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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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Implementation of the Health Belief Model as a Predictor of Acupuncture Therapy Adherence in Post-Stroke Patients Asrifa, Efa Yusfi; Murti, Bhisma; Saptaningtyas , Haryani; Prasetya, Hanung; Demartoto , Argyo; Sukamto , Ika Sumiyarsi
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.2025.10.02.11

Abstract

Background: Post-stroke symptoms include limb weakness, paralysis, loss of balance, pain and numbness, memory and cognitive disorders, and urinary and digestive problems. The recovery process in post-stroke patients takes a long time, therefore, the patient needs to adhere to acupuncture therapy for recovery. This study aims to analyze the influence of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action on acupuncture therapy adherence in post-stroke patients. Subjects and Method: This study was a cross-sectional study conducted in Yogyakarta, from November to December 2024. A total of 205 patients were selected using random sampling. The dependent variable was adherence to acupuncture therapy in post-stroke patients. Independent variables were perceived vulnerability, perceived severity, perceived benefits, perceived benefits, self-efficacy, and cues to action. The data were analyzed using path analysis. Results: Adherence to acupuncture therapy increased with increased perceived susceptibility (b= 1.19; 95% CI= -0.13 to 2.27; p=0.081), perceived severity (b= 2.16; 95% CI= 0.81 to 3.31; p= 0.001), perceived benefits (b= 1.71; 95% CI= 0.98 to 2.45; p<0.001), self-efficacy (b= 0.73; 95% CI= 0.11 to 1.36; p= 0.022) and cues to action (b= 1.77; 95% CI= 1.08 to 2.45; p<0.001). Conclusion: There is a positive relationship between perceived susceptibility, perceived severity, perceived benefits, self-efficacy, and cues to action on adherence to acupuncture therapy in post-stroke patients. The perceived benefits and self-efficacy are a direct influence on adherence to acupuncture therapy in post-stroke patients, while the perceived susceptibility, perceived severity, and cues to action are indirect influences.
Application of the Information-Motivation-Behavioral Skills Model to Tertiary Preventive Behavior in Osteoarthritis Nafisa, Nisrina; Rahardjo , Setyo Sri; Murti, Bhisma; Prasetya, Hanung; Sumardiyono; 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.2025.10.02.12

Abstract

Background: Osteoarthritis (OA) is a type of degenerative disease in which chronic joint inflammation occurs that can occur in the elderly. People with osteoarthritis will feel pain and experience functional limitations. Physiotherapy helps prevent and minimize further joint damage. The success of the rehabilitation program depends on the patient's skills in doing exercises, lifestyle changes, such as maintaining weight and avoiding activities that improve the joints. This study aims to analyze the influence of the Application of the Information Motivation Behavioral Skills Model (IMB) on the tertiary preventive behavior in osteoarthritis patients. Subjects and Method: This was a cross sectional study conducted at a physiotherapy clinic in Surakarta, in January 2025. A sample of 210 osteoarthritis patients was selected using the fixed diseases sampling. The dependent variable was the tertiary preventive behavior. Independent vari­ables were information, motivation, and behavioral skill. The data were collected using question­naire and analyzed using a path analysis. Results: Tertiary preventive behaviors in OA patients increased with behavioral skills (b= 0.45; 95% CI= 0.34 to 0.55; p<0.001) and motivation (b= 0.44; 95% CI= 0.34 to 0.53; p<0.001). Behavioral skill increased with information (b= 0.47; 95% CI= 0.37 to 0.57; p<0.001) and motivation (b= 0.35; 95% CI= 0.25 to 0.46; p<0.001). The goodness of fit indices were p= 0.285; RMSEA= 0.026 (<0.050); CFI= 1.0 (≥0.90);  TLI= 0.99 (≥0.90); and SRMR= 0.01 (<0.050). Conclusion: Tertiary preventive behaviors in OA patients increases with behavioral skill and motivation. Behavioral skill increases with information and motivation.
Assessment of Beliefs, Behaviors and Attitude about voluntary, non-remunerated blood donation among College going students: A prospective study in a tertiary care medical college from North India Mishra, Shailesh Kumar
Journal of Health Promotion and Behavior Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.01.08

Abstract

Background: Blood services are facing a shortage of blood all over the world. Demand for blood is rising day by day and current blood donation is insufficient to meet the demand. This study aimed to assess college-going student’s beliefs, behaviors and attitude regarding voluntary, non-remunerated blood donation. Subjects and Method: This was a cross-sectional study, conducted in the Department of Transfusion Medicine PGIMER Chandigarh, India, from 2011 to 2013. A total of 1,000 (500 blood donor and 500 non-blood donor students) subjects were selected in this study by random sam­pling. The data were collected through interviews using questionnaires and analyzed descriptively. Results: Assessment of the level of knowledge among blood donor participant revealed that 36 (7.2%) subjects had excellent knowledge, 222 (44.4%) had good knowledge, 152 (30.4%) had average knowledge, 90 (18%) had poor knowledge. No subjects among blood donor students had a very poor level of knowledge. Among non-blood donor participants 93 (18.6%) had a good level of knowledge, 108 (21.6%) had an average level of knowledge, 166 (33.2%) had a poor level of knowledge, 133 (26.6%) had very poor level of knowledge. Conclusion: Data analysis revealed differences in the knowledge level among the donors and non-blood donor participants.
Factors Related to Rabies Prevention Measures in Nangapanda Community Health Center, Ende, East Nusa Tenggara Prihartini, Yuniarti; Syamruth, Yendris K.; Hinga, Indriati A. Tedju
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.02

Abstract

Background: Rabies is an acute infectious disease of the central nervous system caused by the rabies virus and transmitted through the bites of Rabies Transmitting Animals (HPR), especially dogs. The bite of an unvaccinated rabies-infecting animal is the cause of most cases of rabies which can lead to death. This study aimed to determine the factors related with the prevention of rabies in the community in the working area of the Nangapanda Community Health Center, Ende, East Nusa Tenggara. Subjects and Method: This cross-sectional study was conducted in the working area of the Nangapanda Public Health Center, Ende Regency from August to September, 2022. A total of 116 families were selected for this study. The dependent variable is rabies prevention measures and the independent variable is knowledge and attitude. Data were analyzed using the chi-square test. Results: Good knowledge (OR= 19.25; 95% CI= 5.94 to 62.36; p<0.001), and positive attitude (OR= 0.11; 95% CI= 0.02 to 0.53; p= 0.001) are associated with rabies prevention measures. Conclusion: There is a significant relationship between knowledge and attitude toward rabies disease prevention measures. Keywords: rabies, action, prevention. Correspondence: Yuniarti Prihartini. Study Program in Public Health, Faculty of Public Health, Universitas Nusa Cendana. Jl. Lasiana, Klp. Lima, Kupang, East Nusa Tenggara. Email: unny12835@gmail.com. Mobile: +62 821-8780-4312.
The Effectiveness of Mobile Phone Text Messages on the Adherence of Antiretroviral Drug Taking in Patients Living with HIV/AIDS: A Meta-Analysis Prisma, Fara Aristya; Prasetya, Hanung; Ichsan, Burhannudin
Journal of Health Promotion and Behavior Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.03.04

Abstract

Background: The use of ARV therapy has been shown to reduce the mortality and morbidity of PLHIV. The characteristic factor of the PLHIV health care system is a key factor as well as how health workers and services synergize to improve patient adherence to adherence to taking ARVs. Subjects and Method: This research was conducted using a systematic review and meta-analysis with PICO namely, Population: PLHIV. Intervention; mobile phone text message. Comparison: not given a mobile phone text message. Outcome: obediently taking ARVs. By searching articles in 4 databases namely PubMed, Google Scholar, Science Direct, and ProQuest published from 2012 to 2022, entering the following keywords (“Mobile phone text messages” OR mHealth) AND antiretroviral AND (HIV or AIDS) AND “Randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application. Results: There are a total of 9 articles using the RCT study design with a total sample of 2,762 PLHIV from China, Estonia, Nigeria, Cameroon, Kenya, and Mozambique which have been subject to systematic review and meta-analysis. The data that has been processed shows that mobile phone text messages are effective in increasing PLWHA adherence in taking ARVs, and are statistically close to significant. PLHIV who receive mobile phone text messages are more likely to comply with taking ARVs 1.12 times than those who do not receive mobile phone text messages (RR= 1.12; 95% CI= 1.00 to 1.26; p= 0.050). Conclusion: Mobile phone text messages are effective in increasing PLWHA compliance in taking ARVs. Keywords: HIV/AIDS, ODHA, ARV, mobile phone text messages. Correspondence: Fara Aristya Prisma, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java 57126. Email: fara.aristya@gmail.com. Mobile: +6285697129819.
Meta Analysis: The Effects of Attitude, Spouse Support, and Education Level on Men Participation in Male Contraceptive Use Yuvrista, Yuliana; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.01

Abstract

Background: One of the government's strategies to support women's equal rights is to issue a policy in which people of reproductive age, both men and women, are expected to participate in the Family Planning program as an effort to raise awareness, willingness and ability of the community to improve their welfare independently. This study aims to analyze the influence of attitude, partner support, and level of education on men's participation in the use of contraception. Subjects and Method: This was a systematic review and meta-analysis. The study population was men of reproductive age. Intervention= positive attitude, strong partner support, and high education. Comparison= negative attitude, weak support, and low education. Outcome= the use of contraceptives. Data search was carried out syste­ma­tically using electronic databases from Pub­med, Google Scholar, Europe PMC, Science Direct, and Springer Link. Keywords used “Attitude” AND “Partner support” OR “Discuss with partner” AND “Educational status” OR “Educational level” AND “Men parti­ci­pa­tion” OR “Men Involvement” AND “Contraception” OR “Family Plann­ing” OR “Vasec­tomy” OR “Con­dom”. The selection of primary articles used the PRISMA flowchart which was analyzed using Review Manager 5.3. Results: Six studies showed that men with a positive attitude were 3.69 times more likely to use contraception than men with a negative attitude (aOR= 3.69; 95% CI= 2.23 to 6.09; p<0.001). Six studies showed that men with strong partner support are 2.48 times more likely to use contra­ception than men with weak partner support (aOR= 2.48; 95% CI= 2.04 to 3.02; p<0.001). Eight studies showed that men with a high level of education increased the likelihood of male contra­ceptive use (aOR= 2.07; CI 95%= 1.45 to 2.96). Conclusion: Positive attitude, strong partner support, and a high education increase the use of male contraceptives. Keywords: attitude, partner support, level of education, contraception. Correspondence: Yuliana Yuvrista. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: yulianayuvrista031@gmail.com. Mobile: +6285­333622880.
Development of Pop-Up Books as COVID-19 Health Promotion Media among 4th Grade of Elementary School Students Rizkiyah, Annisa; Sudana, I Made; Wijayanti, Yuni
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.03

Abstract

Background: The proportion of people with asymptomatic infection likely varies with age because of the increasing prevalence of co-morbid conditions in older age groups (thus the risk of severe disease increases with increasing age), and because children are less likely than adults to show clinical symptoms. This means that children have a greater chance of not showing symptoms but can transmit COVID-19 to those closest to them, especially their families. This study aimed to develop a pop-up book as a medium for promoting COVID-19 health in grade 4 elementary school children. Indicators of success in the development if the media is said to be effective.Subjects and Method: This research is Research and Development (RnD) which was carried out in 6 elementary schools, Ternate, North Maluku. A total of 97 grade 4 students were selected in this study. The dependent variable is knowledge and attitude. The Independent Variable is the COVID-19 pop-up Book. Data was collected using a questionnaire. The data were analyzed using the t-test, and the improvement test using the N-Gain.Results: After health promotion interventions using a pop-up book for 4th grade elementary school, knowledge (Mean= 17.18; SD= 0.93) was higher than before (Mean= 16.06; SD= 1.76), the results statistically significant (p< 0.001). The attitude after intervention (Mean= 25.27; SD= 2.14) was higher than before (Mean= 20.12; SD= 3.53), the result also statistically signi­ficant (p< 0.001).Conclusion: The COVID-19 pop-up book media is effective for use as a media for health promotion.Keywords: development, pop-up books, COVID-19.Correspondence:Annisa Rizkiyah. Master’s Program in Public Health, Universitas Negeri Semarang. Jl. Kelud Utara III No.15, Petompon, Gajahmungkur, Semarang, 50237 Central Java. Email: rizkiyah­annisa­09@gmail.com. Mobile: +6281336349206.Journal of Health Promotion and Behavior (2023), 08(02): 85-91DOI: https://doi.org/10.26911/thejhpb.2023.08.02.03
Factors Associated with the Nutritional Status among Children Under Five in Lamawalang, Larantuka, East Flores, East Nusa Tenggara Weruin, Chintya Claudia Monika; Nur, Marselinus L; Toy, Sarci M
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.04

Abstract

Background: The progress of a country is influenced by the quality of its human resources and can be seen from the degree of health which is a reflection of the health of individuals, groups and communities which is described by life expectancy, mortality, morbidity and nutritional status of the community. Toddlers are the age group that most often suffers from malnutrition or are one of the groups of people who are vulnerable to nutrition. This study aimed to determine the factors related to the nutritional status of toddlers in Lamawalang Village, Larantuka District, East Flores Regency. Subjects and Method: This was an analytical survey with a cross-sectional design which was conducted in Lamawalang Village, Larantuka, East Flores, East Nusa Tenggara from August to September 2022. A total of 54 mothers of toddlers aged 12-59 months were selected for this study. The dependent variable is the nutritional status of children under five. The independent variables were history of exclusive breastfeeding, mother's nutritional knowledge, mother's educa­tional level, mother's occupation and family income. Data were collected using a ques­tionnaire and analyzed using the chi-square test. Results: Lack of maternal knowledge (OR= 135.00; 95% CI= 10.57 to 1723.97; p< 0.001), and not exclusive breastfeeding (OR= 1.88; 95% CI= 1.43 to 2.45; p= 0.019) significantly influence the nutritional status of children under five. Education (OR= 0.85; 95% CI= 0.14 to 0.85; p= 0.891), occupation (OR= 4.07; 95% CI= 0.45 to 36.58; p= 0.182), family income (OR= 0.29; 95% CI= 0.03 to 2.65; p= 0.252) had an effect on the nutritional status of children under five, but not statistically significant. Conclusion: Knowledge and history of exclusive breastfeeding significantly influence the nutria­tional status of children under five. Keywords: nutritional status, toddlers, maternal knowledge, history of exclusive breastfeeding. Correspondence: Chintya C M Weruin. Study Program in Public Health, Faculty of Public Health, Universitas Nusa Cendana Kupang. Jl. Adisucipto Penfui, Kupang, Nusa Tenggara Timur. Email: Claudia­weruin­25@gmail.com. Mobile: +62 822-2914-7039.
Effects of Marital Status and Social Support on Antenatal Depression: A Meta-Analysis Nugrahaeni, Meita Tyas; Prasetya, Hanung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.05

Abstract

Background: Pregnancy is a period of increased vulnerability to depression incidence, especially if the pregnancy is accompanied by additional demands. Antenatal depression is depression that occurs during pregnancy characterized by certain symptoms, namely anxiety, distress, confusion, and excessive fear. The study aims to estimate the effect size of marital status and social support on the incidence of antenatal depression in pregnant women. Subjects and Method: The study used systematic review and meta-analysis with PICO, Popula­tion: pregnant women; Intervention: marital status and strong social support; Comparison: unmarried marital status and weak social support. Outcome: antenatal depression. The articles used were obtained from several databases namely Google Scholar, Pubmed, SpringerLink, and Science Direct. The article search keywords were "Antenatal Depression" AND "Marital Status" AND "Social Support" AND "Pregnant Women". The inclusion criteria for the articles were full-text articles in English using cross-sectional observational study design, published between 2012 and 2022, the study subject was pregnant women, and the size of the association was presented in adjusted Odds ratio (aOR). The data were analyzed using Review Manager app (RevMan 5.3). Results: A total of 17 cross-sectional articles originated from Asia and Africa including Qatar, Thailand, China, Ethiopia, Tanzania, Nigeria, and Rwanda for systematic review and meta-analysis with a total population of 8,723 pregnant women. Pregnant women with unmarried marital status could contribute to the worsening condition of pregnant women that generated antenatal dep­res­sion (aOR= 2.76; 95% CI= 1.75 to 4.36; p< 0.0001).  Meanwhile, pregnant women with weak social sup­port could contribute to the worsening of the condition of pregnant women that generated antenatal depression (aOR= 2.22; 95% CI= 1.42 to 3.46; p= 0.005). Conclusion: Marital status and social support can improve the prevention of antenatal dep­res­sion in pregnant women. Keywords: marital status, social support, pregnant women, antenatal depression. Correspondence: Meita Tyas Nugrahaeni. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: meitatyas04@gmail.com. Mobile: +628­597­4825459.
Application of Theory of Planned Behavior on COVID-19 Vaccine Uptake in Palu, Central Sulawesi, Indonesia Anggreani, Gadis Nur; Prasetya, Hanung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.02.06

Abstract

Background: According to secondary data from the Central Sulawesi Provincial Health Office, updated information regarding the COVID-19 vaccination in Palu City, Central Sulawesi has only reached 4.82%. As of Monday, March 14 2022. This data can be said to be lagging behind vacci­nation coverage rates because there are still many people who have not carried out vacci­nations, this can be applied through Theory Planned Behavior to the use of COVID-19 vaccination at the Palu City Health Center, Central Sulawesi. Subjects and Method: Qualitative study with key informant interviews. Interviews were conducted in Palu, Central Sulawesi, Indonesia. Interviews were conducted with 7 people who had not received the COVID-19 vaccination at all, 4 people who had received the second dose of COVID-19 vaccination, 4 people who had received the third dose of COVID-19 vaccination, and key informant 1 City health center promotion worker Palu, Head of the surveillance section of the Palu City Health Service and immunization as well as the COVID-19 Task Force, as well as 1 additional informant from the family. Results: It can be seen that the lack of knowledge has a great impact on attitudes towards behavior from the community, in which in addition to believing in negative news about the COVID-19 vaccination, there is also the influence of the subjective norm variable, namely the prohibition from the family in carrying out the COVID-19 vaccination, but in the predictive variable behavioral control had little impact on the use of the COVID-19 vaccination in Palu City. Conclusion: In this study it was concluded that the application of the Theory of Planned Behavior on the use of COVID-19 vaccination in Palu City, Central Sulawesi, had an effect especially in terms of attitude towards behavior variables and subjective norm variables. Keywords: vaccination, COVID-19, theory planned behavior. Correspondence: Gadis Nur Anggreani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: anggreanigadis@gmail.com. Mobile: +6281335205131.

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