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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
Meta-Analysis: Effect of Breastfeeding Education Program on the Breastfeeding Self-Efficacy and Exclusive Breastfeeding Rahmadani, Annisa Nurindra; Rahmawati, Anisya Fajar
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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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 Relationship of Anemia in Pregnant Women and the Incidence of Premature Delivery: Systematic Review Adnin, Arini Banowati Azalia; Dewi, Desak Made Sintha Kurnia
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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Background: Anemia causes serious complications for the mother in pregnancy, childbirth and the postpartum period and can result in the birth of a premature baby. Pregnant women with anemia are known to be more at risk of having preterm labor. In Indonesia in 2018 the prevalence of anemia in pregnant women increased to 48.9% compared to 2013 with a prevalence of 37.1%. This study aims to determine the relationship between anemia in pregnant women and the incidence of preterm labor in Indonesia.Subjects and Method: This study uses a systematic review conducted by searching for articles from several databases, namely Neliti and Garuda with a search range from 2017-2020. Article search is based on PICO. P= Pregnant women. I= Supplementation to prevent anemia. C= anemia status. O= The incidence of premature birth. The keywords used to search for articles were “anemia” OR “pregnant women” AND “preterm birth” OR “preterm”. The articles included in this study are full-text articles with a randomized controlled trial study design. Articles were collected using the PRISMA flow chart.Results: There are 6 articles included in this review. The results showed that there was a relationship between anemic pregnant women and premature birth, and the risk was 79.286 times greater for preterm delivery. Effective interventions that can be given in preventing the birth of premature babies in pregnant women are Antenatal Care (ANC) visits, taking 60 mg Fe tablets/day during pregnancy and maintaining diet as well as nutritional intake.Conclusion: There is a relationship between anemic pregnant women and premature birth.Keywords: anemia, premature birth, pregnant women.Correspondence:Arini Banowati Azalia Adnin. Universitas Airlangga. Kemang Pratama 3 Jalan Lantana 1 Blok D1 No12, Bekasi. Email: arini.banowati.azalia2018@fkm.unair.ac.id. Mobile +6287877307124.Journal of Health Promotion and Behavior, (2022), 07(01): 67-76DOI: https://doi.org/10.26911/thejhpb.2021.07.01.07
Effectiveness of Variations of Diabetes Self-Management Education (DSME) on Self Care Behavior in Type-2 Diabetes Mellitus Patients in Tengku Chik Ditiro Hospital Kartika, Kartika; Ismuntania, Ismuntania; Karmila, Karmila; Rakhman, Fakhryan
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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Background: Type 2 diabetes is one that is caused by an unhealthy lifestyle. such as too much sugar consumption and lack of activity. The purpose of this study was to analyze the effectiveness of variations in Diabetes Self-Management Education (DSME) on self-care behavior in Type 2 DM patients at Tengku Chik Ditiro Hospital.Subjects and Method: The type of research conducted in this study was a quasi-experimental pretest-posttest with controls. This research was conducted at Tengku Chik Ditiro Hospital, Aceh from February to August 2021. The study consisted of 3 groups, namely the control group, the group given DSME intervention, and the DSME variation group. The research was carried out in the sample in this study as many as 45 people with the provisions in each group 1:1:1 where each group there were 15 people. This study measures self care behavior before and after being given DSME. Data analysis was carried out using another paired-test and annova test.Results: After the intervention, the mean value of self-care behavior in the control group (Mean= 46.26; SD= 5.0), was higher than before (Mean= 43.33; SD= 8.24) but not statistically significant (p= 0.959), in the group. DSME (Mean= 66.67; SD= 5.77) was higher than before (Mean= 43.06; SD= 7.05), and statistically significant (p< 0.001), and in the variation group DSME (Mean= 68.46; SD= 6.92) was higher compared before (Mean= 44.7; SD= 8.72), and statistically significant (p< 0.001).Conclusion: DSME activities can help increase the ability of diabetic patients to carry out self-care behavior independently.Keywords: diabetes self management education, ankle brachial index, patientCorrespondence:Kartika. School of Health Science College Medika Nurul Islam. Jl. Cot Teungoh, Pidie, Aceh 24112, Indonesia.  Email: dr.kartika85@gmail.com. Mobile: 082370882709.Journal of Health Promotion and Behavior (2022), 07(01): 77-85DOI: https://doi.org/10.26911/thejhpb.2021.07.01.08
Meta-Analysis: The Effect of Lactation Education by Midwives on Exclusive Breastfeeding Behavior in Mothers and Pregnant Women Ramadhani, Amanda Kesli; Suryananda, Akbar
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding has a good impact on the baby's growth and development. Therefore, the role of health workers, especially midwives, is needed to provide an education about the importance of exclusive breastfeeding for babies. The purpose of this study was to determine the effect of lactation education conducted by midwives related to exclusive breastfeeding behavior for mothers and pregnant women.Subjects and Method: This study is a meta-analysis study with Population: Mothers and pregnant women, Intervention: lactation education by midwives, Comparation: without midwife lactation education and Output: Exclusive breastfeeding behavior. The article search process is carried out through the Pubmed web search engine and is a research article published from 2017-2022. The articles obtained will be filtered using the stages according to the PRISMA flow diagram.Results: A total of 9 articles used in this study were reviewed and met the requirements for a meta-analysis, the research conducted in these articles was carried out in various countries such as Indonesia, Bangladesh, Euthiopia, and Spain. Where from the meta-analysis of 9 cross-sectional articles, it is known that there is an influence between lactation education by midwives and exclusive breastfeeding behavior for mothers and pregnant women (aOR= 1.60; 95% CI= 1.37 to 1.88; p= 0.008).Conclusion: Lactation education by midwives increases exclusive breastfeeding behavior for mothers and pregnant women.Keywords: lactation education, exclusive breastfeeding, midwives, mothers, pregnant women, meta-analysis.Correspondence:Amanda Kesli Ramadhani. Universitas Muhammadiyah Surakarta, Jl. A. Yani Mendungan, Kartasura, Sukoharjo, Central Java. Email: amandakesly@yahoo.com. Mobile: 085692832776.Journal of Health Promotion and Behavior (2022), 07(02): 86-96DOI: https://doi.org/10.26911/thejhpb.2021.07.02.01 
Meta-Analysis: Effect of School-Based Health Promotion Strategy on Smoking Habits in Adolescents Khalifatulloh, Bhre Diansyah Dinda; Irawan, Bibit
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Smoking is the biggest preventable cause of death in the world. Tobacco1 is a global problem experienced by both developed and developing countries, the gap in smoking rates between those in high and low socioeconomic groups has widened over the same period. Smoking behavior is not only in adults but also among school students. Peers have previously been reported to play a role in initiating smoking behavior in school-age students. Students' attitudes and behavior related to smoking behavior are influenced by personal knowledge and how peers behave. The purpose of this study was to determine the effect of school-based health promotion strategies on smoking habits in adolescents based on the results of previous studies.Subjects and Method: This study is a meta-analysis study with Population: adolescents. Intervention: using school-based health promotion strategies. Comparison: not using school-based health promotion strategies. Outcome: success in not smoking. The article search process is carried out through the Pubmed web search engine and is a research article published from 2013-2022. The articles obtained will be filtered using the stages according to the PRISM flow diagram.Results: A total of 9 articles used in this study were reviewed and met the requirements for a meta-analysis, the research conducted in these articles was carried out in various continents such as European, America, Africa, Asia, and Australia. Where from the meta-analysis of 9 randomized controlled trial articles, it is known that school-based health promotion strategies increase succes not smoking, and it was statistically significant (OR= 0.49; 95 % CI= 0.43 to 0.56; p= 0.001)Conclusion: The perceived benefit was not statistically significant in predicting the practice of BSE in women.Keywords: smoking, school-based health promotion, youth.Correspondence:Bhre Diansyah Dinda Khalifatulloh. Polytechnic of Jember, East Java. Jl. Mastrip, Krajan Timur, Sumbersari, Jember, East Java 68121. Email: Bhrediansyah98­@gmail.com. Mobile: +6281333085809.Journal of Health Promotion and Behavior (2022), 07(02): 132-141DOI: https://doi.org/10.26911/thejhpb.2021.07.02.05
Meta-Analysis: Application of Health Belief Model in Encouraging Preventive Behavior of Self-Care for Hypertensive Patients Firmansyah, Gusti Fathoni; Salsabil, Husna Arwa
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hypertension is one of the most critical public health problems and has affected more than 1.2 billion people worldwide. Risk factors for hypertension can be divided into two, namely factors that cannot be controlled (such as gender, genetics and age) and those that can be controlled such as obesity, excess BMI, smoking, and excessive salt and fat consumption. Hypertension prevalence in age groups productive tends to increase from year to year, especially in the elderly group which reaches 63.22%. This study aimed to investigate behavior change and prevention of hypertension is the Health Belief Model (HBM).Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO Model as follows Population: Hypertension patients. Intervention: high self-efficacy and perceived susceptibility. Comparison: low self-efficacy and perceived suscepti­bility. Outcome: behavior change. The meta-analysis study was conducted by searching for articles from databases in electronic form including Google Scholar, PubMed, and Scopus. The keywords used are "hypertension" AND "health belief model (OR self efficacy OR perceived susceptibility)" AND "change behavior". The inclusion criteria for this study were full articles using a cross-sectional study, with the publication year 2012-2022. Analysis of articles in this study using RevMan 5.3 . software.Results: A total of 10 articles reviewed in the meta-analysis showed that perceived susceptibility influenced behavioral changes in hypertensive patients (aOR= 2.16; 95% CI= 1.59 to 2.53; p<0.001) and self-efficacy also influenced behavioral changes in hypertensive patients (aOR= 1.37; 95% CI= 1.06 to 1.76; p= 0.020).Conclusion: perceptions of vulnerability and self-efficacy affect behavior changes in hypertensive patients.Keywords: hypertension, health belief model, self efficacy, perceived susceptibility.Correspondence:Gusti Fathoni Firmansyah. Faculity of Dentistry, Universitas Gadjah Mada. Jl. Bulaksumur, Caturtunggal, Depok, Sleman, Yogyakarta 55281. Email: fathonifirmansyah@student.uns.ac.id. Mobile: +62 812-3710-7609.Journal of Health Promotion and Behavior (2022), 07(02): 108-118DOI: https://doi.org/10.26911/thejhpb.2021.07.02.03
Meta-Analysis of the Effect of Physical Exercise on Decrease Blood Sugar Levels in Type-2 Diabetes Mellitus Patients Widyawardani, Tri Nyantosani; Safitri, Diyanti
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Diabetes Mellitus is a major health problem worldwide, the number of sufferers is expected to increase rapidly every year. Handling to achieve controlled sugar levels requires the integration of drugs, diet and physical exercise. This study aimed to analyze the effect of physical exercise on reducing blood sugar levels in patients with type 2 diabetes mellitus.Subjects and Method: This study uses the PRISMA flowchart to perform the meta-analysis. The article review process took place between 2017 and 2022 with PICO as follows, Population: type-2 diabetes mellitus sufferers. Intervention: physical exercise. Comparison: not doing physical exercise. Outcome: decrease in blood sugar levels, articles collected using databases such as PubMed, Google Scholar, and Science Direct. The articles obtained will be filtered using the stages according to the PRISMA flow diagram. The analysis was carried out using RevMan 5.3.Results: A total of 9 articles reviewed in the meta-analysis showed that physical exercise reduced blood sugar levels in type 2 diabetes mellitus patients with statistical significance (SMD= -0.44; 95% CI= -0.84 to -0.05; p= 0.030).Conclusion: Physical exercise lowers blood sugar levels in people with type 2 diabetes mellitus..Keywords: physical exercise, diabetes mellitus type 2, decrease in blood sugar levels.Correspondence:Tri Nyantosani Widyawardani. District Health Office of Klaten, Central Java. Jl. Pemuda Nomor 313, Mlinjon, Tonggalan, Central Klaten, Central Java, 5741. Email: nyantosani@gmail.com. Mobile: +62811284836.Journal of Health Promotion and Behavior (2022), 07(02): 119-131DOI: https://doi.org/10.26911/thejhpb.2021.07.02.04
Meta-analysis Effect of Compliance with Folic Acid Supplement Consumption in Pregnant Women on the Risk of Birth Defects Zahra, Fathia Mutiara; Winahyu, Frannesty Estu; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low concentrations of folic acid supplement intake during pregnancy can cause birth defects in the baby. Therefore, this study was conducted to identify those associated with adherence to folic acid supplement consumption in pregnant women and provide a shadow for further research. The purpose of this study was to investigate the effect of birth defects and pregnant women's adherence to taking folic acid supplements during pregnancy.Subjects and Method: This study uses the PRISMA flowchart to perform the meta-analysis. The article review process took place between 2017 and 2022 with PICO as follows, Population: Pregnant Women. Intervention: Folic acid consumption before and during pregnancy, Comparison: no folic acid consumption before and during pregnancy, Outcome: risk of birth defects, articles collected using databases such as PubMed, Google Scholar, and Science Direct used. The articles obtained will be filtered using the stages according to the PRISM flow diagram. The analysis was carried out using RevMan 5.3.Results: A total of 9 articles, including 6 articles from the Asian continent, namely China, Japan, India, and Bangladesh, 2 articles from the Americas, namely Mexico and New York, and 1 from the African continent, namely Ethiopia. Wherefrom the meta-analysis of 9 articles, it is known that adherence to folic acid supplementation can reduce the risk of birth defects in pregnant women (aOR= 0.69; 95% CI= 0.50 to 0.96; p= 0.003).Conclusion: Adherence to folic acid supplementation can help reduce the risk of birth defects in pregnant women.Keywords: pregnant women, folic acid, birth defects.Correspondence:Fathia Mutiara Zahra. Study Program of Pharmacy, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: efemzahra31@student.uns.ac.id. Mobile: +62815-67987661.Journal of Health Promotion and Behavior (2022), 07(02): 97-107DOI: https://doi.org/10.26911/thejhpb.2021.07.02.02
Work Behavior of Female Workers in the Informal Sector in Kupang, East Nusa Tenggara Berek, Noorce Christiani; Ruliati, Luh Putu; Ndun, Helga Jillvera Nathalia; Nabuasa, Diana Juniati
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Work behavior refers to an individual's actions while working, whether or not following procedure. Work behavior following the procedure will prevent accidents. Workers in the informal sector pay less attention to proper work behavior, which may lead to accidents in the workplace. The theory planned behavior (TPB) maintains that three core components, namely attitude, subjective norm, and perceived behavioral control, together shape an individual’s behavioral intention. In turn, behavioral intention determines human behavior. This study aimed to analyze factors that influence work behavior in female workers in the informal sector, using TPB.Subjects and Method: This was a cross-sectional study conducted in Kupang, East Nusa Tenggara, from April to July 2019. A sample of 548 female workers in the informal sector was selected at random. The dependent variable was work behavior. The independent variables were subjective norm, perceived behavior control, and attitude toward behavior. The data were collected through interview using questionnaire. Bivariate analysis was performed by simple linear regression.Results: Proper work behavior increased with strong intention (b= 1.03; 95% CI= 5.20 to 7.26; p< 0.001), positive attitude (b= 0.54; 95% CI= 6.30 to 7.40; p< 0.001), favorable subjective norm (b= 1.11; 95% CI= 5.68 to 7.90; p< 0.001), and strong perceived behavior control (b= 1.17; 95% CI= 5.75 to 8.09; p< 0.001).Conclusion: Proper work behavior increases with strong intention, positive attitude, favorable subjective norm, and strong perceived behavior control.Keywords: attitude, subjective norm, perceived behavioral control, intention, work behavior, female workers.Correspondence:Noorce Christiani Berek. Faculty of Public Health, Universitas Nusa Cendana, Kupang. Jl. Adi Sucipto Penfui, Kupang, East Nusa Tenggara. Email: noorce.berek@staf.undana.ac.id. Mobile: 081228521127. Journal of Health Promotion and Behavior (2022), 07(02): 161-169DOI: https://doi.org/10.26911/thejhpb.2021.07.02.08
Meta Analysis: Peer Influence on Smoking Behavior in Adolescents Azzahro, Asri Wahyu; Putra, Anse; Rohmah, Isna Nur
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tobacco smoking is a direct cause of morbidity and mortality worldwide. Five million people die from smoking-related diseases every year in the world. If there is no change, then in the next 3 to 40 years the number of deaths and disabilities due to smoking will increase. This study aims to determine the magnitude of the influence of peers on smoking behavior in adolescents, with a primary study conducted by previous authors.Subjects and Method: This study uses a systematic review and meta-analysis with PICO, population: adolescents. Intervention: having smoking friends. Comparison: has no smoking friends. Outcome: smoking habit. The articles used were obtained from several databases, namely Google Scholar, Pubmed, SpingerLink and Science Direct from 2014 to 2020. The search keywords for the article were “smoking behavior OR “smoking activity” AND “adolescent” AND “friend smoking status”. The inclusion criteria for research articles were full-text articles using a cross-sectional study design. The subjects of the study were adolescents and the results of the study were smoking habits. Multivariate analysis with Adjusted Odds Ratio (aOR) to measure the estimated effect. Data were analyzed using the Review Manager application (RevMan 5.3).Results: A total of 9 articles with a total sample of 101,436 people, articles from Bangladesh, Sweden, Malaysia, Korea, Taiwan, Ethiopia, USA, Indonesia, and India, with selected cross-sectional studies for this systematic review and meta-analysis, Adolescents who have smoking friends are at risk of having smoking habits 13.74 times compared to adolescents who do not have smoking friends (OR= 13.74; 95% CI= 5.13 to 36.78; p< 0.001).Conclusion: Having smoking friends can increase the risk of smoking in adolescents.Keywords: peer, smoking, adolescents, behaviorCorrespondence:Asri Wahyu Azzahro. Faculty of Medicine, Universitas Muhammadiyah Surakarta. Jl. Garuda Mas, Kampus 4 UMS, Gonilan, Kartasura, Surakarta 57102, Central Java, Indonesia. Email: asriwahyu­azzahro@gmail.com. Mobile: 081328543318.Journal of Health Promotion and Behavior (2022), 07(02): 152-160DOI: https://doi.org/10.26911/thejhpb.2021.07.02.07