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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
Effect of Social Capital on Smoking and Alcohol Consumption Behavior in Adults Zartika, Maoli; Murti, Bhisma; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.07

Abstract

Background: Clinical epidemiological studies show that smoking and alcohol are often used together as social activities. Smoking and alcohol consumption are related to the risk of developing non-communicable diseases. According to data from the Indonesian Health Survey (SKI), (2023) the percentage of smokers in Surakarta City is 23.6% and the percentage of alcohol consumption is 1.4%. This study aims to analyze the influence of social capital on smoking behavior and alcohol consumption in adults. Subjects and Method: The research design used is a cross-sectional study. The population in this study is adults aged 19-59 years in the city of Surakarta. Sampling in the study was carried out by the snowball sampling method, then as many as 200 adults domiciled in the city of Surakarta were obtained. The method used in collecting data for this study is a questionnaire. The analysis used in this study is the Structural Equation Model (SEM) to analyze the influence of social capital elements on smoking behavior and alcohol consumption in adults. The dependent variables are smoking habits and alcohol consumption. The independent variable is social capital including 3 elements, namely structural elements, cognitive elements and relational elements. Results: Social capital had a negative effect on smoking behavior (b= -0.80; 95% CI= -0.88 to -0.71; p= 0.001), and social capital has a negative effect on alcohol consumption (b= -0.71; 95% CI= -0.80 to -0.63; p= 0.001). Conclusion: The results of this study show that social capital constructs include structural elements, cognitive elements and relational elements that are high have a lower likelihood of smoking behavior and alcohol consumption in adults.
Parental Communication as a Protective Factor Against Adolescent Risky Sexual Behavior: A Meta-Analysis Atmojo, Joko Tri; Handayani, Anggun Fitri; Widiyanto, Aris; Mubarok, Ahmad Syauqi; Anasulfalah, Hakim; Delimasari, Trisakti Halimah
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.05

Abstract

Background: Adolescence is a significant developmental stage marked by notable physical, psychological, and social changes. Adolescent reproductive health surveys show that a number of teenagers report engaging in premarital sexual intercourse without fully understanding its social and health consequences. Given this phenomenon, it is crucial to understand the factors that can protect them from risky sexual behaviors, particularly starting from the family. This study aimed to estimate the impact of family communication on risky sexual behavior in adolescents. Subjects and Method: This research is a meta-analysis and systematic review using the PRISMA diagram with PICO frame work (P= adolescent; I = parental communication; C= no parental communication; O= risky sexual behavior). Primary studies were searched through several indexing databases, including PubMed, Google Scholar, and ScienceDirect. Keywords used to facilitate the search for articles include: “parental participation,” or “parental communication,” or “family interaction,” or “sexual risk” or “sexual risk behavior” AND “adults” or “adolescents.” The inclusion criteria for this study are articles published using a cross-sectional study design up to 2024. The statistical analysis used in this study was conducted using the RevMan 5.4 meta-analysis program with both fixed effect and random effect approaches to present the data in the form of forest plots and funnel plots. Results: A total 9 Articles were included in the meta-analysis. The results of the study show that adolescents with low family participation in sexual education, or in the absence of parental communication, are 1.46 times more likely to engage in risky sexual behavior compared to adolescents who receive sexual education or have parental communication, and this result is statistically significant (aOR= 1.46; CI 95%= 1.43 to 1.49; p<0.001). Conclusion: adolescents with low family participation in sexual education, or in the absence of parental communication are more likely to engage in risky sexual behavior compared to adolescents who receive sexual education or have parental communication.
Promoting Menstrual Health Through Nutritional Education and Peer-Based Interventions in Adolescent Girls: A Scoping Review Putu Ayu Karisma; Kartini, Apoina; Pradigdo, Siti Fatimah
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.01

Abstract

Background: Menstruation, a normal part of puberty, is frequently misinterpreted because of societal stigma and limited access to proper education. Educational settings and peer-based programs are key in enhancing both menstrual and nutritional health, which are vital to supporting the overall well-being of adolescent girls. This Study aims to explore the factors influencing the promotion of menstrual health through nutrition education and peer-based interventions for adolescent girls using a scoping review methodology. Subject and Method: This scoping review was conducted using data obtained from PubMed Central, Science Direct and Google Scholar. The target population includes adolescent girl related to their menstrual health, nutritional education and peer-based intervention. A search was conducted using the keywords “Menstrual health" AND "nutritional education" AND "peer-based inter­ventions" AND ("adolescent girls" OR "teen girls" OR "adolescent health") AND ("menstruation" OR "menstrual hygiene" OR "menstrual health promotion") AND ("nutrition" OR "diet" OR "healthy eating") AND ("peer support" OR "peer education" OR "peer-led programs"), yielding 4.245  articles, which were then filtered down to 7 relevant articles after applying a 10-year time frame. Results: Several factors influence the promotion of menstrual health through nutrition education and peer-based interventions for adolescent girls. These include social support from peers, skills-based education, family involvement (especially mothers), sufficient nutrition literacy, psychosocial factors such as self-confidence and self-control, the role of schools as a health education platform, and the theoretical models used in the program, such as the Theory of Planned Behavior. Conclusion: Peer-led and skills-based education improves health outcomes for adolescent girls. Combining peer support, family involvement, and active learning enhances program success. Schools and communities should adopt these models to address adolescent health issues effectively.
The Tradition of “Basunat” (Genital Circumcision) in Female Children and Its Implication on Reproductive Health Lestari, Pratiwi Puji; Fathony, Zaiyidah; Meylani, Nia Fransiska; Husna, Ghaida Fitria
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.04

Abstract

Background: The tradition of basunat or circumsised on baby girls is still carried out by the Banjaresse in South Kalimantan as part of a cultural heritage that is believed to be related to purity, family honor, and a smooth delivery process. Although it has no medical basis and is prohibited by law, this practice is still preserved on the basis of social, cultural, and religious values that develop in the community. This study aims to examine the form of basunat implementation on baby girls in the Banjar community and evaluate its impact on reproductive health. Subjects and Method: This was a qualitative study with a descriptive-exploratory approach. The study was conducted in Tapin, Barito Kuala, Banjarmasin, and Banjar Districts of South Kalimantan, Indonesia. The informants were village shamans, midwives, indigenous people, and women who had been circumcised. Data were collected through documentation and in-depth interviews, then analyzed using data reduction techniques, narrative presentation, and drawing conclusions. Results: The study showed that the practice of circumcision is still commonly carried out symbo­lically and physically, generally by village shamans with traditional tools that are not sterile. The community still believes that circumcision can smooth the delivery process and is a cultural or religious obligation. However, this practice has the potential to have negative impacts on women's physical and psychological health Conclusion: Policy interventions that prioritize local culture-based education and the involve­ment of religious and community leaders are needed. This approach can help change public perception and support the sustainable elimination of this tradition.
The Influence of Cegah Anemia Remaja (Care) Educational Video on Knowledge and Perceptions of Anemia Prevention in Female Adolescents Azzahra, Nabila Khairunisa; Perestroika, Grhasta Dian; Argaheni, Niken Bayu; Kusmawati, Iffah Indri; Novika, Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.02

Abstract

Background: In adolescents aged 15-20 years, anemia is a disease that is susceptible, especially in young women. Early prevention efforts use educational videos motion graphics It has not been widely studied as to how much influence it has on knowledge and perceptions regarding the prevention of anemia in adolescents. This study aims to determine the effect of the Prevent Adolescent Anemia (CARE) educational video on knowledge and perceptions of preventing anemia in adolescents. Subjects and Method: A quantitative study was conducted on 68 teenage girls who were susceptible to anemia. This research used a quasi-experimental design that was held in February 2024 at Abi-Ummi Boyolali Islamic Boarding School. The dependent variable were adolescent knowledge and perception. The independent variable was Cegah Anemia Remaja (CARE) educa­tional video. The difference in values between the two groups was analyzed using the Wilcoxon matched-pairs signed-ranks test. The influence of the CARE educational video on adolescents' knowledge and perceptions of anemia was examined using multinomial logistic regression. Results: The prevalence of knowledge of preventing anemia in adolescents is 58.8% sufficient and the majority's perception of preventing anemia in adolescents is good, at 94.1%. The effect of CARE educational videos on knowledge is significant (OR= 5.40; p <0.001) and on perception is also significant (OR= 5.48; p= 0.013). Conclusion: Health education through the Cegah Anemia Remaja (CARE) Educational Video has an effect on increasing knowledge and perception of anemia prevention in female adolescents.
The Analysis of Factors Influencing Stunting Prevention Behavior in Pregnant Women Sukamto, Ika Sumiyarsi; Mustika, Dian Nintyasari; Juwita, Septiana
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.03

Abstract

Background: Stunting is a serious health issue in Indonesia, impacting children's growth and development due to chronic malnutrition, recurrent infections, and harmful environmental factors. This study aimed to examine factors influencing stunting prevention behavior in pregnant women Subjects and Method: A quantitative study with a path analysis approach. It was conducted in Probolinggo Regency using cluster random samping, based on inclusion criteria. The sample size consisted of 220 respondents spread across four community health centers (Puskesmas). The research variables include independent varaibles: exposure to cigarette smoke, socio-economic status, and social support; intervening variables: acces to healthcare services and health status; and dependent variable: stunting prevention behavior. The research instrument useda questionnaire based on the theoryof factors influencing stunting prevention in pregnant women, Data analysis was performed using path analysis with Amos software. Results: Social support on stunting prevention behavior through health status of pregnant women (Z-value = 1.23; p-value = 0.022). Social support on stunting prevention behavior in pregnant women through access to healthcare services (Z-value = -3.92; p-value = 0.00). Cigarette smoke exposure on stunting prevention behavior through health status of pregnant women (Z-value = 10.53; p-value = 0.00). Socio-economic status on stunting prevention behavior through health status of pregnant women (Z-value = 2.19; p-value = 0.03). Conclusion: Health promotion targeting the improvement of socio-economic status and social support, as well as preventing tobacco smoke exposure, plays a significant role in influencing stunting prevention behavior among pregnant women. Health status and access to healthcare services act as mediators that link social support, tobacco smoke exposure, and socio-economic status to stunting prevention behavior. By implementing community-based health promotion strategies, we can prevent stunting in a more holistic and sustainable manner.
The Role of Social Support in Improving Treatment Compliance in Tuberculosis Patients: A Meta-Analysis Kurniawan, Hendra Dwi; Rizki Aqsyari; Azizah, Fara Khansa
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.06

Abstract

Background: Tuberculosis is a disease that requires attention in global health issues. Tuber­culosis is a disease with a high mortality rate. Although a cure for tuberculosis has been discovered, the treatment process remains challenging, particularly the length of treatment. Tuberculosis pati­ents often fail to complete their treatment due to the lengthy duration. Support from loved ones and a supportive environment is crucial for tuberculosis patients during their treatment. With this support, tuberculosis patients will have a support system that can assist them in their treatment. This study aims to estimate the effect of social support on treatment compliance in tuberculosis patients. Subjects and Method: This study used a systematic review and meta-analysis using PICO. Population: tuberculosis patients. Intervention: social support. Comparison: no social support. Outcome: treatment adherence. The articles used in this study came from 2 databases, namely Google Scholar and Science Direct. The keywords of the article are "tuberculosis" AND ("social support" OR "support system") AND ("adherence" OR "compliance") AND "cross sectional" AND "multivariate". This study uses articles published in 2019 to 2025 with full paper articles, cross-sectional study designs, and the magnitude of the Adjusted Odds Ratio relationship. Articles were analyzed using the Review Manager 5.3 application. Results: Eleven cross-sectional studies showed that social support can increase tuberculosis treatment adherence by 1.44 times compared to tuberculosis patients who do not receive social support, and this result is statistically significant (aOR = 1.44; 95% CI = 1.03 to 2.01; p = 0.03). The forest plot also shows high heterogeneity of effect estimates between primary studies I2 = 84%. The calculation of the average effect estimate was carried out using the random effect model approach. Conclusion: Good social support can help improve treatment adherence in patients with tuberculosis.
Relationships Between the Health Belief Model Constructs and Post-Stroke Patient Preferences in Choosing Acupuncture Therapy in Ngawi East Java Puspitaningrum, Cynthia Ayu Dian; Prasetya , Hanung; Demartoto , Argyo; Murti, Bhisma; Novika , Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.08

Abstract

Background: Stroke is a serious medical condition that poses a significant risk of mortality and long-term disability, making it one of the leading causes of death and disability worldwide. Select­ing an appropriate therapy is crucial to enhancing the quality of life among post-stroke patients. The Health Belief Model (HBM), which emphasizes individual beliefs regarding health and illness, is thought to play a pivotal role in influencing patients' decisions when choosing therapeutic inter­ventions. This study aims to analyze the application of the Health Belief Model in the selection of acupuncture therapy among post-stroke patients. Subjects and Method: This study employed a cross-sectional design and was conducted in Ngawi Regency from October to December 2024. 200 samples of post-stroke patients were taken using the fixed disease sampling technique, consisting of 100 patients undergoing acupuncture and 100 patients undergoing physiotherapy. Dependent variables were the preference of acupuncture therapy and physiotherapy. Independent variables were perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data was collected using questionnaires and analyzed using path analysis on STATA 17. Results: The preference for acupuncture therapy was directly influenced by self-efficacy (b=3.41; CI95%=2.59 to 4.23; p<0.001). Self-efficacy to undergo acupuncture therapy was influenced by the perceived benefits (=2.75; CI95%=1.74 to 3.75; p<0.001), perceived barrier (b=-0.94; CI95%=-1.96 to 0.80; p<0.001), and cues to action (b=3.36; CI95%=2.32 to 4.40; p<0.001). Perceived benefit was influenced by perceived severity (b=1.25; CI95%=0.62 to 1.88; p<0.001). Conclusion: Self-efficacy directly influences the preference for acupuncture therapy. Meanwhile, the perceived benefit, the perceived barrier, and cues of action indirectly affect the preference for acupuncture therapy through self-efficacy. Perceived benefit was influenced by severity perception.
Application of Social Cognitive Theory as a Predictor for Health Screening Utilization among Pre-Marital Couples Fidyaningrum, Fifi; Demartoto , Argyo; Murti, Bhisma; Hapsari , Happy Indri; Novika, Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.09

Abstract

Background: Circumstances in the early stages of development have a tremendous impact on a person's risk of developing diseases in adulthood. Numerous diseases can start in childhood and are generated by various traumas in early life, including improper treatment during pregnancy, maternal malnutrition, and maternal disease, one of which is diseases related to reproductive health. Premarital health screening is a series of tests that must be carried out by prospective brides and grooms before marriage, which aims to reduce the burden of inherited diseases by reducing the number of high-risk marriages. This study aimed to analyze the use of health screen­ing among pre-marital couples through the Social Cognitive Theory. Subjects and Method: A cross-sectional study was conducted in Nias, Indonesia, in October-November 2024. A sample of 200 brides and grooms was selected using fixed disease sampling. The data were collected using questionnaire and analyzed using a path analysis. Results: Outcome expectation was positively and indirectly associated with pre-marital health screening (b= 0.58; 95% CI= 0.01 to 1.15; p= 0.046). Knowledge, reinforcement, and observational learning were indirectly associated with pre-marital health screening among pre-marital couples. Conclusion: Social cognitive theory can be used to predict health screening uptake among pre-marital couples.
Application of Social Cognitive Theory as a Predictor of Quitting E-Cigarette Use among College Students Candra, Kintan; Murti, Bhisma; Novika , Revi Gama Hatta; Prasetya, Hanung; Rahardjo , Setyo Sri
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.10

Abstract

Background: Social Cognitive Theory was selected as the framework of this study because it can be used to explain, prevent, or reduce risky behaviors such as e-cigarette use. This study aimed to analyze and predict the behavior of quitting e-cigarettes through social cognitive theory among students. Subjects and Method: This study was conducted in October-November 2024 with a sample of 200 students. The study was a cross-sectional study with study subjects selected using the fixed disease sampling technique. The dependent variable was the behavior of quitting using e-cigarettes. And the independent variables were knowledge, self-regulation, outcome expectation, self-efficacy, and observational learning. Results: Quitting e-cigarettes was directly influenced by self-efficacy (b= 1.63; CI 95%= 0.93 to 2.33; p< 0.001) and outcome expectation (b= 0.82; CI 95%= 0.15 to 1.50; p= 0.017). Self-efficacy was directly influenced by knowledge (b= 0.94; CI 95%= 0.32 to 1.57; p= 0.003). Likewise, the outcome expectation was influenced by knowledge (b= 0.90; CI 95%= 0.28 to 1.53; p= 0.004). Knowledge was influenced by observational learning (b= 1.28; CI 95%= 0.65 to 1.92; p< 0.001). And self-regulation was influenced by the decision to quit using e-cigarettes (b=0.94; CI 95%= 0.37 to 1.51; p=0.001). Conclusion: This study concludes that constructs in Social Cognitive Theory can be used as a predictor of quitting e-cigarettes.