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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.
Arjuna Subject : -
Articles 224 Documents
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Biopsychosocial Determinants of Human Papilloma Virus Immunization in Women of Reproductive Age in Surakarta, Central Java Febriani, Gabriela Advitri; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer ranks second as the cause of death in women worldwide. Cervical cancer is preventable by Human Papilloma Virus (HPV) immunization. It was hypothesized that use of HPV immunization is determined by biopsychosocial factors as involved in the Health Belief Model and Social Learning Theory. This study aimed to analyze the determinants of HPV immunization use in women of reproductive age.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Permata Harapan Clinic and Budi Sehat Laboratory Clinic, Surakarta, Central Java. The data were collected from February to March 2018. A sample of 200 women was selected by random sampling, consisting of 50 women undertaking screening and 150 women not undertaking screening. The dependent variable was HPV immunization. The independent variables were perceptions of susceptibility, seriousness, benefit, barrier, respectively, and self-efficacy, education, family income, employment status, family support, social environment, and cervical cancer screening. Data on HPV vaccine use were taken from medical record. The data were collected by questionnaire and analyzed by path analysis.Results: Use of HPV immunization was directly associated with perceived susceptibility (b= 2.01; 95% CI= 1.03 to 3.00; p<0.001), perceived seriousness (b= 1.52; 95% CI 95%= -0.08 to 3.13; p=0.063), self efficacy (b= 1.55; 95% CI= 0.05 to 3.05; p=0.043), and perceived barrier (b= -2.25; 95% CI= -3.22 to -1.28; p<0.001). It was indirectly associated with perceived benefit, education, family income, employment status, family support, social environment, and cervical cancer screening.Conclusion: Use of HPV immunization is directly associated with perceived susceptibility, perceived seriousness, self-efficacy, and perceived barrier. It is indirectly associated with perceived benefit, education, family income, employment status, family support, social environment, and cervical cancer screening. Keywords: Human Papilloma Virus, immunization, women of reproductive age, health belief model, social learning theoryCorrespondence:Gabriela Advitri Febriani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: gabrielaadvitri8@gmail.com. Mobile: +6285743809055.Journal of Health Promotion and Behavior (2018), 3(1): 66-77https://doi.org/10.26911/thejhpb.2018.03.01.07
The Representation of Social, Economic, Psychological, and Reproductive Health Condition of the Commercial Sex Workers Post-closing of the Dolly Complex in Surabaya Puspitaningtyas, Danty Indra; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Dolly was the biggest red light district in Southeast Asia with more than 1000 (a thousand) women working as commercial sex workers. Because the district imposed a very negative effect  to the surrounding inhabitants especially to children, therefore red light district area of  Dolly and Jarak which are located in  residential area had to be closed. The quality of life of the residents especially the commercial sex workers was very much affected after the district was closed.  The study aimed to understand the representation of the social, economic, psychological, and reproductive health condition after the Dolly district in Surabaya was closed.Subject and Method: This was a qualitative descriptive study with phenomenology approach. This study was  conducted in former red light districts of Dolly and Jarak in Surabaya from January 18-February 28, 2017. The informant of this study were commercial sex workers, former commercial sex workers, head of hamlet (RW), former pander of Dolly,  Head of Civil Society Organization, healthcare workers, and Social Office of Surabaya City. The sampling technique used was snowball sampling, with in-depth interviews, observation, documentation study. The data were analyzed by interactive analysis model including data collection, data reduction, display and verification. Results: The commercial sex workers characteristic prior and post closing of the district were around 28-43 years old, with elementary – senior high school educated. Most of the commercial sex workers were from outside the city with 1-5 customers/day. They charged Rp. 100-300 thousand (Dolly’s commercial sex workers) per customer and Rp. 100-200 thousand/customer (Jarak’s commercial sex workers). The representation of quality of life post-closing was poor, altered social condition,  lack of interaction with others, the degradation of economic condition, poor psychological condition due to the economical problem, and reproductive health was less protected  because they did not get  regular examination like before the complex was closed.Conclusion: The representation  of quality of life in terms of the condition of social, economic, psychology, and reproductive health of the commercial sex workers post Dolly and Jarak closing were poor. Therefore, government intervention was very much needed to help improving the quality of life of the commercial sex workers.Keywords: Commercial sex workers, social, economic, psychological, reproductive health.Correspondence: Danty Indra Puspitaningtyas. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email: dantyindra@yahoo.com. Mobile:  +6285732850663Journal of Health Promotion and Behavior (2017), 2(1): 77-87https://doi.org/10.26911/thejhpb.2017.02.01.07
Effect of Health Education on Health Behavior in Patients with Hypertension Haryani, Nur; Subiyanto, AA.; Suryani, Nunuk
Journal of Health Promotion and Behavior Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is a disease that can lead to stroke, heart attack, heart failure that can lead to death. Someone who has a risk factor for hypertension must be more vigilant and earlier in conducting prevention efforts. Prevention is to control the blood and improve the understanding of hypertension through health education in order to identify and reduce risk behavior hypertension. The purpose of this study was to determine the effect health education program 0n health behavior in patients with hypertension.Subjects and Method: This was a quasi-experimental study with pretest-posttest and control design. This conducted in Purwo Bakti Husodo, Purwodiningratan and Mojosongo integrated development post Pos Pembinaan Terpadu (Posbindu). A total sample of patients with hypertension as many as 30 people the treatment group and 32 control group. Data analysis using paired sample t-test or Wilcoxon and using independent sample t-test or Mann Whitney.Results: No effect of hypertension health education to the knowledge of hypertension (p<0.001). There is an effect on the attitudes of health education hypertension patients with hypertension (p=0.014). Health education hypertension influence the change risky behavior is a history of smoking (p=0.005), eating salty foods (p=0.008) and frequency of exercise (p  0.001), while health education hypertension had no effect statistically significant to change risky behavior that is stress (p=0.322) and BMI (p=0.502).Conclusion: Health education about hypertension effect on knowledge, attitudes, smoking, eating salty foods and exercise while no effect on stress and Body Mass Index (BMI).Keywords: health education, knowledge, attitudes and behavior of hypertension risk.Correspondence: Nur Haryani. School of Public Health, Sebelas Maret University, Surakarta.Journal of Health Promotion and Behavior (2016), 1 (1): 9-18https://doi.org/10.26911/thejhpb.2016.01.01.02
A Qualitative Study on the Impact of Sexual Assault and Its Approach to Cope with in Female Teenage Victims in Surakarta, Central Java Keswara, Nila Widya; Murti, Bhisma; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Studies have shown that sexual assault can lead to the profound impact on the victims. It may last short or long, and can even generate a "ripple effect" of negative symptoms in the affected workplace or living environment. This study aimed to explore the psychological and biological impacts of sexual assault and approach to cope with the trauma in female adolescent victims in Surakarta.Subjects and Method: This was a qualitative study conducted in Surakarta, Central Java. The informants were social workers working at Yayasan KAKAK, a non-government organization dealing with sexual harassment issues. The data were collected by in-depth interview. The informants provided information about psychological and biological impacts of sexual harassment as well as the approach to cope with the trauma in female adolescent victims in Surakarta.Results: The psychological impacts of sexual harassment included anger, fear, self-consciousness or embarrassment, difficulty sleeping, loss of appetite. According to the information provided by the informants, the victim’s life turned into a misery, and school became a place to be avoided. The sexual attacks led to feelings of demoralization and humiliation, causing loss of self-confidence and self-esteem. The victims were reported as having trouble studying or paying attention, less able to perform well, participating less, no longer going to study group, thinking about dropping a class or even leaving the school. Victims experienced symptoms such as headaches, stomach aches, nightmares and anxiety attacks. Yayasan KAKAK assisted victims by supporting and guiding about steps to be taken to protect victims and to cope with the aftermath.Conclusion: Sexual harassment has serious emotional and biological effects on adolescent victims. According to this research finding, one of the greatest mitigating factors to trauma is the acknowledgment that it is happening. Victims of sexual harassment should be assisted to find support and guidance about what steps can be taken to protect themselves and how to cope with the aftermath.Keywords: sexual harassment, female adolescent, copingCorrespondence: Nila Widya Keswara. Diploma Program in Midwifery, School of Health Polytechnics Dr. Soepraoen Hospital, Malang. Email: nilakeswara_purwanto@yahoo.com. Mobile: +6281235555056.https://doi.org/10.26911/thejhpb.2017.02.04.06
The Effect of Self Help Group on Knowledge and Attitude in Decision Making Among Household Head of Patients with Depression in Yogyakarta Sulistyowati, Endang Tri; Murti, Bhisma; Retno Dewi, Yulia Lanti
Journal of Health Promotion and Behavior Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Treatment of patients with mental health problem at home and hospital has been so variable and unsatisfactory. An often assumed causal factor of this problem is lack of knowledge among household heads of patients with mental health problem. This study aimed to determine the effect of self help group on knowledge and attitude in decision making among household heads of patients with depression in Yogyakarta.Subjects and Method: This was an analytic experimental study with RCT (Randomized Control Trial). This study was conducted at Jetis, Sleman, Yogyakarta. Study subjects included household heads and 60 patients with depression. The dependent variables were knowldege and attitude in decision making. The independent variable was self health group. The data were collected by use of a set of questionnaire. The data were analyzed by logistic regression.Results: There was positive relationship between engaged in self help group and knowledge (OR= 1.46, 95% CI= 1.33-14.02, p= 0.015) among household heads of patients with depression. There was positive relationship between being engaged in self help group and attitude, but it was statistically non-significant (OR= 1.46, 95% CI= 0.74-25.41, p= 0.105).Conclusion: Self help group has positive significant effect on household head’s knowledge, as well as attitude in decision making among household heads.Keywords: self help group, knowledge, attitudeCorrespondence: Endang Tri Sulistyowati. Health Academy of Karya Husada, Yogyakarta. Email: endangts80@gmail.com.Journal of Health Promotion and Behaviour (2016), 1(4): 223-227https://doi.org/10.26911/thejhpb.2016.01.04.01
Decision to Choose Acupuncture Therapy for Degenerative Diseases among the Elderly at Ja’far Medika Hospital, Karanganyar -, Purwanto; Dharmawan, Ruben; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Aging process results in biological, physical, and mental changes in the elderly. Degenerative diseases are common in the elderly. They can be treated by pharmacologic or non pharmacologic treatment. Acupuncture therapy potentially can be used as a complementary or alternative therapy to treat degenerative diseases in the elderly. This study aimed to investigate factors that determine the decision to choose acupuncture therapy for the degenerative diseases in the elderly at Ja’far Medika Hospital, Karanganyar, Central Java.SubjectsandMethod: This was a qualitative study with phenomenology approach. This study was conducted at Ja’far Medika Hospital, Karanganyar, Central Java, fromMarch to April 2015. Ten informants were selected for this study by purposive sampling. The data were collected by in-depth interview, observation, and document review.They were validated by source triangulation, and analyzed by Miles and Huberman method.Results: The sample consisted of 5 men and 5 women, aged 53 to 72 years old, with school attainment varying from primary school to university graduate. Job category included farmer, civil servant, and pensioner. The degenerative diseases that were treated by acupuncture therapy including post-stroke, hernia nucleous pulposus, and eyelid disorder.  Internal factors that determined the decision to choose acupuncture were motivation to recover, (religious) belief, and boredom to medical service. External factors that determined the decision to choose acupuncture included the quality of service, family support, trust in the therapist, and hospital image. According to the informants, the acupuncture therapy could help recover their health from the degenerative diseases. Most of them used acupuncture as a complementary treatment.Conclusion: Some internal and external factors determine the decision to choose acupuncture therapy for the degenerative health problem in the elderly. Acupuncture treatment is reported to help recover health in the elderly. Keywords: acupuncture, decision, degenerative disease, elderlyCorrespondence: Purwanto. Masters Program in Public Health, Sebelas Maret University. Email: Purwanto.akp@gmail.com. Mobile: 081393289784.Journal of Health Promotion and Behavior (2016), 1(2): 127-137https://doi.org/10.26911/thejhpb.2016.01.02.08 
Effects of Predisposing, Enabling, and Reinforcing Factors on the Uptake of Voluntary Counselling and Testing among Female Sex Workers in Grobogan, Central Java Perdana, Muhammad Vidi; Demartoto, Argyo; Indarto, Dono
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Human Immunodeficiency Virus (HIV) infection is a global public health issue. Global AIDS Response Progress Reporting (GARP) reported that in 2015, about 36.7 million people worldwide suffered from HIV-AIDS in all age groups. The highest number of HIV/AIDS cases occured in East Africa and South Africa. This study aimed to examine the effects of predisposing, enabling, and reinforcing factors on the uptake of voluntary counselling and testing (VCT) among female  sex workers in Grobogan, Central Java.Subjects and Method: This was an analytical observational study with cross-sectional design. It was conducted in Grobogan, Central Java, in July 2017. A sample of 142 female sex workers  were selected for this study by exhaustive sampling. The dependent variable was uptake of VCT. The independent variables were attitude, perceived benefit, external motivation from others, and social support. The data were collected by a questionnaire and analyzed by multiple logistic regression.Results: Positive attitude towards HIV status (OR= 6.09; 95% CI= 0.968 to 38.38; p= 0.054), positive perceived benefit (OR= 10.58; 95% CI= 1.48 to 76.93; p= 0.019), external motivation (OR= 8.30; 95% CI= 1.21 to 56.82; p= 0.031), and social support (OR= 9.45; 95% CI= 1.46 to 60.83; p= 0.018), positively affected uptake of  VCT.Conclusion: Positive attitude towards HIV status, positive perceived benefit, external motivation, and social support, positively affect uptake of  VCT.Keywords: HIV, Voluntary Counselling Testing, female sex workersCorrespondence: Muhammad Vidi Perdana. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: vidihse@gmail.com. Journal of Health Promotion and Behavior (2017), 2(3): 242-256https://doi.org/10.26911/thejhpb.2017.02.03.05
Factors Affecting Safe Sex Behavior Among Female Sex Workers in Surakarta, Central Java Sugma, Saras Vati Manvatarini; Sudiyanto, Aris; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Earlier studies often focus solely on clients as female sex worker (FSW) risky sexual partners, ignoring the possible risks FSWs face from steady sex partners. Thus, further study is needed identifying strategies to reduce the potential increased risk of HIV/STI transmission between FSWs and their steady partners. This study aimed to determine factors affecting safe sex behavior among female sex workers in Surakarta, Central Java.Subjects and Method: A cross-sectional study was conducted in Banjarsari, Surakarta, Central Java, from April to May 2018. A sample of 134 female sex workers was selected by simple random sampling. The dependent variable was safe sex behavior. The independent variables were subjective norm, perceived behavior control, intention, attitude, education, and age. The data were collected by questionnaire and analyzed by path analysis.Results: Safe sex behavior increased with strong intention (b= 0.08; SE= 0.04; p=0.041). Safe sex behavior indirectly increased with older age, positive attitude, positive subjective norm, and strong perceived behavior control.Conclusion: Safe sex behavior directly increases with strong intention, and indirectly increases with older age, positive attitude, positive subjective norm, and strong perceived behavior control.Keywords: safe sex behavior, Theory of Planned BehaviorCorrespondence:Saras Vati Manvatarini Sugma. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: sarasvatims@gmail.com. Mobile: +6282186653675.Journal of Health Promotion and Behavior (2018), 3(2): 109-115https://doi.org/10.26911/thejhpb.2018.03.02.04
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 Self-Esteem, Self-Efficacy, Peers, Parental Controls and Sexual Behavior in Adolescentsat High School, Surakarta -, Winarni; Astirin, Okid Parama; Dharmawan, Ruben
Journal of Health Promotion and Behavior Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Sexual behavior among teenagers is worrying. It is influenced of permissive attitude shift, causing violation of norms, ethics in society. One factor is the opening of information about sex freely circulating in the community. In Surakarta adolescent at high school never did kiss the lips of 10.53%, a kiss in 5.6%, 4.23% masturbation and sexual intercourse 3.09%. This study aimed to determine the association of self-esteem, self-efficacy, peers, parents, with premarital sexual behavior in adolescent high school in Surakarta.Subjects and Method: This was an observational analytic study with cross sectional design. A total sample of 113 respondents was taken by using proportional random sampling. The population was in ten high schools of 1663 subjects in Surakarta. Data analysis used linear regression.Results: There is a relationship of self-esteem with premarital sexual behavior (b1= -0.202; 95% CI= -0.39 to -0.01; p= 0.036) were significantly higher self-esteem then reduce premarital sexual behavior. There is a relationship of self-efficacy with premarital sexual behavior (b2= -0.168; 95% CI= -0.33 to -0.01; p= 0.041) were significantly higher self-efficacy students then reduce premarital sexual behavior. There are peer relationships with premarital sexual behavior (b3= -0.271; 95% CI= -0.51 to -0.04; p= 0.024) were significantly better peer support and will reduce premarital sexual behavior. There is a parental relationship with premarital sexual behavior (b4= -0.236; 95% CI= -0.44 to -0.03; p= 0.025), the better the more parental supervision reduce premarital sexual behavior. There is a relationship of self-esteem, self-efficacy, peers, parents with premarital sexual behavior (F = 10.053; 95% CI= 24.16 to 43.61; p <0.001; R 2 = 24.4%)Conclusion: Self-esteem, self-efficacy, peers, and parents are associated with premarital sexual behavior in adolescents of 24.4%. Seventy six point six percent is influenced by other variables outside the research model.Keywords: Self-esteem, Self Efficacy, Peers, Parents Supervision, Premarital sex behaviorCorrespondence: Winarni. School of Public Health, Sebelas Maret University, Surakarta.Journal of Health Promotion and Behavior (2016), 1(1): 46-53https://doi.org/10.26911/thejhpb.2016.01.01.07

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