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Journal of Health Promotion and Behavior
ISSN : -     EISSN : 25490281     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 509 Documents
Path Analysis on the Determinants of the Use of Integrated Health Post and the Application of Theory of Planned Behavior Fitriani, Yuni; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Integrated health post (Posyandu) is a strategy for community empowerement. It has an important role to reduce maternal mortality rate (MMR) and infant mortality rate (IMR). The intergrated health post monitors the health of infants, children, pregnant women, lactating women, and women of reproductive age. Weighing coverage of children under five was only 80.4% in Central Java, in 2014. Weighing coverage of children under five was only 78.4 % in Tegal District, in 2015, which was lower than the expected target of 80%. This study aimed to investigate the determinant of of the use of integrated health post and the application of  Theory of Planned Behavior (TPB).Subjects and method: This was an analytic observational study with case control design. This study was conducted in Tegal District, Central Java, from 25 September to 25 October 2016. A total sample of 135 mothers with their respective children aged 6-59 months were selected for this study by fixed disease sampling. The dependent variables were intention and use of the integrated health post. The independent variables were constructs of TPB, including attitude toward behavior, subjective norm, and perceived behavior control. The data were collected by a pre-tested set of questionnaire. The data were analyzed by path analysis using IBM SPSS AMOS 22.Results: The path model showed goodness of fit with CMIN=4.24; p=0.120; GFI=0.99; NFI=0.99; CFI=0.99; and RMSEA=0.09. Intention had direct positive and statistically significant effect on the use of the integrated health post (b=0.29; p<0.001). All of the three TPB constructs, including attitude toward behavior (b=0.27; p<0.001), subjective norm (b=0.27; p=0.046), and perceived behavior control (b=0.34; p=0.007) had indirect positive and statistically significant effect on the use of the integrated health post.Conclusion: Intention has direct positive effect on the use of the integrated health post. All of the three TPB constructs, i.e. attitude toward behavior, subjective norm, and perceived behavior control has positive and indirect effect on the use of the integrated health post.Keywords: integrated health post, theory of planned behaviorCorrespondence: Yuni Fitriani. School of Health and Sciences, STIKes Bhakti Mandala Husada Slawi. Email: yfitriani85@yahoo.co.id.Journal of Health Promotion and Behavior (2016),  1(4): 228-237https://doi.org/10.26911/thejhpb.2016.01.04.02
Health Promotion Model to Increase Maternal Visit and Exclusive Breastfeeding in the Puerperium Period in Sleman, Yogyakarta Ambarwati, Eny Retna; Khoirunnisa, Endang; -, Waryana
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding in the puerperium period is beneficial for mother and infant. Breastfeeding stimulate oxytocin release that will increase uterine contraction. It in turn fastens uterine involution process and eventually prevents prolonged post partum bleeding. Breastfed infants are healthier, have better nutritional status, and less probability of dying. Therefore, there is a need to develop a health promotion model that empowers post partum mothers to visit maternity clinic for post partum examination. This study aimed to determine factors that affect maternal visits to maternity clinic for post partum examination.Subjects and Method: This was an analytical observational study with cross-sectional design. This study was conducted in Sleman, Yogyakarta. A total sample of 125 post partum mothers was selected for this study. The dependent variable was number of visits to maternity clinic for post partum examination. The independent variables were maternal knowledge, access to information, husband support, stakeholder role, and participation in maternal health promotion class. The data were collected by a set of questionnaire, and then were analyzed by Structural Equation Model (SEM).Results: The SEM showed Goodness of Fit, with indicators as follows: Chi Square 263.01, p= 0.055, RMSEA=0.025, GFI=0.98, NFI=0.92, and CFI 1.00. Maternal knowledge (b=0.15), access to information (b=0.42), husband support (b=0.52), stakeholder role (b=0.57), participation in maternal health promotion class (b=0.04).Conclusion: Maternal knowledge, access to information, husband support, stakeholder role, participation in maternal health promotion class, are important determinant of maternal visit to maternal clinic for post partum examination.Keywords: maternal visit, maternal clinic, health promotion class, puerperium.Correspondence: Eny Retna Ambarwati. Academyof Midwifery Yogyakarta, Yogyakarta,Indonesia. Email: enyretnaambarwati@gmail.com.Journal of Health Promotion and Behavior (2016), 1(3): 138-148https://doi.org/10.26911/thejhpb.2016.01.03.01
Community Participation In Sanitation Kampung Program, Surakarta Putri, Anak Agung Alit Kirti Estuti Narendra; Joebagio, Hermanu; Indarto, Dono
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia ranks third in the world in the number of people with limited access to sanitation. Surakarta municipality government in collaboration with local drinking water supplier (PDAM) operate Indonesian Urban Water, Sanitation and Hygiene (IUWASH) to overcome sanitation problems in the form of Sanitation Kampung Program in Semanggi Village, Surakarta. This study aimed to review community participation in Sanitation Kampung Program, Semanggi Village.Subjects and Method: This was a qualitative study conducted at RW 23, Semanggi Village, Pasar Kliwon subdistrict, Surakarta, Central Java. Informants were selected purposively for this study comprising 12 community members as key informants, 2 community leaders, head of Sanitation Kampung Program, and 1 environmental health expert as supporting informants, The data were collected by in-depth interview, focus group discussion, and document review. Data credibility was checked by triangulation. The data were analyzed by content analysis.  Results: At the beginning of Sanitation Kampung Program planning there were some pros and cons from the community. Some of the community accepted the program but some others refused it due to negative perception that Sanitation Kampung Program would cause bad smell and pollute well water. In order to overcome community refusal toward Sanitation Kampung Program, IUWASH, Surakarta municipality government, and community leaders, carried out socialization, community approach, and study tour to other places. In the end, the community accepted Sanitation Kampung Program. Community members participated the program by providing support for water and sanitation facility development. Community members made use of the water and sanitation facility for daily activities. They also maintained the water and sanitation facility.Conclusion: By developing good and trustable collaboration, community participate in Sanitation Kampung Program from planning, developing, using,  and maintenance of the water and sanitation facility.Keywords: water, sanitation, community, participation, programCorrespondence: Anak Agung Alit Kirti Estuti Narendra Putri. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: kirtiestuti@gmail.com. Mobile: +6285643231616.Journal of Health Promotion and Behavior (2017), 2(3): 257-271https://doi.org/10.26911/thejhpb.2017.02.03.06
Health Belief Model on the Predictors of Healthy Sex Behavior among Commercial Female Sex Workers in Surakarta, Central Java Syarifah, Syarifah; Demartoto, Argyo; Dharmawan, Ruben
Journal of Health Promotion and Behavior Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Sexually transmitted infections (STIs) are diseases that are now a global issue because they are the entrance to HIV transmission. Female sex workers (WPS) have a high risk of contracting and transmitting STIs and HIV / AIDS due to unsafe sex behavior. The purpose of this study was to analyze the relationship of safe sex behavior for the prevention of sexually transmitted infections in female sex workers in Surakarta.Subjects and Method: A cross-sectional study was conducetd in Surakarta, Central Java, from December 2017 to January 2018. A sample of 105 female sex workers was selected by fixed disease sample. The dependent variable was safe sex behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, perceive threat, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: Safe sex behavior among female sex worker increased with strong perceived benefit (b= 0.18; 95% CI= 0.74 to 0.28; p= 0.001) and strong self-efficacy (b=0.51; 95% CI=0.25 to 0.76; p<0.001). Safe sex behavior decreased with strong perceived barrier (b= 0.15; 95% CI= -0.27 to -0.03; p=0.012). Terdapat hubungan antara persepsi manfaat, efikasi diri dan persepsi hambatan dengan perilaku seks yang aman (F= 10.351; 95% CI= 6.70 to 17.00; p<0.001; R2=23.5%).Conclusion: Safe sex behavior among female sex workers increases with strong perceived benefit and strong self-efficacy. Safe sex behavior decreases with strong perceived barrier.Keywords: sex behaviour, safe sex, sexually transmitted infections, female sex workersCorrespondence:Syarifah. Masters Program in Public Health, Universitas Sebelas MaretJournal of Health Promotion and Behavior (2018), 3(2): 116-125https://doi.org/10.26911/thejhpb.2018.03.02.05
Association Between Cigarette Advertisement, Peer Group, Parental Education, Family Income, and Pocket Money with Smoking Behavior among Adolescents in Karanganyar District, Central Java Purnaningrum, Windiarti Dwi; Joebagio, Hermanu; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescents are susceptible to positive and negative influences from the social environment. One of the negative influences is smoking behavior. Smoking in adolescents can have deleterous effect on health and academic achievement. This study aimed to determine the association between cigarette advertisement, peer group, parental education, family income, and pocket money on smoking behavior among adolescents.Subjects and Method: This was an analytic observational study using cross-sectional design. This study was carried out in Colomadu Sub district, Karanganyar District, Central Java.  A sample of 100 teenagers was selected for this study. The dependent variable was smoking behavior. The independent variables were exposure to cigarette advertisement, peer group, parental education, family income, and pocket money. The data were collected by a set of questionnaire. The data were analyzed by logistic regression.Results: Smoking behavior in adolescents was associated with exposure to cigarette advertisement (OR=22.58; 95% CI =2.42 to 210.69; p=0.006), peer group (OR=44.00; 95% CI =3.99 to 485.33; p=0.002), parental education (OR= 36.92; 95% CI =3.12 to 427.81; p=0.004), family income (OR=0.09; 95% CI= 0.01 to 0.97; p=0.047), and pocket money (OR=10.56; 95% CI=1.22 to 91.56; p=0.032).Conclusion: Smoking behavior in adolescents was associated with exposure to cigerrete advertisement, peer group, parental education, family income, and pocket money.Keywords: cigarette advertisement, peer group, parental education, family income, pocket moneyCorrespondence: Windiarti Dwi Purnaningrum. Health Polytechnics, Ministry of Health, Surakarta. Email: windiartidwi@gmail.com. Phone: +628562995373.Journal of Health Promotion and Behavior (2017), 2(2): 148-158https://doi.org/10.26911/thejhpb.2017.02.02.05
Association between Knowledge, Perceived Seriousness, Perceived Benefit and Barrier, and Family Support on Adherence to Anti-Retrovirus Therapy in Patients with HIV/AIDS -, Sunaryo; Demartoto, Argyo; Adriyani, Rita Benya
Journal of Health Promotion and Behavior Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The cumulative of HIV/AIDS cases in Surakarta are 1.212 cases, and 376 of them died in the span of Oktober 2005 until Januari 2014 . HIV infections have not found a cure, so it is possible someone with AIDS often experience psychological problems, especially anxiety, depression, which can suppress the immune system, making people more vulnerable against illness and pain. AIDS can not be cured, but the life expectancy of people living with HIV/ AIDS (PLWHA) can be extended with antiretroviral treatment (ART). This treatment can boost immunity so that the quality of life of PLHIV increasedSubjects and Method: The study was observational analytic research with cross sectional design. The location of research in PHC Manahan Surakarta total of 36 patients with HIV / AIDS who do ARV therapy. The data analysis using logistic regression.Results: There is a positive correlation was not statistically significant from the knowledge of the drugs with antiretroviral therapy adherence (OR=4.03; 95% CI= 0.22 to 73.32; p=0.347). There is a positive correlation was statistically significant on the perception of the seriousness of the disease with antiretroviral therapy adherence (OR=26.70; 95% CI= 1.30 to 550.51; p=0.033). There is a positive relationship and statistically significant on the perception of the benefits and barriers to compliance with antiretroviral therapy (OR=17.73; 95% CI= 1.12 to 279.59; p=0.041). There is a positive correlation was statistically significant from family support with antiretroviral therapy adherence (OR=28.89; 95% CI= 1.24 to 647.71; p=0.036). Conclusion: The perception of the seriousness of the disease is the most variable bergubungan with antiretroviral therapy adherence (p=0.033).Keywords: knowledge about ARV, seriousness of the disease, barriers and family support, adherence ARV therapyCorrespondence: Sunaryo. Department of Health, Surakarta. Email: Sunaryomanahan@gmail.com.Journal of Health Promotion and Behavior (2016), 1(1): 54-61https://doi.org/10.26911/thejhpb.2016.01.01.08          
Biopsychosocial Determinants of Long-term Contraceptive Use in Women of Reproductive Age in Surakarta, Central Java Arifiana, Ratna; Budihastuti, Uki Retno; Qadrijati, Isna
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family planning allows people to attain their desired number of children and determine the spacing of pregnancy. Long-term contraceptive methods are more effective, safe, with fewer contraindications than others contraceptive method. This study aimed to investigate the biopsychosocial determinants of long-term contraceptive use in women of reproductive age in Surakarta, Central Java, using a theory of planned behavior.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted in Surakarta, from January to February 2018. A sample of 210 women of reproductive age was selected for this study by fixed disease sampling. The dependent variable was long-term contraceptive use. The independent variables were age, parity, education, employment status, knowledge, attitude, subjective norm, perceived behavior control, husband support, family income, and health counseling. The data was collected by questionnaire and analyzed by path analysis.Results: Long-term contraceptive use increased with positive attitude (b=3.49; 95% CI= 1.88 to 5.11; p<0.001), supportive subjective norm (b= 2.91; 95% CI= 1.10 to 4.73; p=0.002), strong perceived behavior control (b=3.09; 95% CI= 1.29 to 4.88; p=0.001), and strong husband support (b=2.68; 95% CI= 1.04 to 4.33; p=0.001). Long-term contraceptive use was indirectly affected by knowledge, health conselling, and education level.Conclusion: Long-term contraceptive use increases with a positive attitude, supportive subjective norm, strong perceived behavior control, and strong husband support.Keywords: long-term contraceptive, the theory of planned behavior, path analysisCorrespondence: Ratna Arifiana, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: arifianaratna1301@gmail.com.Journal of Health Promotion and Behavior (2018), 3(1): 37-47https://doi.org/10.26911/thejhpb.2018.03.01.03 
Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta Adita, Kingkin; Demartoto, Argyo; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: HIV or Human Immunodeficiency Virus is a virus that infects white blood cells so the person’s immunity declining thus causing it to become AIDS. HIV/AIDS countermeasure is far more effectively done by people living with HIV/AIDS (PLWHA) accompanied by good attitude and peer support, family, and health workers, Regional AIDS Countermeasure Commission, perceived behavioral control, and positive intention. The study aimed to analyze factors affecting the attitude in HIV/AIDS countermeasure on PLWHA in Solo Plus Peer Support Group (PSG) Surakarta with theory of planned behavior application. Subjects and Methods: The study design was analytic observational with cross sectional study approach. The location of the study was Solo Plus Peer Support Group Surakarta. Time of study was from January-February 2017. There was a total of 100 PLWHA as the sample, and the study employed purposive sampling technique. The dependent variable was the attitude towards HIV/AIDS countermeasure. The independent variables were the attitude, peer, family, health workers, Regional AIDS Countermeasure Commission support, perceived behavioral control and their intention.  The variables were measured with questionnaires. Data analysis technique used was path analysis.Results: HIV/AIDS countermeasure attitude affected by intention(b=0.27; SE=0.10; p=0.012), peer support (b=0.26; SE=0.14, p= 0.066), AIDS Countermeasure Commission support (b=0.10; SE=0.10; p= 0.321), health workers support (b= 0.25, SE= 0.14, p= 0.073) and perceived behavioral control (b=0.23; SE=0.13; p=0.065). Intention affected by attitude (b=0.28; SE=0.15; p=0.059), peer support (b=0.29; SE= 0.13; p= 0.026), family support (b=0.16; SE=0.09, p= 0.090) and perceived behavioral control (b=0.21; SE= 0.11; p= 0.090).Conclusion: HIV/ AIDS countermeasure behavior was very much affected by the intention, peer support, AIDS Countermeasure Commission support, health worker support, and perceived behavioral control. Their intention was affected by attitude, peer support, family support, and perceived behavioral control.Keywords: HIV, PLWHA, TPB, countermeasure.Correspondence: Kingkin Adita. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: kingkin_adita@gmail.com. Mobile: 085726389133.Journal of Health Promotion and Behavior (2017),  2(1): 41-54https://doi.org/10.26911/thejhpb.2017.02.01.04
Determinants of Long-Term Contraceptive Method Use in Madiun, East Java: Application of Social Cognitive Theory -, Kartika; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia ranks 5 in the world by the number of population. It has Total Fertility Rate of 2.6, which is higher than average rate in South East Asia. In order to control population growth the Indonesian Government has attempted to increase the utilization of the long-term contraceptive method. This study aimed to determine determinants of long-term contraceptive method use in Madiun, East Java with the application of social cognitive theory.Subjects and Method: This was an analytic observational study with case control design. Study subjects consisted of 50 women of reproductive age who had used long term contraceptive method and 100 similar women who had not. The dependent variable was use of long-term contraceptive method. The independent variables were education level, knowledge, attitude, culture, information access, and decision maker. The data were collected using a set of questionnaire and analyzed by path analysis in STATA.Results: Use of long-term contraceptive method were positively affected by high education level (b= 1.31; 95% CI= 0.13 to 2.50; p=0.029), positive attitude (b= 2.45; 95% CI= 1.47 to 3.43); p<0.001), and joint decision making (b= 2.02; 95% CI= 0.91 to 3.13; p<0.001). Joint decision making was affected by positive attitude (b= 1.27; 95% CI= 0.58 to 1.96; p<0.001). Positive attitude was affected by good knowledge (b=0.75; 95% CI= 0.09 to 1.49; p=0.047) and positive culture (b= 1.44; 95% CI= 0.70 to 2.17; p<0.001). Good knowledge was affected by good information access (b= 0.96; 95% CI= 0.20 to 1.63; p= 0.005).Conclusion: Use of long-term contraceptive method is positively affected by high education level, positive attitude, and decision making.Keywords: Use of long term contraceptive method, women of childbearing age, family planningCorrespondence: Kartika. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: tsurayya.kartika@gmail.com. Mobile: +6281803339900.Journal of Health Promotion and Behavior (2017), 2(4): 313-322https://doi.org/10.26911/thejhpb.2016.02.04.03 
Path Analysis on the Association Between Predisposing, Enabling, and Reinforcing Factors, and House Sanitation in Bengkulu, Sumatera Nasir, Shinta; Murti, Bhisma; Suryani, Nunuk
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Poor sanitation is one of the primary causes of communicable diseases in the world.   According to UNICEF (2012) 116 million people in Indonesia in 2010 were lacking in standard sanitation. In Bengkulu province, only 33.18% household in 2014 and 39.22% in 2015 had access to good sanitation. This coverage was lower than that of the national level at 62.14%.  This study aimed investigating the association between predisposing, enabling, and reinforcing factors, and house sanitation in Bengkulu, Sumatera.Subjects and Method: This was an analytic and observational study with cross sectional design.  This study was conducted in Teluk Segara District, Bengkulu, Sumatera from November to December 2016. A total of 120 households were selected by fixed exposure sampling for this study. The dependent variable was household sanitation. The independent variables were family education, family income, health education, social capital, and health behavior. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Family education (b= 1.08; SE= 0.48; p= 0.024) and health education (b= 0.19; SE= 0.07; p= 0.007) had positive and statistically significant effect on household sanitation. Health education had positive and statistically significant effect on healthy behavior (b= 0.09; SE= 0.04; p= 0.018). Social capital had positive and marginally significant effect on healthy behavior (b= 0.05; SE= 0.03; p= 0.099). Family income (b= 0.14; SE = 0.45; p= 0.756) and family education (b= 0.15; SE= 0.25; p= 0.566) did not show significant effect on household sanitation.Conclusion: Family education and health education had positive and statistically significant effect on household sanitation. Health education had positive and statistically significant effect on healthy behavior. Social capital had positive and marginally significant effect on healthy behavior. Family income and family education did not show significant effect on household sanitation.Keywords: path analysis, predisposing, enabling, reinforcing factors, household sanitationCorrespondence: Shinta Nasir. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: shinta_nasir26@yahoo.co.id.Journal of Health Promotion and Behavior (2016), 1(3): 190-200https://doi.org/10.26911/thejhpb.2016.01.03.06

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