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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.
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Articles 8 Documents
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Search results for , issue " Vol 2, No 2 (2017)" : 8 Documents clear
Effect of Sexual Knowledge and Attitude, Exposure to Electronic Media Pornography, Peer Group, and Family Intimacy, on Sexual Behaviors among Adolescents in Surakarta Wardhani, Yeni; Tamtomo, Didik; Demartoto, Argyo
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: Globalization has tremendous impact on adolescent behaviors, including sexual behavior. Sexual behaviors that exceed socially accepted norms may result in undesireable impact adolescent health. Many factors can affect the sexual behavior of adolescents, both from within and from outside the adolescent self. This study aimed to investigate the effect of sexual knowledge and attitude, exposure to electronic media pornography, peer group, and family intimacy, on sexual  behaviors among adolescents.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at SMA Negeri Kota Surakarta, Central Java, from March to April 2017. A sample of 100 students were selected for this study by multi-stage sampling. The dependent variable was sexual behaviour. The independent variables were sexual knowledge, attitude toward sex, exposure to electronic pornography, peer group, and family intimacy. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis.Results: Adolescent sexual behavior was affected by sexual knowledge (b=0.16; SE=0.05; p=0.006), attitude toward sex (b=0.18; SE=0.06; p= 0.005), exposure to electronic pornography (b=-0.13; SE=0.05; p=0.026), peer group (b=0.06; SE=0.03; p= 0.042), and family intimacy (b=0.07; SE=0.03; p=0.038). Sexual knowledge was affected by exposure to electronic pornography (b=-0.20; SE=0.09; p=0.037), and peer group (b=0.14; SE=0.05; p=0.005). Attitude toward sex was affected by exposure to electronic pornography (b=-0.21; SE=0.08; p=0.013), sexual knowledge (b=0.14; SE=0.08; p=0.110), and group (b=0.12; SE=0.05; p=0.009). Conclusion: Sexual behavior of adolescents is directly affected by their sexual knowledge, attitude toward sex, exposure to electronic pornography, peer group, and family intimacy.Keywords: sexual behavior, exposure to electronic pornography, PRECEDE PROCEED model, path analysisCorrespondence: Yeni Wardhani. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: ynwardhani@gmail.com. Mobile: +6285244390776.Journal of Health Promotion and Behavior (2017), 2(2): 138-147https://doi.org/10.26911/thejhpb.2017.02.02.04
Association Between Cigarette Advertisement, Peer Group, Parental Education, Family Income, and Pocket Money with Smoking Behavior among Adolescents in Karanganyar District, Central Java Purnaningrum, Windiarti Dwi; Joebagio, Hermanu; 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: Adolescents are susceptible to positive and negative influences from the social environment. One of the negative influences is smoking behavior. Smoking in adolescents can have deleterous effect on health and academic achievement. This study aimed to determine the association between cigarette advertisement, peer group, parental education, family income, and pocket money on smoking behavior among adolescents.Subjects and Method: This was an analytic observational study using cross-sectional design. This study was carried out in Colomadu Sub district, Karanganyar District, Central Java.  A sample of 100 teenagers was selected for this study. The dependent variable was smoking behavior. The independent variables were exposure to cigarette advertisement, peer group, parental education, family income, and pocket money. The data were collected by a set of questionnaire. The data were analyzed by logistic regression.Results: Smoking behavior in adolescents was associated with exposure to cigarette advertisement (OR=22.58; 95% CI =2.42 to 210.69; p=0.006), peer group (OR=44.00; 95% CI =3.99 to 485.33; p=0.002), parental education (OR= 36.92; 95% CI =3.12 to 427.81; p=0.004), family income (OR=0.09; 95% CI= 0.01 to 0.97; p=0.047), and pocket money (OR=10.56; 95% CI=1.22 to 91.56; p=0.032).Conclusion: Smoking behavior in adolescents was associated with exposure to cigerrete advertisement, peer group, parental education, family income, and pocket money.Keywords: cigarette advertisement, peer group, parental education, family income, pocket moneyCorrespondence: Windiarti Dwi Purnaningrum. Health Polytechnics, Ministry of Health, Surakarta. Email: windiartidwi@gmail.com. Phone: +628562995373.Journal of Health Promotion and Behavior (2017), 2(2): 148-158https://doi.org/10.26911/thejhpb.2017.02.02.05
Effect of Personal Factors, Family Support, Pocket Money, and Peer Group, on Smoking Behavior in Adolescents in Surakarta, Central Java Pandayu, Ardiansyah; Murti, Bhisma; -, Pawito
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: According to WHO and Global Youth Tobacco Survey, Indonesia is the third largest country with current smokers in the world, including young smokers. It is widely known that smoking is hazardous  to health and detrimental to economy. Surakarta is one of the major cities in Central Java where the prevalence of current smokers has been increasing among adolescents. This study aimed to determine the effect of personal factors, family support, pocket money, and  peer group, on smoking behavior in adolescents in Surakarta, Central Java.Subjects and Method: This was an analytic observational study using cross-sectional design. This study was carried out in 5 sub-districts in Surakarta, Central java, from February to March 2017. A sample of 50 adolescent smokers and 150 adolescent non-smokers was selected for this study by fixed disease sam­pling. The dependent variable was current smoking status. The independent variables were cigarette availability, peer-group, family support, pocket money, cigarette advertisement, attitude toward smoking, subjective norm, perceived preventive behavioral control, and intention. The data were collected by a set of questionnaire. The data were analyzed by path analysis.Results: Smoking behavior was affected  by strong intention (b= 3.7; 95% CI=2.5 to 4.9; p<0.001), and  weak perceived behavioral control (b=3.1; 95% CI= 1.7 to 4.5; p<0.001). Intention to smoke was affected by weak perceived preventive behavioral control (b= 2.1; 95% CI= 1.1 to 3.2; p<0.001), weak preventive subjective norm (b= 1.8; 95% CI= 0.7 to 2.9; p= 0.001), negative attitude (b= 1.9; 95% CI= 0.8 to 2.9; p<0.001), and exposure to cigarette advertisement (b= 1.6; 95% CI= 0.5 to 2.6; p= 0.004). Weak perceived preventive behavioral control was affected by pocket money ≥ Rp 10.000 (b= 1.3; 95% CI= 0.5 to 2.0; p= 0.001). Weak preventive subjective norm was affected by weak family support (b= 2.1; 95% CI= 1.3 to 2.8; p<0.001) and smoker peer-group (b= 1.4; 95% CI= 0.6 to 2.1; p<0.001). Cigarette advertisement was affected by cigarette availability (b= 0.7; 95% CI= 0.1 to 1.3; p= 0.028).Conclusion: Smoking behavior was directly affected  by strong intention and weak perceived behavioral control. Smoking behavior was indirectly affected by weak preventive subjective norm, negative attitude, exposure to cigarette advertisement,  pocket money ≥ Rp.10.000, weak family support, smoker peer-group, and cigarette availability.Keyword: path analysis, smoking behavior, intention, adolescents.Correspondence: Ardiansyah Pandayu. Master Program in Public Health, Sebelas Maret University, Surakarta. Email: ardiansyahpandayu07@gmail.com. Mobile: +6287864018631.Journal of Health Promotion and Behavior (2017), 2 (2): 98-111https://doi.org/10.26911/thejhpb.2017.02.02.01
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
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
Effectiveness of Practical Integrative Module in Empowering Family Empowering Family of Children with Cerebral Palsy Harumi, Linda; Pamungkasari, Eti Poncorini; 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

Bacground: There is a lack of health care services for children with cerebal palsy (CP) in Indonesia. In addition, family of the children with CP are lacking in skills of CP services. A simple,  practical, easily readable modul of CP services for families of children with CP has been developed. This study aimed to analyze effectiveness of practical integrative module in empowering family empowering family of  children with CP.Subject and Method: This was a quasi experimental study, consisting of intervention and control groups without randomization. The study was conducted at Child Growth Clinic Dr. Soedjarwadi hospital, Klaten, and YPAC, Surakarta, Central Java. A sample of 100 families of children with CP was selected for this study by purposive sampling. The sample was divided into two groups: 50 families in the intervention group and 50 families in the control group. The independent variable was practical integrative module of CP handling, i.e. the intervention under study. The dependent variables were knowledge, attitude, and level of family empowerment in CP services. The data were collected by a set of questionnaire and analyzed by linear regression.Results: After controlling for knowledge before intervention, average knowledge in the intervention group was 0.84 points higher than the control group (b=0.84; 95% CI= 0.33 to 1.86; p = 0.002). The average attitude in the intervention group was 2.48 points higher than the control group (b=2.48; 95% CI= 0.85 to 4.10; p= 0.003). The average level of family empowerment in the intervention group was 3.41 points higher than the control group (b=3.41; 95% CI= 1.34 to 5.48; p = 0.001).Conclusion: The integrative module of CP handling under study is effective in improving knowledge, attitude, and level of family empowerment in families with CP children.Keywords: knowledge, attitude, empowerment, family, cerebral palsy, children, integrative module, cerebral palsy handlingCorrespondence: Linda Harumi. Department of Occupational Therapy, Health Polytechnics, Ministry of Health, Surakarta. Email: lindaharumi@ymail.com. Mobile : +68170628006Journal of Health Promotion and Behavior (2017), 2(2): 173-182https://doi.org/10.26911/thejhpb.2017.02.02.07
The Influence of Personal Factor, Husband’s support, Health Workers and Peers toward the Use of IVA Screening among Women of Reproductive Age in the Regency of Karanganyar Wakhidah, Martini Shoim; Hastuti, Uki Retno Budi; Dewi, Yulia Lanti Retno
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: Cervix cancer has been one of the highest cancer cases and becomes one of the main problems in women’s health throughout the world. The percentage of Women of Reproductive Age who performs early cancer detection is an indicator of success for health development. The Regency of Karanganyar is one of the regencies in the Province of Central Java with the percentage of Women of Reproductive Age who perform Visual Inspection with Acetic Acid (IVA) is equal to 5.50%. This percentage is still far below the target that has been set which is 10.00%.Subjects and Methods: This was an analytic observational study with cross-sectional design. This study was carried out in Re­gen­cy of Karanganyar. The subjects who had been involved were 150 respondents and these subjects were selected by means of fixed disease sampling. This sampling resulted in 50 cases and 100 controls. The dependent variable was behavior of using IVA screening, while the independent variables were perceived susceptibility, perceived seriousness, perceived benefits, perceived obstacles, husband’s support, health workers support, peer support, perceived threats and self-efficacy. In processing the data, the researchers implemented path analysis by means of Stata 13.Results: The results of the study showed perceived threats (b= 0.08; 95% CI= <0.01 until 0.16; p= 0.043), perceived benefits (b= 0.05; 95% CI= <-0.01 until 0.117; p= 0.091), perceived obstacles (b= -0.49; 95% CI= -0.07 until 0.11; p= 0.091), self-efficacy (b= 0.04; 95% CI= -0.13 until 0.11; p= 0.125), perceived susceptibility (b= 0.23; 95% CI= 0.11-0.34; p <0.001), perceived seriousness (b= 0.11; CI9 95%= 0.00 until 0.22; p= 0.049), husband’s support (b= 0.14; 95% CI= -0.01 until 0.29; p=0.068), health workers support (b= -0.23; 95% CI=-0.54 until 0.08; p= 0.149) and peer support (b= 0.18; 95% CI= -0.13 until 0.51; p= 0.256).Conclusion: There is a direct influence from perceived benefits, perceived obstacles, perceived threats and self-efficacy toward behavior of using IVA screening. Then, there is indirect influence from perceived susceptibility, perceived seriousness, husband’s support, health workers support and peer support toward behavior of using IVA screening.Keywords: IVA, HBM, support, path analysisCorrespondence: Martini Shoim Wakhidah. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email:afkarshoim_msw@yahoo.com. Mobile: +6285235464812.Journal of Health Promotion and Behavior (2017),  2(2): 124-137https://doi.org/10.26911/thejhpb.2017.02.02.03
Health Belief Model for the Analysis of Factors Affecting Hypertension Preventive Behavior among Adolescents in Surakarta Puspita, Rumeyda Chitra; Tamtomo, Didik; Indarto, Dono
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: Hypertension is an important public health issue in developed and developing countries. The incidence of hypertension continues to rise to a serious level. Raising awareness of the seriousness of hypertension among peer groups may be an important factor for preventive health behavior. This study aimed to examine the used of health belief model for the analysis of factors affecting hypertension preventive behavior among adolescents.Subjects and Method: This study was an observational analytic study with cross sectional design. It was conducted at 5 Vocational High Schools (SMK) in Surakarta from April to May, 2017. A sample of 200 class X and XI SMK students aged 15-17 years was selected for this study by stratified random sampling. The dependent variable was hypertension  preventive behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barriers, cues to action, and self efficacy, with perceived threat as a mediating variable. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis using SPSS AMOS 22.Results: Perceived threat (b=0.24, SE=0.07, p=0.002), perceived benefit (b=0.24, SE=0.10, p=0.021), self efficacy (b=0.40, SE=0.23, p=0.084), and cues to action (b=0.45, SE=0.15, p=0.003) showed direct positive effects on hypertension preventive behavior. Perceived barrier (b=-0.26, SE=0.10, p=0.015) showed direct negative effect on hypertension preventive behavior. Perceived susceptibility (b= 0.27, SE= 0.09, p=0.005), perceived seriousness (b=0.29, SE=0.09, p<0.001), and cues to action  (b=0.34, SE=0.13, p=0.008) showed indirect positive effects on hypertension preventive behavior.Conclusion: Hypertension preventive behavior is positively and directly affected by perceived threat, perceived benefit, self, and cues to action. The preventive behavior is negatively and directly affected by perceived barrier. Perceived susceptibility, perceived seriousness, and cues to action indirectly and positively affect on hypertension preventive behavior.Keywords: health belief model, hypertension, preventive behavior, adolescentsCorrespondence: Rumeyda Chitra Puspita. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: rumeydacp@gmail.com. Mobile: +6287736044472.Journal of Health Promotion and Behavior (2017), 2(2): 183-196https://doi.org/10.26911/thejhpb.2017.02.02.08

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