Journal of Health Promotion and Behavior (JHPB)
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    The Effectiveness of Mobile Phone Text Messages on the Adherence of Antiretroviral Drug Taking in Patients Living with HIV/AIDS: A Meta-Analysis

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    Background: The use of ARV therapy has been shown to reduce the mortality and morbidity of PLHIV. The characteristic factor of the PLHIV health care system is a key factor as well as how health workers and services synergize to improve patient adherence to adherence to taking ARVs. Subjects and Method: This research was conducted using a systematic review and meta-analysis with PICO namely, Population: PLHIV. Intervention; mobile phone text message. Comparison: not given a mobile phone text message. Outcome: obediently taking ARVs. By searching articles in 4 databases namely PubMed, Google Scholar, Science Direct, and ProQuest published from 2012 to 2022, entering the following keywords (“Mobile phone text messages” OR mHealth) AND antiretroviral AND (HIV or AIDS) AND “Randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application. Results: There are a total of 9 articles using the RCT study design with a total sample of 2,762 PLHIV from China, Estonia, Nigeria, Cameroon, Kenya, and Mozambique which have been subject to systematic review and meta-analysis. The data that has been processed shows that mobile phone text messages are effective in increasing PLWHA adherence in taking ARVs, and are statistically close to significant. PLHIV who receive mobile phone text messages are more likely to comply with taking ARVs 1.12 times than those who do not receive mobile phone text messages (RR= 1.12; 95% CI= 1.00 to 1.26; p= 0.050). Conclusion: Mobile phone text messages are effective in increasing PLWHA compliance in taking ARVs. Keywords: HIV/AIDS, ODHA, ARV, mobile phone text messages. Correspondence: Fara Aristya Prisma, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java 57126. Email: [email protected]. Mobile: +6285697129819

    Determinant Factors of COVID-19 Vaccination Participation at Ndetundora Health Center, Ende, East Nusa Tenggara

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    Background: The COVID-19 pandemic is one of the major public health problems today and the whole country is experiencing a pandemic. Vaccination is the government's effort to tackle the COVID-19 pandemic. The coverage of COVID-19 vaccination at the Ndetundora Health Center in 2021 is still low, namely as much as 14.80% for dose 1 and 7.04% for dose 2, then in 2022 the vaccination coverage will increase quite high, namely 75.16% for dose 1 and 53.23% for dose 2. The purpose of this study was to find out the public's interest in taking the COVID-19 vaccination in the working area of the Ndetundora Health Center, Ende Regency in 2022. Subjects and Method: A cross-sectional study was conducted at the Ndetun­dora Health Center, Ende, East Nusa Tenggara, from September to October 2022. A total of 243 people were selected for this study. The dependent variable was the public's interest in taking the COVID-19 vaccination. The independent variables are age, gender, education, occupation, knowledge, attitude, community motivation and public communication. Data were collected using a questionnaire and analyzed using Chi-square. Results: The results showed that someone with higher education increased their interest in taking the COVID-19 vaccination by 0.38 times compared to people with low education, and the results were statistically significant (OR= 0.38; 95% CI= 0.21 to 0.69; p= 0.001). Someone with motivation High motivation increase interest in taking the COVID-19 vaccination by 49.5 times compared to those with low motivation (OR = 49.5; 9% CI = 21.49 to 114.16; p < 0.001), good public communication will increase public interest in taking the COVID-19 vaccination 2.74 times compared to poor public communication (OR= 2.74; 95% CI= 1.20 to 6.25; p= 0.014). Conclusion: Education, knowledge, attitudes, community motivation, and public communication have a significant effect on participation in the COVID-19 vaccination. Keywords: public interest, vaccination, COVID-19. Correspondence: Hafaf Luthfianti Sani. Study Program of Public Health, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adisucipto, Penfui, Kupang, 85001, East Nusa Tenggara. Email:  hafafsani16­@­gmail.­com. Mobile: +62 821-4436-7462

    Relationships between Knowledge, Sanitation and Hygiene of Food Handlers, and Food Safety in the Restaurants in Pasir Panjang, Kupang, East Nusa Tenggara, Indonesia

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    Background: The hygiene factor of the food handler or manager, commonly called personal hygiene, is a very important procedure in maintaining the cleanliness of safe and healthy food management. Hygiene procedures are clean behaviors to prevent contamination of the managed food. This study aimed to determine sanitation hygiene behavior based on food handlers' know­ledge on food safety at restaurants in the working area of the Pasir Panjang Puskesmas (Commu­nity Health Center). Subjects and Method: A cross-sectional study were conducted in the working are of Pasir Panjang Health center, Kupang, East Nusa Tenggara in December, 2022. A total of 47 restaurants were selected for this study. The dependent variable was food safety. The independent variables were the knowledge and sanitizing hygiene attitude of the handler. The data were collected using questionnaires, and analyzed using Chi-square. Results: There is a significant relationship between knowledge (p< 0001) and behavior (p< 0.001) with food handler hygiene and food safety. Conclusion: knowledge and behaior were associated with food handler hygiene and food safety. Keywords: knowledge, behavior, food handlers, food sanitation hygiene. Correspondence: Yohanes K. Tokan. Master’s Program of Public Health. Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Penfui, Maulafa, 85001, Kupang, East Nusa Tenggara, Indonesia. Email: yohanes91carolus@­gmail.­com. Mobile: +62 812-9597-9745

    Factors Related to Rabies Prevention Measures in Nangapanda Community Health Center, Ende, East Nusa Tenggara

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    Background: Rabies is an acute infectious disease of the central nervous system caused by the rabies virus and transmitted through the bites of Rabies Transmitting Animals (HPR), especially dogs. The bite of an unvaccinated rabies-infecting animal is the cause of most cases of rabies which can lead to death. This study aimed to determine the factors related with the prevention of rabies in the community in the working area of the Nangapanda Community Health Center, Ende, East Nusa Tenggara. Subjects and Method: This cross-sectional study was conducted in the working area of the Nangapanda Public Health Center, Ende Regency from August to September, 2022. A total of 116 families were selected for this study. The dependent variable is rabies prevention measures and the independent variable is knowledge and attitude. Data were analyzed using the chi-square test. Results: Good knowledge (OR= 19.25; 95% CI= 5.94 to 62.36; p<0.001), and positive attitude (OR= 0.11; 95% CI= 0.02 to 0.53; p= 0.001) are associated with rabies prevention measures. Conclusion: There is a significant relationship between knowledge and attitude toward rabies disease prevention measures. Keywords: rabies, action, prevention. Correspondence: Yuniarti Prihartini. Study Program in Public Health, Faculty of Public Health, Universitas Nusa Cendana. Jl. Lasiana, Klp. Lima, Kupang, East Nusa Tenggara. Email: [email protected]. Mobile: +62 821-8780-4312

    Meta Analysis: The Effects of Attitude, Spouse Support, and Education Level on Men Participation in Male Contraceptive Use

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    Background: One of the government's strategies to support women's equal rights is to issue a policy in which people of reproductive age, both men and women, are expected to participate in the Family Planning program as an effort to raise awareness, willingness and ability of the community to improve their welfare independently. This study aims to analyze the influence of attitude, partner support, and level of education on men's participation in the use of contraception. Subjects and Method: This was a systematic review and meta-analysis. The study population was men of reproductive age. Intervention= positive attitude, strong partner support, and high education. Comparison= negative attitude, weak support, and low education. Outcome= the use of contraceptives. Data search was carried out syste­ma­tically using electronic databases from Pub­med, Google Scholar, Europe PMC, Science Direct, and Springer Link. Keywords used “Attitude” AND “Partner support” OR “Discuss with partner” AND “Educational status” OR “Educational level” AND “Men parti­ci­pa­tion” OR “Men Involvement” AND “Contraception” OR “Family Plann­ing” OR “Vasec­tomy” OR “Con­dom”. The selection of primary articles used the PRISMA flowchart which was analyzed using Review Manager 5.3. Results: Six studies showed that men with a positive attitude were 3.69 times more likely to use contraception than men with a negative attitude (aOR= 3.69; 95% CI= 2.23 to 6.09; p<0.001). Six studies showed that men with strong partner support are 2.48 times more likely to use contra­ception than men with weak partner support (aOR= 2.48; 95% CI= 2.04 to 3.02; p<0.001). Eight studies showed that men with a high level of education increased the likelihood of male contra­ceptive use (aOR= 2.07; CI 95%= 1.45 to 2.96). Conclusion: Positive attitude, strong partner support, and a high education increase the use of male contraceptives. Keywords: attitude, partner support, level of education, contraception. Correspondence: Yuliana Yuvrista. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: [email protected]. Mobile: +6285­333622880

    Effects of Marital Status and Social Support on Antenatal Depression: A Meta-Analysis

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    Background: Pregnancy is a period of increased vulnerability to depression incidence, especially if the pregnancy is accompanied by additional demands. Antenatal depression is depression that occurs during pregnancy characterized by certain symptoms, namely anxiety, distress, confusion, and excessive fear. The study aims to estimate the effect size of marital status and social support on the incidence of antenatal depression in pregnant women. Subjects and Method: The study used systematic review and meta-analysis with PICO, Popula­tion: pregnant women; Intervention: marital status and strong social support; Comparison: unmarried marital status and weak social support. Outcome: antenatal depression. The articles used were obtained from several databases namely Google Scholar, Pubmed, SpringerLink, and Science Direct. The article search keywords were "Antenatal Depression" AND "Marital Status" AND "Social Support" AND "Pregnant Women". The inclusion criteria for the articles were full-text articles in English using cross-sectional observational study design, published between 2012 and 2022, the study subject was pregnant women, and the size of the association was presented in adjusted Odds ratio (aOR). The data were analyzed using Review Manager app (RevMan 5.3). Results: A total of 17 cross-sectional articles originated from Asia and Africa including Qatar, Thailand, China, Ethiopia, Tanzania, Nigeria, and Rwanda for systematic review and meta-analysis with a total population of 8,723 pregnant women. Pregnant women with unmarried marital status could contribute to the worsening condition of pregnant women that generated antenatal dep­res­sion (aOR= 2.76; 95% CI= 1.75 to 4.36; p< 0.0001).  Meanwhile, pregnant women with weak social sup­port could contribute to the worsening of the condition of pregnant women that generated antenatal depression (aOR= 2.22; 95% CI= 1.42 to 3.46; p= 0.005). Conclusion: Marital status and social support can improve the prevention of antenatal dep­res­sion in pregnant women. Keywords: marital status, social support, pregnant women, antenatal depression. Correspondence: Meita Tyas Nugrahaeni. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +628­597­4825459

    Meta-Analysis: Effects of Adolescent's Knowledge, Attitude, and Parental Support, on Human Papilloma Virus Immunization Uptake

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    Background: Human papillomavirus (HPV) is one of the most common sexually transmitted viruses worldwide. HPV vaccination coverage is still low, especially for adolescents, some influ­ential factors are lack of knowledge, rejection, and support of the closest environment in receiving vaccination services. This study aims to estimate the effect size of knowledge, attitudes, and parental support on the use of HPV immunization services in adolescents. Subjects and Method: A systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on eligibility criteria with the PICO Model. Population: female adolescents, Intervention: high knowledge, positive attitude, strong parental support, Comparison: less knowledge, negative attitude, poor parental support, Outcome: Use of HPV immunization services. The articles used were from Google Scholar, Europe PMC, PubMed, and Science Direct published from 2016 – 2023. The keywords used in the search were “adolescent" OR "young women" OR "Parental of Adolescent” AND "Knowledge" AND "attitude" OR "awareness" AND "HPV" OR "HPV Vaccination" OR "Immunization". The study subjects were female adole­scents, and articles published in English. The study used multivariate analysis with an adjusted Odds Ratio. Eligible articles were analyzed using the RevMan 5.3. Results: The meta-analysis included 10 cross-sectional studies from Asia, Australia, Africa, Europe, and America. High knowledge increased the likelihood of HPV immunization uptake in female adolescents (aOR= 3.24; 95% CI = 2.43 to 4.32; p<0.001). The meta-analysis included 7 cross-sectional studies showed that positive attitude increased HPV immunization uptake in female adolescents (aOR= 4.10; CI 95% = 2.78 to 6.05; p<0.001). 7 cross-sectional studies showed that strong parental support increased HPV immunization uptake (aOR=2.53; CI95% = 1.79 to 3.58; p< 0.001). Conclusion: High knowledge, positive attitude, and strong parental support increase the likelihood of HPV immunization uptake. Keywords: knowledge, attitude, parental support, adolescents, HPV vaccination. Correspondence: Wiwit Marliana. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6282118277592

    Factors Associated with Stunting in Children Under Five: A Cross-Sectional Study from Ritaebang Health Center, West Solor, East Flores, Indonesia

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    Background: Stunting in children under five years of age is a global nutritional problem. World Health Organization (WHO) puts Indonesia as the third country with the highest cases in Asia. Prevalence of stunting in children under five years of age in East Nusa Tenggara touches 40.3%, the highest compared to other provinces in Indonesia. The study aims to discover factors associated with stunting incidences in children under five years of age in the working area of Ritaebang Community Health Center, West Solor, East Flores.Subjects and Method: This cross-sectional study was conducted in the working area of Ritaebang Community Health Center, West Solor, East Flores during the month of June – July 2022. A total of 70 children under five years of age were selected by using random sampling. The dependent variables were birth weight, consumption pattern, clean water availability, maternal education, number of family members, and family income. The independent variable was stunting children under five years of age. The data were collected by using questionnaires, and analyzed by using SPSS.Results: The stunting incidences in children under five years of age were significantly associated with exclusive breastfeeding (OR= 3.91; p= 0.046), consumption pattern (OR= 19.63; p<0.001), the availability of clean water (OR= 6.37; p= 0.001), maternal education, (OR= 3.14; p= 0.033), number of family members (OR= 6.71; p= 0.007), and family income (OR= 12.25; p= 0.008), and were also associated with birth weight (OR= 3.61; p= 0.214), however it was not statistically significant.Conclusion: Stunting incidences is associated with birth weight, breastfeeding, consumption pattern, clean water availability, maternal education, number of family members, and family income.Keywords: stunting, birth weight, clean water, environment.Correspondence:Marina A.B Ndetu. Public Health Department, Public Health Faculty, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, East Nusa Tenggara. 85001. Email: Marina­[email protected] [email protected] of Health Promotion and Behavior (2023), 08(01): 1-7DOI: https://doi.org/10.26911/thejhpb.2023.08.01.0

    Factors Associated with the Occurrence of Stunting in Naibonat Village, Kupang Regency, East Nusa Tenggara, in 2022

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    Background: Stunting is a condition of failure to thrive in children under five years old (children under five) due to chronic malnutrition in the First 1000 Days of Life (HPK) and is based on the BB/U or TB/U index with a z-score limit of less than -2 SD to - 3 SD. Stunting can be caused by several factors, namely exclusive breastfeeding, father's education, mother's education, family income, number of children. The purpose of this study is to determine the factors associated with the incidence of stunting in the Naibonat Village, Kupang Regency in 2022. Subjects and Method: This is a case-control study conducted in Naibonat Village, East Kupang, Kupang, East Nusa Tenggara, in September-October 2022. There were 134 children under five consisting of 67 stunted children under five and 67 children under five who were not stunted. The dependent variable is the incidence of stunting. The independent variables were exclusive breastfeeding, history of infectious diseases, father's education, mother's education, family income, history of LBW, and number of children. Data were collected using observation sheets and analyzed using the chi-square test. Results: Not exclusively breastfed (OR= 4.12; 95% CI= 1.84 to 9.24; p< 0.001), history of father's education was low (OR= 0.34; 95% CI= 0.13 to 0.89; p= 0.024), history of mother's education was low (OR= 0.17; 95% CI= 0.04 to 0.65; p= 0.004), low family income (OR= 0.23; 95% CI= 0.08 to 0.62; p= 0.002), and history of LBW (OR= 0.48; 95% CI= 0.40 to 0.51; p= 0.042) related to the incidence of stunting, and statistically significant. Conclusion: A history of exclusive breastfeeding, a history of low father education, a history of low maternal education, low family income, and a history of LBW are statistically related to the incidence of stunting. Keywords: stunting, risk factors, children under five. Correspondence: Wehelmince Sisilia Cantika Dasi Muda. Study Program of Public Health, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adisucipto Penfui, Kupang, East Nusa Tenggara Timur. Email: [email protected]. Mobile: +62 813-3901-4476

    Comparison of the Effectiveness of Audio and VisualAudio as Health Promotion Media for Prevention of COVID-19 Transmission

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    Background: The elementary school (SD) in Jotang village in Sumbawa is a mountainous and coastal area with middle to lower economic status and the lack of availability of health workers there, allowing public knowledge, especially children, to be very lacking. There has never been any research on children's health in the area to be considered in choosing an elementary school in Jotang village to be the research site. This study aims to compare the effect of health promotion using audio media with audio-visual media on preventing the transmission of the COVID-19 virus to elementary school students in Jotang Village, Sumbawa RegencySubjects and Method: This research is a quasi-experimental study with pre-test and post-test designs. The research was conducted in Jotang village, Sumbawa regency, West Nusa Tenggara, Tahun 2022. The sample was 88 students. Variables The dependent variable was knowledge. The independent variables ware audio media and video media. Data were collected by using a questionnaire and analyzed by bivariate analysis with Mann Whitney test.  Results: That audio-visual media is more effective than audio media as a health promotion medium for elementary school children compared to audio media with p= 0.039.Conclusion: Audio-visual media is more effective than audio media as a health promotionKeywords: health promotion media, COVID-19, primary school.Correspondence:Lina Eta Safitri. School of Health Sciences Griya Husada Sumbawa. Jl. Kebayan, Brang Biji, Sumbawa, West Nusa Tenggara. Email: [email protected]. Mobile: +6285337037619.Journal of Health Promotion and Behavior (2023), 08(01): 8-12DOI: https://doi.org/10.26911/thejhpb.2023.08.01.0

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