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Journal of Health Promotion and Behavior
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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
PRECEDE-PROCEED Model: Predisposing, Reinforcing, and Enabling Factors Affecting the Selection of Birth Attendant in Bondowoso District Pramiyana, Ira Martin; Hastuti, Uki Retno Budi; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Skilled birth attendant is one of the determinants of maternal and infant mortality. One of the primary causes of maternal mortality in Bondowoso District was the reliance on the traditional birth attendant (TBA). In 2016, the number of birth delivery attended by TBA reached 510 out of 10,326 deliveries. This study aimed to determine the predisposing, reinforcing, and enabling factors affecting the selection of birth attendant in Bondowoso.Subjects and Method: This was an analytic observational study using case control design. The study was conducted at 5 community health centers in Bondowoso District, East Java, from April to May 2017. A sample of 160 delivering mothers, consisting of 110 mothers assisted by skilled birth attendants and 50 mothers assisted by traditional birth attendants, were selected for this study by fixed disease sampling. The dependent variable was the selection of birth attendant (skilled birth attendant vs. TBA). The independent variables were age, education, working status, ANC visit, tradition, and family support. The data were collected by a set of questionnaire. Path analysis was employed to analyze data.Results: Age 20-34 years (b= -2.10; 95% CI=-3.96 to -0.25; p= 0.026), working outside the house (b= 2.23; 95% CI=0.84 to 3.61; p= 0.002), ANC visit (b= 2.71; 95% CI=0.80 to 4.62; p= 0.005), good tradition (b= 4.05; 95% CI=2.38 to 5.72; p<0.001) increased the likelihood of selecting skill birth attendant. Age 20-34 years (b= 2.54; 95% CI=1.24 to 3.84; p<0.001) and maternal education ≥high school (b=3.69; 95% CI=2.47 to 4.92; p<0.001) increased ANC visit. Maternal education ≥ high school (b=0.74; 95% CI=-0.02 to 1.51; p= 0.059) increased age. Maternal education ≥  high school (b=1.39; 95% CI=0.63 to 2.14; p<0.001) increased the likelihood of mother working outside the house. Family support (b=2.02; 95% CI=1.21 to 2.82; p<0.001) increased the likelihood of good tradition.Conclusion: Age 20-34 years, working outside the house, ANC visit, good tradition, directly increase the likelihood of selecting skill birth attendant.Keywords: selection of birth attendant, predisposing, enabling, reinforcing factorsCorrespondence: Ira Martin Pramiyana. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: iramartinpramiyana87@gmail.com. Mobile: +6282337742697.Journal of Health Promotion and Behavior (2017), 2(2): 159-172https://doi.org/10.26911/thejhpb.2017.02.02.06
Theory of Planned Behavior: Analysis of Factors Affecting the Preventive Behaviors of Alcohol Consumption and Smoking among Students from West Kalimantan, in Yogyakarta Delpia, Yesi Vila; Murti, Bhisma; Suryani, Nunuk
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia ranked the third highest country in the world in the prevalence of smokers in 2010. The prevalence of alcohol drinkers reached 4.6% in 2007. West Kalimantan ranked the third highest  and the fifth highest province in Indonesia in the number of smokers and drinkers, respectively. This study aimed to analyze factors affecting the preventive behavior of alcohol consumption and smoking among students from West Kalimantan, Indonesia.Subjects and Method: This was an analytical observational study with cross sectional design, conducted in Yogyakarta. A total of 100 students of West Kalimantan were selected by  simple random sampling. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Positive attitude toward alcohol consumption (b=0.196; p=<0.001), positive subjective norms (b=0.650; p <0.001), strong perceived behavior control (b=0.296; p=<0.001), strong intention (b=1.755; p <0.001) had positive effect on alcohol consumption preventive behavior. Positive attitude toward smoking (b=0.381; p <0.001), positive subjective norms (b= 0.357; p< 0.001), strong perceived behavior control (b=0.252; p <0.001), and strong intention (b =1.122; p< 0.001) had positive effect on smoking prevention behavior.Conclusion: Theory of planned behavior can be used to predict preventive health behavior of a person, with respect to alcohol consumption and smoking. Attitude, subjective norm, perceive behavior control, and intention, each had either indirect or direct effect on alcohol consumption and smoking prevention behavior.Keywords: Theory of Planned Behavior, alcohol consumption, smoking, preventive behaviorCorrespondence: Yesi Vila Delpia. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: yesiviladelpia137@gmail.com.Journal of Health Promotion and Behavior (2016),1(2): 62-69https://doi.org/10.26911/thejhpb.2016.01.02.01
A Path Analysis on Adherence to Antiretroviral Therapy among HIV/ AIDS Patients at Dr. Moewardi Hospital, Surakarta using Health Belief Model Agustin, Dyah Ayu; Prasetyo, Afiono Agung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: HIV / AIDS (Acquired Immune Deficiency Syndrome) is still a health problem in the world including in Indonesia. Approximately 36.7 people are infected with HIV in the world and in Indonesia until March 2017 recorded 242,699 cases. The recorded amount does not reflect the real number in the community because HIV infection often does not show specific symptoms before entering the stage of AIDS. This study aimed to examine the application of the health belief model on adherence to antiretroviral therapy among HIV/ AIDS patients in Surakarta, Central Java.Subject and  Method: This was a cross sectional study conducted at Dr. Moewardi Hospital, Surakarta, Central Java, on February 2018. A total sample of 284 HIV/AIDS patients was selected for this study by exhaustive sampling. The dependent variable was ARV Adherence. The independent variables were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The data were collected using a questionnaire and analyzed by a path analysis.Results: Adherence directly increased with self-efficacy (b= 2.10; 95% CI = 0.85 to 3.34; p= 0.001), perceived benefit (b= 2.08; 95% CI= 1.15 to 3.00; p <0.001), and cue to action (b= 3.61; 95% CI= 0.86  to 6.36; p= 0.010) but decreased with higher perceived barrier (b= 2.08; 95% CI= 1.15 to 3.00; p<0.001). Adherence indirectly decreased with higher perceived severity and perceived susceptibility.Conclusion: Self-efficacy, perceived benefit, perceived barrier,  and cue to action directly affect the adherence to antiretroviral therapy. Perceived severity and perceived susceptibility indirectly affect the adherence to antiretroviral therapy. Keywords: ARV adherence, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacyCorrespondence: Dyah Ayu Agustin. School of Health Sciences Kendedes, Malang, East Java. Email: ayuagustin20@gmail.com. Mobile: +6281316337006.Journal of Health Promotion and Behavior (2018), 3(1): 48-55https://doi.org/10.26911/thejhpb.2018.03.01.05 
Effects of Fruit and Vegetable Consumption, a Socio-Economic Factor of Adolescent Obesity in Surakarta City Wati, Emita Dewi Lilis Angkasa; Pamungkasari, Eti Poncorini; Dharmawan, Ruben
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescent obesity is an escalating global epidemic. It is estimated that 70% of obese teenagers aged 10 to 13 years are at risk of being obese over their life course. Obesity becomes a problem because it brings complications and it is associated with accelerated atherosclerosis, increased incidences of degenerative diseases, such as cardiovascular diseases, stroke and diabetic. The purpose of this study was to decribe the effects of fruit and vegetable consumption, a socio-economic factor of adolescent obesity.Subjects and Methods: The study was an analytical observation using case control design. The study was conducted in Surakarta city in February to March 2017, and it involved 140 subjects. Samples were collected using purposive sampling technique with fixed disease sampling. The independent variables under the study were fruit and vegetable consumption, mothers’ education, family income, and age. The dependent variable of the study was obesity. Data was collected using questionnaire, information on the fruit and vegetable consumption was gathered through a 24-hour food recall, and weight and height were measured. The data was analyzed using path analysis.Results: The statistic finding showed that obesity was affected by fruit and vegetable consumption (b=-0.01, SE <0.01, p=0.010), and age (b=-0.28, SE= 0.14, p=0.048), and the fruit and vegetable consumption was affected by the mothers’ education (b=14.118, p=0.133) and family income (b=-0.35, SE= 0.44, p=0.431).Conclusions:  Fruit and vegetable consumption and age are directly associated with adolescent obesity. Mothers’ education and family income are indirectly associated with adolescent obesity.Keywords: Adolescent, fruit and vegetable consumption, socio-economic, obesity.Correspondence: Emita Dewi Lilis Angkasa Wati. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: Taurus.emita92@gmail.com. Mobile: +6281252794863Journal of Health Promotion and Behavior (2017), 2(1): 55-64https://doi.org/10.26911/thejhpb.2017.02.01.05 
Multilevel Analysis on the Predictors of Safe Sexual Behavior among Girl Adolescents in Karanganyar, Central Java Kumalaningrum, Melda; Pamungkasari, Eti Poncorini; Nurhaeni, Ismi Dwi Astuti
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Studies have shown that the number of adolescents who have premarital sex is increasing. Unsafe sex can increase the risk of sexual transmitted disease, unwanted pregnancy, and suicide in adolescents. The study aimed to determine the associations between attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure, on safe sexual behavior among girl adolescents in Karanganyar, Central Java.Subjects and Method: This was an analytic and observational study with cross-sectional design. The study was conducted in 25 senior high schools in Karanganyar, Central Java, from Desember, 2017 to January, 2018. A total sampel of 200 girl adolescents were selected by stratified random sampling, consisting of 8 girl adolescents from each of the 25 senior high schools. The dependent variable was safe sexual behavior. The independent variables were attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure on safe sexual behavior. The data was collected using questionnaire and analyzed by multilevel analysis. The contextual effect of school, which distinguished rural and urban schools, on safe sex behavior was measured by intra-class correlation (ICC).Results: Positive attitude (b= 0.41; 95% CI= 0.14 to 0.69; p= 0.004), positive subjective norm (b=0.23; 95% Cl= 0.21 to 0.43; p= 0.031), strong perceived behavior control (b= 0.69; 95% Cl= 0.44 to 0.96 ; p< 0.001), equal gender relation (b= 0.41; 95% Cl =0.18 to 0.63; p<0.001), and exposure to media on safe sex behavior (b= 0.17; 95% Cl= -0.02 to 0.36; p= 0.085), predicted positively the likelihood of safe sexual behavior in girl adolescents. The contextual effect of school on safe sex behavior was small with ICC= 5.55%.Conclusion: Positive attitude, positive subjective norm, strong perceived behavior control, equal gender relation, and exposure to media on safe sex behavior, predict positively the likelihood of safe sexual behavior in girl adolescents.Keyword: predictor, safe sexual behavior, multilevel analysisCorrespondence: Melda Kumalaningrum. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36A, Surakarta. Email: melda.kumalanigrum@gmail.com. Mobile: 6282134359845.Journal of Health Promotion and Behavior (2017), 2(4): 323-331https://doi.org/10.26911/thejhpb.2017.02.04.04 
Effect of Knowledge, Peer Group, Family, Cigarette Price, Stipend, Access to Cigarette, and Attitude, on Smoking Behavior Soesyasmoro, R. Asto; Demartoto, Argyo; Adriani, Rita Benya
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Passive smokers inhale 75% of ambient smoke and 50% of exhaled smoke. A cigarette contains 4.000 poisonous chemical agents, at least 69 of which are carcinogenic. Therefore ambient tobacco smoke is detrimental to health. The purpose of this study was to analyze the effect of knowledge, peer group, family, cigarette price, stipend, access to cigarette, and attitude, on smoking behavior.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted at School of Health Polytechnics, Surakarta, Central Java. A total of 105 male students was selected for this study. The dependent variable smoking status. The independent variables knowledge, peer group, family, cigarette price, stipend, access to cigarette, and attitude. The data were collected by a set of questionnaire, and were analyze by logistic regression model. Results: High smoking peer group (OR= 3.21; 95% CI=1.18- 8.72; p= 0.022), high stipend (OR= 3.66; 95% CI= 1.28-10.49; p= 0.016), convenient access to cigarette (OR= 3.02; 95% CI= 1.04 to 8.73; p= 0.042) increased the likelihood of smoking.  High knowledge about tobacco smoking (OR= 0.35; 95% CI=0.13-0.95; p = 0.039) and non-smoking family (OR= 0.16; 95% CI=0.03 to 0.70; p= 0.015) decreased the likelihood of smoking. High price of cigarette (OR= 0.86; 95% CI= 0.23 to 3.19; p= 0.819) and possitive attitude (OR= 0.88; 95% CI= 0.33 to 2.36; p= 0.795) did not show statistically significant effect on smoking.Conclusion: Smoking peer group, stipend, access to cigarette  increase the probability of smoking.  Knowledge about tobacco smoking and non-smoking family decrease the probability of smoking.Keywords:  knowledge, peer group, family, cigarette price, stipend, access to cigarette, attitude, smoking behaviorCorrespondence: R. Asto Soesyasmoro.School of Health Polytechnics, Surakarta. Email: asto_monti@yahoo.co.id.Journal of Health Promotion and Behavior (2016), 1(3): 201-210https://doi.org/10.26911/thejhpb.2016.01.03.07
PRECEDE and PROCEED Model on the Determinants of Teacher’s Role in the Provision of Reproductive Health Education for Students with Mild Mental Retardation at School of Disability in Sleman, Yogyakarta Rahmasari, Putri; Nurhaeni, Ismi Dwi Astuti; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Access to reproductive health information is lacking among students with mental retardation (MR). Teachers at the School of Disability have potentially important role in improving access to reproductive health information among students with MR. This study aimed to investigate the determinants of teachers role in the provision of reproductive health education for students with mild MR at School of Disability, in Sleman, Yogyakarta.Subjects and Method: This was a qualitative study with phenomenology approach, conducted at School of Disability, Sleman, Yogyakarta. Key informants were selected by purposive sampling (i.e. criterion sampling), consisting 7 teachers of disability school, 5 personnels from the District Office of Education and Sport. PRECEED and PROCEDE model was used as a framework to identify the determinants under study. The data were collected by in-depth interview, observation, and document review. The data were analyzed by Miles and Hubberman method.Results: The seven teachers have shown their good roles in the provision of reproductive health education. Factors that determined teachers role included knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources. Weak perceived behavior control (e.g. perceived teacher’s incompetence) and negative subjective norms (e.g. teaching about reproductive health was considered taboo by the community) of the teachers weakened the teachers role. Lack of educational media, substandard rooms, reproductive health materials that were unintegrated in the curriculum, weakened teachers intention to perform their roles.Conclusion: Teachers at the school of disability in Sleman, Yogyakarta, have shown their good role in the provision of reproductive health education for students with mild MR. Knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources, are important determinants of teachers role in the provision of reproductive health education.Keywords: teachers role, school of disability, mental retardation, studentCorrespondence: Putri Rahmasari. School of Midwifery, ‘Aissyiah University, Yogyakarta. Email: putrialzam@gmail.com.Journal of Health Promotion and Behavior  (2016), 1(2): 109-119https://doi.org/10.26911/thejhpb.2016.01.02.06
Case Study on the Biopsychosocial Impacts and Coping Behaviors among Victims of Female Sexual Violence in Sukoharjo, Central Java Retnaningsih, Isna Rahmawati; Demartoto, Argyo; Poncorini, Eti
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Sexual violence on women is a serious social problem. It may cause various impacts including biological, reproductive, psychological, and social impacts. There is a need for behavioral change to deal with the impact of sexual violence. This study aimed to explore the biopsychosocial impacts and coping behaviors among female sexual violence victims.Subjects and Method: This was a qualitative descriptive research using case study method. The study was conducted in Sukoharjo from 15 June to 25 July 2017. Key informants were included female sexual violence victims and close persons, Chairman of NGO Alliance of Concern in Womens Welfare (APPM), volunteers of One Heart Disability Society, staff of Office for Womens Empowerment, and Head of  Women and Child Protection Unit, and medical personnel. The data were collected by in-depth interview, observation, and document review. Interactive analysis included data collection, reduction, display, and verification.Results: The age of female victims of sexual violence ranged between 15 and 21 years. They had no schooling or junior high school education. All of them came from Sukoharjo, Central Java. The forms of sexual violence were sexual harassment and rape. The perpetrators were close persons of the victim. The biological, reproductive, and psychological impacts of the victim included fear, irritation, trauma, worry, self-imprison, self-contain, feelings of revenge, emotion, stress, pain during urination, fever, unwanted pregnancy, and complications of childbirth. The social impacts included isolation, gossiping, and negative stigma of the victim. The victims behaviors in coping with the biopsychosocial impacts included routine medical check up, attempt to forget, taking for granted, and avoidance of bringing up the incidents of sexual violence, preoccupation with positive activities, seeking support of the close person, being more careful of the opposite sex, and avoidance of mingling with unrecognized people in a strange environment.Conclusion: Female sexual assault cases suffered undesireable biological, reproductive, psychological, and social impacts. The impacts of biological and reproductive health take the forms of health problems, unwantted pregnancy, and complications of childbirth. There is a need for support to help overcome the biopsychosocial impacts of sexual violence victims.Keywords: Health Belief Model, biopsychosocial impacts, sexual violenceCorrespondence: Isna Rahmawati Retnaningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rahmawatiisna.ir@gmail.com. Mobile: +6285640533107.Journal of Health Promotion and Behavior (2017), 2(3): 218-231https://doi.org/10.26911/thejhpb.2017.02.03.03
Parental Communication, Peer Role, and the Contextual Effect of School on Safe Sex Behavior among Adolescents in Mojokerto, East Java Lianawati, Feny; Demartoto, Argyo; Adriani, Rita Benya
Journal of Health Promotion and Behavior Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:Globally, youth are particularly vulnerable to the negativeconsequences of sexual behavior, such as unwanted pregnancies, AIDS and other STDs. The importance of school contextual effects on health and well?being among young people is increasingly recognized. This study aimed to examine the effects of parental communication and peer role on safe sex behavior among adolescents in Mojokerto, East Java, with special consideration of the contextualeffect of school.Subjects and Method:This was a cross-sectional study conducted at 15 senior high schools in Mojokerto, East Java, from April to May 2018.A sample of 200 students was selected by stratified random sampling.The dependent variable was safe sex behavior. The independent variables were parental communication and peer role. The data were collected by questionnaire and analyzed by a multilevel analysis.Results:Parental communication role (b= 1.00; 95% CI= -0.56 to 1.44; p<0.001) and peer role (b=0.84; 95% CI=0.41 to 1.27; p<0.001) positively affected safe sex behavior among adolescents. School had a contextual effect on safe sex behavior with ICC= 9.6%.Conclusion:Parental role and peer role positively affect safe sex behavior among adolescents. School has a considerable contextual effect on safe sex behavior.Keywords:safe sex behavior, parental communication, peer role,multilevel analysisCorrespondence:Feny Lianawati. Masters Program on Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java. Email: fenyliana188@gmail.com. Mobile:+6282143157071.Journal of Health Promotion and Behavior (2018), 3(2): 94-99https://doi.org/10.26911/thejhpb.2018.03.02.02
Biopsychosocial Determinants of Pregnant Women’s Behaviour in Conducting Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS) Tests in Madiun Arwiyantasari, Wida Rahma; Respati, Supriyadi Hari; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Human Immunodeficiency Virus (HIV) is top ranked infectious disease which causes death with high mortality and morbidity rates, and requires diagnosis and long-term therapy (WHO, 2013). In October 2016, Health Office of Madiun City stated that in 2015, there were 2,772 pregnant women, among those only 1,120 conducted HIV-AIDS tests and 4 of them declared HIV positive. These numbers indicated that the participations of pregnant women in conducting HIV-AIDS tests are not optimal. This study aimed to discover biopsychosocial determinants in conducting HIV-AIDS tests on pregnant women in Madiun.Subject and Methods: This was an analytic observational study with case control design. A total of 108 samples of pregnant women in Madiun which consisted of 54 pregnant women who conducted HIV/AIDS tests as cases, and 54 pregnant women who did not conduct HIV/ AIDS tests as controls were collected by using fixed disease sampling  The device to gather the data was a set of questionnaire. Data analysis used Chi Square and path analysis.Results: There were positive influence of family support (b=1.57; 95% CI= 0.52 to 2.63; p=0.004), information exposure (b=1.14; 95% CI= 0.33 to 1.95; p=0.006), perceived seriousness (b=1.21; 95% CI= 0.14 to 2.28; p=0.027), perceived vulnerability b=1.12; 95% CI= 0.12 to 2.13; p=0.028), perceived benefit (b=1.28; 95% CI= 0.23 to 2.31; p=0.017) on pregnant women’s behaviour in conducting HIV/ AIDS tests, and statistically significant. There were negative influence of family income (b=-0.73; 95% CI= -1.51 to 0.05; p=0.067), perceived obstacles (b=-0.92; 95% CI= -1.99 to 0.15; p=0.093) and statistically significant.Conclusion: Family support, information exposure, family income, perceived seriousness, perceived vulnerability, perceived obstacles, and perceived benefit influence pregnant women in conducting HIV/ AIDS tests.Keywords: determinants, bipsychosocial, HIV/ AIDS testCorrespondence: Wida Rahma Arwiyantasari. Muhammadiyah Midwifery Academy Madiun. Email: widarahmaarwiyantasari@ymail.com. Mobile: 085736709597.Journal of Health Promotion and Behavior (2017),  2(2): 112-123https://doi.org/10.26911/thejhpb.2017.02.02.02

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