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Journal of Health Promotion and Behavior
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on health promotion and health-related behaviors. It began its publication on May 21, 2015. The journal is published four times yearly. It seeks to understand factors at various layers associated with health behavior and health-impacting policy and find evidence-based social and behavioral strategies to improve population health status.
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Articles 8 Documents
Search results for , issue "Vol 4, No 1 (2019)" : 8 Documents clear
Psychological and Social Determinants of HIV: Path Analysis Evidence from Jepara, Central Java Puspita, Ita Fijanah; Budihastuti, Uki Retno; Widyaningsih, Vitri
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: HIV/AIDS was a global problem as a challenge in health discipline and a very important burden of disease to be addressed. Moreover, it had high mortality. This study aimed to analyze the risk factors for HIV/AIDS infection.Subjects and Method: This was a case control study conducted in Jepara, Central Java, from April to May 2019. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was HIV/AIDS. The independent variables were age, gender, unsafe sex behavior, sexual orientation, frequency of intercourse, injection drug abuse, social capital, perceived susceptibility, perceived seriousness, perceived threat, self-efficacy, and geographical location. The data were obtained from medical record and questionnaire. The data were analyzed by path analysis.Results: HIV / AIDS had a direct relationship with the frequency of sexual intercourse (b= 1.23; 95% CI= 0.27 to 2.19; p= 0.012), injecting drug use (b = 2.19; 95% CI= 0.01 to 4.37; p= 0.049), behavior unsafe sex (b= 3.10; 95% CI= 2.21 to 3.99; p <0.001), and sexual orientation (b= 3.69; 95% CI= 1.35 to 6.04; p= 0.002). HIV / AIDS had an indirect relationship with perceptions of threats, gender, geographical location, social capital, perceptions of vulnerability, perception of seriousness, self-efficacy, and age.Conclusions: HIV / AIDS has a direct relationship with the frequency of sexual relations, sexual orientation, unsafe sexual behavior, and injecting drug use. HIV / AIDS has an indirect relationship with age, gender, perception of vulnerability, perception of seriousness, perception of threats, self-efficacy, social capital, and geographical location.Keywords: HIV / AIDS, sexual behavior, social capital, path analysisCorrespondence: Ita Fijanah Puspita, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: itapuspita713@gmail.com. Mobile: 081347970482.Journal of Health Promotion and Behavior (2019), 4(1): 43-54https://doi.org/10.26911/thejhpb.2019.04.01.05
Factors Affecting the Use of Visual Inspection Acetic Acid Test: Multilevel Analysis on the Contextual Effect of Health Center Kholifah, Siti; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is one of the deadliest diseases that are a major cause of female mor­bidity and mortality in developing countries. This study aimed to determine the effect of health cen­ters on the use of visual inspection acetic acid (VIA) tests using social cognitive theory.Subjects and Method: This was an analytic observational study with a cross sectional design, conducted at 25 community health centers (Puskesmas) in Surakarta and Karanganyar, Central Ja­va, Indonesia. A sample of 225 married women at reproductive age was selected by random sam­pling. The dependent variable was the use of VIA test. The independent variables at level 1 were intention, self-efficacy, attitude, outcome expectation, imitation, type of contraceptive method, dis­tan­ce to health service, belief, and time to attend health services. Puskesmas was independent va­ri­able at level 2. The data were collected by questionnaire and analyzed by a multilevel logistic regre­s­sion.Results: The use of VIA tests was positively affected by intention (b= 1.25; 95% CI= 0.30 to -2.13; p= 0.010), attitude (b= 1.25; 95% CI = 0.30 to -2.13; p= 0.010), outcome expectation (b= 0.86; 95% CI= -0.89 to -0.19; p= 0.076), imitation (b= 1.58; 95% CI= 0.62 to 2.54; p= 0.001), intra ute­ri­ne device (b= 1.55; 95% CI= 0.65 to 2.45; p= 0.001), distance (b= 1.39; 95% CI= 0.44 to 2.34; p = 0.004), self-efficacy (b= 1.11; 95% CI= 0.26 to 1.97; p= 0.011), trust in health service (b= 1.84; 95% CI= 0.87 to 2.81; p <0.001), and spare time to attend health center (b = 0.76; 95% CI = -0.11 to 1.64; p= 0.090). Puskesmas accreditation status had contextual effect on the use of VIA tests with ICC= 30.68%.Conclusion: The use of VIA tests was positively affected by intention, attitude, outcome expec­ta­tion, imitation, intrauterine device, distance, self-efficacy, trust in health service, and spare time to attend health center. Puskesmas accreditation status had contextual effect on the use of VIA tests.Keywords: visual inspection acetic acid, social cognitive theory, multilevel analysisCorrespondence: Siti Kholifah. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: olifkholifah53@gmail.com. Mobile: 081575644051.Journal of Health Promotion and Behavior (2019), 4(1): 1-11https://doi.org/10.26911/thejhpb.2019.04.01.01
Application of Health Belief Model on Factors Influencing Long-Term Contraceptive Use Pitaloka, Ayu Dhiah; Pawito, Pawito; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family planning is one of the strategies to reduce maternal mortality. Data in 2017 shows that in Indonesia, out of 37,338,265 couples of reproductive age there were 18.63% who did not do family planning. Women of reproductive age (WRA) who have not done family planning can affect reproductive health. This study aimed to analyze factors influencing long-term contraceptive method (LTCM) using health belief model theory.Subjects and Method: This was a cross sectional study conducted in Sleman, Central Java, from March to April 2019. A sample of 220 women of reproductive age was selected by quota sampling. The dependent variable was LTCM use. The independent variables were perceived severity, perceived susceptibility, perceived benefit, cues to action, self-efficacy, education, and culture. The data was collected by questionnaire and analyzed by a multiple logistic regression.Results: Perceived severity (OR= 8.02; 95% CI= 2.62 to 24.51; p<0.001), perceived susceptibility (OR= 12.16; 95% CI= 3.65 to 40.42; p<0.001), perceived benefit (OR= 6.05; 95% CI= 2.10 to 17.40; p= 0.001), cues to action (OR= 6.98; 95% CI= 2.30 to 21.18; p= 0.001), self-efficacy (OR= 3.60; 95% CI= 1.23 to 10.52; p= 0.019), education (OR= 2.50; 95% CI= 1.40 to 10.41; p= 0.029), culture (OR= 6.65; 95% CI= 2.14 to 20.62; p= 0.001) increased long-term contraceptive use.Conclusions: Perceived severity, perceived susceptibility, perceived benefit, cues to action, self-efficacy, education, culture increase long-term contraceptive use.Keywords: family planning, long-term contraceptive, health belief modelCorrespondence: Ayu Dhiah Pitaloka. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ayudhiahp@gmail.com. Mobile: +62812266896­2­­­­91Journal of Health Promotion and Behavior (2019), 4(1): 55-63https://doi.org/10.26911/thejhpb.2019.04.01.06 
Path Analysis on the Factors Affecting the Use of Personal Protection Equipment among Airport Construction Workers in Yogyakarta Dewi, Ristamaya Danar; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Occupational accidents in the construction sector are still a major problem in every infrastructure development in Indonesia. The lack of supervision in the use of personal protective equipment (PPE) is one reason for the high number of occupational accidents. This study aimed to determine the factors that influence the implementation of the use of PPE.Subjects and Method: A cross sectional study was conducted at Yogyakarta International Airport, Kulon Progo, Yogyakarta, Indonesia, in March 2019. A sample of 200 active field workers was selected by proportional random sampling. The dependent variable was the use of PPE. The independent variables were age, education, working experience, knowledge, perception of vulnerability, perceived benefit, perceived severity, and cues to action. The data were collected by questionnaire and analyzed by path analysis.Results: The use of PPE was directly and positively affected by high knowledge (b= 2.14; 95% CI= 1.17 to 3.10; p<0.001), high perceived susceptibility (b= 1.94; 95% CI= 0.95 to 2.93; p< 0.001), high perceived severity (b= 1.33; 95% CI= 0.42 to 2.24; p= 0.004), high perceived benefit (b= 1.79; 95% CI= 0.85 to 2.73; p<0.001), and high cues to action (b= 1.64; 95% CI= 0.67 to 2.61; p= 0.001). The use of PPE was indirectly affected by age, work experience, and education.Conclusion: The use of PPE is directly and positively affected by knowledge, perceived suscep¬tibility, perceived severity, perceived benefit, and cues to action. The use of personal protective equip¬ment is indirectly affected by age, work experience, and education.  Keywords: personal protective equipment, construction workers, path analysis Correspondence: Ristamaya Danar Dewi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ristamayadd@gmail.com. Mobile: 082-131666953. Journal of Health Promotion and Behavior (2019), 4(1): 12-21https://doi.org/10.26911/thejhpb.2019.04.01.02
Determinants of Fruits and Vegetables Consumption among Primary School Students: A Path Analysis Evidence Hidayah, Siti Shafridha; Pamungkasari, Eti Poncorini; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Around 3.9 million deaths worldwide in 2017 were caused by a lack of fruit and vegetable consumption. Consumption of fruits and vegetables in Indonesia is still less than recommended by World Health Organization. This study aimed to examine determinants of fruits and vegetables consumption among primary school children.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at 25 elementary schools in Tegal, Central Java, from April to May 2019. A sample of 200 primary schools was selected by simple random sampling. The dependent variable was fruits and vegetables consumption. The independent variables were gender, knowledge, eco­no­mic status, fruits and vegetables availability, sources of information, food preference, food selec­tion, and parental role. The data were collected by food frequency questioner (FFQ) and question­naire. The data were analyzed by path analysis.  Results: Fruit consumption was directly influenced by male gender (b=-0.99; 95% CI= -1.86 to -0.12; p=0.025), knowledge (b= 0.92; 95% CI= 0.04 to 1.79; p=0.039), economic status (b=1.96; 95% CI= 1.09 to 2.83; p<0.001), fruits and vegetables availability (b= 0.92; 95% CI= 0.07 to 1.76; p= 0.034), source of information (b= 0.92; 95% CI= 0.01 to 1.82; p= 0.047), food selection (b= 1.77; 95% CI= 0.01 to 3.54; p= 0.049), and parental role (b= 1.19; 95% CI= 0.27 to 2.13; p=0.012). Vegetables consumption was directly influenced by male gender (b= -0.71; 95% CI= -1.37 to -0.05; p= 0.035), economic status (b= 0.81; 95% CI= 0.05 to 1.56; p=0.036), fruits and vegetables availability (b=0.98; 95% CI= 0.33 to 1.64; p=0.003), and parental role (b= 0.95; 95% CI= 0.19 to 1.69; p= 0.013). Fruit and vegetable consumption was indirectly influenced by gender, food preference, and economic status.Conclusion: Fruit consumption is directly influenced by male gender, knowledge, economic status, fruits and vegetables availability, source of information, food selection, and parental role. Vegetables consumption is directly influenced by male gender, economic status, fruits and vege­ta­bles availability, and parental role. Fruit and vegetable consumption is indirectly influenced by gender, food preference, and economic status.Keywords: consumption, fruits and vegetables, path analysisCorrespondence: Siti Shafridha Hidayah. Masters Program Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: shafridhahidayah@yahoo.com. Mobile: +62877­37­376507.Journal of Health Promotion and Behavior (2019), 4(1): 64-75https://doi.org/10.26911/thejhpb.2019.04.01.07
Linear Regression Analysis on the Determinants of Hypertension Prevention Behavior Nurjannah, Nurjannah; Rahardjo, Setyo Sri; Sanusi, Rossi
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is a risk factor for cardiovascular events and the highest contributor to death in the world, including Indonesia. 90.08% of health centers in DI Yogyakarta have im­ple­me­nted integrated non-communicable disease (NCD) control. However, the incidence of NCD including hypertension is still the highest disease seen from the top 10 diseases in Yogyakarta. This study aimed to examine the determinants of hypertension preventive behavior.Subjects and Method: This was a cross sectional study conducted in Bantul, Yogyakarta, from Feb­ruary to March 2019. A total of 200 study subjects was selected by simple random sampling. The dependent variable was hypertension preventive behavior. The independent variables were self­-efficacy, knowledge, family support, gender, age, and health personnel support. The data were collec­ted by questionnaire and analyzed by a multilevel linear regression.Results: Self-efficacy (b= 0.09; 95% CI= 0.03 to 0.15; p= 0.003, knowledge (b= 0.25; 95% CI= 0.08 to 0.43; p= 0.004), family support (b= 0.64; 95% CI= 0.34 to 0.93; p <0.001), and health per­son­nel support (b= 0.26; 95% CI= 0.08 to 0.44; p= 0.008) increased hypertension preventive be­ha­vior. Gender (b= 0.65; 95% CI= -0.79 to 2.10; p= 0.372) and age (b= 0.01; 95% CI= -0.03 to 0.03; p= 0.911) were associated with hypertension preventive behavior but it was statistically non-significant.Conclusion: Self-efficacy, knowledge, family support, and health personnel support increase hy­per­­­tension preventive behavior. Gender and age were associated with hypertension preventive be­ha­­vi­or but it was statistically non-significant.Keywords: hypertension preventive behavior, self-efficacy, health personnel support                                              Correspondence: Nurjannah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nurjannah9420­@gmail.com. Mobile: +628­5­293622882.Journal of Health Promotion and Behavior (2019), 4(1): 22-31https://doi.org/10.26911/thejhpb.2019.04.01.03
Path Analysis on the Determinants of Visual Inspection Acetic Acid Utilization on Early Detection of Cervical Cancer: Application of Health Belief Model Theory Sunarta, Elfania Arumma; Sulaeman, Endang Sutisna; Budihastuti, Uki Retno
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer was a serious health problem for women and VIA screening provided many benefits to women, which was to detect early cervical cancer. This study aimed to de­ter­mine the determinants that influence the use of VIA with the theory of Health Belief Model on women of reproductive age.Subjects and Method: This was an analytic observational study with a case-control approach, con­ducted in the working area of Wongsorejo Public Health Center, Banyuwangi, East Java from March to April 2019. The sampling technique used was Fixed Disease Sampling, with a ratio of 1:3. Sam­ples from 150 women reproductive age who had not used VIA screening and 50 women who had conducted VIA screening. Independent variables were perceived susceptibility, perceived severity, perceived benefits, cues to action, self-efficacy, knowledge, attitudes, access to services and husband's support. The dependent variable was the use of VIA. Data were collected by questionnaire and analyzed by path analysis.Results: The use of VIA screening was directly affected and has a positive effect on perceived vul­ne­rability (b= 1.45; CI 95%= 0.50 to 2.40; p= 0.003), perceived severity (b= 0.86; CI 95%= -0.16 to 1.88; p= 0.099), perceived benefit (b= 1.61; CI 95%= 0.52 to 2.68; p= 0.003), cues to ac­tion (b= 1.21; CI 95%= 0.05 to 2.37; p= 0.040), high efficacy (b= 1.26; CI 95%= 0.27 to 2.26; p= 0.012), attitude (b= 1.83; CI 95%= 0.81 up to 2.85) and husband support (b= 1.59; CI 95%= 0.63 to 2.55). The use of VIA screening was indirectly influenced by access to health ser­vi­ces and knowledge.Conclusion: The use of VIA screening was directly influenced by perceived vulnerability, per­cei­ved severity, perceived benefits, perceived barriers, cues to act, self-efficacy, attitude and husband sup­port. And it was indirectly influenced by access to services and knowledge.Keywords: VIA, Cervical Cancer, Health Belief Model, Path AnalysisCorrespondence: Elfania Arumma Sunarta. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: elfaniaas@gmail.com. Mobile: +6282272434301Journal of Health Promotion and Behavior (2019), 4(1): 32-42https://doi.org/10.26911/thejhpb.2019.04.01.04
The Contextual Effect of School on Smoking Behavior among Male High School Students Arifianti, Tria; Soemanto, RB.; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia was a country with high cigarette production and consumption. The smoking prevalence in adolescents aged 13-15 years in several countries included Argentina (3.7%), Egypt (3.7%), America (3.4%) and Indonesia (2.8%). The impact of cigarette exposure both as active and passive smokers such as the occurrence of various diseases included impotence, various types of cancer, respiratory diseases, coronary heart disease and others. This study aimed to analyze the contextual effect of school on smoking behavior among students.Subjects and method: This was a cross sectional study conducted in Bantul, Yogyakarta, from April to May 2019. A sample of 200 male adolescents was selected by stratified random sampling. The dependent variable was smoking behavior. The independent variables were knowledge, family role, peer role, cigarette price, pocket money, and attitude. The data were collected by question­naire. The data were analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Smoking behavior was negatively associated with poor knowledge (b= -3.30; 95% CI= -0.35 to -0.09; p= 0.001), strong family role (b= -3.11; 95% CI= -1.15 to -0.26; p= 0.002), strong peer role (b= -3.92; 95% CI= -1.10 to -0.36; p< 0.001), cigarette price <Rp 10,000 (b= -2.81; 95% CI= -1.10 to -0.19; p= 0.005), money pocket >Rp 300,000 (b= -3.79; 95% CI= -5.75 to -0.01; p<0.001), and negative attitude (b= -3.37; 95% CI= -0.15 to -0.05; p = 0.001). School had contextual effect on smoking behavior with ICC= 14.00%.Conclusion: Smoking behavior is negatively associated with poor knowledge, strong family role, strong peer role, low cigarette price, high money pocket, and negative attitude. School has contextual effect on smoking behavior.Keywords: smoking behavior, adolescents, peers, multilevel analysisCorrespondence: Tria Arifianti. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A,  Surakarta 57126, Central Java. Email: tria.arifianti@gmail.com. Mobile: +62858­66515112.Journal of Health Promotion and Behavior (2019), 4(1): 76-84https://doi.org/10.26911/thejhpb.2019.04.01.08

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