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Journal of Health Promotion and Behavior
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on health promotion and health-related behaviors. It began its publication on May 21, 2015. The journal is published four times yearly. It seeks to understand factors at various layers associated with health behavior and health-impacting policy and find evidence-based social and behavioral strategies to improve population health status.
Arjuna Subject : -
Articles 509 Documents
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COVID-19 Vaccination: Prevalence and Associated Factors among Students and Staff (A Case of Islamic University in Uganda) Rashid, Naziru; Madinah, Nabukeera; Aisha, Nazziwa; Babatunde, Aleemu AbdulMujeeb; Araphat, Ummusalam; Yusuf, Kyejjusa
Journal of Health Promotion and Behavior Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: COVID-19 Vaccination is an important control measure for the spread of covid -19 with in Academic Institutions. This study aimed to investigated the Prevalence of COVID-19 Vaccination and associated factors among University Students and staff.Subjects and Method: This was a cross-sectional study conducted at Islamic University, Uganda, from July to October 2021. A number of 397 students and staff of IUIU were selected purposively. The dependent variable was vaccination status. The independent variables were age, gender, education status, source of income, religion, marital status, nationality risk perception. Data were collected using an online google form sent via emails WhatsApp and ERP and analyze using Chi-square.Results: There were 397 participants, the modal age was 16-25 years 233 (58.7%) were male, the prevalence of COVID-19 Vaccination was 20.4 % (81). Factors such as age (OR= 0.59; 95% CI= 0.25 to 1.37; p<0.001), Gender (OR= 0.59; 95% CI= 1.06 to 3.00; p=0.026), marital status (OR= 1.55; 95% CI= 0.20 to 0.56; p<0.001) were associated with uptake of COVID-19 vaccination.Conclusion: The Study found a low Prevalence of COVID-19 Vaccination (20.4%) among students and staff at IUIU, and a number of factors presented above were responsible for this. More Education and sensitization on the importance of Vaccination is still needed. A follow up study on the same should be done after full opening of academic institutions.Keywords: prevalence, COVID-19, vaccination, factor, studend and staff, UgandaCorrespondence:Naziru Rashid. University Medical Officer. Islamic University in Uganda (IUIU). Soroti, Mbale Rd, Mbale, Uganda. Email: nazrash2013@gmail.com. Mobile phone: +256702038 741Journal of Health Promotion and Behavior (2022), 07(01): 18-27 DOI: https://doi.org/10.26911/thejhpb.2021.07.01.03
The Effectiveness of Electronic Health Uptake in Diabetes Mellitus Patients: A Meta-Analysis Rahmawati, Eni Nur; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. The cause of the increase in blood sugar levels is the basis for grouping the type of Diabetes. This study aims to examine the effectiveness of the use of electronic health in patients with diabetes mellitus.Subjects and Method: Meta-analysis was carried out using PICO as follows: The population in this study were patients with diabetes mellitus. Intervention in the form of the use of electronic health. Comparison in the form of direct consultation. The outcome is a decrease in HbA1c levels. Meta-analytical studies were applied to this study with electronic data sources: Google Scholar, MEDLINE/PubMed, Science Direct and ProQuest. The article used is a full-text article with a Randomized Control Trial (RCT) study design. There are 9 articles used in this study with a total sample of 1.137 people who were divided into two groups (568 people in the electronic health group and 569 people in the direct consultation group). Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean difference (SMD) and the heterogeneity of the research sample.Results: There was a high heterogeneity between one experiment and another (I2=91%; P<0.001) so the Random Effect Model (REM) was used. The use of Electronic Health help reduces HbA1c levels with Standardized Mean Different (SMD) by 0.39 compared to direct consultation (SMD= -0.39; 95% CI = -0.79 to -0.01; p=0.050).Conclusion: The use of electronic health help reduces HbA1c levels in diabetes mellitus patients with Standardized Mean Different (SMD) by 0.39 compared to direct consultation.Keywords: Electronic Health, Diabetes Mellitus, HbA1cCorrespondence:Eni Nur Rahmawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: eninur_rahma@udb.ac.id. Mobile: +6285743748528.Journal of Health Promotion and Behavior (2021), 06(03): 176-187DOI: https://doi.org/10.26911/thejhpb.2021.06.03.02
Multilevel Analysis: Contextual Effects of School and Psychosocial Determinants on Healthy Sexual Behavior of High School Adolescents in Banyuwangi, East Java, Indonesia Luthfiana, Lia Ulfah; Pawito, Pawito; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Along with the development of the era, teenagers began to be faced with various problems and the biggest problems faced by teenagers were sexual problems. Sexual behavior in adolescents who are carried out actively poses a risk of teenage pregnancy and transmission of sexually transmitted diseases. This study aims to analyze the influence related to school context and psychosocial determinants on healthy sexual behavior of adolescents at the age of 15-19 years in Banyuwangi Regency.Subjects and Method: This study used a cross sectional research design. The study was conducted in 25 high schools/vocational high schools in Banyuwangi Regency, East Java in August to September 2020. Sampling of 225 adolescents was carried out using stratified random sampling and simple random sampling. The dependent variable is healthy sexual behavior. The independent variables include knowledge, self-efficacy, parental support, sources of information/technology, perception of seriousness. Data were collected using a questionnaire. Data were analyzed using multiple logistic regression with Stata 13.Results: Adolescents will have healthy sexual behavior with high knowledge about healthy sexual behavior (b= 0.23; 95% CI= 0.05 to 0.41; p= 0.014), have strong self-efficacy (b= 0.14; 95% CI= 0.01 to 0.27; p= 0.035), had good parental support (b= 0.21; 95% CI= 0.09 to 0.34; p = 0.001), had high exposure to information sources (b= 0.36; 95% CI= 0.15 to 0.56; p = 0.001 ), and had a high perception of seriousness for weak sexual behavior (b= 0.82; 95% CI= 0.45 to 1.19; p <0.001). There is an effect of school level on healthy sexual behavior with an ICC of 16.4%.Conclusion: Healthy sexual behavior in adolescents can increase with high knowledge, strong self-efficacy, having exposure to high sources of information, and having a high perception of seriousness. There is an effect of school level on healthy sexual behavior.Keywords: healthy sexual behavior, school contextual, psychosocial determinants, adolescentsCorrespondence: Lia Ulfah Luthfiana. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, 57126. Email: luthfianalia7@gmail.com. Mobile: +6285236800700.Journal of Health Promotion and Behavior (2021), 06(03): 188-200DOI: https://doi.org/10.26911/thejhpb.2021.06.03.03
Meta-Analysis the Effect of Screen Time on the Risk of Overweight in Children and Adolescents in Asia Mayarestya, Nita Putriasti; Pamungkasari, Eti Poncorini; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Overweight and obesity are a growing threat to the well-being of the world's children. In 2010-2016, the prevalence of underweight was growing rapidly among children and adolescents in Asia. With the development of technology, screen time has become a behavior that can have a negative effect on children and adolescents if it is associated with being overweight. One in three internet users in the world are children and adolescents under the age of 18 years. Asia has the highest rates of child internet use globally. Several studies in Asian countries reported high screen time in children and adolescents. On average, children and adolescents in Asia have screen time duration > 2 hours per day outside of study/school time. This study aims to analyze the effect of screen time duration on overweight children and adolescents in Asia.Subjects and Method: This research is a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: Google Schoolar, Science Direct, Researchgate and PubMed by selecting articles published in 2010-2021. “Screen Time” OR “Sedentary Behavior” AND “Overweight” OR “Body Mass Index” OR “BMI” OR “Weight” OR “Obesity” AND “Children” OR “Child” OR “Adolescent” OR “Teen” AND “Cross Sectional". Inclusion criteria were articles using English or Indonesian, full paper articles with cross sectional design, 5-19 years old sample, screen time duration > 2 hours per day, research locations in Asia. Eligible articles were analyzed using the Revman 5.3 application.Results: A meta-analysis of 11 cross-sectional articles concluded that children and adolescents with screen time duration > 2 hours per day had a 1.63 times greater risk of being overweight than children and adolescents with screen time duration 2 hours (aOR = 1.63; 95% CI = 1.13). up to 2.35; p=0.009).Conclusion: Children and adolescents with screen time duration > 2 hours per day are at risk of being overweight.Keywords: Screen time, overweight Correspondence:Nita Putriasti Mayarestya. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nmayarestya@gmail.com Mobile: 085252493555.Journal of Health Promotion and Behavior (2021), 06(03): 201-211DOI: https://doi.org/10.26911/thejhpb.2021.06.03.04
Meta-Analysis the Effect of Family-Based Intervention in Increasing Quality of Life in Diabetes Mellitus Patients Dewi, Novita Herlita; Tamtomo, Didik Gunawan; Adriani, Rita Benya
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: An increase in type 2 diabetes and related risk factors, which include increased rates of obesity, an unhealthy diet, and a lack of physical activity. One category of intervention to prevent diabetes in adults that has developed rapidly in recent years is family-based intervention. The family is also the party that helps each member in maintaining health, such as meeting the needs of eating, drinking, bathing, resting, recreation, sports, and others. This study aims to estimate the magnitude of the effect of family-based intervention on improving the quality of life of patients with diabetes mellitus.Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The PICOs of this study are, Population: diabetes mellitus patients, Intervention: family-based intervention, Comparison: not family-based intervention, Outcome: quality of life. The keywords used are “family-based intervention” OR “family-based program” OR “family-based treatment” OR “family-based” OR “home-based intervention” OR “household-based intervention” AND “quality of life” AND “diabetes mellitus” AND RCT OR “randomized controlled trial” OR “cluster-randomized controlled trial. The inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the measure of the relationship used was Mean SD, the intervention given was family-based intervention, the research subjects were patients with diabetes mellitus. Eligible articles were analyzed using the Revman 5.3 application.Results: A meta-analysis of 10 articles showed the results of Family-Based Intervention (SMD 0.23; 95% CI= -0.08 to 0.53; p=0.140).Conclusion: Family-Based Intervention has an effect on improving the quality of life of patients with diabetes mellitus.Keywords: family-based intervention, quality of life, diabetes mellitus, Meta-AnalysisCorrespondence:Novita Herlita Dewi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dnovitaherlita@gmai.com Mobile: 081311426454Journal of Health Promotion and Behavior (2021), 06(03): 212-223DOI: https://doi.org/10.26911/thejhpb.2021.06.03.05
The Relationship of Community-Based Total Sanitation with Stunting Incidences in Toddlers Fajriyati, Auliya; Rany, Novita; Yunita, Jasrida; Dewi, Oktavia; Leonita, Emy
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Stunting is a condition where toddlers have a length or height that is less than their age. The prevalence of stunting in Riau Province in 2019 based on survey data on the nutritional status of Indonesian toddlers was 23.7%, at the Sidomulyo Health Center there were 161 stunting toddlers and the results of the study found stunting toddlers 36.9%. The purpose of this study was to determine the relationship between Community Based Total Sanitation (cbts) and the incidence of stunting in children under five in the working area of the Sidomulyo Health Center Pekanbaru City in 2021.Subjects and Method: The cross-sectional study was conducted in the working area of the Sidomulyo Public Health Center, Pekanbaru, Riau, Sumatra from July to August 2021. A total of 163 subjects were selected in this study using a purposive sampling technique. The dependent variable is the incidence of stunting. The independent variables are open defecation (stop defeca­tion), hand washing with soap, household drinking water and food management, household waste protection, and household liquid waste protection. Data were collected using a questionnaire and analyzed using chi-square test and multiple regression test.Results: Open defecation (OR= 20.25; 95% CI= 6.59 to 62.15; p<0.001), household waste management (OR= 13.84; 95% CI= 6.27 to 30.55; p<0.001), household waste (OR= 11.91; 95% CI= 5.53 to 25.58; p<0.001) associated with stunting and was statistically significant.Conclusion: Open defecation, household waste, household waste are associated with stunting and are statistically significant.Keywords: toddler, Community Based Total Sanitation, stuntingCorrespondence:Auliya Fajriyati. School of Health Sciences Hang Tuah, Pekanbaru, Indonesia. Jl. Mustafa Sari No.5, Tengkerang Selatan, Bukit Raya, Pekanbaru, Riau. Email: auliyafrh@gmail.com. Mobile: +6281261668168.Journal of Health Promotion and Behavior (2021), 06(03): 224-232DOI: https://doi.org/10.26911/thejhpb.2021.06.03.06 
Meta-Analysis: Risk Factors Associated with Multidrugs-Resistant Tuberculosis (MDR-TB) in Tuberculosis Patients Andriani, Nurul Dwi; Yuliani, Resta Dwi
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Today, the world not only has to face a higher number of deaths from TB every year, but other challenges arise in the form of drug-resistant TB with risk factors that can affect the incidence of MDR TB, namely treatment-related factors (direct) and other factors (not direct). direct) such as biological, social, economic, and health system factors. The aim of this study was to estimate the risk of HIV infection, smoking and previous medication history on the incidence of MDR TB, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study was conducted using a systematic review and meta-analysis study design using PICO, population: Tuberculosis Patients. Intervention: Risk Factors for HIV Infection, Smoking, and History of Medication. Comparison: no HIV infection, no smoking and no history of medication, Outcome: MDR-TB incidence. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. The article keywords are ("Risk factor" or "associated") AND ("Multidrug resistant Tuberculosis" or "MDR TB") AND “Case Control” AND (HIV or Smoke or treatment). The articles included in this study are full paper articles, case-control study designs, 2011-2021 and the size of the relationship between Adj Odds Ratio. Article selection is done using PRISMA. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 20 case-control studies with 18,790 TB patients with details of 4,220 cases and 14,570 controls from 3 America, Africa, and Asia. HIV infection had a risk of 2.05 times in TB patients becoming MDR-TB (aOR = 2.05; 95% CI = 1.03 to 4.07; p= 0.040). Smoking had a 2.2 times risk in TB patients for MDR-TB (aOR= 2.20; 95% CI= 1.87 to 2.59; p<0.001). History of TB treatment had a 9.08 times risk in TB patients to become MDR-TB (aOR=9.08; 95% CI= 5.49 to 15.03; p<0.001).Conclusion: Risk factors for HIV infection, smoking and history of TB treatment increase the incidence of TB to MDR-TB.Keywords: Multidrugs Resistant Tuberculosis, HIV, smoking, TB treatment historyCorrespondence:Nurul Dwi Andriani. Public Health Science, Faculty of Public Health, Universitas Diponegoro, Central Java, Indonesia. Jl. Prof. Sudarto No.13, Tembalang, Semarang, Central Java. Email: nurul.d.andriani@gmail.com. Mobile: +6282137279586Journal of Health Promotion and Behavior (2021), 06(03): 233-249DOI: https://doi.org/10.26911/thejhpb.2021.06.03.07
Association between Teaching and Learning Related Stressor and Anxiety Level among Medical Students during COVID-19 Pandemic Rufaidah, Melia Fatrani; Helda, Helda; Tauhidah, Sarah At
Journal of Health Promotion and Behavior Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The COVID-19 pandemic has led to various impacts on public health, one of which is the mental health of medical students who are recognized as an at-risk group for developing anxiety disorders due to the teaching and learning system that has changed dramatically. This study aimed to assess the relationship between teaching and learning-related stressor (TLRS) and their anxiety levels during the COVID-19 pandemic.Subjects and Method: This was a cross-sectional study. The population was medical students at the Faculty of Medicine, Syarif Hidayatullah State Islamic University Jakarta, Indonesia, during September-October 2021. Sampling was carried out using purposive sampling. The dependent variable was anxiety levels during the COVID-19 pandemic. The independent variable was teaching and learning-related stressor based on Medical Student Stressor Questionnaire (MSSQ) instrument. The data were collected through questionnaires and analyzed by Cox proportional regression.Results: A half of medical students experienced anxiety (50.4%), but the data shows a non-significant difference when controlled with other stressor variables (Adjusted PR= 1.485; 95% CI= 0.71 to 2.97; p= 0.300).Conclusion: There is no significant relationship between teaching and learning-related stressor and anxiety level among Medical Students during COVID-19 pandemic.Keywords: mental health, anxiety, stressor, COVID-19, medical studentsCorrespondence:Helda. Department of Epidemiology, Faculty of Public Health Universitas Indonesia. A Building 1st Floor Kampus Baru UI Depok 16424. E-mail: heldanazar1@gmail.com. Phone: +6285216688437Journal of Health Promotion and Behavior (2021), 06(04): 263-271DOI: https://doi.org/10.26911/thejhpb.2021.06.04.01
The Role of Knowledge, Self-Efficacy, and Social Support in Self-Care Behaviors among Diabetic Patients: A Meta-Analysis Sari, Ayu Nanda; Nawangwulan, Diyah
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Diabetes mellitus is recognized as one of the emerging public health problems globally, in which the number of cases and prevalence have been steadily increasing over the past few decades. To reduce the burden posed to health systems and afflicted individuals, patients need to adopt self-care practices. At the same time, some studies found knowledge, self-efficacy, and support were essential. Hence, this meta-analysis aimed to assess these predictors of self-care behaviors among diabetic patients.Subjects and Method: This meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We conducted a systematic search in electronic databases for observational studies about knowledge, self-efficacy, and family or social support for diabetic self-care behaviors published between 2012 and 2022. The Joanna Briggs Institute’s Critical Appraisal tool was used. For statistical analysis such as I-squared and Begg and Egger’s tests, the Review Manager (RevMan) 5.3 software was employed. Tables and forest plots were presented with 95% confidence intervals (CI). Statistical significance was declared at a p-value < 0.05.Results: Twelve studies with 5,482 participants were included. Good self-care behaviors were significantly associated with adequate diabetic knowledge (AOR= 2.22; 95% CI= 1.24 to 3.98; p= 0.007) and having family or social support (AOR= 2.5; 95% CI= 1.98 to 3.16; p<0.001), whereas poor self-efficacy was a significant predictor of poor self-care behaviors (AOR= 2.46; 95% CI= 1.66 to 3.65; p<0.001).Conclusion: Diabetic knowledge, self-efficacy, and family or social support are essential correlates and predictors of self-care behaviors. Researchers, healthcare professionals, third-sector organizations, and policymakers can use these findings to re-evaluate.Keywords: diabetes, self-care behaviors, knowledge, self-efficacy, social support, meta-analysisCorrespondence:Ayu Nanda Sari. Faculty of Medicine, Universitas Malikussaleh. Jl. H. Meunasah Uteunkot Cunda, Lhokseumawe 24351, Aceh, Indonesia. Email: ayunandasari@student.uns.ac.id. Mobile: +62852­10688872. Journal of Health Promotion and Behavior (2021), 06(03): 250-262DOI: https://doi.org/10.26911/thejhpb.2021.06.03.08
Meta Analysis: Application of Health Belief Model on the Tertiary Prevention of Type 2 Diabetes Mellitus Marsim, Etanaulia; Prisma, Fara Aristya; Prianggi, Herawati
Journal of Health Promotion and Behavior Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Mellitus Type 2 is a hyperglycemic disease due to insensitivity of cells to insulin. Insulin levels may decrease slightly or be in the normal range. The level of adherence of type 2 diabetes patients is lower than type 1 diabetes. Compliance with medication and taking medication in DM patients has a very important role in controlling blood sugar levels. HBM is a model that describes a person's knowledge of health threats and understanding of recommended behaviors to prevent or treat health problems based on an assessment of feasibility and benefits compared to costs. This study aimed to estimate the effect of HBM, especially the severity and self-efficacy constructs.Subjects and Method: This study was conducted using a systematic review and meta-analysis study design using PICO. Population: type-2 diabetic patients. Intervention: high severity perception and high self-efficacy. Comparison: low severity perception, and low self-efficacy. Outcome: tertiary prevention behaviors. The articles used in this study came from 4 databases, namely Google Scholar, Pubmed, Science Direct and Proquest. The article keywords are “health belief model” OR “perceived severity” OR “self-efficacy” AND “type 2 diabetes”. The articles included in this study are full paper articles, cross-sectional study designs, 2012-2021 and the size of the relationship between Adj Odds Ratio. Article selection is done using PRISMA. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 12 cross-sectional studies were reviewed in this study. A meta-analysis of 7 cross-sectional studies showed that strong perceived severity increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 4.69 times (aOR= 4.69; 95% CI= 1.92 to 11.47; p= 0.007). A meta-analysis of 9 cross-sectional studies showed that slightly stronger perceived self-efficacy increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 1.68 times (aOR= 1.68; 95% CI= 1.03 to 2.74; p= 0.040).Conclusion: Severity perception and self-efficacy are predictors for tertiary prevention of type 2 Diabetes Mellitus.Keywords: predictors, tertiary prevention, type-2 diabetes mellitus, health belief model.Correspondence:Etanaulia Marsim. Health Polytechnics, Ministry of Health, Surakarta. Jl. Letjen Sutoyo, Mojo­songo, Kota Surakarta, Jawa Tengah. Email: etanaulia@gmail.com. Mobile: +6285840530580.Journal of Health Promotion and Behavior (2021), 06(04): 284-297DOI: https://doi.org/10.26911/thejhpb.2021.06.04.03

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