Journal of Health Promotion and Behavior
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.
Articles
79
Articles
Health Belief Model on the Predictors of Healthy Sex Behavior among Commercial Female Sex Workers in Surakarta, Central Java

Syarifah, Syarifah, Demartoto, Argyo, Dharmawan, Ruben

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: Sexually transmitted infections (STIs) are diseases that are now a global issue because they are the entrance to HIV transmission. Female sex workers (WPS) have a high risk of contracting and transmitting STIs and HIV / AIDS due to unsafe sex behavior. The purpose of this study was to analyze the relationship of safe sex behavior for the prevention of sexually transmitted infections in female sex workers in Surakarta.Subjects and Method: A cross-sectional study was conducetd in Surakarta, Central Java, from December 2017 to January 2018. A sample of 105 female sex workers was selected by fixed disease sample. The dependent variable was safe sex behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, perceive threat, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: Safe sex behavior among female sex worker increased with strong perceived benefit (b= 0.18; 95% CI= 0.74 to 0.28; p= 0.001) and strong self-efficacy (b=0.51; 95% CI=0.25 to 0.76; p<0.001). Safe sex behavior decreased with strong perceived barrier (b= 0.15; 95% CI= -0.27 to  -0.03; p=0.012). Terdapat hubungan antara persepsi manfaat, efikasi diri dan persepsi hambatan dengan perilaku seks yang aman (F= 10.351; 95% CI= 6.70 to 17.00; p<0.001; R2=23.5%).Conclusion: Safe sex behavior among female sex workers increases with strong perceived benefit and strong self-efficacy. Safe sex behavior decreases with strong perceived barrier.Keywords: sex behaviour, safe sex, sexually transmitted infections, female sex workersCorrespondence: Syarifah. Masters Program in Public Health, Universitas Sebelas MaretJournal of Health Promotion and Behavior (2018), 3(2): 116-125https://doi.org/10.26911/thejhpb.2018.03.02.05

Multilevel Analysis of the Effect of School and Peer Group on Smoking Behavior in Adolescents in Banjarnegara

Panduwinata, Annisa Widya, Murti, Bhisma, Pawito, Pawito

Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Smoking remains a public health problem in the world, especially in Indonesia. Indonesia is the third country with the largest number of smokers, especially among teenagers. School and peers are one of the factors that influence smoking behavior in adolescents. This study aims at analyzing the influence of schools and peers on smoking behavior in adolescents.Subjects and Method: This was an analytic observational study with a cross sectional design. It was conducted in Banjarnegara, Central Java, from October to November 2018. A sample of 200 adolescents was selected by simple random sampling. The dependent variable was smoking behavior. The independent variables were intention, attitude, subjective norm, perceived behavior control, pocket money, media exposure, peer, and family intimacy. The data were collected by questionnaire and analyzed by multilevel regression.Results: Smoking behavior was positively affected by intention (b= 1.49; CI95%= 0.25 to 2.73; p= 0.019), peer group (b= 1.20; 95% CI= 0.12 to 2.28; p= 0.030), and media exposure (b= 1.97; 95% CI= 0.87 to 3.08; p<0.001). Smoking behavior was negatively affected by family intimacy (b= -1.34; 95% CI= -2.44 to -0.24; p= 0.017), attitude (b= -1.44; 95% CI= -2.43 to 0. 44; p= 0.005), subjective norm (b= -1.84; 95% CI= -2. 87 to 0.81; p< 0.001), perceived behavior (b=- 1.91; 95% CI= -3.03 to 0.79; p= 0.001). Smoking behavior was negatively affected by money pocket (b= -0.77; 95% CI= -1.85 to 0.30; p= 0.158) but it was statistically non-significant. School had contextual effect of smoking behavior in adolescents (ICC= 13.8%).Conclusion: Smoking behavior is positively affected by intention, peer group, and media exposure. Smoking behavior is negatively affected by family intimacy, attitude, subjective norm, perceived behavior. Smoking behavior is not associated with money pocket. The school has contextual effect of smoking behavior in adolescents.Keywords: smoking behavior, school, adolescents, multilevel analysisCorrespondence:Annisa Widya Panduwinata. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: annisawidya20@gmail.com. Mobile: +6285326744630.Journal of Health Promotion and Behavior (2018), 3(3): 166-178https://doi.org/10.26911/thejhpb.2018.03.03.04

Determinants of Mobile Voluntary Counselling and Testing of HIV Use among Gay in Surakarta, Central Java

Nindiyastuti, Nadia Ayu Irma, Prasetya, Hanung, Murti, Bhisma

Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: HIV infection remains a major global health problem, especially among bisexuals, men who have sex with men (MSM), and homosexuals. The number of AIDS patients in Indonesia from January to March 2017 was 673 people, the number of HIV infections was 10,376 people, and number of AIDS death was 61 people. The purpose of this study was to analyze the determinants of the use of mobile VCT of HIV in MSM community in Surakarta, Central Java.Subjects and Method: A cross-sectional study was conducted in Surakarta, Central Java, from October to November 2018. A sample of 200 MSM was selected by fixed disease sampling, including 50 MSM who used mobile VCT service and 150 MSM who did not use mobile VCT service. The dependent variable was mobile VCT of HIV use. The independent variables were intention, attitude, cues to action, perceived benefit, perceived barrier, and perceived susceptibility. The data were collected by questionnaire and analyzed by path analysis.Results: Mobile VCT of HIV use was directly and positively affected by intention (b= 1.67; 95% CI= 0.73 to 2.56; p<0.001), attitude (b= 1.47; 95% CI= 0.43 to 2.52; p= 0.006), cues to action (b= 1.22; 95% CI= 0.29 to 2.14; p= 0.009), and perceived benefit (b= 1.99; 95% CI= 1.04 to 2.95; p<0.001). It was negatively affected by perceived barrier (b= -1.58; 95% CI= -2.49 to -0.67; p= 0.001). Mobile VCT use was indirectly affected by cues to action, perceived seriousness, and perceived susceptibility.Conclusion: Mobile VCT of HIV use is directly and positively affected by intention, attitude, cues to action, and perceived benefit, but is negatively affected by perceived barrier.Keywords: mobile VCT use, HIV infection, determinants, men who have sex with men, Health Belief ModelCorrespondence:Nadia Ayu Irma Nindiyastuti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta, Central Java 57216. Email: nadiaayu21051992@gmail.com.Mobile: 081252097440.Journal of Health Promotion and Behavior (2019), 3(3): 155-165https://doi.org/10.26911/thejhpb.2018.03.03.03

Environmental Living and Parenting Style Affects Glue Inhaling Behavior among Elementary Students

Yusniar, Yusniar, Andayani, Lita, Ashar, Taufik

Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: One of the deviant behaviors that occur nowadays in children is the behavior of inhalation. Inhalant is an alternative drug substitute that is affordable for children and can cause addiction. Inhalants can have an impact on health, the social environment and culture. This study aimed to determine the effects of environmental living and parenting style on the glue inhaling behavior among elementary school students in Sibolga, North Sumatera.Subjects and Method: This was a case-control study conducted in Sibolga, North Sumatera, in May 2018. A sample of 60 elementary students was selected for this study by purposive sampling. The dependent variable was glue inhaling behavior. Independent variables were environmental living and parenting style. The data were obtained by a questionnaire and analyzed by a multiple logistic regression.Results: Permissive or authoritarian parenting style increased glue inhaling behavior and it was statistically significant (OR= 31.50; 95% CI= 5.99 to 165.47; p<0.001). Risky environmental living increased glue inhaling behavior but it was statistically non-significant (OR = 1.80; 95% CI <0.01 to 1.01; p = 0.999).Conclusions: Permissive or authoritarian parenting style and risky environmental living increase glue inhaling behavior in elementary students.Keywords: glue inhaling behavior, environmental living, parenting styleCorrespondence: Yusniar. Masters Program in Public Health, Faculty of Public Health, Universitas Sumatera Utara, Jl. Prof. T. Maas, Medan Sumatera Utara. Email:1409yusniar@gmail.com. Mobile: 08126481578Journal of Health Promotion and Behavior (2018), 3(1): 146-149https://doi.org/10.26911/thejhpb.2018.03.03.01

The Effects of Multiple Sexual Partners and Condoms Use on the Incidence of HIV in Men Having Sex with Men

Wati, Evi Erlinda, Lubis, Rahayu, Rochadi, R. Kintoko

Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: HIV has become a problem in the international community. Rapid transmission of HIV becomes a threatfor the entire global community in order to prevent an increasingly widespread. One of the factors that causes HIV is unhealthy sexual behavior. This study aimed to determine the effect of changing partners and condom use on HIV incidence in men having sex with Men (MSM) in the Teladan Health Center in Medan.Subjects and Method: This was case-control study conducted at Teladan Health Center, in May 2018. A sample of 96 study subjects was selected for this study. The dependent variable was the incidence of HIV. The independent variables were multiple sex partners and condom use. HIV status was obtained from medical record. The other variables were measured by questionnaire. The data were analyzed by a multiple logistic regression.Results: Multiple sexual partners (OR= 2.93; 95% CI= 1.25 to 6.86; p= 0.022) and absence of condom use (OR= 2.83; 95% CI= 1.23 to 6.52; p= 0.024) increased the risk of HIV among men having sex with men.Conclusions: The occurrence of HIV in MSM is probably 2.9 times due changing partner actions and 2.8 times due to the inconsistent condom use.Keywords: HIV, multiple, sexual partners, condom use, men having sex with menCorrespondence: Evi Erlinda Wati. Masters Program in Public Health, Faculty of Public Health, Universitas Sumatera Utara. Jl. Universitas No. 21 Kampus USU Medan 20155, Sumatera Utara. Email: eviritonga74@gmail.com. Mobile: +08126347701Journal of Health Promotion and Behavior (2018), 3(3): 150-154https://doi.org/10.26911/thejhpb.2018.03.03.02

Predisposing Factors Associated with Health Behavior in Deli Serdang, North Sumatera

Simbolon, Pomarida, Sianipar, Connie Melva

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: Clean and healthy life behavior (PHBS) is expected to reduce the risk of disease and improve the quality of health. PHBS in order school is an attempt to empower students, teachers and the public school environment in order to know, willing, and able to practice healthy hygiene practices. This study aimed to analyze the relationship of predisposing factors associated with PHBS in Deli Serdang.Subjects and Method: This study was a cross-sectional study conducted at Pancur Batu Senior High School, Deli Serdang, Medan, from April to May 2018. A sample of 88 students was selected for this study by simple random sampling. The dependent variable was PHBS. The independent variables were teachers knowledge, attitude, and support. The data were collected using a questionnaire and analyzed by Chi square test.Result: Positive attitude (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), high knowledge (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), and strong support (OR= 16.88; 95% CI = 4.33 to 65.71; p = 0.001) improved PHBS.Conclusion: Positive attitude (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), high knowledge (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), and strong support (OR= 16.88; 95% CI = 4.33 to 65.71; p = 0.001) improved PHBS.Keywords: knowledge, attitude, teacher support, clean and healthy life behaviorCorrespondence: Pomarida Simbolon. STIKes Santa Elisabeth, Medan, Sumatera Utara. Jl. Bunga Terompet No.118, Sempakata, Medan Selayang, Kota Medan 20131, Sumatera Utara. Email: pomasps@yahoo.com. Mobile: 085361806500.Health Promotion and Behavior (2018), 3(2): 130-138https://doi.org/10.26911/thejhpb.2018.03.02.07

Theory of Planned Behavior Implementation on the Factors Affecting Self-Care Management in Type 2 Diabetes Mellitus Patients

Damayanti, Ana, Tamtomo, Didik, Indarto, Dono

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: Diabetes mellitus (DM) is one of the largest global health emergencies in the 21st century. Diabetes self-management education (DSME) is a continuous process of knowledge transfer in order to improve skill and ability of diabetic patient to perform self-care management, which reduces blood glucose level and prevent diabetic complications. The success of DSME is determined by behavior changes of diabetic patients, which can be assessed using behavior theories including Theory of Planned Behavior (TPB). This study aimed to analyze the factors affecting self-care management in patients with type 2 DM using TPB.Subjects and Method: A randomized controlled trial study was carried out in 7 community health centers in Tarakan City, North Kalimantan, from March to May, 2018. A sample of 126 type 2 DM patients was selected by simple random sampling. The dependent variable was self-care management. The independent variables were intention, attitude, subjective norm, self-efficacy, and education level. The data was collected by questionnaire and analyzed by path analysis.Results: Self-care management was positively and directly affected by education ?senior high school (b= 7.10; SE= 3.22; p= 0.028) and strong intention (b= 2.40; SE= 0.75; p= 0.001). Self-care management was indirectly affected by self-efficacy, attitude, and subjective norm trough intention.Conclusion: Self-care management in type 2 DM is directly affected by education and strong intention. These findings support the TPB implementation in self-care management.Keywords: self- care management, type 2 DM, Theory of Planned BehaviorCorrespondence: Ana Damayanti. Faculty of Health Science, Universitas Borneo Tarakan, Jl. Amal Lama 1, Tarakan 77115, North Kalimantan. Email: damayanti.titha@gmail.com. Mobile: +6281347727774.Journal Health Promotion and Behavior (2018), 3(2): 139-145https://doi.org/10.26911/thejhpb.2018.03.02.08 

Perceived Benefit of Condom Use Domination on the Perceived Benefit of Sexually Transmitted Infection Screening on Queer in Yogyakarta

Indrawati, Fika Lilik, Demartoto, Argyo, Probandari, Ari Natalia

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: The negative stigma is inherent in transvestites because it is referred to as one of the sources of the spread of STIs and HIV/ AIDS viruse. In their position as a sex worker who was considered very low and lack of knowledge about reproductive health, the transvestites were infected with STIs and the HIV virus from their sexual partners. This happened because of a lack of information about reproductive health and access to health services for queer. This study aimed to analyze perceived benefit of condom use domination on the perceived benefit of sexually transmitted infection screening on queer.Subjects and Method: This was a qualitative study with phenomenological approach. Seven representative informants were selected by purposive sampling. The data were collected by in-depth interview and focus group discussion. The number of informants at the focus group discussion was eight people.Results: Most of the informants believed that they were able to avoid or recover from STIs by using safety, namely condoms. They are more convinced that by applying condoms to their partners, it will be more useful as prevention of STIs compared to STI screening, on the grounds that practical condoms are easy to carry and do not hurt when having sexual intercourse.Conclusion: All transvestites believe that STI screening can be beneficial to their health, but the reality in their behavior is that they believe in condoms as a means of preventing STIs.Keywords: condom, STI screening service, queerCorrespondence: Fika Lilik Indrawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: fika.lilik.indrawati@gmail.comJournal of Health Promotion and Behavior (2018), 3(2): 126-129https://doi.org/10.26911/thejhpb.2018.03.02.06

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

Path Analysis: Factors Associated with Self Preventive Care among Patients with Type 2 Diabetes Mellitus in Surakarta

Prasetyowati, Ummy, Tamtoto, Didik, Murti, Bhisma

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: Patients with diabetes have an increased risk of morbidity and mortality from several conditions, such as cardiovascular, cerebrovascular, or kidney diseases and heart failure. In ad­d­ition, economic analysis indicates that mean total costs associated with microvascular complications have almost doubled compared with those for patients without these complications. This study aimed to analyze factors associated with self preventive care among patients with type 2 dia­betes mellitus in Surakarta, using a path analysis model.Subjects and Method: A cross sectional study was conducted at Dr. Moewardi Hospital, Su­rakarta, Central Java, from March to April 2018. A sample of 200 type DM patients was selected by to­tal sampling. The dependent variable was self preventive care. The independent variables were per­ceived severity, susceptibility, threat, benefit, cues to action, self efficacy, attitude, and family sup­port. The data were collected by questionnaire and analyzed by path analysis.Results: Self preventive care directly increased with perceived threat (b= 3.21; 95% CI= 1.98 to 4.44; p<0.001), perceived benefit (OR= 0.68; 95% CI= -0.11 to 1.47; p=0.092), and self efficacy (OR= 0.14; 95% CI= 0.01 to 0.26; p=0.029). Self preventive care was indirectly associated with perceived severity, attitude, family support, and cues to action.Conclusion: Self preventive care directly increases with perceived threat, perceived benefit, and self efficacy, and is indirectly associated with perceived severity, attitude, family support, and cues to action.Keywords: type 2 diabetes mellitus, self preventive care, Health Belief ModelCorrespondence: Ummy Prasetyowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ummyprasetyowati@gmail.com. Mobile:+6281227225939.Journal of Health Promotion and Behavior (2018), 3(2): 86-93https://doi.org/10.26911/thejhpb.2018.03.02.01