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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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The Correlation of Knowledge and Attitudes to Passive Smoking Behavior among Public Health Students of Sriwijaya University Dyah Ambarwati; Prihatini Dini Novitasari; Annisah Biancika Jasmine; Rafiah Maharani Pulungan; Fitri Aulia; Putri Inrian Tari
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.07

Abstract

Background: There is no safe level of cigarette smoke, but not everyone can avoid the exposure. Public health students are expected to bring changes to healthy behaviors in the community, including getting the right to have air free from cigarette smoke through various preventive efforts. Therefore, this study aims to identify the behavior of public health students at Universitas Sriwijaya as passive smokers, and its correlation with knowledge and attitudes. Subjects and Method: This was a cross-sectional study conducted at Universitas Sriwijaya, South Sumatera, Indonesia, from February to March 2025. A sample of undergraduate students of Public Health was selected using purposive sampling. The dependent variable was smoking behavior. The independent variables were knowledge and attitude. Data were analyzed using a multiple logistic regression. Results: Passive smoking behavior among college students was influenced by knowledge (b = 0.17; 95% CI = –0.14 to 0.47; p = 0.103) and attitude (b = 0.61; 95% CI = 0.26 to 0.96; p = 0.001). While knowledge showed a positive but not statistically significant association with passive smoking behavior, attitude showed a statistically significant positive association. Conclusion: Passive smoking behavior among college students is influenced by knowledge and attitude. Knowledge and attitude have positive association with passive smoking behavior.
Meta Analysis of the Effect of School-Based Sexual Education on the Risk of Pregnancy and Human Immunodeficiency Virus Infection in Adolescents Jatu Kartika Akmala; Eti Poncorini Pamungkasari; Hanung Prasetya
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Adolescent behavior is current­ly worrying, many adolescents have risky sexual behavior that can lead to pregnancy and HIV. School-based sexual education is given to adolescents to provide knowledge, understand­ing and prevention of sexual and reproductive health, including pregnancy and HIV among adolescents. The purpose of this study was to estimate the effect of school-based sexual education on the risk of pregnancy and HIV in adolescents based on the results of previous studies.Subjects and Method: This study is a syste­matic and meta-analysis study. Article is ana­lyzed by using a randomized controlled trial study design. Several databases were used, including PubMed, Science Direct, BMJ and Google Scholar. The keywords for the article search were “school-based sexual education” OR “school-based sex education” AND “human immunodeficiency virus” AND “unwanted pregnancy” OR “unintended pregnancy” AND adolescent AND “randomized controlled trial”. This study is a full-text article with a rando­mized-controlled trial design. Articles were collected using PRISMA Flow diagrams. Articles that met the inclusion criteria were analyzed using the Review Manager 5.3 application.Results: There were 12 articles that fulfilled the criteria for a meta-analysis with 9 studies which showed the effect of school-based sexual education on increasing pregnancy prevention behavior by 1.04 times higher compared to non-school based sexual education (RR = 1.04; 95% CI= 0.95 to 1.13; p= 0.42) and 7 studies showed the effect of school-based sexual education on increasing HIV prevention beha­vior by 1.02 times higher compared to non-school based sexual education (RR= 1.02; 95% CI= 0.94 to 11; p=0.60).Conclusion: School-based sexual education affected the behavior of preventing pregnancy and HIV among adolescents.Keywords: School-based sexual education, pregnancy, HIV, adolescents.Correspondence: Jatu Kartika Akmala. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: jatu.kartika@student.uns.ac.id.Journal of Health Promotion and Behavior (2021), 06(01): 67-79https://doi.org/10.26911/thejhpb.2021.06.01.07
Meta-Analysis: Effect of Breastfeeding Education Program on the Breastfeeding Self-Efficacy and Exclusive Breastfeeding Annisa Nurindra Rahmadani; Anisya Fajar Rahmawati
Journal of Health Promotion and Behavior Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Improving self-efficacy in breastfeeding and the practice of exclusive breastfeeding is important for the health of infants and mothers. WHO recommends exclusive breastfeeding for six months without any additional food and fluids. One form of intervention that has been carried out is an educational program given to pregnant women. The purpose of this study was to determine the effect of breastfeeding education on self-efficacy in breastfeeding and exclusive breastfeeding.Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2021 using databases from PubMed and Sciencedirect. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software.Results: There were 15 articles that met the inclusion criteria which were analyzed using the Randomized Controlled Trial method. Based on 7 studies on the effect of education and self-efficacy, it showed that pregnant women who received breastfeeding education interventions had a self-efficacy score of 0.43 times higher than the control group (SMD= 0.43; 95% CI= 0.27 to 0.60; p< 0.001) and 8 Research on the effect of education on the practice of exclusive breastfeeding showed an increase of 2.46 times in exclusive breastfeeding compared to the control group (RR= 1.59; 95% CI= 1.40 to 1.81; p=0.020).Conclusion: Breastfeeding education programs for pregnant women affect self-efficacy in breastfeeding and exclusive breastfeeding.Keywords: breastfeeding education, pregnant woman, self-efficacy, exclusive breastfeedingCorrespondence:Annisa Nurindra Rahmadani. Faculty of Public Health, Universitas Diponegoro. Jl. Prof. Soedarto, SH., Tembalang, Semarang. Email: annisanrahmadani@gmai.com. Mobile: +6283838761325.Journal of Health Promotion and Behavior, (2022), 07(01): 42-54DOI: https://doi.org/10.26911/thejhpb.2021.07.01.05 
The Influence of Parental Sexual Education on the Prevention of Sexual Violence in Children: A Systematic Review Lina Darmayanti Bainuan; Poppy Wijayanti; Nur Aida Yuliana
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.08

Abstract

Background: Child sexual abuse is a serious form of violence and a major global public health concern. A 2018 survey by the Ministry of Women’s Empowerment and Child Protection reported that 1 in 17 boys and 3 in 5 girls in Indonesia had experienced sexual violence at least once in their lives. This study aims to analyze the influence of parental sexual education on the prevention of sexual violence in children. Subjects and Method: This systematic review was conducted using the PRISMA-ScR checklist. Database searches were performed in PubMed, Scopus, Wiley Online Library, and ScienceDirect for articles published between 2019 and 2022, with all sources accessible free of charge. The search terms used included: sex education to parents about sexual against children, “sex education” AND “parents” OR “sexual abuse” AND “children” OR “sex education” OR “parents” OR “sexual abuse” OR “children.” Selected articles were then critically appraised using the Joanna Briggs Institute (JBI) checklist. Results: From the initial search across the four databases (PubMed, Scopus, Wiley Online Library, and ScienceDirect), a total of 976 articles were identified. After removing three duplicate articles and screening the full texts, 10 articles met the inclusion criteria and were included in this systematic review. Conclusion: This study identified two main themes showing that parental sexual education plays an important role in helping children understand how to protect themselves and recognize different forms and consequences of sexual violence. The results emphasize that clear guidance and regular education from parents are essential to support children in preventing sexual violence.
Exploring First-Time Parents' Experiences of the Transition to Parenthood: A Qualitative Study in Indonesia Machfudloh Machfudloh; Andari Wuri Astuti; Endang Koni Suryaningsih
Journal of Health Promotion and Behavior Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.02.12

Abstract

Background: cceptance of being a parent is an important life event and becomes challenging to adjust for many people, particularly for first-time parents. Acceptance of being a parent could potentially affect a person’s psychological level in the rate of occurrence of stress, depression, violence against family children, and even divorce has an increasing trend. Subjects and Method: This study employed a qualitative design using phenomenology approach. The research subjects involved of five couples (husbands and wives) who had their first child aged between 3-6 months, two midwives from the Independent Midwife Practice in Demak Regency, Central Java. The technique for selecting sample were purposive sampling and snowball. The analysis used the interactive analysis model developed by Miles and Huberman. Results: Three main themes emerged, which were: the concept of becoming parents, the process of adapting to the transition to parenthood, and hope. Couples who are new parents of children aged 3-6 months have limited knowledge about their roles and responsibilities. They were unprepared  to carry out their rights and obligations of being parents, and lack preparation for the transition to parenthood, which subsequently create conflicts/problems in the family. Sources of support for new parents include spouses, immediate family members, community resources, and health workers.  Conclusion: Limited knowledge and unpreparedness to be parents would potentially lead to negative affect on the welfare of new parents. Providing marriage guidance, family assistance, and education on parenthood preparation can increase the knowledge, skills, and readiness of couples in the transition to parenthood during the prenatal and   postnatal period.
Work Fatigue, Body Mass Index, Individual Characteristics, and Their Relationships to Work Stress Among Elementary School Teachers in Semarang, Central Java, Indonesia Ida Wahyuni; Yuliani Setyaningsih; Khairun Nisa; Rosyida Alya Nadhifa
Journal of Health Promotion and Behavior Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.02.02

Abstract

Background: Work-related stress is a psychological and physiological condition that occurs when individuals are unable to cope with pressures arising from their job demands. Teachers are particularly vulnerable to stress due to multiple factors such as workload, curriculum demands, employment status, interpersonal relationships, and individual characteristics. Previous surveys in Central Java have reported that approximately 70% of teachers experience work-related stress, highlighting the urgency of this issue. This study aims to analyze the relationship between work fatigue, body mass index (BMI), gender, and age with work stress in elementary school teachers. Subjects and Method: This study used a cross-sectional design conducted in public elementary schools in Tembalang and Banyumanik Districts, Semarang, Central Java, Indonesia, in late 2025. The study population was elementary school teachers in that area, with a sample of 201 teachers taken using a purposive sampling technique. The dependent variable was work stress (measured with the GHQ-12 questionnaire). Independent variables included job fatigue (measured with the “Kuesioner Alat Ukur Perasaan Kelelahan Kerja/KAUPK2” or Work Fatigue Assessment Questionnaire in Indonesian language), BMI, gender, and age. Results: A total of 58.2% of teachers experienced high work stress. Bivariate test results showed no statistically significant relationship between job fatigue (OR=1.12; 95% CI= 0.560 to 2.321; p=0.185), BMI (OR=0.98; 95% CI=0.801 to 4.110; p=0.410), gender (OR=97; 95% CI= 0.981 to 3.105; p=0.249), and age (OR=1.01; 95% CI=0.331 to 4.102; p=0.843) with work stress. Conclusion: The studied factors such as job fatigue, BMI, gender, and age were not proven to be significantly associated with work stress in this sample. A possible policy implication is the need to focus on creating a healthy organizational work environment rather than on individual teacher characteristics.
The Relationship Between Social Support and Burnout Among Nurses at 'Aisyiyah Bojonegoro Hospital, East Java, Indonesia Sudalhar; Adinda Finki Nurbarokah; Septin Maisharah Karyono; Pramono Apriawan Wijayanto; Shofika Fajria Rahman; Afriza Umami
Journal of Health Promotion and Behavior Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.02.10

Abstract

Background: Hospitals are expected to create a work environment that is safe, comfortable, and supportive of employees' well-being. This study aims to identify the factors that contribute to burnout among nurses, including those originating from the work environment as well as individual factors. Subjects and Method: This study employed an analytical quantitative design with a cross-sectional approach at 'Aisyiyah Bojonegoro Hospital. A total of 114 nurses were selected using a simple random sampling technique. The dependent variable in this study was the level of burnout, while the independent variables included sociodemographic characteristics (age, gender, highest educational attainment, marital status, length of employment, and employment status) and social support. Data were collected using a structured closed-ended questionnaire, and data analysis was conducted using the Spearman's rho test. Results: The results of the analysis showed that social support had a significant effect on burnout (b= 0.04; 95% CI: 0.01 to 0.13; p < 0.001), and gender was also significantly associated with burnout (p= 0.028). In contrast, other variables, including age, educational level, marital status, length of employment, and employment status, did not show a statistically significant association with burnout. Social support emerged as the primary contributing factor in this study. Higher levels of social support were associated with a greater likelihood of positive outcomes, particularly a reduction in burnout levels. Conclusion: There is a significant relationship between social support and burnout, with a negative correlation direction, indicating that higher levels of social support are associated with lower levels of burnout. Meanwhile, gender also demonstrates a significant difference in burnout outcomes. The researchers recommend that hospitals implement regular stress management programs, as well as communication and interpersonal skills training, to help reduce burnout among nurses and enhance their overall well-being.
Health Education Approach In Congenital Hypothyroidism Screening: Sytematic Review Ropitasari Ropitasari; Fanny Kartika Fajriyani; Nahdiyah Karimah; Fatiya 'Izzatuna Tsiqqoh
Journal of Health Promotion and Behavior Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.01.01

Abstract

Background: Congenital hypothyroidism (CH) is a preventable cause of intellectual disability in newborns if detected early through neonatal screening. Maternal knowledge and health promotion interventions are critical to ensure timely screening and treatment. This study systematically reviews evidence on maternal education, knowledge, attitude, and promotional strategies for CH screening. Subjects and Method: This study uses a systematic review conducted by searching for articles from several databases, namely ScienceDirect, MDPI, PubMed, Springer Nature Link, and Taylor & Francis Group and Google Scholar with a search range from 2019-2025. The keywords used to search for articles were "Education" OR "promotion" AND "congenital hypothyroidism" OR "neonatal hypothyroidism" OR "Congenital Thyroid disorder" OR "Primary congenital hypothyroidism" OR "Neonatal Thyroid" AND "newborn screening" OR "early screening"”. The articles included in this study are full-text research articles focusing on education about congenital hypothyroidism screening, utilizing quantitative methods. Articles were collected using the PRISMA flow chart. Results: There are 9 articles included in this review. Educational interventions and community service programs, significantly improved maternal knowledge and attitude toward CH screening. Higher maternal education was associated with better neonatal thyroid outcomes, including lower TSH levels and reduced incidence of screen-positive CH. Key barriers identified include limited maternal awareness, parental refusal, early postnatal discharge, and insufficient formal training for healthcare providers. Effective promotion strategies involved integrating CH education into ante­natal care, leveraging social media, providing continuous training for health cadres, and conducting community-based awareness programs. Conclusion: Maternal education and structured promotion significantly enhance awareness and uptake of CH screening. However, challenges in healthcare infrastructure, parental compliance, and professional training persist.
Digital Health Interventions to Improve Parental Literacy and Nutritional Status of Preschool-Aged Children: A Systematic Review Ropitasari Ropitasari; Fanny Kartika Fajriyani; Oktia Woro Kasmini Handayani; Nahdiyah Karimah; Herliana Riska
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.06

Abstract

Background: Nutrition of preschool children, especially toddlers, greatly determines the quality of life of children in the future. In line with the rapid development of information technology in the digital era, many health promotion media have been developed to improve the digital literacy of parents. Assessment of children's nutritional status by utilizing technology is considered more accurate and easily accessible to parents. This study aims to conduct a systematic review related to digital health interventions as an effort to improve parental literacy and nutritional status of children under five. Subjects and Method: This study is a systematic review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach. Articles were obtained from Scopus, PubMed, ScienceDirect, Web of Science, and Google Scholar databases for the period 2020-2025. Inclusion criteria include English-language studies, quantitative, qualitative, and mixed-methods research, full text, evaluating digital tools, AI-based models, or behavioral-based approaches to improve the nutritional status and eating behavior of toddlers. The assessment of the quality of the study uses Critical Appraisal Skills Programs (CASP) for quantitative and qualitative research. Results: 7 articles were found consisting of 2 articles from China and Sweden, 1 article each from Indonesia, Thailand, Nigeria. The use of digital technology has developed in various countries with a focus on improving parents' digital literacy, especially related to children's health, including anthropometric measurements, assessment of children's nutritional status, and dietary recommendations based on the results of nutritional status analysis. Conclusion: Digital health intervention innovations are considered effective in improving parental literacy and nutritional status of children under five  
Implementation of Community Empowerment Model for Accelerating Stunting Reduction In Indonesia Heni Hastuti; Endang Sutisna Sulaeman; Anak Agung Alit Kirti Estuti Narendra Putri; Amalia Khurotul Mahzunah
Journal of Health Promotion and Behavior Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.02.05

Abstract

Background: According to the World Health Organization (WHO), Indonesia ranks the third highest prevalence of stunting in Asia. In response to this condition, WHO has set a target to reduce stunting by 40%. This study aims to formulate an implementative community empowerment model consisting of 1) input, including information, motivation, behavioral skills, and community organization and development; 2) process, comprising the empowerment process; and 3) output, namely behavioral performance for accelerating stunting reduction in Indonesia. In addition, this study seeks to identify the factors influencing community empowerment in stunting prevention and to analyze the relationship between empowerment components and behavioral performance in accelerating stunting reduction efforts. Subjects and Method: A concurrent mixed-methods design integrating quantitative and qualitative approaches was employed. The study was conducted in Karanganyar Regency, Central Java, Indonesia, from June to August 2023. The quantitative component used quota sampling, with 15 samples per exogenous variable, resulting in 225 members of the Stunting Reduction Acceleration Team. Data were collected through structured questionnaires and analyzed using path analysis. The qualitative component involved 24 purposively selected informants. Data were collected through in-depth interviews and analyzed using content analysis. Results: Information-motivation-behavioral skills and community organization and development significantly influenced the empowerment process (OR=5.11; 95% CI=2.46 to 10.61; p<0.001 and OR= 13.04; 95% CI=6.30 to 27.01; p<0.001, respectively). Community organization and develop­ment significantly improved stunting prevention performance (OR=3.64; 95% CI=1.62 to 8.16; p=0.002), whereas information-motivation-behavioral skills showed a protective effect (OR=0.43; 95% CI=0.21 to 0.88; p=0.021). The empowerment process was not significantly associated with performance (OR=1.12; 95% CI=0.50 to 2.52; p=0.770). Conclusion: Community organization and development are important determinants of behavioral performance in stunting prevention and contribute to accelerating stunting reduction efforts.  

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