Journal of Health Promotion and Behavior (JHPB)
Not a member yet
289 research outputs found
Sort by
Association between Knowledge, Perceived Seriousness, Perceived Benefit and Barrier, and Family Support on Adherence to Anti-Retrovirus Therapy in Patients with HIV/AIDS
Full text linkBackground: The cumulative of HIV/AIDS cases in Surakarta are 1.212 cases, and 376 of them died in the span of Oktober 2005 until Januari 2014 . HIV infections have not found a cure, so it is possible someone with AIDS often experience psychological problems, especially anxiety, depression, which can suppress the immune system, making people more vulnerable against illness and pain. AIDS can not be cured, but the life expectancy of people living with HIV/ AIDS (PLWHA) can be extended with antiretroviral treatment (ART). This treatment can boost immunity so that the quality of life of PLHIV increasedSubjects and Method: The study was observational analytic research with cross sectional design. The location of research in PHC Manahan Surakarta total of 36 patients with HIV / AIDS who do ARV therapy. The data analysis using logistic regression.Results: There is a positive correlation was not statistically significant from the knowledge of the drugs with antiretroviral therapy adherence (OR=4.03; 95% CI= 0.22 to 73.32; p=0.347). There is a positive correlation was statistically significant on the perception of the seriousness of the disease with antiretroviral therapy adherence (OR=26.70; 95% CI= 1.30 to 550.51; p=0.033). There is a positive relationship and statistically significant on the perception of the benefits and barriers to compliance with antiretroviral therapy (OR=17.73; 95% CI= 1.12 to 279.59; p=0.041). There is a positive correlation was statistically significant from family support with antiretroviral therapy adherence (OR=28.89; 95% CI= 1.24 to 647.71; p=0.036). Conclusion: The perception of the seriousness of the disease is the most variable bergubungan with antiretroviral therapy adherence (p=0.033).Keywords: knowledge about ARV, seriousness of the disease, barriers and family support, adherence ARV therapyCorrespondence: Sunaryo. Department of Health, Surakarta. Email: [email protected] of Health Promotion and Behavior (2016), 1(1): 54-61https://doi.org/10.26911/thejhpb.2016.01.01.08
Factors Associated with Early Marriage in Sleman, Yogyakarta
Full text linkBackground: Early marriageis a complex social issue with indirect implication on the quality of family. Early marriage can indirectly contribute to increasing maternal mortality rate and infant mortality rate. There were 135 early marriage cases reported in Sleman district in 2013, 150 cases in 2014, and 123 cases in 2015. The purpose of this study was to analyze factors associates with the incident of early marriage in Sleman, Yogyakarta.Subjects and Method: This was an analytic observational study with case control design conducted in Sleman, Yogyakarta, Central Java, in Indonesia, August to November 2016.A total sample of 120 study subjects consisting of 40 early married young couples and 80 in time married young couples, was selected for this study, by purposive sampling. The dependent variable was early marriage. The indipendent variables included family disharmony, emotional insecurity, promiscuity tendency, unintended pregnancy, maternal education, family social economic class, parent perception of early marriage, and local culture regarding early marriage. The data were collected by questionnaire and document review at the office of religious affairs. The data were analyzed by path analysis using STATA 13.Results: There were direct relationships between unintended pregnancy (b= 3.40; CI95%= 1.08–5.71; p=0.004), income (b=-1.58; CI95%=0.58 sd 2.18; p= 0.001), promiscuity tendency (b=1.93; CI95%=-3.11–0.06; p=0.042), parent perception of early marriage (b=2.75; CI95%=0.49-5.02; p=0.017), local culture regarding early marriage (b=5.62; CI95%=2.63–8.62; p<0.001) and the incidence of early marriage. There were indirect relationsh e. ips between family disharmony, emotional security, promiscuity tendency, maternal education, and incident of early marriage.Conclusion: There were direct relationships between unintended pregnancy, social economic class, promiscuity tendency, parent perception of early marriage, local culture regarding early marriage and the incidence of early marriage.Keywords: Early marriage, family disharmony, unintended early married, local culturCorrespondence: Nurul Husna. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal of Health Promotion and Behavior (2016), 1(2): 87-98https://doi.org/10.26911/thejhpb.2016.01.02.0
Decision to Choose Acupuncture Therapy for Degenerative Diseases among the Elderly at Ja’far Medika Hospital, Karanganyar
Full text linkBackground: 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: [email protected]. Mobile: 081393289784.Journal of Health Promotion and Behavior (2016), 1(2): 127-137https://doi.org/10.26911/thejhpb.2016.01.02.08
Path Analysis and Theory of Planned Behavior on Using PAP SMEAR as Early Detection of Cervical Cancer in Sewon I Community Health Center, Bantul, Yogyakarta, Indonesia
Full text linkBackground: Cervical cancer patients per hour has increased by 2.5 people. Women died because of cervical cancer are 1.1 per hours. Indonesia is the second country after Tiongkok with the largest number incidence of cancer. Pap smear is one of the screening programs to reduce the numbers of cervical cancer genesis. Moreover in Indonesia, the rates of screening Pap smear less than 5%. This study aimed to investigate path analyze of using pap smear with as early detection of cervical cancer by planned theory of behavior in women in Sewon 1 Public Health Center, Bantul.Subjects and Method: This was an observational analytic study with the direction cross sectional design. A total sample of 96 women with comprised 32 cases and 64 control with fixed-disease sampling method. Data analysis used path analysis.Results: The results show there is influence between intentions and screening Pap smear (p=<0.000), perceived behavioral control with Pap smear test (p=0.010). An indirectly interaction with the screening Pap smear through intention on attitudes (p=<0.001), subjective norms (p=0.036), and control behavior perceptions (p=0.034).Conclusion: from this study there are interactions directly and indirectly the uses of screening Pap smear based on planned of behavior theory.Keywords: Planned of behavior theory, screening pap smearCorrespondence:Fatimah Dewi Anggraeni. School of Public Health, Graduate Program, Sebelas Maret University, Surakarta.Journal of Health Promotion and Behavior (2016), 1(1): 1-8https://doi.org/10.26911/thejhpb.2016.01.01.01
Effect of Health Education on Health Behavior in Patients with Hypertension
Full text linkBackground: 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.2016.01.01.0
The Effect of Peer Support Group on Depression and Quality of Life among People Living with HIV/AIDS in Kediri East Java
Full text linkBackground: People living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome or HIV/AIDs encounter such problems as society stigma and depression that can affect their quality of life in the term of physical, mental, and social health. Social support should be improved from individual, family, Peer Support Group (PSG), and government. PSG serves to help PLWHA feel not lonely, to give opportunity of seeing others, of sharing information about newest treatment and local support service, to reduce isolation, to improve social support, and to reduce stigma in order to achieve better quality of life and to reduce depression. The objective of research was to analyze the effect of KDS on depression and quality of life among PLWHA in Friendship Plus Peer Support Group in Kediri City.Subjects and Method: This study was an analytical observational study with cross sectional design. This was conducted at Friendship Plus Peer Support Group in Kediri, Indonesia in May to July 2016. The sample consisted of 60 subjects taken using simple random sampling. Technique of collecting data used was questionnaire, while analysis was carried out using Pearson’s Product Moment correlational and multiple linear regression tests.Results: The result of research showed that there was a statistically significant effect of Peer Support Group on the reduced depression in PLWHA (b= -0.60; 95% CI= -0.82 to 0.38; p<0.001). Depression was affected by family income of 88.8% (b= -8.68; 95% CI= 0.01; p=0.021) and education (b= -7.86; 95% CI= -14.05 to 1.67; p=0.014). There was a statistically significant effect of Peer Support Group on the improved quality of life among PLWHA (b=0.32; 95% CI= 0.09 to 0.53; p=0.005). Quality of life was affected by family income of 92.3% (b= 1.36; 95% CI= 0.01; p<0.001) and education (b=20.84; 95% CI= 14.75 to 26.93; p<0.001). Conclusion: This research concluded that there was an effect of peer support group on the reduced depression among PLWHA and there was an effect of peer support group the improved quality of life among PLWHA.Keywords: peer support group, depression, quality of life, PLWHACorrespondence: Astika Rasyiid. Diploma III Midwifery of Tulungagung University, East Java.Journal of Health Promotion and Behavior (2016), 1(1): 32-40https://doi.org/10.26911/thejhpb.2016.01.01.0
The Effect of Hypnotherapy on Depression, Anxiety, and Stress, in People Living with HIV/AIDS, in “Friendship Plus” Peer Supporting Group, in Kediri, East Java
Full text linkBackground: Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV / AIDS) is a global public health problem. Identification of HIV infection can cause psychological distress to the affected, such as depression, anxiety, and stress. The deeper distress people living with HIV/AIDS (PLHIV), the weaker immunity, the stronger virus attact. This study aimed to test the effectiveness of hypnotherapy on the reducing depression, anxiety, and stress, in PLHIV at Friendship Plus peer supporting group in Kediri. Subjects and Method: This was a Randomized Controlled Trial (RCT) conducted in Kediri, East Java. A total sample of 60 PLHIV were randomized into hypnotherapy group (n1=30) and control group (n2=30). Hypnotherapy was provided 4 times per months. The levels of depression, anxiety, and stress, were measured before and after the intervention, using Depression Anxiety Stress Scale (DASS) 42, which was translated in Indonesian. The mean differences in the 3 outcome variables between the hypnotherapy and the control groups were tested by t test.Results: After the intervention, the level of the depression in the hypnotherapy group (mean= 5.07; SD= 5.45) was lower than that in the control group (mean= 17.73; SD= 6.50), and it was statistically significant (p<0.001). The level of the enxiety in the hypnotherapy group (mean= 7.70; SD= 5.29) was lower than that in the control group (mean= 20.77; SD= 5.98), and it was statistically significant (p<0.001). The level of the stress in the hypnotherapy group (mean= 7.77; SD= 6.37) was lower than that in the control group (mean= 20.30; SD= 5.34), and it was statistically significant (p<0.001). The level of DASS combined in the hypnotherapy group (mean= 20.53; SD= 15.30) was lower than that in the control group (mean= 58.80; SD= 15.63), and it was statistically significant (p<0.001).Conclusion: Hypnotherapy is effective in reducing depression, anxiety, stress, and DASS combined in PLHIV.Keywords: depression, anxiety, stress, DASS, PLHIVCorrespondence: Ahmad Wasis Setyadi. Masters Program in Public Health, Sebelas Maret University, Indonesia. Email: [email protected] of Health Promotion and Behavior (2016), 1(2): 99-108https://doi.org/10.26911/thejhpb.2016.01.02.0
Association Between Socio-Economic Factor, Home Sanitation, Sense of Belonging, and Health Behavior, in Patients with Dengue Hemorrhagic Fever in Kediri, East Java
Full text linkBackground: Dengue hemorrhagic fever (DHF) is an infectious disease characterized by high fever and red spots on the skin with unclear causal factor. The increasing number of DHF cases for the past few years indicated poor environmental health indicator. The purpose of this study was to determine the association between socio-economic factor, home sanitation, sense of belonging, and health behavior, in patients with DHF.Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Campurejo Health Center, Kediri, East Java. A total sample of 100 patients with DHF were selected for this study. The dependent variable was health behavior. The independent variables were socio-economic factor, home sanitation, and sense of belonging. The data were collected by questionnaire and analyzed by multiple logistic regression. Results: Education ≥ senior high school (OR= 3.15; 95% CI= 1.219 to 8.140; p=0.018), family income ≥ regional minimum wage (OR= 9.143; 95% CI= 3.13 to 26.70; p=0.001), good home sanitation (OR= 3.1; 95% CI= 1.120 to 8.579; p=0.029), and sense of belonging (OR= 12.01; 95% CI= 4.021 to 35.89; p=0.001) were associated with healthier behavior.Conclusion: Education ≥ senior high school, family income ≥ regional minimum wage, good home sanitation, and sense of belonging are associated with healthier behavior.Keywords: education, family income, home sanitation, sense of belonging, health behaviorCorrespondence: Lindha Sri Kusumawati. Faculty of Health Sciences, Kadiri University. Email: [email protected] of Health Promotion and Behavior (2016), 1(4): 238-243https://doi.org/10.26911/thejhpb.2016.01.04.0
PRECEDE and PROCEED Model on the Determinants of Teacher’s Role in the Provision of Reproductive Health Education for Students with Mild Mental Retardation at School of Disability in Sleman, Yogyakarta
Full text linkBackground: Access to reproductive health information is lacking among students with mental retardation (MR). Teachers at the School of Disability have potentially important role in improving access to reproductive health information among students with MR. This study aimed to investigate the determinants of teachers role in the provision of reproductive health education for students with mild MR at School of Disability, in Sleman, Yogyakarta.Subjects and Method: This was a qualitative study with phenomenology approach, conducted at School of Disability, Sleman, Yogyakarta. Key informants were selected by purposive sampling (i.e. criterion sampling), consisting 7 teachers of disability school, 5 personnels from the District Office of Education and Sport. PRECEED and PROCEDE model was used as a framework to identify the determinants under study. The data were collected by in-depth interview, observation, and document review. The data were analyzed by Miles and Hubberman method.Results: The seven teachers have shown their good roles in the provision of reproductive health education. Factors that determined teachers role included knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources. Weak perceived behavior control (e.g. perceived teacher’s incompetence) and negative subjective norms (e.g. teaching about reproductive health was considered taboo by the community) of the teachers weakened the teachers role. Lack of educational media, substandard rooms, reproductive health materials that were unintegrated in the curriculum, weakened teachers intention to perform their roles.Conclusion: Teachers at the school of disability in Sleman, Yogyakarta, have shown their good role in the provision of reproductive health education for students with mild MR. Knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources, are important determinants of teachers role in the provision of reproductive health education.Keywords: teachers role, school of disability, mental retardation, studentCorrespondence: Putri Rahmasari. School of Midwifery, ‘Aissyiah University, Yogyakarta. Email: [email protected] of Health Promotion and Behavior (2016), 1(2): 109-119https://doi.org/10.26911/thejhpb.2016.01.02.0