99, TLI= 0.98, SRMR= 0.03; CD= 0.92). Conclusion: The Information-Motivation-Behavioral Skill Model can be used to predict work performance of integrated health post cadres. Performance is positively and significantly influenced by behavioral skill, information, and motivation.
Contextual Effect of Village, Implementation of Theory of Planned Behavior, and Decision to Quit Smoking: A Multilevel Analysis Nazalah, Rajba; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.07

Abstract

Background: Behavior is determined by the intention to perform a behavior. Intentions are further influenced by three constructs, attitudes (the advantages and disadvantages of engaging in a behavior), subjective norms (social influences on a behavior) and perceived behavioral control (facilitators and barriers to a behavior). The study aimed to analyze the contextual influence of the hamlet on the application of the Theory of Planned Behavior (TPB) construct in the decision to stop smoking among adults in Surakarta. Subjects and Method: A cross-sectional study was conducted in 22 villages in Surakarta in November-December. A sample of 200 adult smokers and quitters was selected using snowball sampling. The dependent variable is the decision to stop smoking. The independent variables are intention, attitude, subjective norm, and perceived behavioral control. Data were collected by questionnaire and analyzed using multilevel multiple linear regression. Results: A person's decision to stop smoking is directly influenced by the intention to stop smoking (b= 0.18: 95% CI= 0.07 to 0.28; p= 0.001). Intention to quit smoking was significantly influenced by attitudes about smoking (b= 0.21: 95% CI= 0.10 to 0.32; p <0.001), subjective norms (b=0.19: 95% CI= 0.06 to 0.32; p= 0.003), and perception behavioral control (b= 0.25: 95% CI= 0.09 to 0.42; p= 0.002). Variations at level 2 hamlets have a contextual relationship to the decision to stop smoking (ICC= 10.43%). Conclusion: Decision to quit smoking is directly influenced by the level of intention to quit smoking. Intention to quit smoking itself is influenced by attitudes, subjective norms, and perceived behavioral control. Hamlet has a contextual effect on the decision to quit smoking.
Application of Health Belief Model on Obesity Prevention Behavior in Adolescents Flora, Viola Holly; Pamungkasari, Eti Poncorini; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.08

Abstract

Background: Adolescent obesity is a global challenge with serious health impacts. This study aimed to explore the application of the Health Belief Model (HBM) in the context of preventing obesity in adolescents. Subjects and Method: This research uses an observational analytical design with a cross sectional approach. The population consists of teenagers aged 15-19 years in the city of Surakarta, with a sample of 200 teenagers chosen randomly. The dependent variable is obesity prevention behavior. The independent variable is the HBM construct (perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy). Data was collected using a questionnaire, and analyzed using multiple linear regression. Results: There is a positive and statistically significant relationship between perceived vulnerability (b= 0.08; 95% CI= 0.03 to 0.13; p = 0.004), perceived seriousness (b= 0.37; 95% CI= 0.29 to 0.46; p<0.001), perceived benefits (b= 0.22; 95% CI= 0.14 to 0.29; p<0.001), cues to action (b= 0.15; 95% CI= 0.05 to 0.25; p= 0.005) and self-efficacy (b= 0.05; 95% CI = 0.01 to 0.10; p= 0.027) on obesity prevention behavior. Adjusted R-squared= 72.15%. This means that the HBM construct includes perceptions of vulnerability, perceptions of severity, perceptions of benefits, cues to action, and self-efficacy, together they are able to explain variations in obesity preventive behavior in adolescents by 72.15%. Conclusion: The results of this study indicate that the Health Belief Model construct includes perceptions of vulnerability, perceptions of seriousness, perceptions of benefits, cues to action, and self-efficacy, which play a role together in shaping obesity prevention behavior in adolescents.

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