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Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Published by Universitas Airlangga
ISSN : 20853475     EISSN : 25409972     DOI : -
Core Subject : Health,
Health Professions
Arjuna Subject : -
Articles 393 Documents
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Telemedicine and Preventive Behaviors in Type 2 Diabetes: A Prolanis Study in Semarang, Indonesia WULAN, WIDYA RATNA; Pantiawati, Ika; Widianawati, Evina; Wulandari, Fitria
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.80-85

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) represents an increasing public health challenge in Indonesia, placing considerable pressure on the country healthcare infrastructure. The Prolanis program, a nationwide initiative for managing chronic diseases, incorporates telemedicine to encourage preventive practices among patients with T2DM. Objective: This research sought to investigate the relationship between knowledge, attitudes, and perceptions regarding telemedicine and preventive behaviors for T2DM among participants in the Prolanis program in Indonesia. Methods: A cross-sectional quantitative study was carried out involving 157 Prolanis participants (including 100 individuals diagnosed with T2DM) in Semarang. Data collection employed validated questionnaires designed to evaluate knowledge, attitudes, and perceptions of telemedicine in connection with T2DM preventive behaviors. Associations between these factors and preventive behaviors were analyzed using the Mann-Whitney test. Results: Approximately  47.1% of respondents demonstrated a good level of knowledge about T2DM. Attitudes toward telemedicine within the Prolanis program remained predominantly negative (59.0%), whereas 68.3% exhibited positive perceptions of telemedicine. No statistically significant associations were identified between knowledge (p=0.281), attitudes (p=0.162), or perceptions (p=0.229) of telemedicine and T2DM preventive behaviors among the participants. Conclusion: Knowledge, attitudes, and perceptions of telemedicine do not significantly affect preventive behaviors related to T2DM. These results indicate that existing telemedicine approaches in the Prolanis program may need improvement, potentially through customized educational efforts or improved user engagement strategies, to better support T2DM prevention.
The Salutogenic Approach to Developing Healthy Eating Behaviors in People with Diabetes Type 2: A Literature Review Ma'rifati, Aisyah Aulia
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.183-190

Abstract

Background: This literature review examines the rising prevalence of Type 2 Diabetes Mellitus (T2DM), which is largely influenced by unhealthy dietary behaviours and the limited effectiveness of traditional cognitive-based interventions. It explores the Salutogenic Model as an alternative framework that emphasizes individuals’ capacity to use available resources and maintain a strong Sense of Coherence (SoC) to support healthy eating behaviours. Purposes: The aim of this review is to identify and analyze current evidence on how the salutogenic approach supports the development of healthy dietary behaviours and enhances well-being in people with Type 2 Diabetes. Method: This review followed the PRISMA method to systematically search PubMed, Scopus, and Google Scholar (2015–2025) for studies on the salutogenic approach, Sense of Coherence, and healthy eating in individuals with Type 2 Diabetes Mellitus. Study quality was appraised using the CASP Qualitative Checklist for qualitative research and the JBI Critical Appraisal Checklists for quantitative designs, ensuring rigorous and design-appropriate evaluation of methodological validity. Results: The review found consistent evidence that the salutogenic model, particularly through the SALUD program, significantly improves Sense of Coherence, stress regulation, and healthy eating behaviours among individuals with Type 2 Diabetes Mellitus. Empirical findings also show strong peer support effects and sustained behaviour change up to six months post-intervention. Conclusion: The salutogenic model changes T2DM care by focusing on building personal and social resources. It has the potential to improve resilience, promote healthy eating, and encourage long-term self-management. However, its effectiveness relies on sufficient support, trained professionals, and adjustments at cultural and system levels. 
Building Social Coherence and Health Literacy: A Salutogenic Perspective on HIV Knowledge and Stigma in Cultural Tourism Communities Indiastari, Dewi; Candradikusuma, Didi; Rosandy, Milanitalia Gadys; Budiarti, Niniek; Sutanto, Heri; Silvia, Sinta
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.131-144

Abstract

Background: HIV prevention in rural communities like Ngadas Village (Mount Bromo) faces two major challenges: stigma driven by misconceptions and the need for social resilience amid rapid social and economic transitions influenced by tourism. Limited access to health information and education increases the risk of myths, discrimination, and a poor sense of coherence. This salutogenic study explores how community coherence and cultural strength can serve as resources to reduce HIV stigma and promote resilience. Objective: This study aims to evaluate the level of HIV knowledge and stigma among residents of Ngadas Village and identify factors influencing them. Methods: A cross-sectional quantitative design was used, involving 102 residents who completed a structured questionnaire covering demographics, HIV knowledge, stigma, and attitudes. Data analysis employed chi-square tests and logistic regression (p<0.05) to determine significant predictors. Results: Most respondents (90.2%) were female, with 66.7% having primary education. Although 66.7% demonstrated good general knowledge, a significant gap in health literacy existed—94% misunderstood HIV transmission, wrongly believing it spread through sharing meals or cutlery. This misconception contributed to high stigma levels, with 49% exhibiting poor or high stigma. Higher education (Junior High OR: 10.9; Senior High OR: 7.4) and middle income (OR: 3.4) significantly predicted lower stigma. A more positive attitude was also associated with middle income (OR: 5.4). Conclusion: Misconceptions about casual HIV transmission are the primary source of stigma and barriers to social coherence. Targeted health literacy interventions, combined with economic empowerment and improved access to education, are essential to strengthen community resilience and reduce HIV-related stigma.
InsuTAG and Early Salutogenic Screening of Cardiometabolic Risk in Obese Adolescents Inner Beauty Bilqis, Tiber Raniar; Widjaja, Nur Aisiyah; Devy, Shrimarti Rukmini; Indriani, Diah; Irawan, Nur Roedi; Hanindita, Meta Herdiana; Ardianah, Eva
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.86-93

Abstract

Background: Insulin resistance (IR) is considered the common underlying cause of metabolic syndrome (MetS). Predicting the incidence of MetS and IR at the individual level is essential, especially in obese adolescents who are at high risk of cardiovascular disease (CVD). InsuTAG has shown reliable results in predicting IR and MetS in healthy elderly populations. This study aimed to investigate the use of InsuTAG as an assessment tool to predict IR and MetS in obese adolescents, using the homeostasis model assessment (HOMA) to quantify insulin resistance. Methods:  A cross-sectional analytic study was conducted from January to May 2020 in healthy obese adolescents aged 13-18 years-old. Blood analyses included lipid profile (LDL-c, HDL-c, total cholesterol, and triglycerides), fasting blood glucose, and fasting insulin. IR was defined as HOMA-IR > 5.22 for boys and > 3.82 for girls during the pubertal period. Results: The receiver operating characteristic (ROC) curve for InsuTAG demonstrated a greater area under the curve (AUC) for identifying IR than MetS (0.877 vs. 0.743, p = 0.000; 95% CI). The optimal InsuTAG cut-off to determine IR was > 23.48, with 78.43% sensitivity and 87.38% specificity. The cut-off to identify MetS was > 23.36, yielding 67.97% sensitivity and 72.82% specificity. Conclusion: InsuTAG is a useful tool for identifying IR and MetS. The optimal cut-off values are > 23.48 for IR and > 23.36 for MetS in obese adolescents. These findings support early prevention and health promotion efforts, ultimately strengthening self-care practices among obese adolescents.
Building a Salutogenic School Ecosystem: Stakeholder Engagement in Health Promotion throught School Health Program (UKS) Zuhrah, Hana Mufidatuz; Noviyanti, Tausyiah Rohmah; Siwidati, Anggit Wirama; Firdausya, Farah Amalia; Sulistyowati, Muji
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.94-105

Abstract

Background: Indonesia's School Health Program (UKS) is a key strategy for promoting student well-being. However, in Sukoharjo Regency, health service coverage for elementary students (52.0%) lags behind the Central Java provincial average (60.9%). Research highlights school and health center policy support as a critical driver for school health promotion. The involvement of health and education staff, teachers, parents, and community figures is a core element of the WHO's Health Promoting School (HPS) framework (SEARO, 2003), yet it is not formally integrated into the standard Indonesian UKS (TRIAS UKS) indicators. Objective This study aims to identify the application of this stakeholder involvement element in the implementation of UKS across all junior high schools in Sukoharjo District. Methods: This research employs an evaluative mixed-method design conducted in 10 junior high schools (JHS) in the Sukoharjo District and involves 25 informants. Results: All schools involved parents through school committees, although their engagement in UKS activities varied. Community participation included collaborations with health centers and the Youth Red Cross. Local businesses supported school health initiatives through menstrual hygiene programs and industrial visits, while community organizations facilitated the dissemination of local health information. Schools also partnered with fire departments for first-aid and disaster-preparedness activities, as well as with local clinics for health outreach and vendor mediation. Conclusion: Stakeholder involvement reflects the salutogenic principle of fostering resources that enable schools to build a health-supportive ecosystem. Strengthening and institutionalizing this multi-stakeholder collaboration within UKS implementation is essential for enhancing student resilience, improving health literacy, and ensuring the sustainability of school-based health promotion.
Salutogenic Approach to Early Kidney Health Promotion: Comparing Deep Learning Facial Analysis and Questionnaire Screening in Adolescents Nurjannah, Uun; erlena, Erlena; wahyudi; Suryana, Iham
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.50-58

Abstract

Background: Chronic kidney disease (CKD) is increasingly reported in adolescents and is driven by modifiable lifestyle factors such as inadequate hydration, frequent consumption of processed foods, obesity, and poor sleep quality. Because early CKD is typically asymptomatic, routine laboratory screening is often impractical in school or community settings. Self-reported questionnaires can help estimate lifestyle-related risk but rely on subjective recall. Objective: To compare the effectiveness of a DL-based facial analysis model with self-reported questionnaire screening for early CKD risk in adolescents. Methods: A cross-sectional study was conducted among 100 adolescents aged 16–19 in Karawang, Indonesia. Participants completed validated questionnaires assessing hydration, dietary habits, and sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Standardized facial photographs were analyzed using a convolutional neural network (CNN) trained to detect CKD-related facial markers. Agreement between methods was assessed using Cohen’s kappa, and diagnostic performance was evaluated using ROC analysis. Results: Questionnaire screening classified 88% of adolescents as low-risk, 10% moderate-risk, and 2% high-risk, while the AI model classified 95%, 4%, and 1%, respectively, demonstrating moderate agreement (κ = 0.61, p < 0.001). The AI model achieved 91.0% accuracy, 88.0% sensitivity, 92.0% specificity, and an AUC of 0.904. Overweight adolescents had higher odds of being at risk (OR = 2.35). Conclusion: Combining AI-based facial analysis with questionnaire assessment provides a rapid, scalable, and non-invasive strategy for early CKD risk screening in adolescents, particularly in resource-limited settings.
A Salutogenic Perspektive: How Khowledge and Attitudes Foster Sence of Coherence and Empowerment in Diabeties Self Care Syamsiah, Nita; Utami, Astrid Berlian; Erlena; Nurjanah, Uun
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.59-72

Abstract

Background: Diabetes mellitus (DM) remains a growing global health burden with serious consequences for morbidity and mortality. Despite this, adherence to diabetes self-care is still suboptimal, particularly in primary healthcare settings. A salutogenic approach, which emphasizes factors that create health rather than only preventing disease, provides a useful lens to understand how knowledge and attitudes can empower patients by strengthening their Sense of Coherence (SOC). Objective: This study aims to examine how knowledge and attitudes strengthen SOC and health empowerment, which in turn influence self-care behaviors in patients with Type 2 Diabetes Mellitus (T2DM), using a Salutogenic Framework at the Patokbeusi Health Center, Subang Regency. A cross-sectional design was used with 86 respondents selected through purposive sampling. Data were collected using validated questionnaires on knowledge, attitudes (HBM constructs), and self-care (SDSCA). Chi-square and Odds Ratio (OR) were used to assess associations. Results: It is found that 60.5% of respondents had low knowledge, 55.8% had poor attitudes, and 58.1% demonstrated low self-care. Knowledge was significantly associated with self-care (p = 0.000; OR = 8.000), as were attitudes (p = 0.004; OR = 4.128). The lowest adherence occurred in physical activity (40.0%) and diet regulation (45.7%). Knowledge contributed to the comprehensibility and manageability dimensions of SOC, while positive attitudes supported empowerment through improved self-efficacy and meaningful engagement. Conclusion: Knowledge and attitudes are key predictors of self-care through their roles in strengthening SOC and empowerment. These findings emphasize the need for structured salutogenic-based programs that build patient resources and empowerment to improve diabetes self-care at the primary care level.
Understanding Sacred Food Behaviours: A Salutogenic Framework for Waste Reduction Kurnianiningsih, I Desak Ketut Dewi Satiawati; Aryastami, Ni Ketut; Notobroto, Hari Basuki
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.35-49

Abstract

Background: Sacred food waste lies at the intersection of cultural practice, environmental sustainability, and public health. Single-theory approaches have been insufficient to explain this complexity, limiting the development of effective health promotion strategies. This paper addresses this gap by adopting a salutogenic perspective that emphasizes the resources and pathways that promote well-being. Objective: To develop a novel, integrated conceptual framework—grounded in the salutogenic model—that explains sacred food waste across multiple levels. By integrating the Theory of Planned Behaviour (TPB), Social Practice Theory (SPT), and Habitus, the framework provides a foundation for designing health-promoting interventions. Methods: An integrative literature synthesis framed within a salutogenic orientation was conducted. More than 60 studies were systematically reviewed to construct a multi-level framework and generate eight propositions explaining how to foster sustainable sacred food practices by enhancing Sense of Coherence (SOC) and leveraging institutional support as a Generalized Resistance Resource (GRR). Results: The framework illustrates how individual intentions (TPB), collective routines (SPT), and embodied dispositions (Habitus) interact. It argues that interventions should be salutogenic by design, enhancing comprehensibility, manageability, and meaningfulness while aligning with spiritual values. Institutional support emerges as a critical GRR capable of reconfiguring practices and cultivating a sustainable environmental habitus. Conclusion: This integrated framework shifts the focus from merely “preventing waste” to promoting sustainable, health-enhancing practices. It provides an actionable guide for multi-level interventions that reduce waste while strengthening community health, food security, and spiritual well-being.
Business Sector Engagement in Pentahelix Colaboration for Stunting Reduction: A Qualitative Study in Jember Regency Prasetyowati, Irma; Wahyu Ningtyias, Farida; Ratnawati, Leersia Yusi; Bumi, Candra; Nurika, Globila; Haryanik, Meilinda Alya' Putri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.106-114

Abstract

Background: Stunting is a persistent public health issue in Indonesia, with long-term effects on children's physical and cognitive development. In 2023, Jember Regency recorded the highest stunting prevalence in East Java at 29.7%. Objective: To examine the role of the business sector in efforts to reduce stunting in Jember within the Pentahelix collaboration model. Methods:  This study employed a qualitative case study design using in-depth interviews and focus group discussions. Data were analyzed using Buse, Mays, and Walt’s policy implementation framework (Buse, Mays, & Walt, 2012), which focuses on context, content, process, and actors. This framework was chosen because it provides a comprehensive approach to understanding how policies are implemented through multi-actor collaboration, making it relevant for analyzing the Pentahelix model in stunting reduction efforts. Results: Findings indicate that businesses contribute significantly through Corporate Social Responsibility (CSR) initiatives, including Posyandu activities, nutrition support, and economic empowerment programs for mothers in areas with high rates of stunting. Coordination with health offices is based on local data, ensuring interventions are targeted and effective. The CSR Forum serves as a platform for aligning business efforts with public health goals. Businesses are also engaged in monitoring and evaluation through regular reporting from health facilities. Conclusion: Active engagement of the business sector through CSR initiatives strengthens stunting reduction efforts by supporting government and community programs. Integrating business participation into health promotion practice enhances sustainability, coordination, and long-term impact on child health and nutrition.
Health Information Access for Deaf Yogyakarta Communities Through A Salutogenic Perspective Ramania, Ardhina; Ristiyanti, Sinta; Muqarohmah, Nia Lestari
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.8-16

Abstract

Background: Access to health information remains a major challenge for the Deaf community in Indonesia due to the limited availability of inclusive and accessible media. Existing health information materials rarely use sign language and often rely on written or spoken formats that many Deaf individuals find difficult to fully understand. As a result, the Deaf community faces greater vulnerability to chronic diseases and mental health problems. This study aimed to contribute to the development of inclusive health information for the Deaf community in Yogyakarta by examining their lived experiences and identifying their needs and preferences in accessing health information through a salutogenic lens. Methods: A qualitative design was employed, involving in-depth interviews with four Deaf participants who were actively engaged in local Deaf communities. The interviews were conducted with the assistance of a sign language interpreter and were thematically analyzed using the salutogenic model. Member checking and peer debriefing were applied to enhance data validity. Results: The study identified substantial barriers to accessing health information, such as limited use of sign language, advanced or technical language in media, and the lack of subtitles or interpreters in videos. Social media emerged as the primary channel for accessing health information, with participants strongly preferring visual formats that combined sign language interpreters, subtitles, and engaging visuals. Reproductive health and mental health were identified as the most needed and relevant topics for the Deaf community. Conclusion: The findings highlight the urgent need to develop inclusive health information media that are tailored to the communication needs of Deaf individuals. Actively involving the Deaf community in the design and dissemination of health information helps create an enabling and inclusive environment that supports a salutogenic approach. Such efforts can reduce information inequities, improve health literacy, and ensure that health promotion strategies are accessible, relevant, and meaningful for Deaf communities.

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