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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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THE EFFECTIVITY OF NUTRITION EDUCATION BOOKLET ON KNOWLEDGE, FAST-FOOD CONSUMPTION, CALORIE INTAKE, AND BODY MASS INDEX IN ADOLESCENTS Said, Irfan; Hadi, Anto J.; Manggabarani, Saskiyanto; Tampubolon, Ida Lestari; Maryanti, Endang; Ferusgel, Agnes
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The prevalence of adolescent obesity is increasing worldwide with proportions varying from country to country or between geo­graphical regions within a country. The purpose of this study was to determine the effect of nutri­tion education with booklet media on know­ledge, fast food consumption, calorie intake, and body mass index (BMI) in adolescents.Subjects and Method: This was a quasy experiment with no control group. The study was conducted in Junior high school in Medan, North Sumatera. A sample of 31 adoles­cents was selec­ted by purpo­sive sampling. The depen­­dent vari­ables were know­l­edge, fast-food consumption, ca­lorie intake, and BMI. The independent vari­ables were booklet media. Means of knowledge, fast food consumption, calorie intake, and BMI before and after intervention was examined by t-test.Results: Mean of knowledge after intervention (Mean= 12.90; SD= 2.71) was higher than before (Mean= 8.77; SD= 1.54) and it was statisticaly significant (p<0.001). Mean of fast food con­sump­tion after intervention (Mean= 9.48; SD= 1.38) was lower than before (Mean= 10.03; SD= 1.16) and it was statistically significant (p= 0.007). Mean of calorie intake after intervention (Mean= 2735.12; SD= 1999.9) was lower than before (Mean= 2821.09; SD= 216.13) and it was statistically significant (p= 0.003). BMI after intervention (Mean= 26.58; SD= 2.49) was equal with before intervention (Mean= 26.81; SD= 2.49).Conclusion: Nutrition education with booklet improves knowledge, reduces fast food con­sump­tion, and reduce calorie intake.Keywords: nutrition education, booklets, know­ledge, fast food, calorie, body mass indexCorrespondence: Irfan Said. Study Program in Nutrition, Health Ins­­titute Helvetia. Jl. Kapten Sumarsono 107 Me­dan, North Sumatera, Indonesia. Email: Irfan­said1357@gmail.com. Mobile: 085256­780839.Journal of Health Promotion and Behavior (2020), 5(1): 11-17https://doi.org/10.26911/thejhpb.2020.05.01.02
THE EFFECT OF LEAFLET ON REPRODUCTIVE HEALTH MEDIA ACCESSING BEHAVIOR AMONG STUDENTS IN MEDAN NORTH SUMATERA Damanik, Veronica Anggreni; Lasmawanti, Sri; Anggraini, Novita; Hardika, Bangun Dwi
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Psychological changes in ado­les­­­­­­cents can be influenced due to hormonal changes in the body and the desire to express sexual appetite so that it can result in increased sexual problems such as increased premarital sexual behavior or free sex. Therefore, it is ne­ces­­­­sary to do an in­ter­ven­tion step to be able to increase information and knowledge for ado­les­­cents about reproductive health. This study aim­ed to determine the effect of information through leaflets on the habit of ac­ces­sing media re­­­la­ted to reproductive health and premarital sexual attitudes on students at Vo­ca­tio­nal Sc­hool (VS) Parulian I Medan.Subjects and Method: This was quasi expe­ri­­mental with One Group Pretest-Postest De­sign with­out a control group. The study was con­­­­­duc­­ted from May to July 2019. A total of 133 studentsof class X and XI of Medan Parulian I Vocational School was selected for this study. The data were col­­lected using a questionnaire. The data was analyzed by Wilcoxon.Results: The habit of accessing media after be­ing given information through leaflets (Mean= 1.59; SD= 0.49) was higher compared to before getting information through leaflets (Mean= 1.26; SD= 0.44), and statistically significant (p<0.001). Pre-sexual behavior marriage after got the in­for­­ma­tion through leaflets (Mean= 42.38; SD= 11.11) was higher than before got the infor­­­­mation through leaflets (Mean= 38.92; SD=11.97), ­and statistically significant (p<0.001).Conclusion: Information in the leaflet im­proved the habit of accessing media related to re­pro­duc­ti­ve health and positive premarital sexual attitudes.Keywords: leaflets, media access, premarital sexual attitudeCorrespondence: Veronica Anggreni Damanik. Nursing Study Program, Faculty of Pharmacy and Health, Hel­vetia He­­alth Institute Medan. Jl. Kapten Su­mar­­­sono 107, Medan, North Sumatera. Email: ve­­ro­­ni­ca.­da­ma­nik­88­@gmail.com. Mobile: 0813675­79723Journal of Health Promotion and Behavior (2020), 5(1): 18-25https://doi.org/10.26911/thejhpb.2020.05.01.03
SELF-CARE SKILLS OF CHILDREN WITH MODERATE INTELLECTUAL DISABILITY Pesau, Heni Gerda; Widyorini, Endang; Sumijati, Sri
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Intellectual disability is one of the developmental disorders that showing a delay in self-care skills that need to decrease the physical dependence of children to adults. Children with moderate intellectual disability could show diffe­rences in developmental and level of self-care skills that affected of few factors. The aim of the study is to explore the self-care skills of children with moderate intellectual disability on feeding, dres­sing, toileting, and self-hygiene, and factors that affect these skills.Subjects and Method: This was a qua­lita­tive stu­dy with case study ap­proach. A total of five sub­jects with moderate intellectual disability aged 7-12 years was selected for this study. The data were collected from eleven parents and teachers by interview. All data were analyzed by content analysis.Results: All five subjects have different levels of each of the self-care skills and get help from teachers or parents in some of these activities. The amount of help is influenced by internal fac­tors such as physical and motor problems as indi­ca­ted by observations of subject 2. External fac­tors that are found are parental roles, self-care practicing methods, and differences in parent attitudes. Behavioral problems factor such as aggressive, self-harm, and social withdrawal was not found. Self-care programs and the coordi­nation of parents and school as external factors were only found in subject 2 and 4.Conclusion: All five subjects showed varying abilities of the self-care skills and internal and external factors that affect these skills.Keywords: moderate intellectual disability, self-care skills, factorsCorrespondence: Heni Gerda Pesau. Faculty of Psychology, Uni­versitas Atma Jaya, Makassar. Jl. Tanjung Alang No.23 Makassar, South Sulawesi, Indonesia. Email: henigerda0@gmail.com. Mo­bile: +62853­41­916728Journal of Health Promotion and Behavior (2020), 5(1): 43-49https://doi.org/10.26911/thejhpb.2020.05.01.06
THE CORRELATION BETWEEN PERCEPTION OF STIGMA OF HIV/AIDS AND UTILIZATION OF VOLUNTARY COUNSELING AND TESTING AND CARE, SUPPORT AND TREATMENT POLYCLINIC AT DJOELHAM HOSPITAL, BINJAI Rizkani, Ratih Sufra; Utama, Surya; Mutiara, Erna
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The health care services for people living with HIV/AIDS (PLWH; hereinafter is referred to as PLWHA) at Polyclinic of Vo­luntary Counselling and Testing (hereinafter is referred to as VCT) and Care, Support and Treat­ment (hereinafter is referred to as CST) are not optimally utilized because of the large number of Follow-Up Loss by PLWHA. The utilization of the services in 2018 was only 47% of the determined target of 90%. The objective of this study was to analyze the influence of individual characteristics such as age, sex, education level, marital status, and perception of HIV/AIDS negative stigma on the utilization of health services for HIV/AIDS at Polyclinic of VCT and CST.Subjects and Method: This is a cross-sectional study. The population was all visitors at the Poly­clinic who were diagnosed with HIV not later than March, 2018. Sixty eight patients were selec­ted by using total sampling technique. The inde­pen­dent variables consisted of individual charac­te­ris­tics (age, sex, education level, marital status) and perception of HIV/AIDS negative stigma, whereas the dependent variables were the utilization of VCT and CST Polyclinic. The data were collected through questionnaires and were analyzed by multiple logistic regression method.Results: the perception of high negative stigma of HIV/AIDS has led PLWHA to underutilize the health services of VCT and CST Polyclinic (OR= 18.20; 95%CI= 3.89 to 85.19; p< 0.001). The male PLWHA underutilized the health care ser­vi­ces at VCT and CST Polyclinic (OR= 4.91; 95%CI=1.19 to 20.23; p= 0.028).Conclusion: the perception of high negative stigma of HIV/AIDS and being a male PLWHA allowed the underutilization of the health services at VCT and CST Polyclinic.Keywords: perception of stigma, HIV, utiliza­tionCorrespondence: Ratih Sufra Rizkani. A Student at Master Program of Public Health Faculty in University of Sumatera Utara, Medan. ratih86rizkani@gmail.com. Mobile: 0852617­76718Journal of Health Promotion and Behavior (2020), 5(1): 26-34https://doi.org/10.26911/thejhpb.2020.05.01.04
APPLICATION THEORY OF PLANNED BEHAVIOR: DETERMINANTS OF BEHAVIOR TO USE PERSONAL PROTECTIVE EQUIPMENT AMONG TOBACCO FARMERS IN TEMANGGUNG, CENTRAL JAVA: A MULTILEVEL ANALYSIS Kumala, Yovita Eka Ratna; Rahardjo, Setyo Sri; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tobacco farmers has the risk of being exposed by wet nicotine during har­vest­ing tobacco leaves or is often called as Green Tobacco Sick­ness (GTS). GTS preven­tion can be conduc­t­ed by using Personal Pro­tec­tive Equipment (PPE) before farmers har­ves­t­ing tobacco leaves. Beha­vior in using PPE among farmers is affected by sex types, education, attitude, subjective norm, in­ten­tion, and perceived behavioral control. The stu­dy aims to analyze the determinant of beha­vior to use PPE among tobacco farmers in Te­man­g­gung Regency, Central Java.Subjects and Method: It was a cross sectional study, conducted in 25 villages in Temanggung Regency, August ? October 2019.  The sample was a total of 200 tobacco farmers. The sampling technique used was simple ran­dom sampling. Dependent variable of the study was behavior to use PPE among tobacco farmers. Independent va­riables of the study were sex types, education, attitude, subjective norm, intention, and per­ce­i­v­e­d behavioral control. The data collection used was question­nai­res and processed by using mul­tilevel multiple logistic regression with Stata 13.Results: The use of PPE among tobacco farmers during harvesting tobacco leaves was increased by male (b= 2.52;  95% CI= 1.39 up to 3.66; p<0.001), education ? High School (b= 2.15;  95% CI= 1.10 up to 3.19; p<0.001), strong famers? intention (b= 1.82;  95% CI= 0.13 up to 2.22; p= 0.027), positive farmers? attitude (b= 1.63;  95% CI= 0.58 up to 2.68; p= 0.002), supporting subjective norm (b= 1.74;  95% CI= 0.67 up to 2.81; p= 0.001), and strong per­ceived behavioral control (b= 1.53;  95% CI= 0.52 up to 2.54; p= 0.003).Conclusion: Behavior to use PPE among tobac­co farmers is affected by sex types, edu­cation, at­ti­tude, subjective norm, and perceived behavioral control.Keywords: behavior to use PPE, farmers, theory of planned behaviorCorrespondence: Yovita Eka Ratna Kumala. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indo­nesia, 57126. Email: yovitakuma­la­19@gmail­.­com­. Mo­bile: 083867630850Journal of Health Promotion and Behavior (2020), 5(1): 50-58https://doi.org/10.26911/thejhpb.2020.05.01.07
THE EFFECTIVITY OF PEER EDUCATION MODULE ON KNOWLEDGE, ATTITUDE, AND FAST FOOD CONSUMPTION IN ADOLESCENTS Manggabarani, Saskiyanto; Said, Irfan; Hadi, Anto J.; Saragih, Rapida; Cristandy, Muhammad; Januariana, Neni Ekowati
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Increasing obesity sufferers every year, in a few decades becomes an impor­tant problem. Increased obesity can lead to an increa­s­­ed risk of degenerative diseases which can cause death. Several attempts have been made to prevent and treat obesity. The pur­­­pose of this study is to determine the effective­­ness of peer edu­­ca­tion on knowledge, attitudes, and con­sump­­tion of fast food in adolescents.Subjects and Method: This study is a ran­do­m­ized controlled trial conducted at a Junior High School (SMP Ne­geri 6 Medan), North Su­matera. Samples taken were 60 stu­dents chosen random­ly. The sample was divided into 2 groups: a peer game edu­cation leaf­let group and a peer edu­cation modu­le group. The depen­dent va­r­i­­­able is know­ledge, attitudes, and habits of fast fo­od con­sumption. The indepen­dent vari­able is the pro­vision of leaflets and peer edu­ca­tion mo­du­­les. The data were obtained through in­­­ter­­­­­view, Food Frequency Question­naire (FFQ), and Food Re­call 24 hours. Data were analy­z­ed using t-test.Results: The results showed that the value of nut­ritional knowledge and obesity in the control group (Mean= 12.07; SD= 1.44) was lower com­pared to the intervention group (Mean= 13.50; SD= 1.99), but not statistically significant (p= 0.523). Attitudes toward nutrition and obesity in the control group (Mean= 11.50; SD= 1.22) were low­er than those in the intervention group (Mean = 13.00; SD= 1.78) and were statistically proven sig­nifi­cant (p= 0.008). The score of fast food con­­sumption habits in the control group (Mean= 8.17; SD= 1.23) is lower than that of the inter­vention group (Mean= 9.50; SD= 1.17) and is statis­tically proven significant (p <0.001).Conclusion: The nutrition peer education mo­dule has been shown to be effective in increas­­ing attitudes about nutrition and obesity and redu­cing fast food consumption habits and this has been statistically significant. The nutri­tion peer education module increases know­ledge scores, but is not statistically significant.Keywords: obesity, consumption of fast food, peer educationCorrespondence: Saskiyanto Manggabarani, Helvetia Health Ins­ti­tute, Jl. Kapten Sumarsono No. 107 Medan, North Sumatera, Indonesia. Email: zhakymang­gabarani@gmail.com.Journal of Health Promotion and Behavior (2020), 5(1): 35-42https://doi.org/10.26911/thejhpb.2020.05.01.05
THEORY OF PLANNED BEHAVIOR AND SOCIAL COGNITIVE THEORY ON THE EFFECT OF THE COMMUNITY HEALTH CENTER TERTIARY PREVENTIVE BEHAVIOR AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS: A MULTILEVEL ANALYSIS Andriyaningtiyas, Yudi; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Type 2 diabetes mellitus (DM) accounts for 90% to 95% of all diabetes cases. Complications of type 2 diabetes increase the risk of death for suf­ferers. Complications and deaths from type 2 dia­betes can be prevented by changes in behavior. This study aimed to determine the effect of health cen­­ters and other factors on the prevention of ter­­tiary diabetes type 2, using the theory of plan­ned behavior and social cognitive theory.Subjects and Method: This was an analytic ob­ser­­vational study with cross sectional de­sign, conducted at 25 community health centers, in Bantul Re­gen­cy, Yogyakarta, Indonesia. A sample of 200 type 2 DM patients was selected by exha­ustive samp­­ling. The dependent variable was type 2 DM tertiary prevention. The indepen­dent vari­ables at level 1 are intention, attitude, sub­jective norm, perceived behavior con­trol/ self-efficacy, experience, modelling, self-re­gu­­­­lation, and out­come expectation. Community health center was an independent variable at level 2. The data were col­­lected by questionnaire and analyzed by a mul­ti­level multiple linear regression.Results: Tertiary preventive behavior in type 2 DM patients increased with strong intention (b= 1.19; 95% CI= 0.62 to 1.76; p <0.001), positive atti­tude (b= 1.19; 95% CI= 0.58 to 1.80; p <0.001), supportive subjec­­tive norm (b= 0.79; 95% CI= 0.12 to 1.45; p= 0.019), perceived be­ha­vior control (b= 1.16; 95% CI= 0.60 to 1.72; p <0.001), abundant experience (b= 0.65; 95% CI= 0.62 to 1.25; p<0.001), strong modelling (b= 1.07; 95% CI= 0.53 to 1.67; p= 0.030), strong self-regulation (b= 0.87; 95% CI= 0.34 to 1.40; p= 0.001), and positive outcome expectation (b= 0.82; 95% CI= 0.25 to 1.38; p = 0.004). Commu­nity health center had con­textual effect on the tertiary pre­ventive behavior in type 2 DM patients with ICC= 19.18%.Conclusion: Tertiary preventive behavior in type 2 DM patients increases with strong intent­ion, positive atti­tude, supportive subjec­­tive norm, perceived be­ha­vior control, abundant experience, strong modelling, strong self-regula­tion, and positive outcome expectation. Commu­nity health center has con­textual effect on the tertiary pre­ventive behavior in type 2 DM patients.Keywords: tertiary prevention behavior, type 2 diabetes, TBP, SCT, multilevel analysis.Correspondence: Yudi Andriyaningtiyas. Masters Program in Pub­lic Health, Universitas Sebelas Maret, Jl. Ir. Su­tami No. 36A, Surakarta. Email: yudi.andriya­ning­­tiyas@gmail.com. Mobile: +6281392704899Journal of Health Promotion and Behavior (2020), 05(01): 59-71https://doi.org/10.26911/thejhpb.2020.05.01.08
KNOWLEDGE, BARRIERS, AND MOTIVATION RELATED TO BREAST AND CERVICAL CANCER SCREENING AMONG WOMEN IN BOJONEGORO, EAST JAVA: A QUALITATIVE STUDY Umami, Afriza; Sudalhar, Sudalhar; Pratama, Tegar Wahyu Yudha; Fitri, Istiqlal; Firmansyah, Andan
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Breast and cervical cancer remain a major cause of morbidity and mortality for wo­men in Indonesia. Although this cancer can be de­tected early, women are still less active in self-detecting breast and cervical cancer, so both cancers are found at an advanced stage. This study aimed to explore how women's knowledge, barriers, and motivations are related to early detection of breast and cervical cancer.Subjects and Method: This was a qualitative study, with focus group discussions (FGDs) and interviews with key informants. Discussions and in­terviews were conducted in the community within Ledok Kulon village, Bojonegoro Regency, East Java, Indonesia. Participants: FGD partici­pants involved 20 women, 10 women underwent FDG about cervical cancer and 10 other women conducted FGD about breast cancer. Three key informants interviewed with health worker and administrator that allow triangulation of res­pon­ses thereby increasing the validity of the findings. Participants were aged 20 to ?60 years, with no history of symptoms or previous diagnosis of breast or cervical cancer. The women were inter­viewed in October-November 2019. The trans­cri­bed data were analyzed using content analysis.Results: Participants' knowledge about under­stan­ding, risk factors, signs and symptoms of breast and cervical cancer was still lacking. Par­ticipants attributed the cause of cervical cancer to the vaginal wound resulting in cervical cancer and signs of symptoms such as heartburn. Whe­reas for breast cancer participants were not know the signs and symptoms, they only said there was a lump in the breast. Barriers to screening were ashamed to be examined by health workers, afraid of testing procedures, feeling healthy and there were no signs of cancer. Screening motiva­tion were experiencing signs and symptoms of can­cer, family history of the disease and aware­ness of the disease/screening service.Conclusion: The study participants' knowledge of breast and cervical cancer was still lacking. To improve breast and cervical cancer screening, efforts must focus on reducing identified barriers and increasing motivation.Keywords: knowledge, barriers, motivation, breast and cervical cancer screeningCorrespondence: Afriza Umami. Diploma III of Medical Records, School of Health Sciences Muhammadiyah Bojone­go­ro, Jl. A.Yani No.14, Bojonegoro, Indonesia. Email: afrizaumami20@gmail.com. Mobile: +62­8­225­4348041.Journal of Health Promotion and Behavior (2020), 5(1): 1-10 https://doi.org/10.26911/thejhpb.2020.05.01.01  

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