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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
73
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

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 

Parental Communication, Peer Role, and the Contextual Effect of School on Safe Sex Behavior among Adolescents in Mojokerto, East Java

Lianawati, Feny, Demartoto, Argyo, Adriani, Rita Benya

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: Globally, youth are particularly vulnerable to the negativeconsequences of sexual behavior, such as unwanted pregnancies, AIDS and other STDs. The importance of school contextual effects on health and well‐being among young people is increasingly recognized. This study aimed to examine the effects of parental communication and peer role on safe sex behavior among adolescents in Mojokerto, East Java, with special consideration of the contextualeffect of school.Subjects and Method: This was a cross-sectional study conducted at 15 senior high schools in Mojokerto, East Java, from April to May 2018.A sample of 200 students was selected by stratified random sampling.The dependent variable was safe sex behavior. The independent variables were parental communication and peer role. The data were collected by questionnaire and analyzed by a multilevel analysis.Results: Parental communication role (b= 1.00; 95% CI= -0.56 to 1.44; p<0.001) and peer role (b=0.84; 95% CI=0.41 to 1.27; p<0.001) positively affected safe sex behavior among adolescents. School had a contextual effect on safe sex behavior with ICC= 9.6%.Conclusion: Parental role and peer role positively affect safe sex behavior among adolescents. School has a considerable contextual effect on safe sex behavior.Keywords: safe sex behavior, parental communication, peer role,multilevel analysisCorrespondence: Feny Lianawati. Masters Program on Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java. Email: fenyliana188@gmail.com. Mobile:+6282143157071.Journal of Health Promotion and Behavior (2018), 3(2): 94-99https://doi.org/10.26911/thejhpb.2018.03.02.02

Health Belief Model on the Choice of Medical Doctor among Mothers of Children with Diarrhea

Irnawati, Prita Yuliana, Salimo, Harsono, Dewi, Yulia Lanti Retno

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: Diseases among young children are the major causes of morbidity and mortality particularly in the developing countries. An estimated 13 million infants and children die annually in developing countries. In most developing countries, the health of the children is strongly dependant on maternal healthcare behavior. Evidence on health seeking behavior has been lacking in Central Java, Indonesia, particularly mother’s choice to visit pediatrician rather than general practitioner for her ill child. The purpose of this study was to examine factors associated with the choice of medical doctor among mothers of children with diarrhea, using Health Belief Model.Subjects and Method: A case control study was carried out at Sangkrah community health center, Surakarta, Central Java, in January 2017. A sample of 164 mothers was selected by fixed disease sampling. The dependent variable was mother’s choice to visit doctor. The independent variables were perceived susceptibility, seriousness, threat, benefit, and barrier. The data were collected by questionnaire and analyzed by path analysis.Results: The chance of mother decided to visit pediatrician rather than general practitioner was directly increased with strong perceived threat (b= 0.91; 95% CI= 0.24 to -1.57; p= 0.008), strong perceived benefit (b= 0.85; 95% CI= 0.19 to 1.50; p= 0.012), and decreased with strong perceived barrier (b= -0.67; 95% CI= -1.36 to 0.01; p= 0.053). Mother’s choice to visit pediatrician was indirectly affected by perceived susceptibility and perceived seriousness.Conclusion: Mother’s choice to visit pediatrician rather than general practitioner is directly increased with perceived threat, perceived benefit, and decreased with perceived barrier. Mother’s choice to visit pediatrician is indirectly affected by perceived susceptibility and perceived seriousness.Keywords: mother’s choice, pediatrician, general practitioner, diarrhea, health believe model, childrenCorrespondence: Prita Yuliana Irnawati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: pritayuliana@gmail.com. Mobile: +6287835140534.Journal of Health Promotion and Behavior (2018), 3(2): 100-108https://doi.org/10.26911/thejhpb.2018.03.02.03

Factors Associated with Pre-Marital Sexual Behavior Among Adolescents in Bima, West Nusa Tenggara: Theory of Planned Behavior

Tarmidi, Mulya, Demartoto, Argyo, Pamungkasari, Eti Poncorini

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: Adolescent reproductive health is a major global challenge. Studies have reported around 16 million women 15–19 years old give birth each year, 11% of all births worldwide.95% of these births occur in low- and middle income countries. This study aimed to examine factors associated with pre-marital sexual behavior among adolescents in Bima, West Nusa Tenggara, using Theory of Planned Behavior (TPB).Subjects and Method: This was a cross-sectional study conducted in Bima, East Nusa Tenggara, Indonesia, from April to June 2018. A sample of 200 senior high school students was selected by proportional stratified random sampling. The dependent variable was healthy pre-marital sex behavior. The independent variables were intention, attitude, maternal education, subjective norm, peer norm, perceived behaviour control (PBC), and reproduction health information center (PIK-KRR). The data were analyzed by path analysis.Results: Healthy pre-marital sex behavior was directly increased with intention (b= 0.56; SE= 0.03; p<0.001) and PBC (b= 0.07; SE= 0.03; p= 0.025). Healthy pre-marital sex behavior was indirectly affected bysubjective norm, attitude, maternal education, subjective norm, peer norm, and health information center. Conclusion: Healthy pre-marital sex behavior is directly increased with intention and PBC. Healthy pre-marital sex behavior is indirectly affected bysubjective norm, attitude, maternal education, subjective norm, peer norm, and health information center.Keywords: pre-marital sex behaviour, reproduction health information center, Theory of Planned Behavior, path analysisCorrespondence: Mulya Tarmidi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email:bluedaeng@gmail.com.Mobile: +6285238609735.Journal of Health Promotion and Behavior (2018), 3(1): 78-85https://doi.org/10.26911/thejhpb.2018.03.01.08

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

Socioeconomic Factors and Sexual Behavior Associated with HIV Infection in Population, in Kebumen District, Central Java

Subaeti, Tri, Demartoto, Argyo, 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: Globally, the number of people infected with Human Immuno-deficiency Virus (HIV) was estimated at 36.7 million. This study aimed to examine the social economic determinants of HIV status in Kebumen district community.Subjects and Method: This was an analytic observational with a case-control design. This study was conducted in Kebumen District, Central Java, from January to February 2018. A sample of 81 HIV positive cases and 162 negative controls were selected for this study by fixed disease sampling. The dependent variable was HIV status. The independent variables were age, sex, marital status, income, education, ignorance of the HIV status, health worker support, number of sexual partners, and sexual transmitted infection (STI). Data on HIV status were taken from medical record. The data of other variables were collected by questionnaire. The data were analyzed by logistic regression.Results: HIV positive status increased with higher income (OR= 2.94; 95% CI= 1.04 to 8.26; p= 0.041), age ≥24 years (OR=4.33; 95% CI= 1.19 to 15.8; p= 0.026), ignorance of HIV status (OR=0.21; 95% CI= 0.09 to 0.51; p= 0.001), lack of health worker support (OR= 5.62; 95% CI= 0.88 to 35.58; p= 0.067), multiple sexual partner (OR= 6.59; 95% CI= 2.69 to 16.18; p<0.001), and presence of STI (OR= 14.19; 95% CI= 5.06 to 39.85; p<0.001).Conclusion: HIV positive status increases with higher income, age ≥24 years, ignorance of HIV status, lack of health personnel support, multiple sexual partner, and presence of STI.Keywords: socioeconomic, determinant, HIVCorrespondence: Tri Subaeti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: etisoegito@gmail.com. Mobile: +6281226785111.Journal of Health Promotion and Public Health (2018), 3(1): 56-65https://doi.org/10.26911/thejhpb.2018.03.01.06

A Path Analysis on Adherence to Antiretroviral Therapy among HIV/ AIDS Patients at Dr. Moewardi Hospital, Surakarta using Health Belief Model

Agustin, Dyah Ayu, Prasetyo, Afiono Agung, 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: HIV / AIDS (Acquired Immune Deficiency Syndrome) is still a health problem in the world including in Indonesia. Approximately 36.7 people are infected with HIV in the world and in Indonesia until March 2017 recorded 242,699 cases. The recorded amount does not reflect the real number in the community because HIV infection often does not show specific symptoms before entering the stage of AIDS. This study aimed to examine the application of the health belief model on adherence to antiretroviral therapy among HIV/ AIDS patients in Surakarta, Central Java.Subject and  Method: This was a cross sectional study conducted at Dr. Moewardi Hospital, Surakarta, Central Java, on February 2018. A total sample of 284 HIV/AIDS patients was selected for this study by exhaustive sampling. The dependent variable was ARV Adherence. The independent variables were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The data were collected using a questionnaire and analyzed by a path analysis.Results: Adherence directly increased with self-efficacy (b= 2.10; 95% CI = 0.85 to 3.34; p= 0.001), perceived benefit (b= 2.08; 95% CI= 1.15 to 3.00; p <0.001), and cue to action (b= 3.61; 95% CI= 0.86  to 6.36; p= 0.010) but decreased with higher perceived barrier (b= 2.08; 95% CI= 1.15 to 3.00; p<0.001). Adherence indirectly decreased with higher perceived severity and perceived susceptibility.Conclusion: Self-efficacy, perceived benefit, perceived barrier,  and cue to action directly affect the adherence to antiretroviral therapy. Perceived severity and perceived susceptibility indirectly affect the adherence to antiretroviral therapy. Keywords: ARV adherence, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacyCorrespondence: Dyah Ayu Agustin. School of Health Sciences Kendedes, Malang, East Java. Email: ayuagustin20@gmail.com. Mobile: +6281316337006.Journal of Health Promotion and Behavior (2018), 3(1): 48-55https://doi.org/10.26911/thejhpb.2018.03.01.05