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Journal of Health Promotion and Behavior
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25491172     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on health promotion and health-related behaviors. It began its publication on May 21, 2015. The journal is published four times yearly. It seeks to understand factors at various layers associated with health behavior and health-impacting policy and find evidence-based social and behavioral strategies to improve population health status.
Arjuna Subject : -
Articles 347 Documents
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Meta-Analysis: Correlations between Knowledge, Self-Efficacy, and Social Support on HIV testing in Homosexual Karismatika Surya Gumilar; Argyo Demartoto; Bhisma Murti
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.2024.09.04.01

Abstract

Background: HIV is an infectious disease for which there is no cure. Homosexuals are a vulnera­ble group for HIV transmission. One of the HIV-AIDS control programs is to make HIV testing a standard of service in all health facilities. This study aims to analyze the influence of self-efficacy, social support, and knowledge in carrying out HIV tests on homosexuals. Subjects and Method: This study is a systematic and meta-analysis study, with PICO as follows: Population= Homosexual. Intervention= Good knowledge, high self-efficacy, and high social support. Comparison= Poor knowledge, low self-efficacy, and low social support. Outcome= Use of HIV Testing. The articles used in this research were obtained from several databases including PubMed, Google Scholar and Scopus. These articles were collected over 2 weeks. The keywords to search for articles are as follows: "HIV Test AND Homosexual AND Knowledge AND Self Efficacy AND Social Support". The articles included in this research were full-text articles with a cross-sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using Review Manager 5.3 application. Results: A total of 12 articles were reviewed in this meta-analysis research originating from China, Guatemala, Myanmar, USA, Jamaica. The study showed that homosexuals with good knowledge (aOR= 2.02; 95% CI= 1.38 to 2.96; p= 0.003), social support high (aOR= 1.17; 95% CI= 1.03 to 1.34; p= 0.020), and high self-efficacy (aOR= 1.11; 95% CI= 1.02 to 1.22; p= 0.010) has a significant influence on the decision to test for HIV. Conclusion: Good knowledge, high self-efficacy, and high social support can increase the willingness to carry out HIV testing among homosexuals.
Path Analysis: Implementation of Information Motivation Behavioral Skill Model on Tertiary Preventive Behavior in Type II Diabetes Melitus Aktif Cahyaning Tyas; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.01

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia. Hyperglycemia over a long period of time increases the occurrence of complications. Complications due to type 2 DM can be prevented or delayed by implementing tertiary preventive behavior. This study aims to analyze the influence of the Information Motivation and Behavior Skill Model on tertiary preventive behavior in type 2 DM patients. Subjects and Method: This research with a cross-sectional design was conducted in Boyolali Regency, Central Java from November to December 2023. The research was conducted at 25 posbindu in Ngemplak and Nogosari Districts. The sample size was 200 adults with a diagnosis of type 2 DM who were selected using the stratified random sampling method. The dependent variable is tertiary preventive behavior. The independent variables are information, motivation, behavioral skills, age, gender, education, and employment. Data collection was carried out using questionnaire interviews. Data were analyzed using path analysis in the STATA 13 application. Results: There is a positive relationship between behavioral skills and tertiary preventive behavior (b= 0.16; 95% CI= 0.02 to 0.29; p= 0.023). There is a positive relationship between information and behavioral skills (b= 0.25; 95% CI= 0.13 to 0.38; p<0.001). There is a positive relationship between motivation and behavioral skills (b= 0.38; 95% CI= 0.15 to 0.41; p<0.001). The path analysis model has good model suitability, as indicated by the following suitability indicators: p= 0.244; RMSEA= 0.045; CFI= 0.98; TLI= 0.95; SRMR= 0.032. Conclusion: Tertiary preventive behavior in adult type 2 DM patients is directly influenced by behavioral skills. Tertiary preventive behavior is indirectly influenced by information and motivation. Tertiary preventive behavior in type 2 DM patients increases with good information, strong motivation and good behavioral skills.
Analysis Multilevel: Application of Health Belief Model on Tertiary Prevention Behavior in Kaur District, Bengkulu Province, Indonesia Betriza; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.02

Abstract

Background: Uncontrolled hypertension can cause complications, so efforts to prevent and control hypertension can be carried out by applying the Health Belief Model health promotion theory. This study aimed to determine the influence of the Health Belief Model construct on tertiary prevention behavior in hypertensive patients. Subjects and Method: This was a cross-sectional study conducted in 16 health centers in Kaur district, Bengkulu, from November to December 2023. A total of 208 hypertension patients were selected by simple random sampling. The dependent variable is tertiary prevention behavior. Independent variables are a number of constructs in the Health Belief Model theory including perceived susceptibility, stimulus to act, and self-efficacy. Data collection was carried out using questionnaires and data were analyzed using a multilevel double linear regression analysis model. Results: There was a positive association between perception of vulnerability (b= 0.11; CI 95%= 0.01 to 0.22; p= 0.065), signal to act (b= 0.20; CI 95%= 0.03 to 0.38; p= 0.022), self-efficacy (b= 0.16; CI 95%= -0.01 to 0.32; p= 0.059) on hypertension tertiary prevention behavior. Public health center have less contextual influence on tertiary prevention behavior in hypertensive patients (ICC= 6.68%). Conclusion: Perception of vulnerability, cues to act, and self-efficacy are predictors of hypertension tertiary prevention behaviors.
Psychological Factors and Social Support in Adolescents with Suicidal Ideation: A Meta-Analysis Zain Nadaa Nisriina; Epin Pakanna; Bhisma Murti; Aem Ismail
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.03

Abstract

Background: According to World Health Organization (WHO) data, as of August 28, 2023, there are more than 700,000 deaths due to suicide every year and the fourth highest cause of death in 18-29 years old is suicide. Studies report that psychological conditions and social support are risk factors for the emergence of suicidal ideation in adolescents. This study aimed to analyze and estimate the effect of psychological determinants (anxiety, loneliness, and depression), gender, and social support on suicidal ideation in adolescents. Subjects and Method: This was a meta-analysis with PICO model. Population: adolescents. Intervention: women, psychological determinants (anxiety, loneliness, and depression), and social support. Comparison: men, no anxiety, no loneliness, no depression, no social support. Outcome: suicidal ideation. The basic data used involves Google Scholar, PubMed, BMC, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with cross-sectional studies, published from 2018-2023, reported aOR. Data analysis using the Review Manager 5.3. Results: Meta-analysis was carried out on 16 primary studies from various countries, namely Ethiopia, Nepal, the United States, India, Slovenia, South Korea, Nigeria, Jamaica, China, the Netherlands, and Greece. Suicidal ideation decreased in male adolescents (aOR= 0.95; 95% CI= 0.73 to 1.24; p= 0.700) and strong social support (aOR= 0.84; 95% CI = 0.76 to 0.93; p <0.001). Loneliness (aOR= 2.86; 95% CI= 1.38 to 5.96; p= 0.005), anxiety (aOR= 2.46; 95% CI= 1.58 to 3.84; p<0.001), and depression (aOR= 5.46; 95% CI= 3.43 to 8.70; p<0.001) increased the risk of suicidal ideation. Conclusion: Suicidal ideation decreases in male adolescents and strong social support. It increases with loneliness, anxiety, and depression increase the risk of suicidal ideation.
Implementation of Social Cognitive Theory on Smoking Cessation Zain Nadaa Nisriina; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.04

Abstract

Background: Most people have understood the negative effects of smoking behavior, but not all of them can make the decision to stop the behavior. Like smoking behavior, quitting smoking is also influenced by various factors. This study aimed to analyze smoking cessation behavior in individuals who have quit smoking through Social Cognitive Theory in the Semarang City area. Subjects and Method: The study was conducted with a cross-sectional study design involving as many as 205 participants, including 123 active smokers and 82 who had quit smoking. This research was conducted in the Semarang City area, Central Java. This research was conducted in March-April 2024. The sample was selected using fixed disease sampling for active smoking par­ticipants and snowball sampling for participants who had quit smoking. The dependent variable is smoking cessation behavior. The independent variables are expectation of results, self-regulation, self-efficacy, and strengthening. Data collection was carried out using a questionnaire and the data was analyzed using a path analysis model. Results: Smoking cessation behavior increased with high self-efficacy (OR= 19.99; 95% CI= 7.46 to 53.62; p<0.001) and strong self-regulation (OR= 3.05; 95% CI= 1.51 to 6.13; p= 0.002). Self-efficacy increased with the expectation of positive results (OR= 8.64; 95% CI= 4.52 to 16.52; p<0.001) and strong self-regulation increases with strengthening (OR = 3.61; 95% CI= 1.99 to 6.53; p<0.001). Thus, social cognitive theory can be used to explain and predict smoking cessation behavior. Conclusion: Smoking cessation behavior increases with high self-efficacy, strong self-regulation, positive outcome expectations, and strengthening. Thus, social cognitive theory can be used to explain and predict smoking cessation behavior. Keywords: social cognitive theory, smoking cessation, early adulthood.
The Associations between Attitude and Quitting Smoking in Adult Smokers: A Meta-Analysis Anisah Firdaus; Lestari Indah; Bhisma Murti; Aem Ismail
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.05

Abstract

Background: According to the World Health Organization (WHO), by 2025, tobacco control initiatives are expected to reduce the prevalence rate of tobacco throughout the WHO region. Recent assessments of smoking epidemics over the past half-century show a decrease in overall smoking prevalence among adult males (32.2% to 33.1%) and females (6.3% to 6.7%). The effectiveness of all these smoking cessation programs depends on knowing the factors that affect smokers. Factors such as sociodemographic factors, attitudes, and environment play an important role in the desire to quit  smoking This study aimed to determine the influence of attitudes on the likelihood of quitting smoking in adults. Subjects and Method: Systematic review and meta-analysis using prism flow diagrams and PICO format. Population: Adult smokers. Intervention: attitudes of likelihood of quitting smoking, smoking Outcome: Smoking cessation behavior in adults. The online databases used are Google Scholar, BMC, ScienceDirect, and Springer Link with the words smoking cessation, attitude to quit smoking, cross sectional and aOR. There were 9 cross sectional studies published in 2019-2023. The analysis was performed with RevMan 5.3. Results: This meta-analysis included 9 cross-sectional studies  from the Hadiyah Zone, Southern Ethiopia, Bhubaneswar, India, Hanoi, Vietnam, United States, Saudi Arabia, England, Taiwan, Beirut, Lebanon and Qatar. The number of samples is 12,526. Smokers with positive attitudes were 1.28 times more likely to quit smoking than negative attitudes, and the effect was statistically significant (aOR= 1.28; CI 95%= 0.84 to 1.95; p= 0.260). Conclusion: Positive attitudes increase the likelihood of smokers quitting smoking.  Keywords: quit smoking, attitudes, smokers, cross sectional, aOR.
Meta-Analysis: Bullying's Effects on Anxiety and Depression in Adolescents Amin Nur Hanida; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.06

Abstract

Background: Bullying is a major problem worldwide. Bullying itself is defined as a condition in the form of negative and repetitive behavior, carried out by a person or group of people, the treatment is carried out deliberately and intensely with the aim of hurting physically and mentally. This study aims to analyze and estimate the magnitude of the influence of bullying on anxiety and depression in adolescents. Subject and Method: The meta-analysis was performed according to the flow of the PRISMA diagram and the PICO model. P: Adolescents, I: Bullying, C: No bullying, O: Anxiety and depression. The search for articles in this study is through databases that include PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "bullying" AND "anxiety" AND "depression" AND "adolescent". Full paper article with cross-sectional study, the subject of the study was adolescents, the measure of the relationship used was adjusted Odds Ratio,   the outcome of the study was anxiety and depression. Analysis was done with Revman 5.3 Results: There were 10 articles with cross-sectional designs from the United States, Africa, China, Saudi Arabia, Malaysia, and Australia with a total of 282,799 research samples. A meta-analysis of 10 cross-sectional studies concluded that adolescents who experienced bullying had a 1.98 times greater risk of anxiety than those without bullying (aOR = 1.98; CI 95%= 1.54 to 2.53; A meta-analysis of 8 cross-sectional studies concluded that adolescents who experienced bullying had a 1.85 times greater risk of depression compared to no bullying (aOR= 1.85; CI 95%= 1.37 to 2.50; p<0.001). Conclusion: Bullying increases the risk of anxiety and depression in adolescents
Path Analysis of the Influence of the Theory of Planned Behavior Construct on Visual Inspection of Acetic Acid Uptake in Banjarnegara Amalia Khurotul Mahzunah; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.07

Abstract

Background: The death rate for women of childbearing age is increasing. This indicates the need for useful interventions to prevent deaths from cervical cancer. One way is to carry out an Acetic Acid Visual Inspection (VIA) screening. Unfortunately, the rate of VIA screening is still low. So it is necessary to conduct research on how the behavior of using VIA screening is viewed from health promotion theory. This study aimed to determine the application of one of the health promotion theories, namely the Theory of Planned Behavior (TPB), to the use of VIA screening in Banjarnegara Regency. Subjects and Method: The study was conducted with a cross-sectional study design involving 200 female participants of reproductive age ranging from 20 to 50 years. This research was conducted in Banjarnegara Regency, Central Java Province, Indonesia. This study was conducted in April-May 2024. The sample was selected using fixed disease sampling to find participants who had undergone VIA screening. Data collection was carried out using questionnaires and data was analyzed using univariate, bivariate and path analysis. Results: The results of this study showed that the behavior of using VIA screening was directly influenced by intentions and perceived behavioral control. The possibility of subjects to undergo VIA screening can increase by strong intentions (OR= 6.56; 95% CI= 2.97 to 14.48; p< 0.001) and high perceived behavioral control (OR= 6.23; 95% CI= 3.07 to 12.65; p < 0.001). In addition, the results of path analysis showed that intentions were influenced by attitudes (OR= 2.73; 95% CI= 1.31 to 5.69; p= 0.007), subjective norms (OR= 3.48; 95% CI= 1.71 to 7.07; p= 0.001), and perceived control treatment (OR= 3.03; 95% CI= 1.50 to 6.09; p= 0.002). Conclusion: The use of VIA screening is directly influenced by intention and perceived behavioral control. In addition, intentions are influenced by attitudes, subjective norms, and perceived behavioral control. All results of the analysis are statistically significant.
The Application of Social Cognitive Theory on Tertiary Preventive Behavior in Elderly with Type 2 Diabetes Mellitus: A Multilevel Analysis Amanda Widyarahma; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.08

Abstract

Background: Diabetes Mellitus is a chronic disease whose prevalence increases, especially in old age. About a quarter of people over the age of 65 suffer from diabetes. DM can cause serious compli­cations up to death. The importance of tertiary preventive behavior to prevent compli­cations. This study aimed to analyze the influence of the Social Cognitive Theory construct and the contextual influence of posyandu on the tertiary preventive behavior of elderly people with type 2 diabetes mellitus. Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (posyandu) in Magetan, East Java, Indonesia, from April to May 2024. 200 elderly with type 2 DM were selected by stratified random sampling. The dependent variable was tertiary preventive behavior. The independent variables were self-regulation, knowledge, expectations, self-efficacy, reinforcement, and observational learning. Data collection was carried out by interviews and questionnaires. The data were analyzed using a multiple multilevel linear regression. Results: Tertiary preventive behavior was higher in self-regulation (b= 0.24; 95% CI= 0.01 to 0.46; p= 0.038), know­ledge (b= 0.70; 95% CI= 0.23 to 1.17; p= 0.003), expectations (b= 0.53; 95% CI= 0.35 to 0.71; p <0.001), self-efficacy (b= 0.39; 95% CI= 0.11 to 0.67; p= 0.006), reinforcement (b= 1.26; 95% CI= 0.90 to 1.62; p<0.001), and observational learning (b= 0.30; 95% CI= 0.01 to 0.59; p= 0.036). There were no significant relationships of age and gender on tertiary preventive behavior. There was a contextual effect of elderly posyandu on tertiary preventive behavior (ICC= 6.39%). Conclusion: Tertiary preventive behavior is higher in self-regulation, know­ledge, expectations, self-efficacy, reinforcement, and observational learning. There are no significant relationships of age and gender on tertiary preventive behavior. There is a contextual effect of elderly posyandu on tertiary preventive behavior.
Imlementation of Health Belief Model to Predict Adherence toward Acupuncture Services in Low Back Pain Patients Nurcahyo aji legowo; Bhisma Murti; Sumardiyono Sumardiyono
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.09

Abstract

Background Adherence in using acupuncture services can reduce the risk of developing more severe low back pain. Low back pain patients who do not receive regular treatment will experience a high risk of injury. This study aims to determine the relationship between the construct of the health belief model and adherence in using acupuncture services. Subjects and Method: This was a cross-sectional study carried at the Surakarta acupuncture clinic in December-March 2024. A sample of 200 low back pain patients was selected using random sampling. The dependent variable was low back pain patients. The independent variables were perceived vulnerability, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data were analyzed using a multiple logistic regression. Results: Adherence to acupuncture therapy in LBP patients increased with high perceived vulnerability (OR= 2.46; 95% CI= 1.09 to 5.07; p = 0.028), high perceived severity (OR= 4.07; CI 95%= 1.84 to 8.99; p = 0.001), high perceived benefit (OR= 2.57; 95% CI= 1.12 to 5.84; p = 0.024), had cues to action (OR= 2.24; 95% CI= 1.03 to 4.90; p = 0.042), and high self-efficacy (OR= 2.27; 95% CI= 1.03 to 5.00; p = 0.042). It was decreased by high perceived barriers (OR= -0.35; 95% CI= -0.15 to -0.80; p = 0.014). Conclusion: Adherence to acupuncture therapy in LBP patients increases with high perceived vulnerability, high perceived severity, high perceived benefit, had cues to action, and high self-efficacy. It is decreased by high perceived barriers

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