Journal of Health Promotion and Behavior (JHPB)
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    Meta-Analysis of the Effects of Stress and Anxiety on Alcohol Consumption Behavior in Early Adults

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    Background: Consumption of alcoholic beverages is a risk factor for health problems globally.  The consumption of alcoholic beverages is very influential on the effect of calmness in people who have anxiety and stress disorders. The effect occurs because alcohol is classified as a psychoactive substance that affects nerves in the brain with the effect of dependence on the dose consumed.  This study aims to assess the effect size of stress and anxiety on increased alcohol consumption behavior in early adulthood using a meta-analysis of primary studies conducted by the previous authors. Subjects and Method: This study was a meta-analysis with the following PICO, population: Early adults (18-25 years). Intervention: Stress and Anxiety. Comparison: no stress and no anxiety.  Result: Increased Alcoholic Beverages Consumption Behavior.  9 The articles used in this study were obtained from three databases namely Google Scholar, PubMed, and Scopus. The keywords for searching for articles were stress AND (Anxiety OR nervousness OR discomfort) AND ("consumption of drinking alcohol" OR "Alcohol use").  The included articles were full-text English with a cross-sectional study design from 2012 to 2022. Article selection was conducted using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 app. Results: A total of 9 cross-sectional case studies from Europe, Asia, North America, Africa, and Australia were selected for systematic review and meta-analysis.  7 studies discovered that stress increased alcoholic beverage consumption behavior in early adults by 1.29 times compared to low stress, and the result of the meta-analysis was statistically significant (aOR= 1.29; CI 95%= 1.31-1.47; p< 0.001) with the heterogeneity of I2= 84%, p<0.001. 7 studies of the effect of anxiety on increased alcoholic beverage consumption behavior in early adults showed anxiety increased alcoholic beverage consumption behavior in early adults by 1.59 times compared to low anxiety.  The result of the meta-analysis was statistically significant (aOR= 1.59; CI 95%= 1.22-2.07; p= 0.001) with heterogeneity of I2=96%, p< 0.001. Conclusion: Stress and anxiety increased the behavior of alcoholic beverage consumption in early adults.. Keywords: stress, anxiety, alcohol consumption. Correspondence: Windya Kartika Paramita. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6282227841414.

    Analysis of Musculoskeletal Disorders Complaints among Ikat Weaving Craftsmen in Langa Bajawa, Ngada, East Nusa Tenggara in 2022

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    Background: Ikat weavers work manually and non-stop for a long duration of time, which increases the risk of occupational diseases such as musculoskeletal disorders (MSDs). Ikat weaving craftsmen perform work manually and non-stop for a long duration of time which generates occu­pational diseases such as musculoskeletal disorders (MSDs). This study aimed to determine the analysis of complaints of musculoskeletal disorders (MSDs) among ikat weavers in Langa Bajawa Subjects and Method: A cross-sectional study were conducted from August to September 2022 among ikat weaving craftsmen in Langa Bajawa region, Ngada, East Nusa Tenggara. A total of 38 subjects were included in this study. The dependent variable was complaints of musculoskeletal disorders (MSDs). The independent variables were age, working period, duration of work, body posture, work-load, repetitive activity, stretching, and back rest. The data were collected with study questionnaires, Nordic Body Map questionnaires, Rapid Upper Limb Assessment (RULA) ques­tionnaires, and obser­vations. The data were analyzed using Chi-square. Results: Age >35 years (OR= 1.07; 95% CI= 1.07 to 17.79; p= 0.034), working period >10 years (OR= 3.85; 95% CI= 0.98 to 15.12; p= 0.049), posture with RULA score >4 (OR= 5.66; 95% CI= 1.36 to 23.46; p= 0.013),  working hours >8 hours/day (OR= 10.5; 95% CI= 2.16 to 51.42; p= 0.002), repetitive activity (OR= 11.55; 95% CI= 2.41 to 55.39; p= 0.001), rarely stretching (OR= 0.04; 95% CI= 0.00 to 0.27; p< 0.001), and not having a backrest (OR= 0.09; 95% CI= 0.02 to 0.44; p= 0.001) had a significant effect on complaints of musculoskeletal disorder in ikat weaving craftsmen. Meanwhile, the workload of a person who has a pulse of (> 125 BPM) affected the complaints of MSDs, however, it was statistically insignificant. Conclusion: Age >35 years, working period >10 years, posture with a RULA score of >4, working hours >8 hours/ day, repetitive activities, rarely stretching, not having a backrest, and the work­load of a person with a pulse rate (> 125 BPM) affect complaints of musculoskeletal disorder in ikat weaving craftsmen. Keywords: complaints of musculoskeletal disorders, craftsmen, ikat weaving. Correspondence: Agostin Nofembriyani Djawa. Faculty of public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Penfui, Maulafa, 85001, Kupang, East Nusa Tenggara, Indonesia. Email: agostinnofem­briyani­djawa@­gmail.com. Mobile: +62 823-1135-6914

    Factors Associated with Work Fatigue among Public Gas Station Operators in Kupang, East Nusa Tenggara

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    Background: Public Gas Station (SPBU) is a public infrastructure to provide the fuel needs of the wider community. The high demand for fuel in Indonesia leads to demanding activities and potentially causes work fatigue to the workforce, especially operators. The study aims to analyze the correlation between working period, noise, workload, and work fatigue among the operators of the Public Gas Station in Kupang, East Nusa Tenggara. Subjects and Method: A cross-sectional study was conducted in Kupang, East Nusa Tenggara from October- November 2022. A total of 68 subjects consisted of 30 operators of 16 hours Public Gas Station; 38 operators of 24 hours Public Gas Station. The dependent variable was work fatigue. The independent variables were working period, noise, and workload. The data were collected using a questionnaire and analyzed using Spearman Correlation (rho). Results: Working period indicated a strong negative correlation with work fatigue, and was statistically significant (r= -0.74; p< 0.001). Noise revealed a weak negative correlation with work fatigue at gas station operators (r= -0.25; p= 0.837), while workloads showed a strong positive correlation with work fatigue at gas station operators, and the result was statistically significant (r= 0.850; p< 0.001). Conclusion: Working period, noise, and workload have a correlation with work fatigue among public gas station operators. Keywords: work fatigue, working period, noise, workload. Correspondence: Maria Sahra Keron. Public Health Study Program, Faculty of Public Health, Universitas Nusa Cendana, Kupang. Jl. Adi Sucipto Penfui, Penfui, Maulafa, 85001, Kupang, East Nusa Tenggara, Indonesia. Email: [email protected]. Mobile: +6282145967956

    The Effect of Clitoria Ternatea's Drink on Insomnia in Post COVID-19 Patients

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    Background: The COVID-19 pandemic evokes an effect on patients of post-COVID-19. One of them is diminished sleep quality known as insomnia. Concerning the problem, WHO strongly supports the supportive supplementary medicines made from traditional plants during the COVID-19 pandemic, one of which is by utilizing butterfly pea flowers. The study aimed to determine the effect of butterfly pea flower drinks on insomnia in post-COVID-19 patientsSubjects and Method: This was a randomized controlled trial. The population in this study was 36 respondents who experienced insomnia post-COVID-19. The sampling technique used was simple random sampling. The total sample of 32 respondents was divided into 2 groups, namely 16 respondents as an intervention group and 16 respondents as a control group. This research was conducted for 14 days, from September 18 to October 3, 2022, at the Islamic Housing Complex, Neighborhood Unit 001, Kelapa Dua, Tangerang Regency. The independent variable in this study was the administration of butterfly pea flower drink and the dependent variable was insomnia. The study instruments used were observation sheets for the administration of butterfly pea flower drink and the Insomnia Rating Scale (IRS) questionnaire for the insomnia variable. The study used an independent t-test for data analysis.Results: Independent t-test results indicated that the intervention group (Mean= - 4.31 SD= 3.70) was lower than the control group (Mean= -0.38; SD= 2.50), and the result was statistically significant (p= 0.001).Conclusion: There is an effect of butterfly pea flower drink on insomnia in post-COVID-19 patients. Keywords: butterfly pea flower, post-COVID-19, insomnia, healthy drink.Correspondence:Solihati. Yatsi Madani University. Jsl. Aria Santika No.40A, RT.005/RW.011, Margasari, Kec. Karawaci, Kota Tangerang, Banten 15114. Email: [email protected]. Mobile: +62812­888­63088.Journal of Health Promotion and Behavior (2023), 08(01): 13-21DOI: https://doi.org/10.26911/thejhpb.2023.08.01.0

    Effects of Parental Monitoring and Communication on the Prevention of Sexual Risk Behavior in Adolescents: Meta-Analysis

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    Background: Risky sexual deviations in adolescents are habits that include having sex at an early age, using condoms that are inconsistent, having more than one sexual partner or being a commer­cial sex worker. Communication between parents and children plays an important role in fostering the relationship between the two and parents who are less able to communicate with their children will cause relationship conflict so that it can have an impact on adolescent sexual beha­vior. This study aims to estimate the influence of paren­tal monitoring and parental communication on sexual risk behavior in adolescents based on the results of primary research. Subjects and Method: This was a review of meta-analytic studies and this article was obtained from databases namely PubMed, Google Scholar, Elsevier, Spinger Link and Science Direct. The articles used in this study are articles published from 2012-2022. The article search was carried out by considering the eligibility criteria defined using the PICO model, namely P: Adole­scents, I: Parental monitoring and parental communication C: No parental monitoring and no paren­tal communication O: Sexual risky behavior. The articles included in this research are full text articles with a cross-sectional study design. This article was analyzed using the Review Mana­ger 5.3 application. Results: A total of 17 cross-sectional studies from 5 Americas, 1 Europe, 2 Asia and 9 Africa with a sample size of 13,404. The results of the meta-analysis showed that adolescents with parental monitoring reduced risky sexual behavior 0.84 times compared to those without parental monito­ring, but the effect was not statistically significant (aOR=0.84; 95% CI=0.61-1.17; p=0.300), adole­scents without parental communication has the possibility of having risky sexual behavior 1.26 times compared to adolescents who communicate with parents (aOR=1.26; 95% CI 0.81-1.95; p= 0.310) which is not statistically significant. The results of research on parental monitoring showed that there was high heterogeneity (I2=74%; p=0.001) and parental communication (I2=90%; p<0.001), so that the average effect estimation calculation on the forest plot used the random effect model. Conclusion: Parental monitoring and parental communication have no effect on sexual risk behavior in adolescents. Keywords: parental monitoring, parental communication, sexual risk behavior, youth

    Meta Analysis: Effects of Peer, Family, and School Environment on Smoking Behavior in Adolescents

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    Background: Smoking behavior is a behavior that is harmful to health, but there are still many people who do smoking activities, even someone starts smoking starting as a teenager. This study aimed to estimate the influence of peers, family, school on smoking behavior in adolescents through a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This was a systematic review and meta-analysis conducted following the PRISMA diagram and the PICO format. Population: Teenagers. Intervention: Smokers' peers, smokers' family members, schools apply smoking rules. Comparison: Peers don't smoke, family members don't smoke, schools don't enforce smoking rules. Outcome: Smoking. The online databases used are Google Scholar, Science Direct, and ProQuest with the words ''Smoking peers'' AND ''Smoking parents'' AND ''Smoking policy school'' AND ''smoking'' AND behavior AND adolescents AND ''cross sectional'' AND aOR. There were 16 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from India, Korea, China, Hong Kong, Taiwan, South Africa, America, Chile, Denmark, Saudi Arabia and, Turkey. The total sample was 191,101. Smoking behavior increased with smoker peers (aOR= 5.04; 95% CI = 3.23 to 7.87; p< 0.001), smoker family members (aOR=2.04; 95% CI= 1.45 to 2.87; p< 0.001), and low smoking policy in school (aOR= 1.00; 95% CI= 0.65 to 1.54; p< 0.001). Conclusion: There is influence of smoking peers, smoking families, smoking policies in schools with smoking behavior in adolescents. Keywords: adolescents, peers of smokers, families of smokers, smoking policies. Correspondence: Anse Putra. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +628212­029­8227

    Factors Associated with the Nutritional Status among Children Under Five in Lamawalang, Larantuka, East Flores, East Nusa Tenggara

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    Background: The progress of a country is influenced by the quality of its human resources and can be seen from the degree of health which is a reflection of the health of individuals, groups and communities which is described by life expectancy, mortality, morbidity and nutritional status of the community. Toddlers are the age group that most often suffers from malnutrition or are one of the groups of people who are vulnerable to nutrition. This study aimed to determine the factors related to the nutritional status of toddlers in Lamawalang Village, Larantuka District, East Flores Regency. Subjects and Method: This was an analytical survey with a cross-sectional design which was conducted in Lamawalang Village, Larantuka, East Flores, East Nusa Tenggara from August to September 2022. A total of 54 mothers of toddlers aged 12-59 months were selected for this study. The dependent variable is the nutritional status of children under five. The independent variables were history of exclusive breastfeeding, mother's nutritional knowledge, mother's educa­tional level, mother's occupation and family income. Data were collected using a ques­tionnaire and analyzed using the chi-square test. Results: Lack of maternal knowledge (OR= 135.00; 95% CI= 10.57 to 1723.97; p< 0.001), and not exclusive breastfeeding (OR= 1.88; 95% CI= 1.43 to 2.45; p= 0.019) significantly influence the nutritional status of children under five. Education (OR= 0.85; 95% CI= 0.14 to 0.85; p= 0.891), occupation (OR= 4.07; 95% CI= 0.45 to 36.58; p= 0.182), family income (OR= 0.29; 95% CI= 0.03 to 2.65; p= 0.252) had an effect on the nutritional status of children under five, but not statistically significant. Conclusion: Knowledge and history of exclusive breastfeeding significantly influence the nutria­tional status of children under five. Keywords: nutritional status, toddlers, maternal knowledge, history of exclusive breastfeeding. Correspondence: Chintya C M Weruin. Study Program in Public Health, Faculty of Public Health, Universitas Nusa Cendana Kupang. Jl. Adisucipto Penfui, Kupang, Nusa Tenggara Timur. Email: Claudia­weruin­[email protected]. Mobile: +62 822-2914-7039

    Application of Theory of Planned Behavior on COVID-19 Vaccine Uptake in Palu, Central Sulawesi, Indonesia

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    Background: According to secondary data from the Central Sulawesi Provincial Health Office, updated information regarding the COVID-19 vaccination in Palu City, Central Sulawesi has only reached 4.82%. As of Monday, March 14 2022. This data can be said to be lagging behind vacci­nation coverage rates because there are still many people who have not carried out vacci­nations, this can be applied through Theory Planned Behavior to the use of COVID-19 vaccination at the Palu City Health Center, Central Sulawesi. Subjects and Method: Qualitative study with key informant interviews. Interviews were conducted in Palu, Central Sulawesi, Indonesia. Interviews were conducted with 7 people who had not received the COVID-19 vaccination at all, 4 people who had received the second dose of COVID-19 vaccination, 4 people who had received the third dose of COVID-19 vaccination, and key informant 1 City health center promotion worker Palu, Head of the surveillance section of the Palu City Health Service and immunization as well as the COVID-19 Task Force, as well as 1 additional informant from the family. Results: It can be seen that the lack of knowledge has a great impact on attitudes towards behavior from the community, in which in addition to believing in negative news about the COVID-19 vaccination, there is also the influence of the subjective norm variable, namely the prohibition from the family in carrying out the COVID-19 vaccination, but in the predictive variable behavioral control had little impact on the use of the COVID-19 vaccination in Palu City. Conclusion: In this study it was concluded that the application of the Theory of Planned Behavior on the use of COVID-19 vaccination in Palu City, Central Sulawesi, had an effect especially in terms of attitude towards behavior variables and subjective norm variables. Keywords: vaccination, COVID-19, theory planned behavior. Correspondence: Gadis Nur Anggreani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281335205131

    Factors Associated with Community Behavior in Complying with Health Protocols during COVID-19 Pandemic in 2022: Study on Community of Liliba Village, Oebobo District, Kupang, East Nusa Tenggara

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    Background: Facts show that Liliba Village is one of the health service outreaches in the form of prevention and control of the coronavirus (COVID-19) which truly needs cooperation between the government and health sector, state defense and security sectors such as the Indonesian National Arm Force and the National Police as well as participation from the community. Without good cooperation between the government and related agencies and participation from the community, the spread of the coronavirus (COVID-19) cannot be controlled, causing adverse impacts on the community. This study aims to determine the factors related to community behavior in complying with health protocols during the COVID-19 pandemic in Liliba Village, Oebobo District, Kupang City in 2022. Subjects and Method: This was a cross-sectional study conducted in Liliba Village, Oebobo District, Kupang City, East Nusa Tenggara, from June 2021 to November 2022. A total of 268 subjects were selected for the study. The dependent variable was community behavior. The independent variables were knowledge, attitudes, actions, confidence, beliefs, discipline, facilities and infrastructure, and COVID-19 vaccines. The data were collected using questionnaires and checklists and analyzed using the Chi-square test. Results: Good knowledge (OR= 0.23; 95% CI= 0.08 to 0.62; p= 0.002), positive action (OR= 0.48; 95% CI= 0.40 to 0.57; p= 0.039), high confidence (OR= 0.11; 955 CI= 0.10 to 0.43; p= 0.012), discipline (OR= 0.21; 95% CI= 0.21 to 0.57; p= 0.019), availability of facilities and infrastructure (OR= 0.34; 95% CI= 0.20 to 0.34; p= 0.002), and have complete COVID-19 vaccines (OR= 0.24; 95% CI= 0.10 to 0.54; p= 0.003) were significantly related to community behavior in complying with the health protocols during the COVID-19 pandemic. Conclusion: Good knowledge, positive actions, high confidence, discipline, availability of facilities and infrastructure, and having complete COVID-19 vaccines were related to community behavior in complying with health protocols during the COVID-19 pandemic. Keywords: behavior, compliance, health protocols, pandemic, COVID-19 vaccines. Correspondence:Jon Kristyson Baitanu. Public Health Study Program, Faculty of Public Health, Universitas Nusa Cendana Kupang. Jl. Adisucipto Penfui, Kupang, East Nusa Tenggara, Indonesia. Email: [email protected]. Mobile: +62 8133 9754 645

    Factors Associated with the Utilization of Tetanus Toxoid Immunization Services among Pregnant Women in Oepoi Health Center, Kupang, East Nusa Tenggara

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    Background: The tetanus toxoid (TT) immunization program is a process of building immunity as an effort to prevent tetanus infection. TT immunization is important to form tetanus antibodies that will prevent neonatal tetanus. The coverage of TT immunization in Oepoi Community Health Center Working Area in 2020 is classified as very low, which was only 37.06%. The low coverage of TT Immunization indicated a lack of utilization of immunization services by pregnant women. This study aimed to determine the factors associated with the utilization of Tetanus Toxoid immu­ni­zation services for pregnant women in the working area of the Oepoi Health Center.Subjects and Method: This cross-sectional study was conducted in the working area of the Oepoi Health Center, Kupang, East Nusa Tenggara from March to October 2022. A total of 46 third trimester pregnant women were selected by simple random sampling. The dependent variable was the TT immunization service. The independent variables were knowledge, the role of health workers, husband's support, and parity. Data was collected by using a questionnaire and analyzed by using the chi-square test.Results: There is a relationship between knowledge (OR= 48.00; 95%CI= 7.84 to 293.71; p<0.001), the role of health workers (OR= 22.16; 95%CI= 2.57 to 190.99; p<0.001) husband’s support (OR=10.85; 95%CI= 2.68 to 43.89; p<0.001), parity (OR= 3.73; 95%CI= 1.08 to 12.90; p= 0.033) and the utilization of the TT immunization service in the Oepoi Health Center working area.Conclusion: Knowledge, the role of health workers, husband's support, parity are related with the utilization of TT immunization services in the working area of the Oepoi Health Center.Keywords: immunization, tetanus toxoid, pregnant women.Correspondence:Chintya Leba Leo. Faculty of Public Health, Universitas Nusa Cendana Kupang. Jl. Adisucipto Number 1 Penfui Kotak Pos 104 Kupang 85001, East Nusa Tenggara. Email: chintya­leba­[email protected]. Mobile: +62 813-3855-7740.Journal of Health Promotion and Behavior (2023), 08(01): 58-64DOi: https://doi.org/10.26911/thejhpb.2023.08.01.0

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