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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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Analysis Multilevel: Application of Health Belief Model on Tertiary Prevention Behavior in Kaur District, Bengkulu Province, Indonesia Betriza; Prasetya, Hanung; Murti, Bhisma
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.2025.10.01.02

Abstract

Background: Uncontrolled hypertension can cause complications, so efforts to prevent and control hypertension can be carried out by applying the Health Belief Model health promotion theory. This study aimed to determine the influence of the Health Belief Model construct on tertiary prevention behavior in hypertensive patients. Subjects and Method: This was a cross-sectional study conducted in 16 health centers in Kaur district, Bengkulu, from November to December 2023. A total of 208 hypertension patients were selected by simple random sampling. The dependent variable is tertiary prevention behavior. Independent variables are a number of constructs in the Health Belief Model theory including perceived susceptibility, stimulus to act, and self-efficacy. Data collection was carried out using questionnaires and data were analyzed using a multilevel double linear regression analysis model. Results: There was a positive association between perception of vulnerability (b= 0.11; CI 95%= 0.01 to 0.22; p= 0.065), signal to act (b= 0.20; CI 95%= 0.03 to 0.38; p= 0.022), self-efficacy (b= 0.16; CI 95%= -0.01 to 0.32; p= 0.059) on hypertension tertiary prevention behavior. Public health center have less contextual influence on tertiary prevention behavior in hypertensive patients (ICC= 6.68%). Conclusion: Perception of vulnerability, cues to act, and self-efficacy are predictors of hypertension tertiary prevention behaviors.
Psychological Factors and Social Support in Adolescents with Suicidal Ideation: A Meta-Analysis Nisriina, Zain Nadaa; Pakanna, Epin; Murti, Bhisma; Ismail, Aem
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.2025.10.01.03

Abstract

Background: According to World Health Organization (WHO) data, as of August 28, 2023, there are more than 700,000 deaths due to suicide every year and the fourth highest cause of death in 18-29 years old is suicide. Studies report that psychological conditions and social support are risk factors for the emergence of suicidal ideation in adolescents. This study aimed to analyze and estimate the effect of psychological determinants (anxiety, loneliness, and depression), gender, and social support on suicidal ideation in adolescents. Subjects and Method: This was a meta-analysis with PICO model. Population: adolescents. Intervention: women, psychological determinants (anxiety, loneliness, and depression), and social support. Comparison: men, no anxiety, no loneliness, no depression, no social support. Outcome: suicidal ideation. The basic data used involves Google Scholar, PubMed, BMC, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with cross-sectional studies, published from 2018-2023, reported aOR. Data analysis using the Review Manager 5.3. Results: Meta-analysis was carried out on 16 primary studies from various countries, namely Ethiopia, Nepal, the United States, India, Slovenia, South Korea, Nigeria, Jamaica, China, the Netherlands, and Greece. Suicidal ideation decreased in male adolescents (aOR= 0.95; 95% CI= 0.73 to 1.24; p= 0.700) and strong social support (aOR= 0.84; 95% CI = 0.76 to 0.93; p <0.001). Loneliness (aOR= 2.86; 95% CI= 1.38 to 5.96; p= 0.005), anxiety (aOR= 2.46; 95% CI= 1.58 to 3.84; p<0.001), and depression (aOR= 5.46; 95% CI= 3.43 to 8.70; p<0.001) increased the risk of suicidal ideation. Conclusion: Suicidal ideation decreases in male adolescents and strong social support. It increases with loneliness, anxiety, and depression increase the risk of suicidal ideation.
Implementation of Social Cognitive Theory on Smoking Cessation Nisriina, Zain Nadaa; Demartoto, Argyo; Murti, Bhisma
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.2025.10.01.04

Abstract

Background: Most people have understood the negative effects of smoking behavior, but not all of them can make the decision to stop the behavior. Like smoking behavior, quitting smoking is also influenced by various factors. This study aimed to analyze smoking cessation behavior in individuals who have quit smoking through Social Cognitive Theory in the Semarang City area. Subjects and Method: The study was conducted with a cross-sectional study design involving as many as 205 participants, including 123 active smokers and 82 who had quit smoking. This research was conducted in the Semarang City area, Central Java. This research was conducted in March-April 2024. The sample was selected using fixed disease sampling for active smoking par­ticipants and snowball sampling for participants who had quit smoking. The dependent variable is smoking cessation behavior. The independent variables are expectation of results, self-regulation, self-efficacy, and strengthening. Data collection was carried out using a questionnaire and the data was analyzed using a path analysis model. Results: Smoking cessation behavior increased with high self-efficacy (OR= 19.99; 95% CI= 7.46 to 53.62; p<0.001) and strong self-regulation (OR= 3.05; 95% CI= 1.51 to 6.13; p= 0.002). Self-efficacy increased with the expectation of positive results (OR= 8.64; 95% CI= 4.52 to 16.52; p<0.001) and strong self-regulation increases with strengthening (OR = 3.61; 95% CI= 1.99 to 6.53; p<0.001). Thus, social cognitive theory can be used to explain and predict smoking cessation behavior. Conclusion: Smoking cessation behavior increases with high self-efficacy, strong self-regulation, positive outcome expectations, and strengthening. Thus, social cognitive theory can be used to explain and predict smoking cessation behavior. Keywords: social cognitive theory, smoking cessation, early adulthood.
The Associations between Attitude and Quitting Smoking in Adult Smokers: A Meta-Analysis Firdaus, Anisah; Indah, Lestari; Murti, Bhisma; Ismail, Aem
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.2025.10.01.05

Abstract

Background: According to the World Health Organization (WHO), by 2025, tobacco control initiatives are expected to reduce the prevalence rate of tobacco throughout the WHO region. Recent assessments of smoking epidemics over the past half-century show a decrease in overall smoking prevalence among adult males (32.2% to 33.1%) and females (6.3% to 6.7%). The effectiveness of all these smoking cessation programs depends on knowing the factors that affect smokers. Factors such as sociodemographic factors, attitudes, and environment play an important role in the desire to quit smoking This study aimed to determine the influence of attitudes on the likelihood of quitting smoking in adults. Subjects and Method: Systematic review and meta-analysis using prism flow diagrams and PICO format. Population: Adult smokers. Intervention: attitudes of likelihood of quitting smoking, smoking Outcome: Smoking cessation behavior in adults. The online databases used are Google Scholar, BMC, ScienceDirect, and Springer Link with the words smoking cessation, attitude to quit smoking, cross sectional and aOR. There were 9 cross sectional studies published in 2019-2023. The analysis was performed with RevMan 5.3. Results: This meta-analysis included 9 cross-sectional studies from the Hadiyah Zone, Southern Ethiopia, Bhubaneswar, India, Hanoi, Vietnam, United States, Saudi Arabia, England, Taiwan, Beirut, Lebanon and Qatar. The number of samples is 12,526. Smokers with positive attitudes were 1.28 times more likely to quit smoking than negative attitudes, and the effect was statistically significant (aOR= 1.28; CI 95%= 0.84 to 1.95; p= 0.260). Conclusion: Positive attitudes increase the likelihood of smokers quitting smoking. Keywords: quit smoking, attitudes, smokers, cross sectional, aOR.
Meta-Analysis: Bullying's Effects on Anxiety and Depression in Adolescents Hanida, Amin Nur; 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.2025.10.01.06

Abstract

Background: Bullying is a major problem worldwide. Bullying itself is defined as a condition in the form of negative and repetitive behavior, carried out by a person or group of people, the treatment is carried out deliberately and intensely with the aim of hurting physically and mentally. This study aims to analyze and estimate the magnitude of the influence of bullying on anxiety and depression in adolescents. Subject and Method: The meta-analysis was performed according to the flow of the PRISMA diagram and the PICO model. P: Adolescents, I: Bullying, C: No bullying, O: Anxiety and depression. The search for articles in this study is through databases that include PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "bullying" AND "anxiety" AND "depression" AND "adolescent". Full paper article with cross-sectional study, the subject of the study was adolescents, the measure of the relationship used was adjusted Odds Ratio, the outcome of the study was anxiety and depression. Analysis was done with Revman 5.3 Results: There were 10 articles with cross-sectional designs from the United States, Africa, China, Saudi Arabia, Malaysia, and Australia with a total of 282,799 research samples. A meta-analysis of 10 cross-sectional studies concluded that adolescents who experienced bullying had a 1.98 times greater risk of anxiety than those without bullying (aOR = 1.98; CI 95%= 1.54 to 2.53; A meta-analysis of 8 cross-sectional studies concluded that adolescents who experienced bullying had a 1.85 times greater risk of depression compared to no bullying (aOR= 1.85; CI 95%= 1.37 to 2.50; p<0.001). Conclusion: Bullying increases the risk of anxiety and depression in adolescents
Path Analysis of the Influence of the Theory of Planned Behavior Construct on Visual Inspection of Acetic Acid Uptake in Banjarnegara Mahzunah, Amalia Khurotul; Demartoto , Argyo; Murti, Bhisma
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.2025.10.01.07

Abstract

Background: The death rate for women of childbearing age is increasing. This indicates the need for useful interventions to prevent deaths from cervical cancer. One way is to carry out an Acetic Acid Visual Inspection (VIA) screening. Unfortunately, the rate of VIA screening is still low. So it is necessary to conduct research on how the behavior of using VIA screening is viewed from health promotion theory. This study aimed to determine the application of one of the health promotion theories, namely the Theory of Planned Behavior (TPB), to the use of VIA screening in Banjarnegara Regency. Subjects and Method: The study was conducted with a cross-sectional study design involving 200 female participants of reproductive age ranging from 20 to 50 years. This research was conducted in Banjarnegara Regency, Central Java Province, Indonesia. This study was conducted in April-May 2024. The sample was selected using fixed disease sampling to find participants who had undergone VIA screening. Data collection was carried out using questionnaires and data was analyzed using univariate, bivariate and path analysis. Results: The results of this study showed that the behavior of using VIA screening was directly influenced by intentions and perceived behavioral control. The possibility of subjects to undergo VIA screening can increase by strong intentions (OR= 6.56; 95% CI= 2.97 to 14.48; p< 0.001) and high perceived behavioral control (OR= 6.23; 95% CI= 3.07 to 12.65; p < 0.001). In addition, the results of path analysis showed that intentions were influenced by attitudes (OR= 2.73; 95% CI= 1.31 to 5.69; p= 0.007), subjective norms (OR= 3.48; 95% CI= 1.71 to 7.07; p= 0.001), and perceived control treatment (OR= 3.03; 95% CI= 1.50 to 6.09; p= 0.002). Conclusion: The use of VIA screening is directly influenced by intention and perceived behavioral control. In addition, intentions are influenced by attitudes, subjective norms, and perceived behavioral control. All results of the analysis are statistically significant.
The Application of Social Cognitive Theory on Tertiary Preventive Behavior in Elderly with Type 2 Diabetes Mellitus: A Multilevel Analysis Widyarahma, Amanda; Tamtomo, Didik Gunawan; Murti, Bhisma
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.2025.10.01.08

Abstract

Background: Diabetes Mellitus is a chronic disease whose prevalence increases, especially in old age. About a quarter of people over the age of 65 suffer from diabetes. DM can cause serious compli­cations up to death. The importance of tertiary preventive behavior to prevent compli­cations. This study aimed to analyze the influence of the Social Cognitive Theory construct and the contextual influence of posyandu on the tertiary preventive behavior of elderly people with type 2 diabetes mellitus. Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (posyandu) in Magetan, East Java, Indonesia, from April to May 2024. 200 elderly with type 2 DM were selected by stratified random sampling. The dependent variable was tertiary preventive behavior. The independent variables were self-regulation, knowledge, expectations, self-efficacy, reinforcement, and observational learning. Data collection was carried out by interviews and questionnaires. The data were analyzed using a multiple multilevel linear regression. Results: Tertiary preventive behavior was higher in self-regulation (b= 0.24; 95% CI= 0.01 to 0.46; p= 0.038), know­ledge (b= 0.70; 95% CI= 0.23 to 1.17; p= 0.003), expectations (b= 0.53; 95% CI= 0.35 to 0.71; p <0.001), self-efficacy (b= 0.39; 95% CI= 0.11 to 0.67; p= 0.006), reinforcement (b= 1.26; 95% CI= 0.90 to 1.62; p<0.001), and observational learning (b= 0.30; 95% CI= 0.01 to 0.59; p= 0.036). There were no significant relationships of age and gender on tertiary preventive behavior. There was a contextual effect of elderly posyandu on tertiary preventive behavior (ICC= 6.39%). Conclusion: Tertiary preventive behavior is higher in self-regulation, know­ledge, expectations, self-efficacy, reinforcement, and observational learning. There are no significant relationships of age and gender on tertiary preventive behavior. There is a contextual effect of elderly posyandu on tertiary preventive behavior.
Imlementation of Health Belief Model to Predict Adherence toward Acupuncture Services in Low Back Pain Patients legowo, Nurcahyo aji; Murti, Bhisma; Sumardiyono, Sumardiyono
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.2025.10.01.09

Abstract

Background Adherence in using acupuncture services can reduce the risk of developing more severe low back pain. Low back pain patients who do not receive regular treatment will experience a high risk of injury. This study aims to determine the relationship between the construct of the health belief model and adherence in using acupuncture services. Subjects and Method: This was a cross-sectional study carried at the Surakarta acupuncture clinic in December-March 2024. A sample of 200 low back pain patients was selected using random sampling. The dependent variable was low back pain patients. The independent variables were perceived vulnerability, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data were analyzed using a multiple logistic regression. Results: Adherence to acupuncture therapy in LBP patients increased with high perceived vulnerability (OR= 2.46; 95% CI= 1.09 to 5.07; p = 0.028), high perceived severity (OR= 4.07; CI 95%= 1.84 to 8.99; p = 0.001), high perceived benefit (OR= 2.57; 95% CI= 1.12 to 5.84; p = 0.024), had cues to action (OR= 2.24; 95% CI= 1.03 to 4.90; p = 0.042), and high self-efficacy (OR= 2.27; 95% CI= 1.03 to 5.00; p = 0.042). It was decreased by high perceived barriers (OR= -0.35; 95% CI= -0.15 to -0.80; p = 0.014). Conclusion: Adherence to acupuncture therapy in LBP patients increases with high perceived vulnerability, high perceived severity, high perceived benefit, had cues to action, and high self-efficacy. It is decreased by high perceived barriers
Meta-Analysis: The Effect of Social Capital on Depression in Elderly Widyarahma, Amanda; Mufidah, Naili Zahroton; Afandi, Agil Rafi’ah; Murti, Bhisma; Ismail, Aem
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.2025.10.01.10

Abstract

Background: According to WHO (2022), 14% of adults >60 years live with depression which accounts for 10.6% of total disability in the elderly. Depression is associated with an increased risk of premature death, with a potential reduction in life expectancy of around 10 years. Studies report that strengthening social capital can be an effective strategy in preventing and managing depression in the elderly. This study aims to analyze the influence of social capital on depression in the elderly. Subjects and Method: This research is a meta-analysis of the PICO model. Population: elderly. Intervention: high social participation, high social cohesion, high reciprocity, high social trust and high social network. Comparison: low social participation, low social cohesion, low reciprocity, low social trust and low social network. Outcome: depression. The data used involves Google Scholar, PubMed, BMC, Elsevier, ScienceDirect, and Springer Link. Inclusion criteria were full-text articles with a cross-sectional study design using multivariate analysis that included OR values and were published from 2014-2023. Data analysis using the Review Manager 5.3 application. Results: The meta-analysis included 17 cross-sectional studies from Korea, Spain, Japan, Taiwan, the Netherlands, China, and Myanmar. The results showed that the incidence of depression decreased with high social participation (aOR= 0.78; 95% CI= 0.61–1.00; p= 0.050), high social cohesion (aOR= 0.84; 95% CI= 0.72 – 0.99; p= 0.030), high reciprocity (aOR= 0.75; 95% CI= 0.63 – 0.90; p= 0.020), and high social trust (aOR= 0.52; 95% CI= 0.41 – 0.66; p<0.001). Social networks reduce the risk of depression but were not statistically significant a(OR= 0.71; CI 95%= 0.31 – 1.59; p= 0.400). Conclusion: Social participation, social cohesion, reciprocity, and social trust have an effect on reducing the risk of depression in the elderly.
Application of Social Cognitive Theory for Tertiary Preventive Behavior in Elderly with Hypertension: A Multilevel Analysis in Cirebon, West Java Sanusi, Sita Rahayu; Murti, Bhisma; Demartoto, Argyo
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.2025.10.01.11

Abstract

 Background: Hypertension is the first non-communicable disease diagnosed in various health facilities up to 185,857 cases. Hypertension is one of the main causes of mortality and morbidity in Indonesia, so the management of this disease is a very common intervention carried out at various levels of health facilities, especially in the elderly. This study aims to analyze the influence  of the application of social cognitive theory on the preventive behavior of the elderly tertiary with hypertension in Cirebon Regency. Subjects and Method: The study was conducted with  a cross-sectional study design  involving as many as 200 research subjects, including 102 positive tertiary preventive behavior research subjects and 93 negative tertiary preventive behavior research subjects. This research was conducted in 25 elderly posyandu in Cirebon Regency, West Java. This research was conducted in March-April 2024. The sample was selected using simple random sampling to select elderly research subjects with hypertension and stratified random sampling to select the type of Posyandu. The dependent variable is tertiary preventive behavior behavior in the elderly with hypertension. The independent variables were knowledge, expectations, self-regulation, self-efficacy, reinforcement and observational learning. Data collection was carried out using questionnaires and data were analyzed using a multilevel analysis model.. Results: Tertiary preventive behavior in older age with hypertension was influenced by knowledge (b = 1.89; 95% CI = 1.54 to 2.23; p <0.001), expectations (b = 0.15; 95% CI = 0.01 to 0.29; p = 0.031), self-regulation (b = 0.15; 95% CI = 0.01 to 0.29; p = 0.035), self-efficacy (b = 0.14; 95% CI = 0.00 to 0.29; p = 0.042), reinforcement (b = 0.15; 95% CI = 0.00 to 0.29; p = 0.042), reinforcement (b = 0.36; 95% CI = 0.22 to 0.50; p <0.001), and observational (b = 0.22; 95% CI = 0.07 to 0.38; p = 0.004). Posyandu has a contextual influence on tertiary preventive behavior in the elderly with hypertension with ICC = 40%. Conclusion: Tertiary preventive behavior in the elderly with hypertension is influenced by knowledge, expectations, self-regulation, self-efficacy, reinforcement and positive outcomes of observational learning. Thus, social cognitive theory can be used to explain and predict tertiary preventive behavior in the elderly with hypertension.  Variations at the Posyandu level have a strong contextual effect on tertiary preventive behavior in the elderly with hypertension.

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