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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 Information Motivation Behavior Skill Model on Cadre's Performance in Surakarta: A Structural Equation Model Saputri, Chelsy Sumardi; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.06

Abstract

Background: Integrated service post cadres are individual volunteers at the community level who are selected by residents based on their ability, integrity, loyalty and commitment to improving community health and playing a role in developing strategies to overcome stunting. This research aims to determine whether there is an effect of implementing the Information-Motivation-Behavior Skill Model on the performance of Integrated services post cadres. Subjects and Method: This was a cross-sectional study conducted in Surakarta, Central Java, form November to December 2023. A sample of 210 integrated services post cadres was selected using stratified random sampling. 25 integrated service posts in 3 community health centers The data were collected using a structural equation modeling (SEM). Results: Performance was positively and significantly influenced by behavioral skill (b= 0.26; 95% CI= 0.13 to 0.38; p< 0.001), information (b= 0.16; 95% CI= 0.03 to 0.28; p= 0.014), and motivation (b= 0.18; 95% CI= 0.05 to 0.32; p= 0.008). Goodness of fit of SEM model indicated fit (p= 0.190; RMSEA= 0.037; CFI= 0.99, TLI= 0.98, SRMR= 0.03; CD= 0.92). Conclusion: The Information-Motivation-Behavioral Skill Model can be used to predict work performance of integrated health post cadres. Performance is positively and significantly influenced by behavioral skill, information, and motivation.
Contextual Effect of Village, Implementation of Theory of Planned Behavior, and Decision to Quit Smoking: A Multilevel Analysis Nazalah, Rajba; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.07

Abstract

Background: Behavior is determined by the intention to perform a behavior. Intentions are further influenced by three constructs, attitudes (the advantages and disadvantages of engaging in a behavior), subjective norms (social influences on a behavior) and perceived behavioral control (facilitators and barriers to a behavior). The study aimed to analyze the contextual influence of the hamlet on the application of the Theory of Planned Behavior (TPB) construct in the decision to stop smoking among adults in Surakarta. Subjects and Method: A cross-sectional study was conducted in 22 villages in Surakarta in November-December. A sample of 200 adult smokers and quitters was selected using snowball sampling. The dependent variable is the decision to stop smoking. The independent variables are intention, attitude, subjective norm, and perceived behavioral control. Data were collected by questionnaire and analyzed using multilevel multiple linear regression. Results: A person's decision to stop smoking is directly influenced by the intention to stop smoking (b= 0.18: 95% CI= 0.07 to 0.28; p= 0.001). Intention to quit smoking was significantly influenced by attitudes about smoking (b= 0.21: 95% CI= 0.10 to 0.32; p <0.001), subjective norms (b=0.19: 95% CI= 0.06 to 0.32; p= 0.003), and perception behavioral control (b= 0.25: 95% CI= 0.09 to 0.42; p= 0.002). Variations at level 2 hamlets have a contextual relationship to the decision to stop smoking (ICC= 10.43%). Conclusion: Decision to quit smoking is directly influenced by the level of intention to quit smoking. Intention to quit smoking itself is influenced by attitudes, subjective norms, and perceived behavioral control. Hamlet has a contextual effect on the decision to quit smoking.
Application of Health Belief Model on Obesity Prevention Behavior in Adolescents Flora, Viola Holly; Pamungkasari, Eti Poncorini; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol. 9 No. 3 (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.2024.09.03.08

Abstract

Background: Adolescent obesity is a global challenge with serious health impacts. This study aimed to explore the application of the Health Belief Model (HBM) in the context of preventing obesity in adolescents. Subjects and Method: This research uses an observational analytical design with a cross sectional approach. The population consists of teenagers aged 15-19 years in the city of Surakarta, with a sample of 200 teenagers chosen randomly. The dependent variable is obesity prevention behavior. The independent variable is the HBM construct (perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy). Data was collected using a questionnaire, and analyzed using multiple linear regression. Results: There is a positive and statistically significant relationship between perceived vulnerability (b= 0.08; 95% CI= 0.03 to 0.13; p = 0.004), perceived seriousness (b= 0.37; 95% CI= 0.29 to 0.46; p<0.001), perceived benefits (b= 0.22; 95% CI= 0.14 to 0.29; p<0.001), cues to action (b= 0.15; 95% CI= 0.05 to 0.25; p= 0.005) and self-efficacy (b= 0.05; 95% CI = 0.01 to 0.10; p= 0.027) on obesity prevention behavior. Adjusted R-squared= 72.15%. This means that the HBM construct includes perceptions of vulnerability, perceptions of severity, perceptions of benefits, cues to action, and self-efficacy, together they are able to explain variations in obesity preventive behavior in adolescents by 72.15%. Conclusion: The results of this study indicate that the Health Belief Model construct includes perceptions of vulnerability, perceptions of seriousness, perceptions of benefits, cues to action, and self-efficacy, which play a role together in shaping obesity prevention behavior in adolescents.
Disparities among The Baby Boomer, X, Y, And Z Generations regarding internet-based mental health literacy in Indonesia Anulus, Ayu; Dahlia, Yolly; Adiwibawa, Danang Nur; Hidayati, Lilik
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.2025.10.02.06

Abstract

Background: Mental health literacy is important as the prevalence of mental health disorders increases, while access to information through digital media on the internet is becoming more widespread. With the different characteristics and patterns of internet consumption in each gene­ration, the level of understanding of internet-based mental health information is expected to vary. This study aims to examine the differences in internet-based mental health literacy among the Baby Boomer, X, Y, and Z generations in Indonesia. Subjects and Method: This study uses a cross-sectional study method with an online survey involving 400 respondents from various generation groups in Indonesia. The independent vari­ables were Baby Boomer, X, Y, and Z generations. The dependent variable was internet-based mental health literacy. Generational difference data was measured using a questionnaire and internet-based mental health literacy understanding was measured using a modified internet-based health literacy scale (eHEALS) questionnaire. The data were analyzed using the Kruskal-Wallis Test and the Mann-Whitney as the post hoc test. Results: The results of the study show that generation Z has a higher level of internet-based mental health literacy. The Kruskal-Wallis test shows that there is a statistically significant difference in internet-based mental health literacy between generations (p=0.025). The results of Mann-Whitney show that internet-based mental health literacy of baby boomers vs. generation X (p= 0.006) and baby boomers vs. generation Z (p=0.005) is significantly different. Conclusion: There are significant differences in internet-based mental health literacy between generations. These findings emphasize the importance of an intergenerational approach to online mental health education programs, so that information can be accessed and understood properly by all age groups.
Meta Analysis: Factors Affecting Alcohol Consumption in Adolescents Hanif, Ihsan; Mardiah, Ardiana; Yolanda, Rachmawaddah; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Health Promotion and Behavior Vol. 9 No. 4 (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.2024.09.04.04

Abstract

Background: Since alcohol is obtained easily, so it tends to be widely abused. The factors that cause a teenager to consume alcohol are individual factors/individual personality, and envi­ron­mental factors. This study aims to estimate the factors that affect alcohol consumption in adolescents. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: adolescents. Interventions: drinking parents, drinking friends, smoking. Comparison: non-drinking parents, non-drinking friends, non-smoking. Result: alcohol consumption. The articles used in this study were derived from 2 databases, namely Google Scholar and Science Direct. The article's keywords were ""teenager" AND "drinking parents" AND "drinking friends" AND "smoke" AND “alcohol consumption". The articles included in this study were full paper articles, cross-sectional study design, publication year ranged from 2019-2023 and the measure of association used was Adjusted Odds Ratio. The articles were analyzed using the Review Manager 5.4 application. Results: Seven cross-sectional studies showed that drinking friends increased alcohol consumption by 5.09 times compared to non-drinking friends, and the result was statistically significant (aOR=5.09; CI 95%= 2.64 to 9.81; p= 0.001). Seven cross-sectional studies showed that drinking parents increased alcohol consumption by 1.99 times compared to non-drinking parents, and the result was statistically significant (aOR=1.99; CI 95%= 1.50 to 2.64; p= 0.001). Seven cross-sectional studies showed that smoking can increase alcohol consumption by 2.09 times compared to nonsmoking, and the result was statistically significant (aOR=2.09; CI 95%= 1.32 to 3.30; p= 0.001). Conclusion: Smoking-adolescents, drinking parents, and drinking friends increase their likelihood of consuming alcohol.
Utilizing the Health Belief Model Theory to Forecast Early Breastfeeding Initiation in Karanganyar Regency, Central Java Indrawati, Devi; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 4 (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.2024.09.04.06

Abstract

Background: Early initiation of breastfeeding has the potential to reduce the risk of neonatal death. Babies who do not start breastfeeding within the first hour after birth have a higher risk of death. This study aimed to determine the relationship between the Health Belief Model construct and early breastfeeding initiation behavior. Subjects and Method: The study was conducted in February-March 2024 with a sample of 200 mothers who had children aged 0-3 months at Posyandu in the Karanganyar Regency working area. This study used an observational analytic design with a cross-sectional study approach. Sampling used was fixed disease sampling. The dependent variable was early initiation of breastfeeding and the independent variables were perceived vulnerability, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy. The data were collected using questionnaire and analyzed using multiple logistic regression analysis. Results: This study provided empirical evidence that a number of constructs in the Health Belief Model can be used as predictors of early breastfeeding initiation. Mothers who have a high perceived vulnerability (OR= 4.48; CI 95%= 1.12 to 17.89; p= 0.034), high perceived severity (OR= 4.14; CI 95%= 1.16 to 14.87; p=0.029), high perceived benefit (OR= 4.37; CI 95%= 1.15 to 16.56; p=0.030), and high self-efficacy (OR= 16.76; CI 95%= 3.91 to 71.79; p <0.001) showed a positive relationship with increasing early breastfeeding initiation behavior. Conclusion: There is a positive relationship between perceived vulnerability, perceived severity, perceived benefits, and self-efficacy with early breastfeeding initiation behavior.
The Impact of Cyberbullying on Self-Harming Behavior and Suicidal Thoughts among Adolescents: A Meta-Analysis Mahzunah, Amalia Khurotul; Sari, Ica Yuniar; Paradela, Berti Vega; Murti, Bhisma; Tursina, Elsa
Journal of Health Promotion and Behavior Vol. 9 No. 4 (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.2024.09.04.07

Abstract

Background: Online bullying often occurs among teenagers. This is an important risk factor for self-injurious behavior and suicidal ideation. This study aimed to analyze and estimate the magni­tude of the effect of online bullying on self-injurious behavior and suicidal ideation in adolescents. Subjects and Method: This research is a systematic review and meta-analysis using the PICO model. Population: Adolescents, Intervention: Online bullying, Comparison: No online bullying, Outcome: Self-injurious behavior and suicidal ideation. The research data used was obtained through Google Scholar, Science Direct, BMC Public Health, and Scopus with the keywords (“Cyberbullying”) AND (“Self-harm”) AND (“Suicidal Ideation”) AND (“Mental Health”) AND (“Cross-sectional”). Inclusion criteria were cross-sectional articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Results: Meta-analysis was conducted on 8 primary studies with outcomes for self-harm behavior and 9 primary studies with outcomes for suicidal ideation. These primary studies come from Singapore, Vietnam, Taiwan, China, South Korea, Iran, Australia and America. The sample size was 47,708 adolescents for self-injurious behavior outcomes and 63,173 adolescents for suicidal ideation outcomes. Adolescents with online bullying are 3.64 times more likely to have self-injurious behavior (aOR= 3.64; 95% CI= 3.14 to 4.22; p<0.001) and 2.64 times more likely to have suicidal ideation (aOR= 2.64; 95% CI= 1.94 to 3.60; p<0.001) compared to adolescents without online bullying. The funnel plot indicates the existence of publication bias which tends to reduce the true effect (underestimate) on the outcome of suicidal ideation. Conclusion: Online bullying statistically significantly increases the risk of self-injurious behavior and suicidal ideation in adolescents.
Improving Clothing Skills and Self-Esteem in Mentally Retarded Children with Self-Modelling Videos in Gondangrejo Karanganyar District: A Case Report Sulistyowati, Endang Caturini; Adriani, Rita Benya; Hapsari, Happy Indri; Adriana, Nadya Puspita
Journal of Health Promotion and Behavior Vol. 9 No. 4 (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.2024.09.04.08

Abstract

Background: Children with mental retardation have below-average cognitive functions that can affect the overall level of intelligence, such as cognitive, motor, language, and social abilities. Improving skills in daily life, especially the use of clothing, is one of the important things that needs to be done. This case report aims to discuss how dressing skills and self-esteem in children with retardation with self-modeling videos. Subjects and Method: An 8-year-old child with moderate mental retardation has a learning disability with mild criteria, Initial complaints are known that the child has a dependence on parental assistance in terms of performing the skill of wearing clothes. Initial examination found that there was poor mental development which was characterized by low skills during the development period which affected cognitive ability, the patient also had a history of low self-esteem with a score of 12. Results: We reported the case of an 8-year-old child with moderate mental retardation who was given a self-modelling video to improve clothing and self-esteem skills. Patients were given modeling with videos that were assessed in 3 phases, namely the initial phase, the intervention phase, and the maintenance phase, the results showed an improvement curve in the ability to wear clothes and skills in patients. Conclusion: Self-modeling videos or Video Self Mondelin (VSM) is one of the effective and relatively simple interventions for children with mental retardation.
Meta-Analysis: Correlations between Knowledge, Self-Efficacy, and Social Support on HIV testing in Homosexual Surya Gumilar, Karismatika; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 4 (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.2024.09.04.01

Abstract

Background: HIV is an infectious disease for which there is no cure. Homosexuals are a vulnera­ble group for HIV transmission. One of the HIV-AIDS control programs is to make HIV testing a standard of service in all health facilities. This study aims to analyze the influence of self-efficacy, social support, and knowledge in carrying out HIV tests on homosexuals. Subjects and Method: This study is a systematic and meta-analysis study, with PICO as follows: Population= Homosexual. Intervention= Good knowledge, high self-efficacy, and high social support. Comparison= Poor knowledge, low self-efficacy, and low social support. Outcome= Use of HIV Testing. The articles used in this research were obtained from several databases including PubMed, Google Scholar and Scopus. These articles were collected over 2 weeks. The keywords to search for articles are as follows: "HIV Test AND Homosexual AND Knowledge AND Self Efficacy AND Social Support". The articles included in this research were full-text articles with a cross-sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using Review Manager 5.3 application. Results: A total of 12 articles were reviewed in this meta-analysis research originating from China, Guatemala, Myanmar, USA, Jamaica. The study showed that homosexuals with good knowledge (aOR= 2.02; 95% CI= 1.38 to 2.96; p= 0.003), social support high (aOR= 1.17; 95% CI= 1.03 to 1.34; p= 0.020), and high self-efficacy (aOR= 1.11; 95% CI= 1.02 to 1.22; p= 0.010) has a significant influence on the decision to test for HIV. Conclusion: Good knowledge, high self-efficacy, and high social support can increase the willingness to carry out HIV testing among homosexuals.
Path Analysis: Implementation of Information Motivation Behavioral Skill Model on Tertiary Preventive Behavior in Type II Diabetes Melitus Tyas, Aktif Cahyaning; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Promotion and Behavior Vol. 10 No. 1 (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.2025.10.01.01

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia. Hyperglycemia over a long period of time increases the occurrence of complications. Complications due to type 2 DM can be prevented or delayed by implementing tertiary preventive behavior. This study aims to analyze the influence of the Information Motivation and Behavior Skill Model on tertiary preventive behavior in type 2 DM patients. Subjects and Method: This research with a cross-sectional design was conducted in Boyolali Regency, Central Java from November to December 2023. The research was conducted at 25 posbindu in Ngemplak and Nogosari Districts. The sample size was 200 adults with a diagnosis of type 2 DM who were selected using the stratified random sampling method. The dependent variable is tertiary preventive behavior. The independent variables are information, motivation, behavioral skills, age, gender, education, and employment. Data collection was carried out using questionnaire interviews. Data were analyzed using path analysis in the STATA 13 application. Results: There is a positive relationship between behavioral skills and tertiary preventive behavior (b= 0.16; 95% CI= 0.02 to 0.29; p= 0.023). There is a positive relationship between information and behavioral skills (b= 0.25; 95% CI= 0.13 to 0.38; p<0.001). There is a positive relationship between motivation and behavioral skills (b= 0.38; 95% CI= 0.15 to 0.41; p<0.001). The path analysis model has good model suitability, as indicated by the following suitability indicators: p= 0.244; RMSEA= 0.045; CFI= 0.98; TLI= 0.95; SRMR= 0.032. Conclusion: Tertiary preventive behavior in adult type 2 DM patients is directly influenced by behavioral skills. Tertiary preventive behavior is indirectly influenced by information and motivation. Tertiary preventive behavior in type 2 DM patients increases with good information, strong motivation and good behavioral skills.

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