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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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Factors Associated with Healthy Preventive Behavior among the Elderly in Lamongan, East Java Jannah, Nurul; Tamtomo, Didik; Soemanto, RB
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Health promotion behaviors in the elderly have potential effects in promoting health and quality of life and reducing the cost of health care services. Changes in the lifestyle of the people affected by cardiovascular diseases have more potential shares in reducing vascular problems than medicinal treatments of hypertension and high cholesterol. By convincing more people to maintain and obtain healthy lifestyles, there will be considerable reduction in emergence and disabilities due to cardiac problems. This study aimed to determine factors associated with health preventive behavior among the elderly in Lamongan, East Java.Subjects and Method: This was a cross sectional study conducted in Lamongan, East Java, from November to December 2018. A sample of 200 elderly was selected by stratified random sampling. The dependent variable was health behavior. The independent variables were education, attitude, peer support, family support, cadre support, perceived behavioral control, subjective norm, and intention. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Health behavior in elderly was influenced by education (b = 0.76; 95% CI = 0.27 to 1.24; p = 0.002), intention (b= 0.08; 95% CI = 0.01 to 0.16; p = 0.033), attitude (b = 0.20; 95% CI = 0.07 to 0.33; p= 0.002), perceived behavioral control (b= 0.18; 95% CI= 0.06 to 0.30; p= 0.002), family support (b = 0.19 ; 95% CI = 0.08 to 0.30; p = 0.001), cadre support (b = 0.13; 95% CI = 0.04 to 0.23; p = 0.005), peer support (b = 0.07; 95% CI = - 0.01 to 0.15; p = 0.060), and subjective norm (b = 0.10; 95% CI = - 0.01 to 0.22; p = 0.064).Conclusion: Health behavior in elderly is influenced by education, intention, attitude, perceived behavioral control, family support, cadre support, peer support, and subjective norm.Keywords: health behavior, elderly, linear regressionCorrespondence: Nurul Jannah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: njannah.31@gmail.com. Mobile: +6282230300405.Journal of Health Promotion and Behavior, 2018, 3(4): 223-229https://doi.org/10.26911/thejhpb.2018.03.04.01
Application of Health Belief Model on Preventive Behaviors of Patients with Low Back Pain Sari, Septi Ayu Arum Yuspita; Indarto, Dono; Wijaya, Mahendra
Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Low back pain (LBP) has different negative impacts in some people around the world. There are many risk factors of LBP, either biology, psychology, or social economics. A psychological theory (Health Belief Model/HBM) can be applied for preventive behaviors of some human diseases. This study aimed to analyze the application of HBM on preventive behaviors of patients with LBP.Subjects and Method: This was a case-control study conducted at the medical rehabilitation policlinic, Dr. Moewardi Hospital, Surakarta, from October to November 2018. A sample of 50 LBP patients and 100 non-LBP patients was selected by fixed exposure sampling. The dependent variable was preventive behaviors. The independent variables were perceived severity, susceptibility, benefit, barrier, threat, cues to action, and self-efficacy. Data on LBP was obtained from medical record. The other data were collected by questionnaire and analyzed by path analysis.Results: LBP preventive behaviors were directly and positively associated with perceived threat (b= 0.46; 95% CI= 0.24 to 0.68; p<0.001), perceived benefit (b= 0.29; 95% CI= 0.18 to 0.40; p<0.001), and self-efficacy (b= 0.16; 95% CI= 0.08 to 0.23; p<0.001). It was indirectly associated with perceived susceptibility, perceived severity, perceived barrier, and cues to action.Conclusion: LBP preventive behaviors are directly and positively associated with perceived threat, perceived benefit, and self-efficacy. It is indirectly associated with perceived susceptibility, perceived severity, perceived barrier, and cues to action. This study supports the application of HBM to explain LBP preventive behaviors.Keywords: low back pain, Health Belief Model, path analysisCorrespondence: Septi Ayu Arum Yuspita Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:yuspitasari020993@gmail.com. Mobile: +6282338986991.Journal of Health Promotion and Behavior (2018), 3(3): 192-198https://doi.org/10.26911/thejhpb.2018.03.03.06
Do Schools Affect Unsafe Sexual Behaviors among High School Students in Boyolali, Central Java? A Multilevel Analysis Approach Susanto, Bela Novita Amaris; Nurhaeni, Ismi Dwi Astuti
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Premarital sexual behavior is a multidimensional problem, which is influenced by various factors, one of them in school. The majority of adolescents engage in risky sexual behavior the first time when they are in high school, namely at the age of 15-18 years. The purpose of this study was to analyze the influence of schools on unsafe sexual behavior in high school students in Boyolali, Central Java.Subjects and Method: This was an across-sectional study conducted in senior high schools in Boyolali, Central Java, from October to November 2018. A total of 200 students was selected by cluster random sampling. The dependent variable was unsafe sexual behavior. The independent variables were knowledge, attitude, self-efficacy, understanding of the region, parental supervision, access to information, and subjective norm. The data were collected using questionnaire and data were analyzed using multilevel logistic regression.Results: Premarital sexual behavior decreased with high knowledge (b= -3.33; 95% CI= -5.88 to - 0.79; p= 0.010), positive attitude (b= -5.16; 95% CI= -8.63 to -1.70; p= 0.004), strong self-efficacy (b = -4.65; 95% CI = -7.37 to -1.94; p = 0.001), good understanding of religion (b= -3.95; 95% CI = -6.82 to -1.10; p= 0.007), strict parental supervision (b= -3.70; 95% CI= -6.60 to -0.80; p= 0.012), good access to information (b = -3.61; 95% CI = -6.10 to -1.12; p = 0.004), and subjective norm (b = -2.43; 95% CI= -4.60 to -0.25; p= 0.029). Schools had negligible contextual effect on premarital sexual behavior with ICC <0.1%.Conclusion: Premarital sexual behavior decreases with high knowledge, positive attitude, strong self-efficacy, a good understanding of religion, strict parental supervision, high exposure to information access, and subjective norm. Schools have a negligible contextual effect on premarital sexual behavior.Keywords: unsafe sexual behavior, senior high school, multilevel analysisCorrespondence: Bela Novita Amaris Susanto. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami No.36 A, Surakarta 57126, Central Java. Email: bnamaris@gmail.com. Mobile: +6285788844440.Journal of Health Promotion and Behavior (2018), 4(2): 230-239https://doi.org/10.26911/thejhpb.2018.03.04.02
Path Analysis on the Risk Factors of Sexually Transmitted Disease among Men Who Have Sex with Men Community in Surakarta Nurhalimah, Siti; Prasetya, Hanung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Men who have sex with men (MSM) have a higher prevalence of HIV and other sexually transmitted infections (STI) than the heterosexual men. The number of STI cases in MSM in Indonesia in 2017 was 4,144. The study aimed to examine risk factors of sexually transmitted disease among MSM community in Surakarta, Central Java.Subjects and Method: This was a cross-sectional study carried out in Surakarta, Central Java, from October to November 2018. A sample of 188 MSM was selected by fixed diseases sampling. The variable dependent was STI. The independent variables were age, education, number of sexual partners, sexual behavior, intention, attitude, perceived behavior control, and subjective norm. The data were collected by questionnaire and analyzed by path analysis.Results: STI was directly increased by unsafe sexual behavior (b= 2.03; 95% CI= 1.15 to 2.91; p<0.001), older age (b= 1.83; 95% CI= 0.58 to 3.09; p= 0.004), multiple sexual partners (b= 2.28; 95% CI= 1.33 to 3.23; p<0.001). It was indirectly affected by intention, attitude, perceived behavior control, subjective norm, and education.Conclusion: STI is directly increased by sexual behavior, age, multiple sexual partners. It is indirectly affected by intention, attitude, perceived behavior control, subjective norm, and education.Keywords: sexually transmitted infections, sexual behavior, men who have sex with menCorrespondence: Siti Nurhalimah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: halimah1006.mdf@gmail.com. Mobile: 082233890866. Journal of Health Promotion and Behavior (2018), 3(3): 199-211https://doi.org/10.26911/thejhpb.2018.03.03.07
The Contextual Effect of School on the Premarital Sex among Adolescents in Bantul, Yogyakarta Pertiwi, Galuh Tunjung; Prasetya, Hanung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Previous studies have identified individual and school‐level characteristics that are associated with sexual risk‐taking. But similar studies in Indonesia is lacking. This study aimed to examine the contextual effect of school on the premarital sex among adolescents in Bantul, Yogyakarta.Subjects and Method: This was a cross-sectional study carried out at 25 senior high schools in Bantul, Yogyakarta, from November to December 2018. A sample of 225 adolescents aged 15-18 years was selected by stratified random sampling. The dependent variable was premarital sex. The independent variables were the intention, subjective norm, perceived behavior control, family intimacy, and peer group. The data were collected by questionnaire and analyzed by a multilevel logistic regression on Stata 13.Results: Premarital sex incrased with favorable intention (b= 2.70; 95% CI= 0.50 to 3.15; p= 0.007), subjective norm (b= 4.66; 95% CI= 1.89 to 4.63; p<0.001), and suitable peer group (b= 4.34; 95% CI= 1.99 to 5.28; p<0.001). Premarital sex decreased with positive attitude (b= -4.31; 95% CI= -4.15 to -1.55; p<0.001), strong perceived behavior control (b= -2.37; 95% CI= -2.53 to -0.23; p=0.018), and strong family intimacy (b= -2.44; 95% CI= -2.69 to 0.29; p=0.015). There was contextual effect of school on premarital sex with ICC= 63.72%.Conclusion: Premarital sex increases with favorable intention, subjective norm, and suitable peer group. Premarital sex decreases with positive attitude, strong perceived behavior control, and strong family intimacy. There is a contextual effect of school on premarital sex, which calls for attention.Keywords: premarital sex, school, multilevel analysisCorrespondence: Galuh Tunjung Pertiwi. Masters Program in Public Health, Universitas Sebelas Maret, Sura­karta, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: galuh­pertiwi2017­@gmail.­com. Mobile: +6281229722373.Journal of Health Promotion and Behavior (2018), 3(4): 240-247https://doi.org/10.26911/thejhpb.2018.03.04.03 
Theory of Planned Behavior on the Determinants of Cosmetic Hormones Use to Overcome Gender Dysphoria among Transgenders in Yogyakarta, Indonesia Miden, Destinady Kadiser; Prasetya, Hanung; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Gender dysphoria refers to discomfort or distress that is caused by a discrepancy between an individual’s gender identity and the gender assigned at birth (and the associated gender role and/or primary and secondary sex characteristics). Gender reassignment surgery is performed to change primary and/or secondary sex characteristics. For a male to female gender reassignment, surgical procedures may include genital reconstruction (vaginoplasty, penectomy, orchidectomy, clitoroplasty) and cosmetic surgery (breast implants, facial reshaping, rhinoplasty, abdominoplasty, thyroid chondroplasty (laryngeal shaving), voice modification surgery (vocal cord shortening), hair transplants). This study aimed to examine the determinants of cosmetic hormones among transgender in Yogyakarta, Indonesia, using Theory of Planned Behavior (TPB).Subjects and Method: This was a cross-sectional study carried out in Yogyakarta, Indonesia, in November 2018. A sample of 201 transgender was selected by snowball sampling and fixed disease sampling, consisting of 67 transgender using cosmetic hormone and 134 transgender not using the cosmetic hormone. The dependent variable was the use of cosmetic hormones. The independent variables were age, knowledge, education, intention, attitude, perceived behavioral control, and subjective norm. The data were collected by questionnaire and analyzed by path analysis.Results: Cosmetic hormone use was directly increased by strong intention (b= 1.65; 95% CI= 0.98 to 2.31; p<0.001), positive attitude (b= 1.15; 95% CI= 0.48 to 1.81; p= 0.001), but decreased by strong perceived behavioral control not to use cosmetic hormone (b= -1.02; 95% CI= -1.70 to -0.34; p=0.003). Cosmetic hormone use was indirectly affected by age, education, locus of control, attitude, perceived behavioral control, subjective norm, and social norm.Conclusion: Cosmetic hormone use is directly increased by strong intention, positive attitude, but decreased by strong perceived behavioral control not to use the cosmetic hormone. Cosmetic hormone use is indirectly affected by age, education, the locus of control, attitude, perceived behavioral control, subjective norm, and social norm.Keywords: cosmetic hormone, transgender, Theory of Planned BehaviorCorrespondence: Destinady Kadiser Miden. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: destinady.kmiden@gmail.com. Mobile: 085328999232.Journal of Health Promotion and Behavior (2018), 3(3): 212-222https://doi.org/10.26911/thejhpb.2018.03.03.08 
The Effectiveness of Comic as Learning Media to Enhance Knowledge of Menarche and Menstruation among Female Students in Yogyakarta Nuraini, Annisa; Ronoatmodjo, Sudarto
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Menarche and menstruation are physiological process but they can cause physical, emotional discomfort, and anxiety. Menarche age tends to decline. Ignorance about menarche and menstruation may increase the risk of early pregnancy or unwanted pregnancy. This study aimed to determine the effectiveness of comic as a learning media to enhance knowledge on menarche and menstruation among female primary school students in Yogyakarta.Subjects and Method: This was a quasi-experiment with before and after study along with control group design conducted at Muhammadiyah primary schools in Sagan and Kauman, Yogyakarta, from October to November 2016. The sample of this study was 90 female students of primary school. The dependent variable was knowledge of menarche and menstruation. The independent variable was learning media (comic versus leaflet). The data were collected through questionnaire. The data were analyzed by Mann-Whitney test.Results: The increase in knowledge scores after intervention in the comic group (mean= 53.30) was higher than leaflet group (mean= 38.04), and it was statistically significant (p= 0.005).Conclusion: Comic is more effective as learning media than leaflet in enhancing knowledge of menarche and menstruation among primary school students.Keywords: menarche, menstruation, comic, leaflet, learning mediaCorrespondence: Annisa Nuraini. Faculty of Public Health, Universitas Indonesia, Jl. Prof. Dr. Sujudi, Pondok Cina, Beji, Depok, West Java. Email: aninisaa.nuraini@gmail.com. Mobile: 085758919474.Journal of Health Promotion and Behavior (2018), 3(4): 257-262https://doi.org/10.26911/thejhpb.2018.03.04.05
KIVA Program for Trauma Healing due to Cyber-bullying among Students Widiyanto, Aris; Atmojo, Joko Tri; Handayani, Rina Tri
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cyber-bullying involves the use of electronic media with the aim of causing damage, humiliation, suffering, fear, and despair for individuals who are the targets of aggression. The impact of cyber-bullying is not only affect their daily lives but may continue to adulthood. KiVa is research-based anti-bullying program that has been developed in the University of Turku, Finland, with funding from the Ministry of Education and Culture. The effectiveness of KiVa has been shown in a large randomized controlled trial. This study aimed to describe the health problems and evidence-based intervention programs that support trauma healing through KiVa program.Subjects and Method: A systematic review was conducted by searching the following databases: PubMed, SAGE Journals and Virtual Health Library from 2010 until 2018. The keywords for this review included cyber-bullying AND children, cyber-bullying AND mental health AND Children, cyber-bullying in children AND intervention. The inclusion criteria were systematic review, clinical review, cohort study, cross-sectional study, clinical study and guidelines. After the review process, 19 articles and 1 RCT were included.Results: Internationally, the impact of cyber-bullying on children has been linked to poor mental health including overall psychological health, low self-esteem, depression and anxiety and violent behavior. Another study showed that bully victims had the highest risk of self-injury, suicidal ideation, suicide plan and effort. KiVa is a school-based anti-bullying program from Finland involving teachers, students and parents. The KiVa principle is the prevention of bullying by cultivating character in students by forming group norms. The forms vary, can be videos, online games, surveys, posters, and guidebooks for parents. Children are taught a sense of responsibility and empathy. Previous RCT studies which involved 2,042 students in grades 4 and 6 showed that KiVa reduced intimidation, pro-intimidation, and victimization. And increasing attitude and empathy for victims. Overall, the findings provide evidence of the effectiveness of the KiVa Program.Conclusion: Cyber-bullying is associated with emotional stress and even suicide attempts. Parents, health personnels, and educators must be aware of the long-term risks so that prevention and treatment programs such as KiVa should be considered to be applied in Indonesia.Keywords: Cyber-bullying, children, mental healthCorrespondence: Aris Widiyanto. School of Health Sciences Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: widiyantoaris99@gmail.com. Mobile: +6281329209095Health Promotion and Behavior (2018), 3(4): 263-269https://doi.org/10.26911/thejhpb.2018.03.04.06
The Path Analysis of Body Mass Index, Physical Exercise, Sleep Quality, and Parental Education on Physical Fitness among Male Adolescences Satriani, Hayu Andita; Indarto, Dono; Dewi, Yulia Lanti Retno
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Rapid physical growth occurs during adolescence period. Physical fitness is a key indicator for general health, which shows individual ability of cardiorespirationand skeletal muscles to adapt to physical activity load. Many factors can influence physical fitness such as Body Mass Index for age (BMI/age), physical exercise, sleep quality and parental education. The purpose of this study was to analyze the relationship of BMI/age, physical exercise, sleep quality and parental education with physical fitness levels among male adolescences.Subjects and Methods:  This cross-sectional study was conducted in three private senior high schools at the Gondokusuman district, Yogyakarta. Study subjects were selected using the fixed exposure sampling technique with inclusion criteria: male adolescence who aged 15-18 years old and had normal or more BMI/age. The dependent variable was physical fitness. The independent variables were BMI/age, physical exercise, sleep quality, and parental education.  The data were collected by questionnaire and analyzed by path analysis.Results: Physical exercise (b= 0.32; SE= 0.46; p<0.001) and BMI/age (b= -2.87; SE= 0.27; p= <0.001) were directly related to physical fitness. Indirect relationship was found inparent education and sleep index score with physical fitness through physical exercise. Interestingly, BMI/age had direct and indirect relationship to physical fitness.Conclusion: BMI/age is a predominant factor that influences physical fitness in male adolescences. Sleep quality and parent education also influence physical fitness, but they had the opposite direction. All those factors should be considered as key factors in order to enhance physical fitness in male adolescences.Keywords: physical exercise, sleep quality, physical fitness, male adolescenceCorrespondence: Hayu Andita Satriani. Masters Program in Public Health, Universitas Sebelas Maret, Jl, Ir. Sutami 36 A, Surakarta, 57126, Central Java, Indonesia. Email: hayuandita@gmail.Journal of Health Promotion and Behavior (2018), 3(4): 270-278https://doi.org/10.26911/thejhpb.2018.03.04.07 
Narration in Health Communication for Stunting Turnip, Scwarskof
Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Globally, about 1 of 4 children under 5 years old was stunted. An estimated 80% of 165 million stunted children live in 14 countries. Stunting and other forms of under nu­trition reduce a child chance of survival, while also hindering optimal health and growth. Health communication is a key task in the worldwide to prevent the risk of stunting.This study aimed to describe the health communication for stunting prevention.Subjects and Method: This was a qualitative case study. The theme of this study was health communication for stunting prevention. The data were collected by in-depth inter­view, obser­vation, and document review. The data were analyzed using the notion of Narra­tive Theory and Health about theoretical thinking which explained the function of health na­­­rra­tive.Results: A number of informative and persuasive efforts through the communication app­ro­ach had been carried out by the Ministry of Health to reduce the number of people suf­fe­ring from stunting. A number of communication and information media were used to convey in­­for­mation or persuasive messages related to stunting. Those media could help the public to understanding stunting and how to prevent or overcome it.Conclusion: Health communication is important to help the public understand on how to prevent and overcome stunting.Keywords: stunting, narrative theory and health, health communicationCorrespondence: Scwarskof Turnip. Masters Program in Communication Sciences, Faculty of Social and Political Sciences, Universitas Diponegoro. Email: Scwarskoft@gmail.com.Journal of Health Promotion and Behavior (2018), 3(4): 248-256https://doi.org/10.26911/thejhpb.2018.03.04.04

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