scholarly journals Influences of Peer Support Group and Psychosocio- Economic Determinants on Treatment Compliance in Hiv/Aids Patients in Sragen, Central Java

Author(s):  
Yusuf Bachtiyar Lobis ◽  
◽  
Bhisma Murti ◽  
Hanung Prasetya ◽  
◽  
...  

Background: Adherence to treatment is important to reduce viral replication, improve clinical and immunological conditions, reduce the risk of developing ARV resistance, and reduce the risk of HIV transmission. Peer support is suspected to be one of the factors driving drug intake adherence in patients with chronic disease. This study aimed to examine the influences of peer support and psychosocio-economic determinants on treatment compliance in HIV/AIDS patients. Subjects and Method: This was a case control design study conducted in Sragen, Central Java, Indonesia. A sample of 200 people with HIV/AIDS (PLWH) was selected by fixed disease sampling. The dependent variable was treatment compliance. The independent variables were knowledge toward HIV/AIDS, perceived benefit, perceived belief, perceived threat, perceived susceptibility, perceived seriousness, perceived barrier, attitude, indirect experience, family support, and peer support. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Treatment compliance increased with strong peer support (b= 1.34; 95% CI= 0.31 to 2.38; p= 0.011), strong family support (b= 1.09; 95% CI= 0.16 to 2.02; p= 0.021), knowledge toward HIV/AIDS (b= 1.65; 95% CI= 0.67 to 2.64; p= 0.001), high perceived benefit (b= 1.23; 95% CI= 0.28 to 2.18; p= 0.011), perceived belief (b= 2.05; 95% CI= 0.98 to 3.12; p<0.001), and high perceived threat (b= 1.22; 95% CI= 0.30 to 2.13; p= 0.009). Treatment compliance decreased with negative attitude (b= -2.47; 95% CI= -3.58 to -1.37; p <0.001), low perceived susceptibility (b= -1.26; 95% CI= -2.24 to – 0.27; p= 0.012), low perceived seriousness (b= -1.11; 95% CI= -2.06 to -0.16; p=0.021), high perceived barrier (b= -1.76; 95% CI= -2.81 to -0.70; p= 0.001), and indirect experience (b= -1.10; 95% CI= -2.05 to -0.14; p= 0.024). Conclusion: Treatment compliance increases with strong peer support, strong family support, high knowledge toward HIV/AIDS, high perceived benefit, perceived belief, and high perceived threat. Treatment compliances decrease with negative attitude, low perceived susceptibility, low perceived seriousness, high perceived barrier, and indirect experience. Keywords: HIV/AIDS, treatment compliance, peer support, psychosocial economy Correspondence: Yusuf Bachtiyar Lobis. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +628111388841. DOI: https://doi.org/10.26911/the7thicph.02.59

Author(s):  
◽  
Eti Poncorini Pamungkasari ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: In the field of health-care education, theories and models help us to explain and predict behaviors to conduct effective health-care educational programs for changing behaviors. The Health Belief Model (HBM) contains several primary concepts by which individuals evaluate themselves to take action to change their behaviors, including antenatal care uptake in pregnant women. This study aimed to examine factors affecting the use of antenatal care. Subjects and Method: A cross sectional study was carried out in Semarang, Central Java, from June to August 2020. A sample of 250 pregnant women was selected by simple random sampling. The dependent variable was antenatal care. The independent variables were attitude, knowledge, information, self-efficacy, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, cues to action, husband support, and facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Complete antenatal care increased with strong support (OR= 38.97; 95% CI= 3.19 to 476.53; p= 0.004), high knowledge (OR= 16.44; 95% CI= 2.54 to 106.60; p= 0.003), positive attitude (OR= 29.88; 95% CI= 2.88 to 309.92; p= 0.004), high information toward antenatal care (OR= 31.42; 95% CI= 4.07 to 242.41; p= 0.001), strong self-efficacy (OR= 7.85; 95% CI= 1.50 40.99; p= 0.015), strong cues to action (OR= 11.97; 95% CI= 2.01 to 71.36; p= 0.006), high perceived seriousness (OR= 32.99; 95% CI= 3.93 to 276.98; p= 0.001), high perceived susceptibility (OR= 24.29; 95% CI= 2.50 to 235.78; p= 0.006), high perceived benefit (OR= 30.43; 95% CI= 2.99 to 308.80; p= 0.004), high perceived barrier (OR= 0.07; 95% CI= 0.01 to 0.57; p= 0.013) and complete facilities (OR= 63.52; 95% CI= 3.62 to 1115.08; p= 0.005). Conclusion: Complete antenatal care increases with strong support, high knowledge, positive attitude, high information toward antenatal care, strong self-efficacy, strong cues to action, high perceived seriousness, high perceived susceptibility, high perceived benefit, high perceived barrier and complete facilities. Keywords: antenatal care, health facility, Health Belief Model Correspondence: Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285742919076. DOI: https://doi.org/10.26911/the7thicph.03.117


Author(s):  
Ailsa Clarissa Cynara ◽  
◽  
Eti Poncorini Pamungkasari ◽  
Bhisma Murti ◽  
◽  
...  

Background: Complexity of behavior among adolescents and the effects of various factors on their behavior require a deeper vision on their health-related behavior components. Inadequate intake of calcium-rich foods and low intake of essential vitamins among female adolescents are cases that indicate the need for a change in the feeding behavior among them. This study aimed to examine the effects of iron tablet program, intrapersonal, and social factors on nutrition intake to prevent anemia in female adolescents. Subjects and Method: A cohort retrospective study was carried out in Senior High Schools in Yogyakarta, Indonesia. A sample of 120 female adolescents was selected by purposive sampling. The dependent variable was nutrition intake. The independent variables were iron tablet program, perceived susceptibility, perceived seriousness, and perceived benefit, and family income. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Nutrition intake to prevent anemia in female adolescents increased with iron tablet supplementation program (OR= 11.87; 95% CI= 1.70 to 82.76; p= 0.013), high family income (OR= 24.76; 95% CI= 1.96 to 313.22; p= 0.013), high perceived susceptibility (OR= 77.88; 95% CI= 4.12 to 1471.73; p= 0.004), high perceived seriousness (OR= 228.46; 95% CI= 7.08 to 7369.90; p= 0.002), and high perceived benefit (OR= 94.72; 95% CI= 4.87 to 1841.55; p= 0.003). Nutrition intake decreased with high perceived barrier (OR= 0.02; 95% CI= 0.01 to 0.40; p= 0.010). Conclusion: Nutrition intake to prevent anemia in female adolescents increases with iron tablet program, high family income, high perceived susceptibility, high perceived seriousness, and high perceived benefit. Nutrition intake decreases with high perceived barrier. Keywords: anemia, iron tablet, intrapersonal factor, health belief model Correspondence: Ailsa Clarissa Cynara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082230233293. DOI: https://doi.org/10.26911/the7thicph.02.61


Jurnal NERS ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 122
Author(s):  
Riri Aprianti ◽  
Gadis Meinar Sari ◽  
Tiyas Kusumaningrum

Introduction: Anaemia in female adolescents tends to have a negative impact that is likely to later arise in pregnancy, labour and childbirth. The prevalence of iron deficiency anaemia in female adolescents in Indonesia is thirty percent. Indonesia runs an iron tablet program for female adolescents. However, with the running of the program, it is not clear what factors are correlated with the intention of iron tablet consumption among female adolescents. The purpose of this study was to analyse the factors correlated with the intention of iron tablet consumption among female adolescents.Methods: This research used a cross-sectional design. The sample consisted of 100 students in senior high school in Surabaya, chosen by proportional random sampling. The independent variables were parent income, knowledge, perceived susceptibility, perceived seriousness, perceived threats, perceived benefits, perceived barriers, and perceived self-efficacy. The dependent variable was female adolescent intention related to consuming iron tablets. The data was collected using a questionnaire and analysed by a chi square test with a level of significance α<0.05.Results: There was a significant correlation between perceived threat (p=0.02), perceived benefit (p=0.01), perceived barrier (p=0.02) and perceived self-efficacy (p=0.00) and female adolescent intention related to consuming iron tablets. There was no correlation between parental income, adolescent knowledge, perceived susceptibility, and perceived seriousness with the intention to consume iron tablets.Conclusion: From this research, it has been concluded that the factors related to the intention to consume iron tablets in female adolescents were perceived threat, perceived benefit, perceived barrier and perceived self-efficacy. Increasing the confidence of female adolescents in association with the importance of avoiding anaemia by consuming iron tablets is crucial so then they can maintain their health and prevent diseases due to anaemia later on.


2014 ◽  
Vol 42 (5) ◽  
pp. 799-809 ◽  
Author(s):  
Jueman (Mandy) Zhang ◽  
Di Zhang ◽  
T. Makana Chock

We examined how perceived threat affected attitude and behavior toward condom use with main and nonmain partners, among at-risk young adults with varying levels of self-efficacy. Participants were 170 heterosexually active, single students at a northeastern university in the United States. Exposure to HIV/AIDS public service announcements was found to increase perceived susceptibility, which facilitated a positive attitude toward condom use with main partners but not with nonmain partners. High self-efficacy promoted a positive attitude toward condom use with main partners, and condom use with main and nonmain partners. The interaction effects revealed that high, compared to low, self-efficacy motivated more condom use with main and nonmain partners when perceived susceptibility was lower.


Author(s):  
Wida Rahma Arwiyantasari ◽  
◽  
Budi Laksana ◽  

Background: HIV is a virus that attacks the white blood cells (lymphocytes). HIV causing Acquired Immunodeficiency Syndrome (AIDS). HIV/ AIDS has become a global emergency problem. East Java Province is in the top five of the population infected with HIV (8,204) and AIDS (741) and the most dominant are men. This will worsen the situation of women if they are infected pregnant women. This study aimed to analyze the effect of the Health Belief Model approach on the prevention of HIV/ AIDS among pregnant women in Madiun City, East Java. Subjects and Method: This was a cross sectional study conducted in Madiun City, East Java. A total of 80 pregnant women who conducted HIV/ AIDS check was enrolled in this study. The dependent variable was HIV prevention. The independent variables were perceived seriousness, perceived vulnerability, perceived benefit, and perceived barrier. The data were collected using questionnaire and analyzed using multiple logistic regression analysis. Results: There was a positive effect on perceived seriousness (OR = 8.43; 95% CI=1.38 to 51.4; p = 0.021), perceived vulnerability (OR = 8.36; 95% CI=1.06 to 65.9; p = 0.044), perceived benefit (OR = 12.6; 95% CI=1.37 to 115.5; p = 0.025) on the prevention of HIV/ AIDS among pregnant women and it was statistically significant. There was a negative effect on perceived barrier (OR = 0.13; 95% CI=0.02 to 0.86; p = 0.034) and it was statistically significant. Conclusion: Perceived seriousness, perceived vulnerability, perceived benefit, and perceived barrier influence pregnant women in taking HIV/ AIDS prevention. Keywords: health belief model, HIV / AIDS, pregnant women Correspondence: Wida Rahma Arwiyantasari. Academy of Midwifery, Muhammadiyah Madiun. Jl. Lumbung Life No. 2A Ex. Ngegong Kec. Manguharjo, Madiun City. Email: [email protected]. Mobile: 085736709597.


Author(s):  
Anom Dwi Prakoso ◽  
◽  
Endang Sutisna Sulaeman ◽  
Arief Suryono ◽  
◽  
...  

ABSTRACT Background: Government of Republic of Indonesia provides the national health insurance program since January 1st 2014. The payment scheme requires hospitals to provide the service first and then make a claim to BPJS on the service by using the tariff package called Indonesia Case Based Groups (INA CBGs). The purpose of this study was to examine factors associated with participation in the national health insurance program using path analysis model. Subjects and Method: This was a case control study. The study was conducted at 5 sub-districts in Kudus, Central Java, from September to October 2019. A sample of 200 informal workers was selected by purposive sampling. The dependent variable was participation in national health insurance. The independent variables were education, income, knowledge, perceived susceptibility, perceived seriousness, perceived benefit, family support, self-efficacy, and social environment. The data were collected by questionnaire and analyzed by path analysis run on stata 13. Results: Participation in the national health insurance program was directly and positively affected by high perceived susceptibility (b= 2.14; 95% CI= -0.09 to 4.38; p= 0.060), high perceived seriousness (b= 4.71; 95% CI= 2.15 to 7.28; p<0.001), high perceived benefit (b= 2.45; 95% CI= 0.07 to 4.83; p= 0.044), strong family support (b= 6.31; 95% CI= 3.20 to 9.41; p<0.001), strong self-efficacy (b= 3.55; 95% CI= 1.02 to 6.07; p= 0.006), and supportive social environment (b= 3.39; 95% CI= 1.24 to 5.55; p= 0.002). Participation in the national health insurance program was indirectly affected by education, income, and knowledge. Conclusion: Participation in the national health insurance program is directly and positively affected by high perceived susceptibility, high perceived seriousness, high perceived benefit, strong family support, strong self-efficacy, and supportive social environment. Participation in the national health insurance program is indirectly affected by education, income, and knowledge. Keywords: national health insurance, Health Belief Model, Social Cognitive Theory Correspondence: Anom Dwi Prakoso. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Centra Java, Indonesia. Email: [email protected]. Mobile: +62895363054393. DOI: https://doi.org/10.26911/the7thicph.04.37


Author(s):  
Frida Indriani ◽  
◽  
Pawito Pawito ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  

Background: Schools can be an effective institution for developing healthy practices in children. Children in primary schooling age can learn and get used to specific healthy behaviors, such as washing hands, brushing teeth, eating vegetables, etc. This study aimed to determine factors affecting healthy behavior among primary school children using Helth Belief Model. Subjects and Method: A cross-sectional study was conducted at 25 primary schools in Nganjuk, East Java, from August to December 2019. A sample of 200 primary school students aged 6-12 years was selected by stratified random sampling. The dependent variable was healthy behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multiple linear regression run on Stata 13. Results: Healthy behavior in primary school students was improved by high perceived susceptibility (b= 1.11; 95% CI= 0.36 to 1.85; p= 0.004), high perceived seriousness (b= 0.66; 95% CI= -0.06 to 1.38; p= 0.075), strong perceived benefit (b= 0.64; 95% CI= -0.86 to 1.36; p= 0.084), cues to action (b= 0.98; 95% CI= 0.26 to 1.71; p= 0.008), and strong self-efficacy (b= 1.4; 95% CI= 0.74 to 2.20; p<0.001). Conclusion: Healthy behavior in primary school students is improved by high perceived susceptibility, high perceived seriousness, strong perceived benefit, cues to action, and strong self-efficacy. Keywords: clean and healthy behavior, health belief model Correspondence: Frida Indriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 082226327646 DOI: https://doi.org/10.26911/the7thicph.02.63


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