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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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Tertiary Prevention Behavior among Elderly with Hypertension Based on the Information Motivation Behavioral Skill Model Dewi Laraswati; Argyo Demartoto; Ika Sumiyarsi Sukamto; Erindra Budi Cahyanto; Haryani Saptaningtyas
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.2026.11.02.09

Abstract

Background: Hypertension among the elderly is a prevalent health problem with a high risk of serious complications, including stroke and renal failure. However, tertiary prevention behaviors, such as treatment adherence and lifestyle management, remain suboptimal. The Information Motivation Behavioral Skill (IMB) model suggests that health behavior is influenced by information, motivation, and behavioral skills. This study aimed to analyze tertiary prevention behavior among elderly patients with hypertension based on the IMB model. Subjects and Method: This was an analytic observational study with a cross-sectional design. A total of 252 older people with hypertension were selected using simple random sampling at Gambirsari and Sibela Primary Health Centers in Surakarta, Central Java, Indonesia. Variables independent were information, motivation, behavioral skills, and the dependent was tertiary prevention behavior. Data were collected using questionnaires and analyzed using path analysis run on STATA 13. Results: Information (b=4.32; 95% CI=2.2 to 6.43; p<0.001), motivation (b=3.15; 95% CI=1.77 to 4.54; p<0.001), and behavioral skills (b=3.33; 95% CI=2.09–4.57; p<0.001) had significant direct effects on tertiary prevention behavior. Indirect effects through behavioral skills were also observed for information (b=0.81; 95% CI=0.19 to 1.42; p=0.010) and motivation (b=1.49; 95% CI= 0.88 to 1.11; p<0.001), with AIC = 401.34, BIC = 426.05. Conclusion: Information, motivation, and behavioral skills directly influence tertiary prevention behavior among elderly patients with hypertension. In addition, information and motivation also have indirect effects through behavioral skills.
Cervical Cancer Patients’ Perceptions of Treatment Experiences at Dr. Moewardi Regional General Hospital, Surakarta, Central Java, Indonesia La Karman Gojali; Eti Poncorini Pamungkasari; Bhisma Murti; Argyo Demartoto; Revi Gama Hatta Novika; Haryani Saptaningtyas
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/

Abstract

Background: Cervical cancer is one of the most common cancers affecting women and ranks fourth worldwide. During the course of treatment, cervical cancer patients in Indonesia often face various challenges that may affect their quality of life and treatment outcomes. Some of the main challenges experienced by cervical cancer patients include physical, psychological, social, and economic aspects. This study aimed to explore the experiences of cervical cancer patients while undergoing treatment.Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted at Dr. Moewardi Regional General Hospital, Surakarta, Central Java, parti-cular¬ly in the Obstetrics and Gynecology Outpatient Clinic. A total of 20 informants, consist¬ing of 1 key informant, 10 main informants, and 9 supporting informants, were selected using purposive sampling. Data were collected through interviews, observations, and documen¬tation. Data were analyzed using the Miles and Huberman approach.Results: The study identified five themes: (1) the emotional journey of cervical cancer patients during treatment, (2) physical challenges experienced during cervical cancer treatment, (3) socio-economic barriers to undergoing cervical cancer treatment, (4) the role of social and spiritual support in patient resilience, and (5) the benefits of and expectations toward cervical cancer treatment.Conclusion: The perceptions of cervical cancer patients during treatment were not limited to medical aspects alone but also encompassed emotional, social, spiritual, and economic dimensions. Addressing these aspects is essential for improving patients’ quality of life and enhancing adherence to cervical cancer treatment.
Social Support, Depression, and Anxiety as Predictors of Suicidal Ideation in People Living with HIV/AIDS: A Meta-Analysis Aulia Putri Nugraheni; Maoli Zartika; Anis Lupita Ningrum; Bhisma Murti; Ika Yuli Ayuningrum
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.2025.10.04.04

Abstract

Background: Acquired Immune Deficiency Syndrome (AIDS) is a disease caused by the Human Immunodeficiency Virus (HIV). People living with HIV/AIDS (PLWHA) are 7 to 36 times more likely to experience suicidal ideation compared to the general population. Suicidal ideation among PLWHA is closely correlated with depression and anxiety. Social support plays a crucial role in helping individuals cope with HIV, serving as a direct protective factor for psychosocial health. This meta-analysis aims to examine the relationship between social support, depression, and anxiety with suicidal ideation among people living with HIV/AIDS (PLWHA) Subjects and Method: The meta-analysis was conducted using the PICO framework. Population: people living with HIV/AIDS (PLWHA). Intervention: high social support, presence of depression, and anxiety. Comparison: low social support, absence of depression, and absence of anxiety. Outcome: suicidal ideation. Research data were obtained from the Google Scholar, PubMed, and ScienceDirect databases. The keywords used were “social support” OR “depression” OR “anxiety” AND “suicidal ideation” AND “HIV/AIDS” OR “PLWHA.” The inclusion criteria included cross-sectional studies published between 2014 and 2024. Data analysis was performed using RevMan version 5.4. Results: The meta-analysis included 19 primary studies conducted in Indonesia, South Korea, China, Ethiopia, Uganda, Nigeria, South Africa, and the United States, with a total sample size of 11,166 participants. PLWHA residing in communities with high social support had 0.65 times lower odds of suicidal ideation compared to those with low social support (aOR= 0.65; 95% CI= 0.57 to 0.74; p<0.001). PLWHA experiencing depression had a 3.21 times higher risk of suicidal ideation compared to those without depression (aOR= 3.21; 95% CI= 2.07 to 4.99; p <0.001). PLWHA with anxiety were 1.67 times more likely to experience suicidal ideation than those without anxiety (aOR= 1.67; 95% CI= 1.29 to 2.18; p= 0.001). Conclusion: Depression and anxiety increase the risk of suicidal ideation, whereas high social support reduces the risk of suicidal ideation among people living with HIV/AIDS.  
Implementation of the Health Belief Model to Predict Acupuncture Therapy Adherence in Patients with Hernia Nucleus Pulposus Afifah Kusumaning Tyas; Bhisma Murti; Ika Sumiyarsih Sukamto; Hanung Prasetyo; Setyo Sri Rahardjo; Revi Gama Hatta Novika
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.2025.10.04.02

Abstract

Background: Hernia Nucleus Pulposus is one of the causes of low back pain that can interfere with activity and quality of life. Acupuncture therapy is one of the effective non-pharmacological treatment alternatives in reducing pain due to Hernia Nucleus Pulposus. However, patient adherence to undergoing acupuncture therapy is still a challenge. This study aims to analyze the factors within the framework of the Health Belief Model that affect adherence to acupuncture therapy in patients with Hernia Nucleus Pulposus. Subjects and Method: This study was a cross-sectional study conducted in Surakarta, from January to March 2025. A total of 200 patients were selected randomly. The depen­dent variable was adherence to acupuncture therapy in Hernia Nucleus Pulposus. Independent variables were perceived susceptibility, perceived severity, perceived benefits, perception of barriers, self-efficacy, and cues to action. The data were analyzed using Linear Regression. Results: Adherence to acupuncture therapy patients with hernia nucleus pulposus increased with high perceived susceptibility (b=0.14; 95% CI= 0.01 to 0.27; p= 0.040), high perceived severity (b= 0.30; 95% CI= 0.02 to 0.59; p=0.038), high perceived benefits  (b= 0.16; 95% CI= 0.01 to 0.31; p=0.042), high cues to action (b=0.19; 95% CI= 0.02 to 0.36; p= 0.032), high self-efficacy (b=0.19; 95% CI= 0.02 to 0.38; p= 0.022). Adherence to acupuncture therapy decreased with high perceived barrier (b= -0.10; 95% CI= -0.21 to -0.01; p= 0.046). Conclusion: There was a positive relationship between perceived susceptibility, perceived severity, perceived benefits, cues to action, and self-efficacy on adherence to acupuncture therapy. Perceived barriers decrease adherence to acupuncture therapy in hernia nucleus pulposus.    
Socioeconomic Factors, Parenting Styles, Bullying, and Adolescent Mental Health in Surakarta, Central Java, Indonesia Dwi Kurniawati; Sri Mulyani; Okid Parama Astirin; Setyo Sri Rahardjo; Ika Sumiyarsi Sukamto
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/

Abstract

Background: According to the World Health Organization (WHO) in 2018, approximately 970 million people worldwide live with mental disorders, with anxiety and depression being the most prevalent. In Indonesia, mental health problems are particularly common among adolescents; the 2022 Indonesian Adolescent Mental Health Survey (I-NAMHS) reported that 34.9% experienced mental health issues in the past year. In Surakarta, 597 cases of mental health problems were recorded between January and June 2024, with adolescents aged over 15 years accounting for 5.51% of cases. This study examined the direct and indirect effects of socioeconomic status, parenting styles, and bullying on adolescent mental health in Surakarta. Subjects and Method: A quantitative cross-sectional study was conducted on 200 respondents selected through multistage random sampling in three secondary schools. The independent variables were socioeconomic status, parenting styles, and bullying. The dependent variable was mental health. Data were collected using questionnaires and analyzed using simple logistic regression and path analysis. Results: The risk of mental health problems decreased with higher socioeconomic status (b= −1.59; 95% CI= −2.63 to −0.55; p = 0.003), positive parenting practices (b= −0.87; 95% CI= −1.68 to −0.61; p= 0.035), and a lower frequency of bullying (b = 1.77; 95% CI = 1.02 to 2.51; p < 0.001). Conclusion: This study concludes that mental health disorders decrease if adolescents have high socioeconomic status and good parenting patterns applied by their parents. Mental health disorders increase if adolescents experience high frequency of bullying. And this path analysis model shows good fit
Path Analysis: Health Belief Model Application on Predicting Oral Hygiene Behavior of Junior High School Students in Surakarta, Central Java, Indonesia Rifda Muthia Sabrina; Eti Poncorini Pamungkasari; Bhisma Murti; Revi Gama Hatta Novika; Anik Lestari
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.2025.10.04.03

Abstract

Background: The high prevalence of orodental diseases, accompanied by low prevalence of appropriate behavior in maintaining orodental health, shows the urgency of health institutions to understand the determinants influencing such behaviors in Indonesia. The aims of this study was to analyze the effect of applying the health belief model on orodental health behavior among middle school students in Surakarta. Subjects and Method: This study was a cross-sectional observational analytical quantitative study, which was conducted in 14 public Junior High Schools in Surakarta, Central Java, Indonesia from January to March 2025. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy, and cues to action. Orodental health behavior acts as the dependent variable. Subjects were determined using a multistage random sampling method with a total of 210 students. The data were collected through a researcher-made questionnaire, which included questions about demographic characteristics and the six HBM constructs. Data analysis was conducted using path analysis by StataMP 13. Results: Orodental health behavior in middle school students was directly influenced by perceived benefit (OR= 0.36; CI 95%= 0.26 to 0.45; p<0.001), perceived susceptibility (OR= 0.47; CI 95%= 0.38 to 0.55; p<0.001), and self-efficacy (OR= 0.20; CI 95%= 0.10 to 0.30; p<0.001). Orodental health behavior was also indirectly influenced by perceived susceptibility and cues-to-action. Conclusion: Perceived benefit, perceived susceptibility, and self-efficacy significantly improved orodental health behavior in students.  
Application of Social Cognitive Theory in Promoting Tertiary Prevention Behavior among Hypertensive Patients in Tulungagung, East Java, Indonesia Anggie Rahmatul Azizah; Ratih Puspita Febrinasari; Bhisma Murti; Okid Parama Astirin; Argyo Demartoto
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.2025.10.04.07

Abstract

Background: Hypertension is a non-communicable disease that can affect individuals across all age groups, including the productive age population, largely due to changes in lifestyle. The implementation of tertiary prevention behaviors is essential to prevent disease complications such as coronary heart disease, stroke, kidney failure, and liver disease. This study aimed to analyze the application of Social Cognitive Theory in relation to tertiary prevention behaviors among patients with hypertension. Subjects and Method: This analytic observational study employed a cross-sectional design. The study subjects were patients with hypertension of productive age (15–64 years) in Tulungagung Regency, selected using a non-proportional random sampling technique, with a total sample of 220 participants. Data were collected using a research questionnaire that had been tested for validity and reliability. Multivariate data analysis was conducted using path analysis to examine both direct and indirect effects among variables. Results: There were direct and statistically significant effects of observational learning (b = 0.13; 95% CI = 0.01 to 0.24; p = 0.028), self-efficacy (b = 0.20; 95% CI = 0.05 to 0.35; p = 0.008), and attitude (b = 0.31; 95% CI= 0.17 to 0.45; p < 0.001) on tertiary prevention behaviors. Education was not significantly associated with tertiary prevention behaviors. Age (b = 0.17; 95% CI= 0.05 to 0.29; p = 0.005) and tertiary prevention behaviors (b= −0.38; 95% CI = −0.49 to −0.27; p < 0.001) showed direct and significant effects on blood pressure. Sex was not significantly associated with blood pressure. Social support, outcome expectations, and age had indirect effects on tertiary prevention behaviors through self-efficacy. Conclusion: There are direct effects of observational learning, attitude, and self-efficacy on tertiary prevention behaviors, as well as indirect effects of social support, outcome expectations, age, and education on tertiary prevention behaviors. In addition, age, sex, and tertiary prevention behaviors have direct effects on blood pressure.
Application of Social Cognitive Theory on the Determinants of Tertiary Prevention Behavior and Its Impact on Blood Pressure among Elderly Individuals with Hypertension in Surakarta, Indonesia Tania Febiola; Argyo Demartoto; Bhisma Murti; Revi Gama Hatta Novika; Erindra Budi Cahyanto; Anik Lestari
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/

Abstract

Background: Hypertension is a noncommunicable disease that commonly affects older adults and may lead to serious complications. Effective hypertension control also depends on tertiary preventive behaviors. This study aimed to examine the reduction of hypertension through tertiary preventive behaviors and to analyze the direct and indirect effects of Social Cognitive Theory constructs on tertiary preventive behaviors and systolic blood pressure among older adults with hypertension. Subjects and Method: This cross-sectional study was conducted in Surakarta, Indonesia. A multistage random sampling technique was employed, resulting in the selection of seven community health centers (Puskesmas) and a total sample of 211 respondents. Data were collected using questionnaires that had been tested for validity and reliability. Multivariate data analysis was performed using path analysis. Results: Tertiary preventive behavior was directly and significantly influenced by behavioral skills (b= 0.26; 95% CI= 0.11 to 0.40; p = 0.001), reinforcement (b = 0.23; 95% CI = 0.10 to 0.36; p = 0.001), self-regulation (b = 0.16; 95% CI = 0.02 to 0.30; p = 0.021), observational learning (b = 0.18; 95% CI = 0.06 to 0.30; p = 0.003), and female sex (b= 0.12; 95% CI= 0.02 to 0.21; p = 0.013). Systolic blood pressure was directly and significantly associated with tertiary preventive behavior in a negative direction (b= −0.14; 95% CI= −0.27 to −0.02; p= 0.027), indicating that better tertiary preventive behavior was associated with lower systolic blood pressure. In contrast, body mass index (b= 0.19; 95% CI = 0.06 to 0.32; p = 0.003) and age (b= 0.21; 95% CI= 0.08 to 0.34; p= 0.001) showed positive associations with systolic blood pressure. Sex was not significantly associated with systolic blood pressure. Outcome expectations indirectly influenced tertiary preventive behavior through self-efficacy and subsequently through behavioral skills. Conclusion: Tertiary preventive behavior is influenced by key constructs of Social Cognitive Theory and plays an important role in reducing systolic blood pressure among older adults with hypertension.
Effect of Social Capital on Tertiary Preventive Behavior among Older Adults with Type 2 Diabetes Mellitus: A Structural Equation Modeling Approach Anna Nugrahani; Bhisma Murti; Setyo Sri Rahardjo; Argyo Demartoto; Revi Gama Hatta Novika
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/

Abstract

Background: Diabetes Mellitus (DM), known as the “silent killer,” continues to show an increasing number of cases. It has emerged as one of the most serious and common chronic diseases, leading to life-threatening complications, disability, and reduced life expectancy. The persistently high prevalence of diabetes in Karanganyar Regency, along with the interaction among multiple determinants, underlies the objective of this study, which is to analyze the influence of structural, cognitive, and relational social capital models on tertiary preventive behavior among elderly individuals with Type 2 Diabetes Mellitus. Subjects and Method: This study employed a cross-sectional design. It was conducted in Karanganyar Regency (Jatipuro, Jatiyoso, and Karanganyar sub-districts), Central Java, from January to March 2025. A total of 210 elderly participants were selected using certified random sampling. Data were collected using a structured questionnaire. The analyses included univariate, bivariate, and multivariate analyses using a structural equation model (SEM). The dependent variable was tertiary preventive behavior among elderly individuals with Type 2 Diabetes Mellitus. The independent variables were social capital, comprising structural social capital, cognitive social capital, and relational social capital. Results: Structural social capital had a positive and statistically significant effect on tertiary preventive behavior (b= 0.32; 95% CI= 0.13 to 0.52; p= 0.001). Relational social capital also showed a positive and significant effect on tertiary preventive behavior (b= 0.37; 95% CI= 0.15 to 0.59; p= 0.001). Age demonstrated a negative and statistically significant effect on tertiary preventive behavior (b= -0.09; 95% CI= -0.16 to -0.03; p= 0.003). Conclusion:  The findings of this study indicate that elderly individuals with Type 2 Diabetes Mellitus who have higher levels of social capital—comprising structural, cognitive, and relational dimensions—are more likely to engage in tertiary preventive behaviors.
Transforming Dengue Prevention: Community Knowledge and Health Promotion as Keys to Reducing Mortality in Surakarta, Central Java, Indonesia Akbarudin Arif; Kurnia Atika Suri; Sapja Anantanyu; Agus Kristiyanto; Haryani Saptaningtyas
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.2026.11.01.010

Abstract

Background: Dengue Haemorrhagic Fever (DHF) remains a major public health threat in tropical regions like Surakarta, Indonesia. While conventional mosquito control methods such as fogging are widely implemented, their long-term effectiveness is limited. This study investigates how gaps in community knowledge regarding dengue symptoms and warning signs contribute to treatment delays and increased mortality rates.Subjects and Method: The study employed a quantitative-method approach focusing on the year 2024. Due to fieldwork challenges, a total sampling of 11 families who lost members to DHF was conducted using proxies, including relatives, neighborhood heads, and health cadres. Data were collected through semi-structured interviews and analyzed using SPSS for descriptive and inferential statistics, including multiple linear regression and ANOVA analysis.Results: DHF fatalities in Surakarta rose by over 150%, from 4 deaths in 2023 to 11 in 2024, with the 5–14 age group being most vulnerable. Statistical analysis revealed that all 11 families lacked sufficient knowledge of dengue symptoms. While most variables were not statistically significant, family recognition of experienced symptoms was a critical factor in identifying the disease. The high R-square value (91.4%) indicates that knowledge gaps and information access strongly influence DHF awareness.Conclusion: The primary driver of DHF mortality in Surakarta is a critical lack of knowledge among families, leading to fatal delays in seeking medical care. Traditional reactive strategies like fogging are insufficient. Reducing mortality requires a paradigm shift toward inclusive, knowledge-based community empowerment and early warning health education.

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