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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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Application of Information Motivation Behavior Skill on Tertiary Preventive Behavior of Type 2 Diabetes Mellitus Patients at Blora Health Center Nabilla, Jihan; 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.2025.10.01.12

Abstract

Background: Diabetes mellitus (DM) is a priority disease that not only requires control efforts but is also important for prevention efforts. Complications that occur in type II DM patients can be prevented with tertiary preventive behavior. This tertiary preventive behavior can be done by applying the Information Motivation Behavior (IMB) skill model. The purpose of this study is to explore the influence of the application based on the IMB model on tertiary prevention behavior in type II DM patients. Subjects and Method: This study is cross sectional from April-May 2024. The sample used was 200 type 2 DM patients aged >18 years and selected by random sampling technique at the Blora Health Center, Central Java. The dependent variable was the tertiary preventive behavior of type 2 DM patients. The independent variables were information, motivation and behavioral skills. Data collection using questionnaires and data analysis using path analysis with Stata 13. Results: Tertiary preventive behavior of patients with type 2 diabetes mellitus was directly influenced by behavioral skills (b= 5.80; CI 95%= 4.73 to 6.87; p <0.001), information (b= 1.25; CI 95%= 0.01 to 2.50; p= 0.047) and gender (b= -1.60; CI 95%= -0.60 to -2.59; p= 0.002). Tertiary preventive behavior of type 2 DM patients through behavioral skills is indirectly influenced by information, motivation, age and education. Information is indirectly influenced by motivation and education. There was no significant effect on gender on behavioral skills. Conclusion: Tertiary preventive behavior is directly influenced by behavioral skills, information and gender. Tertiary preventive behavior is indirectly influenced by information, motivation, age, and education through behavioral skills. Tertiary preventive behavior is indirectly influenced by gender and education through information.
Parental Communication as a Protective Factor Against Adolescent Risky Sexual Behavior: A Meta-Analysis Atmojo, Joko Tri; Handayani, Anggun Fitri; Widiyanto, Aris; Mubarok, Ahmad Syauqi; Anasulfalah, Hakim; Delimasari, Trisakti Halimah
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

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

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

Abstract

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

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

Abstract

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

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

Abstract

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

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

Abstract

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

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

Abstract

Background: Tuberculosis is a disease that requires attention in global health issues. Tuber­culosis is a disease with a high mortality rate. Although a cure for tuberculosis has been discovered, the treatment process remains challenging, particularly the length of treatment. Tuberculosis pati­ents often fail to complete their treatment due to the lengthy duration. Support from loved ones and a supportive environment is crucial for tuberculosis patients during their treatment. With this support, tuberculosis patients will have a support system that can assist them in their treatment. This study aims to estimate the effect of social support on treatment compliance in tuberculosis patients. Subjects and Method: This study used a systematic review and meta-analysis using PICO. Population: tuberculosis patients. Intervention: social support. Comparison: no social support. Outcome: treatment adherence. The articles used in this study came from 2 databases, namely Google Scholar and Science Direct. The keywords of the article are "tuberculosis" AND ("social support" OR "support system") AND ("adherence" OR "compliance") AND "cross sectional" AND "multivariate". This study uses articles published in 2019 to 2025 with full paper articles, cross-sectional study designs, and the magnitude of the Adjusted Odds Ratio relationship. Articles were analyzed using the Review Manager 5.3 application. Results: Eleven cross-sectional studies showed that social support can increase tuberculosis treatment adherence by 1.44 times compared to tuberculosis patients who do not receive social support, and this result is statistically significant (aOR = 1.44; 95% CI = 1.03 to 2.01; p = 0.03). The forest plot also shows high heterogeneity of effect estimates between primary studies I2 = 84%. The calculation of the average effect estimate was carried out using the random effect model approach. Conclusion: Good social support can help improve treatment adherence in patients with tuberculosis.
Application of Information Motivation Behavior Skill Model on Maternal Parenting Behavior on Child Growth in Sleman, Yogyakarta, Indonesia Hariyadi, Agustin Mahardika; Pamungkasari, Eti Poncorini; Murti, Bhisma
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.2025.10.02.01

Abstract

Background: Toddler growth disorders in Indonesia reach 59% of the highest ranking in the ASEAN continent, including: physical growth disorders, motor development, language and behavior. Suboptimal child growth can be avoided if mothers are able to support toddler growth by providing the right parenting pattern. Proper parenting can optimize child growth and develop­ment. This maternal behavior can be done by applying the Information Motivation Behavior (IMB) skill model. The purpose of this study aims to explore the application of the IMB model-based applica­tion to maternal parenting behavior on child growth in Sleman Regency. Subjects and Method: This was a cross-sectional study was conducted at 25 integrated health posts (Posyandu) in Sleman Regency, Yogyakarta, in April-May 2024. A sample of 200 mothers who have toddlers aged 24-60 months was selected using the stratified random sampling. The dependent variable was child growth. The independent variables were information, motivation, skills, and maternal parenting behavior. Data collection was using questionnaires and data analysis was using path analysis with Stata 13. Results: Maternal parenting behavior increased with good behavioral skills (OR = 1.28; 95% CI 0.60 to 1.97; p <0.001), good information (OR = 1.20; 95% CI 0.52 to 1.88; p <0.001), and strong motivation (OR= 0.98; 95% CI= 0.31 to 1.66; p= 0.004). Toddler growth is positively influenced by maternal parenting behavior (OR= 1.29; 95% CI= 0.46 to 2.13; p= 0.002) and family income (OR = 3.15; 95% CI = 1.92 to 4.38; p <0.001). Conclusion: Maternal parenting behavior increases with good behavioral skills, good information and strong motivation. Toddler growth is positively influenced by maternal parenting behavior and family income.
Meta-Analysis: The Effect of HBM-Based Health Education on Obesity Prevention among Students Wulandari, Ayu Novita; Haryanti, Titik; Sartika, Iik
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.2025.10.02.02

Abstract

Background: Students engage in various health-risk behaviors such as lack of physical activity and unhealthy diet. Obesity is a worldwide health problem with increased prevalence every year, both in developed and developing countries. This study aims to analyze and estimate the influence of HBM-based health education on obesity prevention in students. Subject and Method: Meta-analysis was conducted according to the PRISMA flow diagram and PICO model. The search for articles in this study was through databases including PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "Obesity" AND "Health Belief Model" OR "Health Belief" AND "Students". Full paper articles with RCT studies, research subjects were students, the relationship measure used was SMD, the outcome of the study was knowledge and perceived severity of obesity prevention. The analysis was conducted with RevMan 5.3 program. Results: There are 12 articles with randomized control trial designs originating from Iran, Iraq, India, Thailand, Australia with 2,261 research samples. Meta-analysis of 8 randomized control trial studies concluded that students who received HBM-based health education had knowledge in preventing obesity by 1.65 times higher than those without HBM education (SMD= 1.65; 95% CI= 0.60 to 2.70; p= 0.002). Meta-analysis of 6 randomized control trial studies concluded that students who received HBM-based health education had a perceived severity in preventing obesity by 1.85 times higher than those without HBM education (SMD= 1.08; 95% CI = 0.52 to 1.64; p= 0.002). Conclusion: HBM-based health education has a significant effect on increasing knowledge and perceived severity of obesity prevention in students.
Application of Health Belief Model of Tertiary Prevention Behavior in Elderly People with Hypertension: A Multilevel Analysis Zahro, Hallisa’tu; Demartoto, Argyo; Murti, Bhisma
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.2025.10.02.03

Abstract

Background: The health of the elderly is influenced by various risk factors and changes from within themselves and their environment. These various conditions can affect health problems, functional status, level of independence and quality of life of the elderly. Deterioration of health in the elderly can manifest in a variety of diseases, including hypertension. Efforts to control the incidence of hypertension can be done through the provision of health education about hyper­ten­sion, which aims to raise awareness of hypertensives about the concept of hypertension, compli­cations, and how to overcome. This study aims to examine the application of the Health Belief Model (HBM) as a predictor by taking into account the contextual effects of the Elderly Integrated Healthcare Posts in Kepanjen, Malang, East Java, Indonesia. Subjects and Method: This study was an observational analytical study with a cross-sectional approach using a multilevel analysis model. The population in this study was all elderly people with hypertension at the Elderly Integrated Healthcare Posts in the working area of Kepanjen Commu­nity Health Center, Malang, East Java, Indonesia. The sample in this study was 200 elderly with hypertension at the Elderly Integrated Healthcare Posts in the Kepanjen Community Health Center Working Area, Malang, East Java, Indonesia. The study used the Stratified Sampling technique at the healthcare level (Elderly Integrated Healthcare Posts), and Stratified Random Sampling in the selection of the elderly. Results: Tertiary prevention behavior among elderly with hypertension increased with high self-efficacy (b= 0.57; CI 95%= 0.39 to 0.73; p<0.001), cues to action (b= 0.27; CI 95%= 0.35 to 1.71; p<0.001), female gender (b= 0.76; CI 95%= 0.10 to 0.42;  p<0.001), age 70-90 years (b= 0.37; CI 95%= -0.01 to 0.75; p= 0.060). Integrated health posts for elderly on the tertiary prevention beha­vior of hypertension. The Integrated Healthcare Posts had contextual effect on tertiary prevention behavior (ICC=29.87%; p<0.001). Conclusion: Tertiary prevention behavior of hypertension in the elderly increases with high self-efficacy, cues to action, female gender, age 70-90 years.

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