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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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Search results for , issue "Vol 6, No 4 (2021)" : 8 Documents clear
Application of the Health Belief Model on the Reproductive Health Services Uptake in Adolescents: A Meta-Analysis
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescence is a period of transition from childhood to adulthood and is characte­rized by changes in physical, psychological, and social behavior that can affect their lives at high risk. Various problems that occur in adolescents are influenced by various dimensions of life within them, both biological, cognitive, moral and psychological dimensions as well as the influence of the surrounding environment. This study aimed to estimate the effect of the Health Belief Model, especially its construction of perceived vulnerability, perceived seriousness, and perceived benefits in the use of reproductive health services with a meta-analysis.Subjects and Method: This study is a review of meta-analytical studies. This research article was obtained from the electronic databases of PubMed, Springer Link, Elsevier and Google Scholar. The articles used in this study are articles published from 2011-2021. The search for articles was carried out by considering the eligibility criteria defined using the PICO model. P: adolescents. I: perceived vulnerability, perceived seriousness, perceived benefit. C: Low perceived vulnerability, perceived seriousness, perceived benefit. O: use of reproductive health services. The articles included in this study are full text articles with a Srocsectional study design. This article was analyzed using the Review Manager 5.3 application.Results: There are 9 articles in total. The results showed that there was high heterogeneity (I2= 82%; p <0.0001), so that the data analysis on the florest plot used a random effect model. The perception of vulnerability that is felt to be strong increases the likelihood of using reproductive health services by 2.42 times compared to the perception of vulnerability that is felt to be weak, and it is not statistically significant (aOR= 2.42; 95% CI= 1.60-3.67; p= 0.001).Conclusion: The use of reproductive health services is not statistically significant in predicting reproductive health in adolescents.Keywords: health belief model, belief, reproductive health service, reproductive health careCorrespondence:Dyah Ayu Kusumawardani. Universitas Muhammadiyah Surakarta, Central Java, Indonesia. Email: dijeayu16@gmail.com. Mobile: +6281466847498.Journal of Health Promotion and Behavior (2021), 06(04): 318-326DOI: https://doi.org/10.26911/thejhpb.2021.06.04.06 
Analysis of Twitter Conversation on COVID-19 Pandemic in Africa 2019-2020
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Communication about COVID-19 pandemic has a huge impact on coordination, control and mitigation efforts against the disease. Patterns and trends of COVID-19 pandemic conversations amongst African tweeps between the year 2019 and 2020 was studied. This study aimed to determine the impact of Twitter COVID-19 information dissemination on attitudes, behaviour and decision making during the pandemic.Subjects and Method: This was a cohort study with combined quantitative and qualitative approach. This study was conducted in Africa, from December 2019 to December 2020. The quantitative approach was founded on data mining and data analytics research approach, applying measurements in terms of counts, numbers and frequencies while qualitative approach was founded on Natural Language Processing (NPL) algorithm to extract themes/topics and further applying sentiment analysis to a body of large textual data.Results: A total number of 24,251 tweets was recorded, out of which 9, 016 (37.2%) of the tweets were positive, indicating positive attitude towards COVID-19 related information, control, treatment and regulations. A number of 7, 024 (29%) of tweets were considered neutral, indicating a neutral opinion on conversations related to COVID-19, while 8, 211 (33.9%) were considered negative tweets.  South Africa is the most frequently used word and frequently used hashtag followed by Nigeria. Result further revealed four clear topics of discussion which are: a) Africa coronavirus, b) First sub-Saharan pandemic variant, c) Total number of confirmed new deaths, and d) COVID-19 cases in Africa. Besides, it was observed that most health authorities and health partners in Africa are not actively participating on Twitter.Conclusion: Health information dissemination on social media must be moderated through censorship, otherwise fake news and misinformation would persist to aggravate the spread of diseases and cause deaths. In order to protect the public against false information, public health institutions, governments and partners in health should establish an active presence on social media to share factual information, and timely debunk misinformation. Keywords: Africa, COVID-19, twitter Conversation, social media, sentiment AnalysisCorrespondence: Sanni Shamsudeen Ademola. Department of Computer Science, Faculty of Science and Engineer­ing, University of Eswatini, Private Bag 4, Matsapha, Manzini, Kingdom of Eswatini. Email: sanniade01@gmail.com. Mobile: +26876241155/79241155Journal of Health Promotion and Behavior (2021), 06(04): 272-283DOI: https://doi.org/10.26911/thejhpb.2021.06.04.02
Health Belief Model Application in Encouraging Colorectal Cancer Screening in Adults: Meta-analysis
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Colorectal cancer is one of the cancers caused by the growth of malignant abnormal cells in the large intestine and rectum which are part of the gastrointestinal system. Screening has the potential to reduce the burden of colorectal cancer with the support of scientific literature showing a reduction in colorectal cancer mortality ranging from 18% to 57% (depending on the screening test used). The Health Belief Model is a health behavior model that can predict a person's interest in screening for colorectal cancer. This study aims to estimate the effect of the Health Belief Model in colorectal cancer screening by meta-analysis.Subjects and Method: Meta-analyses were performed by searching articles from the PubMed, Google Scholar, and ScienceDirect databases. The keywords and Boolean operators used are Health Belief Model OR perceived susceptibilty OR perceived risk OR risk perception OR perception of risk AND screening colorectal OR colonoscopy OR faecal occult blood test OR sigmoidoscopy. The inclusion criteria in this study were full-text articles with a cross-sectional design. The articles were published in English from 2012 to 2022. The population used in this study were both male and female adults. Analysis of perceived susceptibility to final study results was reported using the adjusted odds ratio (aOR). Article analysis using RevMan 5.3 software.Results: A total of 9 articles were used. The results showed that a person's perception of being vulnerable or at high risk will increase colorectal cancer screening by 1.81 times compared to someone who has a low perception of susceptibility to colorectal cancer screening (aOR= 1.81; 95% CI= 1.58 to 2.07) and the results are significant. statistically (p < 0.001).Conclusion: Perceived susceptibility is statistically significant in predicting someone to be screened for colorectal cancer.Keywords: health belief model, susceptibility perception, colorectal cancer screening.Correspondence:Aulia Siti Nur Rahmah. Catholic School of Health Sciences, St.Vincentius A Paulo, Surabaya, East Java, Indonesia. Email: rahmaaulia500@gmail.com.  Mobile: +6281233511180Journal of Health Promotion and Behavior (2021), 06(04): 327-338DOI: https://doi.org/10.26911/thejhpb.2021.06.04.07 
Meta Analysis: Application of Health Belief Model on the Tertiary Prevention of Type 2 Diabetes Mellitus
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Mellitus Type 2 is a hyperglycemic disease due to insensitivity of cells to insulin. Insulin levels may decrease slightly or be in the normal range. The level of adherence of type 2 diabetes patients is lower than type 1 diabetes. Compliance with medication and taking medication in DM patients has a very important role in controlling blood sugar levels. HBM is a model that describes a person's knowledge of health threats and understanding of recommended behaviors to prevent or treat health problems based on an assessment of feasibility and benefits compared to costs. This study aimed to estimate the effect of HBM, especially the severity and self-efficacy constructs.Subjects and Method: This study was conducted using a systematic review and meta-analysis study design using PICO. Population: type-2 diabetic patients. Intervention: high severity perception and high self-efficacy. Comparison: low severity perception, and low self-efficacy. Outcome: tertiary prevention behaviors. The articles used in this study came from 4 databases, namely Google Scholar, Pubmed, Science Direct and Proquest. The article keywords are “health belief model” OR “perceived severity” OR “self-efficacy” AND “type 2 diabetes”. The articles included in this study are full paper articles, cross-sectional study designs, 2012-2021 and the size of the relationship between Adj Odds Ratio. Article selection is done using PRISMA. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 12 cross-sectional studies were reviewed in this study. A meta-analysis of 7 cross-sectional studies showed that strong perceived severity increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 4.69 times (aOR= 4.69; 95% CI= 1.92 to 11.47; p= 0.007). A meta-analysis of 9 cross-sectional studies showed that slightly stronger perceived self-efficacy increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 1.68 times (aOR= 1.68; 95% CI= 1.03 to 2.74; p= 0.040).Conclusion: Severity perception and self-efficacy are predictors for tertiary prevention of type 2 Diabetes Mellitus.Keywords: predictors, tertiary prevention, type-2 diabetes mellitus, health belief model.Correspondence:Etanaulia Marsim. Health Polytechnics, Ministry of Health, Surakarta. Jl. Letjen Sutoyo, Mojo­songo, Kota Surakarta, Jawa Tengah. Email: etanaulia@gmail.com. Mobile: +6285840530580.Journal of Health Promotion and Behavior (2021), 06(04): 284-297DOI: https://doi.org/10.26911/thejhpb.2021.06.04.03
Meta-Analysis of Factors Affecting Compliance Behavior in Taking Iron Folate Supplements in Pregnant Women
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pregnant women can have a higher risk of iron and folic acid deficiency due to poor adherence to iron folate supplements. Factors that influence pregnant women during antenatal check-ups on adherence to taking iron folate supplements are getting counseling, having knowledge, attending antenatal care and diagnosing anemia. This study aims to analyze the factors that influence the behavior of adherence to taking iron folate supplements in pregnant women.Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011 and 2021 using databases from PubMed, Google Scholar and ScienceDirect. Based on the database, there were 12 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software.Results: A total of 12 articles reviewed in the meta-analysis showed that there were 7 articles discussing pregnant women who received nutritional counseling had higher adherence behavior to taking iron folate supplements and were statistically significant (aOR= 2.39; 95% CI= 1.92 to 2.96; p <0.001), and there were 8 articles discussing pregnant women with anemia who had higher adherence to taking iron folate supplements and were statistically significant (aOR= 3.28; 95% CI= 1.56 to 6.87; p= 0.002).Conclusion: Nutrition counseling and anemia status can improve the behavior of adherence to taking iron folate supplements in pregnant women.Keywords: supplement, iron-folic acid, anemia, counselingCorrespondence:Farida Nur Aisyiyah. Klaten District Health Office. Jl. Pemuda Nomor No.313, Mlinjon, Tonggalan, Central Klaten, Central Java. Email: faridanur88@gmail.com. Mobile: +62 852-1493-3173.Journal of Health Promotion and Behavior, (2021), 06(04): 339-354DOI: https://doi.org/10.26911/thejhpb.2021.06.04.08
Meta-Analysis of Public Trust in the Implementation of the COVID-19 Vaccination Based on the Health Belief Model
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The magnitude of the global spread of COVID-19, and the declaration by the WHO as a public health emergency pandemic, has created an urgent need for rapid diagnosis, vaccines and therapies for COVID-19. This study aims to determine the relationship between perceptions of COVID-19 and vaccination with the Health Belief Model theory approach, one of which is perceived benefit, with the acceptance of COVID-19 vaccination.Subjects and Method: This study uses a systematic review and meta-analysis with PICO, population: people with an age range of 18-65 years. Intervention: health belief model. Comparison: not health belief model. Outcome: Receiving the COVID-19 Vaccine (Perceived Benefit). The articles used were obtained from several databases, namely Google Scholar, Pubmed, Science Direct, MDPI. The article search keywords were “Health Belief Model” AND “vaccination COVID-19” OR COVID-19 vaccine” AND “COVID-19” The inclusion criteria for research articles were full-text articles using a cross-sectional study design, community research subjects with a range of aged 18-65 years, with the result of the study being receiving the COVID-19 Vaccine (Perceived Benefit) after which a multivariate analysis was carried out with adjusted Odds Ratio (aOR). Data were analyzed using the Review Manager application (RevMan 5.4).Results: A total of 9 cross-sectional studies involving 31,055 vaccine recipient communities spread across Bangladesh, China, South Asia, Hong Kong and Malaysia were selected for a systematic review and meta-analysis. The data collected showed that a person with a high level of confidence in the benefits of the vaccine had a major influence on the acceptance of the COVID-19 vaccine as much as 3.96 times compared to someone with no confidence in the benefits of the COVID-19 vaccine (aOR = 3.97; CI 95 % = 2.62 to 6.02; p < 0.001).Conclusion: People with a high level of confidence in the benefits of the COVID-19 vaccine can increase the impact of receiving the COVID-19 vaccine.Keywords: health belief model, COVID-19 vaccine, vaccine acceptanceCorrespondence:Ade Amallia. Study Program of Prosthetic Orthotic, Health Polytechnics, Ministry of Health Surakarta. Jl. Letjen Sutoyo, Mojosongo, Jebres, Surakarta, Central Java 57127. Email: amallia­adelia@gmail.com. Mobile: 081228466836.Journal of Health Promotion and Behavior (2021), 06(04): 298-306DOI: https://doi.org/10.26911/thejhpb.2021.06.04.04 
Meta Analysis: Health Belief Model on Cervical Cancer Screening among Women of Reproductive Age
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is one of the most common cancers and the most common cause of death in women worldwide. Health Belief Model is a theoretical model that explains the influence of beliefs on a person's health behavior, including cervical cancer prevention behavior. This study aims to determine the effect of the HBM construct on cervical cancer screening behavior among women of childbearing age based on a primary study conducted by previous researchers.Subjects and Method: This study is a systematic review and meta-analysis with PICO as follows: Population: women of reproductive age, Intervention: HBM constructs of high perceived severity and high self-efficacy. Comparison: low perceived severity and low self-efficacy. Outcome: cervical cancer screening. The articles used in this study were taken from several databases, namely Google Scholar, Pubmed, SpringerLink, Scopus, and SAGE. The keywords used for the search were “Health Belief Model” AND “Cervical Cancer Screening” OR “Cervical Cancer Test” OR “Pap Smear” OR “Papanicolaou Test” OR “VIA Test” OR “Visual Inspection Acetic-Acid” AND “Adjusted Odds Ratio” OR aOR. Inclusion criteria were full-text articles in English and Indonesian with a cross-sectional study design, population of women of childbearing age, and cervical cancer screening as an outcome, analyzed multivariately by including adjusted Odds Ratio/aOR. Articles were selected using the PRISMA flow diagram and analyzed using the Review Manager 5.3 application.Results: A total of 7 cross-sectional studies from Europe, Asia, Africa, and Australia were reviewed and meta-analyzed. The results showed that women of childbearing age with high perceived severity were 1.61 times more likely to have cervical cancer screening than those with low perceived severity (aOR = 1.61; 95% CI = 1.11 to 2.34; p = 0.01). The data also showed that women of childbearing age with high self-efficacy were 5.91 times more likely to undergo cervical cancer screening than women with low self-efficacy (aOR= 5.91; 95% CI= 3.25 to 10.75; p<0.001).Conclusion: Severity perception and self-efficacy are predictors for tertiary prevention of type 2 Diabetes Mellitus.Keywords: health belief model, perceived severity, self-efficacy, cervical cancer screening.Correspondence:Afifa Intifadha Habibatullah. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: afifa.pink2@gmail.com. Mobile: 085728146915.Journal of Health Promotion and Behavior (2021), 06(04): 307-317DOI: https://doi.org/10.26911/thejhpb.2021.06.04.05
Association between Teaching and Learning Related Stressor and Anxiety Level among Medical Students during COVID-19 Pandemic
Journal of Health Promotion and Behavior Vol 6, No 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The COVID-19 pandemic has led to various impacts on public health, one of which is the mental health of medical students who are recognized as an at-risk group for developing anxiety disorders due to the teaching and learning system that has changed dramatically. This study aimed to assess the relationship between teaching and learning-related stressor (TLRS) and their anxiety levels during the COVID-19 pandemic.Subjects and Method: This was a cross-sectional study. The population was medical students at the Faculty of Medicine, Syarif Hidayatullah State Islamic University Jakarta, Indonesia, during September-October 2021. Sampling was carried out using purposive sampling. The dependent variable was anxiety levels during the COVID-19 pandemic. The independent variable was teaching and learning-related stressor based on Medical Student Stressor Questionnaire (MSSQ) instrument. The data were collected through questionnaires and analyzed by Cox proportional regression.Results: A half of medical students experienced anxiety (50.4%), but the data shows a non-significant difference when controlled with other stressor variables (Adjusted PR= 1.485; 95% CI= 0.71 to 2.97; p= 0.300).Conclusion: There is no significant relationship between teaching and learning-related stressor and anxiety level among Medical Students during COVID-19 pandemic.Keywords: mental health, anxiety, stressor, COVID-19, medical studentsCorrespondence:Helda. Department of Epidemiology, Faculty of Public Health Universitas Indonesia. A Building 1st Floor Kampus Baru UI Depok 16424. E-mail: heldanazar1@gmail.com. Phone: +6285216688437Journal of Health Promotion and Behavior (2021), 06(04): 263-271DOI: https://doi.org/10.26911/thejhpb.2021.06.04.01

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