scholarly journals Factors Affecting the Use of Antenatal Care in Semarang, Central Java: Application of Health Belief Model

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

2019 ◽  
Vol 49 (1) ◽  
pp. 24-33
Author(s):  
Dwi Indah Lestari

Efek buruk asap rokok lebih besar bagi perokok pasif dibandingkan perokok aktif. Oleh karena itu diperlukan langkah-langkah pengamanan rokok bagi kesehatan, diantaranya melalui penetapan Kawasan Tanpa Rokok. Bandara Sultan Mahmud Badaruddin II adalah bandara internasional dan salah satu tempat Kawasan Tanpa Rokok yang memiliki sejumlah promosi kesehatan tentang Kawasan Tanpa Rokok. Penelitian ini bertujuan Tujuan penelitian ini adalah mendeskripsikan dampak promosi kesehatan kawasan tanpa rokok di Bandara Sultan Mahmud Badaruddin II. Penelitian ini merupakan penelitian kualitatif dengan metode in-depth interview (wawancara mendalam) dan observasi. Informan penelitian ini sebanyak 7 orang ditentukan secara purposive sampling. Analisis dampak promosi kesehatan menggunakan konsep Health-Belief Model (perceived susceptibility, perceived seriousness/severity, perceived benefit, perceived barriers, cues to action, self-efficacy). Penelitian ini dilakukan dengan metode in-depth interview (wawancara mendalam) dan observasi. Analisis dampak promosi kesehatan menggunakan konsep Health-Belief Model. Terdapat dampak dari promosi kesehatan kawasan tanpa rokok di Bandara Sultan Mahmud Badaruddin II pada pekerja dan pengunjung. Persepsi kerentanan pada pekerja yaitu merasa rentan terkena sanksi KTR. Persepsi kerentanan pada pengunjung yaitu merasa rentan membahayakan kesehatan orang lain dan lingkungan. Persepsi keseriusan/keparahan pada pekerja dan pengunjung yaitu merasa berbahaya kebakaran dan mengganggu penerbangan. Persepsi manfaat pada pekerja yaitu keselamatan bandara dan penerbangan. Persepsi manfaat pada pengunjung yaitu dapat terhindar dari asap rokok. Persepsi hambatan pada pekerja dan pengunjung yaitu kecanduan, kurang kesadaran, dan kurang pemahaman mengenai KTR. Pemicu untuk bertindak pada pekerja dan pengunjung adalah teguran dari petugas. Kemampuan diri pada pekerja dan pengunjung karena memahami peraturan dan menaatinya.


2017 ◽  
Vol 6 (1) ◽  
pp. 71-82
Author(s):  
Juliette Pepita Felicia ◽  
Weny Savitry S. Pandia

Penelitian ini bertujuan memberikan deskripsi persepsi guru taman kanak-kanak Islam (TKI) terhadap pendidikan seksual anak usia dini berdasarkan teori Health-Belief Model (HBM). Penelitian dilakukan di TKI XYZ menggunakan pendekatan kuantitatif dengan metode kuesioner dan pendekatan kualitatif dengan metode wawancara. HBM mengandung berbagai persepsi individu yang berkaitan dengan perilaku kesehatan. Perilaku kesehatan dalam penelitian ini adalah penerapan pendidikan seksual anak usia dini. Hasil data kuantitatif menunjukkan sebagian besar guru memiliki persepsi netral dalam setiap variabel HBM yaitu 50% guru pada Perceived Susceptibility, 62.5% guru pada Perceived Severity, 62.5% guru pada Perceived Benefit, 68.75% guru pada Perceived Barrier, 62.5% guru pada Cues to Action, 81.25% guru pada Self-Efficacy, dan 56.25% guru pada Perilaku Kesehatan. Data kualitatif menunjukkan guru TKI XYZ belum melakukan Perilaku Kesehatan secara komprehensif. Informasi terkait pendidikan seksual yang disampaikan pada siswa tidak sistematis, bersifat situasional, belum merata kepada seluruh siswa, dan belum dapat di evaluasi keefektifannya. Hal ini disebabkan pemahaman guru yang kurang mengenai kekerasan seksual, perkembangan seksual, dan pendidikan seksual anak usia dini. Hambatan guru dalam menerapkan Perilaku Kesehatan adalah kemampuan diri, faktor budaya, dan persetujuan orangtua siswa. Kata Kunci: persepsi, guru, health-belief model, pendidikan seksual, anak usia dini 


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


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


2020 ◽  
Vol 2 (1) ◽  
pp. 92
Author(s):  
Muhamad Solikul Hamdani ◽  
Kun Ika Nur Rahayu ◽  
Yeni Lufiana Novita Agnes

Program Voluntary Counseling and Testing (VCT) merupakan salah satu strategi kesehatan masyarakat yang di lakukan untuk menekan penyebaran HIV/AIDS. Tingginya kasus HIV/AIDS di Indonesia salah satunya dikarenakan minta seseorang yang berisiko untuk melakukan pemeriksaan VCT yang masih rendah. Teori Health Belief Model adalah model teoritis yang dapat digunakan untuk memandu promosi kesehatan dan program pencegahan penyakit. Tujuan penelitian ini yaitu untuk mengetahui faktor yang berhubungan dengan pemanfatan klinik VCT pada LSL remaja dengan pendekatan teori Health Belief Model (HBM) di Kota Kediri tahun 2020. Pwnwlitian ini termasuk penelitian analiotik korelasi dengan pendekatan Cross sectional. 83 sampel orang dipilih denagn porposive sampling. Variabel Independen variabel meliputi perceived susceptibility, perceived benefits, perceived barrier, perceived seriusnes, dan cues to action. Variabel dependen adalah pemanfaatan layanan VCT. Data di kumpulkan dengan kuesioner dan di analisis dengan sperman rank. Hasil menunjukan bahwa perceived susceptibility dengan pemanfaaatan layanan VCT (p = 0,255), perceived seriousness dengan pemanfaatan layanan VCT (p = 0,241), perceived  benefits dengan pemanfaatan VCT ( p = 0,064), perceived barrier dengan pemanfaatan layanan VCT (p = 0,026), Hubungan cues to action dengan pemanfaatan layanan VCT (p = 0,169). Perceived susceptibility, perceived benefits, perceived seriusnes, dan cues to action tidak memiliki korelasi denagn pemanfaatan layana VCT, perceived barrier memiliki korelasi dengan pemanfaatan layanan VCT. Di saran kan bagi LM untuk sering memberikan informasi kepasa orang-orang beresiko tinggi HIV/AIDS. Kata kunci : VCT, LSL, HIV, HBM


2020 ◽  
Vol 6 (1) ◽  
pp. 94
Author(s):  
Minarni Wartiningsih ◽  
Danoe Soesanto ◽  
Hanna Tabita Hasianna Silitonga ◽  
Gianina Angelia Santoso

Di Surabaya pada tahun 2017, Incidence penyakit diare sebesar 76,602 kasus yang sebelumnya sebanyak 77,617 suspek kasus (98,69%). Kota Surabaya memiliki 63 Puskesmas dan dari tahun 2016 hingga tahun 2018, terdapat 12 Puskesmas yang  inciden penyakit diare pada balita meningkat. Penelitian ini bertujuan untuk menganalisis pengaruh persepsi ibu yang mengasuh balita terhadap perilaku gaya hidup bersih dan sehat berdasarkan Health Belief Model. Penelitian ini adalah penelitian kuantitatif analitik dengan pendekatan cross-sectional. Terdapat 120 ibu yang mengasuh balitanya dari 12 Puskesmas ikut terlibat dalam penelitian ini. Responden mengisi kuesioner tentang karakteristik, perceived susceptibility, perceived severity, perceived benefit, cues to action and perilaku gaya hidup sehat. Penelitian ini dilakukan pada bulan Mei tahun 2019. Analisis variabel dilakukan dengan uji analisis bivariat dengan regresi binomial. Karakteristik responden yang terdiri dari (usia, tingkat pendidikan dan tingkat sosio ekonomi) pada penelitian ini berpengaruh terhadap perceived susceptibility, perceived severity and perceived benefits. Perceived susceptibility dan perceived severity berpengaruh terhadap perceived barriers, tingkat pendidikan juga berpengaruh terhadap perceived benefits. Cues to action berpengaruh terhadap perceived barriers dan perceived barrier dan perceived benefits berpengaruh terhadap perilaku hidup bersih dan sehat. Kata kunci: Diare, Persepsi, Health Believe Models, PHBS


2019 ◽  
Vol 5 (1) ◽  
pp. 69
Author(s):  
Gaharuni Sahika Mutdinia ◽  
Retnayu Pradanie ◽  
Tiyas Kusumaningrum

Introduction: The practice of vaginal douching is still widely practiced by women of childbearing age without an indication of health. The aim of this research is to know the relationship between factors of vaginal douching practice based on the Health Belief Model Theory among women of child-bearing age.Methods: This research was conducted by using descriptive analytic design with cross sectional approach. Population of this research are women child-bearing age in Gelangan Village. Sample on this research was 169 respondents which were chosen by using cluster sampling technique. Independent variables in this research were perceived of seriousness, perceived of suscepbility, perceived of benefits, perceived of barriers, cues to action and self-efficacy. Dependent variable in this research was vaginal douching practice. The data colleting technique used in this research was questionnaire which was analysed by using Regresi Logistic test with α ≤0,05 level significance.Results: The result showed that perceived benefits (p=0.008) and perceived barriers (p=0.001) were correlated with vaginal douching practice. However, perceived seriousness (p=0.809), perceived suscepbility (p=0.272), cues to action (0.420) and self-efficacy (p=0.228) were not correlated with vaginal douching practice among women child-bearing age.Conclusion: Perceived of high benefits and perceived of low barriers was increased vaginal douching practice among women child-bearing age. However, other components of HBM theory such as perceived seriousness, perceived suscepbility, cues to action and self-efficacy were not related to vaginal douching practice. The next research were expected to explore related modifying factors.


2020 ◽  
Vol 11 (2) ◽  
pp. 119-134
Author(s):  
Hadyan Dhiozandi

Pendidikan seksualitas pada dasarnya bermanfaat untuk membekali anak agar lebih siap menjalani perkembangan seksual, serta sigap menghadapi kekerasan seksual. Namun melalui wawancara kepada orangtua di SD X, mayoritas orangtua enggan menyampaikan informasi seksualitas kepada anak. Mereka ragu menjawab pertanyaan anak seputar seksualitas, bahkan beberapa orangtua mempertanyakan manfaat pendidikan seksualitas. Dapat disimpulkan kesadaran orangtua di SD X untuk menerapkan pendidikan seksualitas kepada anak masih kurang. Tujuan penelitian ini adalah mengetahui kontribusi persepsi orangtua terhadap penerapan pendidikan seksualitas kepada anak. Peneliti menggunakan Health-Belief Model yang terdiri dari perceived susceptibility, perceived severity, perceived benefit, perceived barrier, dan cues to action untuk menggali pandangan orangtua mengenai faktor-faktor yang mempengaruhi dirinya untuk menerapkan pendidikan seksualitas. Data diperoleh melalui kuesioner kepada 127 orangtua di SD X yang memiliki anak kelas 4-6 SD. Hasil analisis menunjukkan hanya perceived barrier (persepsi akan adanya hambatan) yang dapat memprediksi perilaku orangtua dalam menerapkan pendidikan seksualitas kepada anaknya (t = -.4.894, p < .05). Berdasarkan hasil penelitian, orangtua perlu difasilitasi untuk menghilangkan hambatan (barrier) dalam menyampaikan informasi seksualitas pada anak.  


Author(s):  
Asruria Sani Fajriah ◽  
◽  
Supriyadi Hari Respati ◽  
Bhisma Murti ◽  
◽  
...  

Background: Breast self-examination (BSE) is a technique that allows a woman to examine her breast tissue for any physical or visual changes. It is important to help women in the early detection of breast abnormality. This study aimed to determine factors affecting breast self examination among university students using health belief model and theory of planned behavior. Subjects and Method: A cross-sectional study was conducted in Universitas Sebelas Maret, from August to September 2019. A sample of 200 female collage students was selected by simple random sampling. The dependent variable was breast-self examination. The independent variables were knowledge, perceived benefit, perceived barrier, intention, attitude, self-efficacy, cues to action, and subjective norm. The data were collected by questionnaire and analyzed by path analysis run on Stata 13. Results: BSE was directly increased by strong intention (b= 1.39; 95% CI= 0.58 to 2.21; p= 0.001), strong self-efficacy (b= 1.53; 95% CI= 0.75 to 2.30; p<0.001), and strong cues to action (b= 1.34; 95% CI= 0.56 to 2.11; p= 0.001). BSE was indirectly affected by attitude, cues to action, perceived barrier, perceived benefit, subjective norm, and knowledge. Conclusion: BSE was directly increased by strong intention (b= 1.39; 95% CI= 0.58 to 2.21; p= 0.001), strong self-efficacy (b= 1.53; 95% CI= 0.75 to 2.30; p<0.001), and strong cues to action (b= 1.34; 95% CI= 0.56 to 2.11; p= 0.001). BSE was indirectly affected by attitude, cues to action, perceived barrier, perceived benefit, subjective norm, and knowledge Keywords: breast cancer, breast self examination, path analysis Correspondence: Asruria Sani Fajriah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285790341801. DOI: https://doi.org/10.26911/the7thicph.02.42


Author(s):  
Kiyat Sudrajad ◽  
◽  
RB. Soemanto RB. Soemanto ◽  
Hanung Prasetya ◽  
◽  
...  

Background: Depression is common among adolescents that have been victims of bullying at school or through social media. However, numerous cases of bullying are never reported. Several studies have shown that suicidal ideation is associated with depression in adolescents with bullying. The purpose of this study was to examine the effect of bullying on depression in adolescents in Surakarta using Health Belief Model. Subjects and Method: A cross sectional study was carried out in Surakarta, Central Java, in December 2019. A sample of 250 adolescents was selected for this study randomly. The dependent variable was depression. The independent variables were bullying, perceived susceptibility, perceived severity, and self-efficacy. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Depression increased with bullying (OR= 3.5; 95% CI= 1.70 to 7.25; p= 0.001), strong perceived susceptibility (OR= 2.86; 95% CI= 1.32 to 6.19; p= 0.008), strong perceived severity (OR= 2.65; 95% CI= 1.20 to 5.88; p= 0.016), and weak self-efficacy (OR= 5.26; 95% CI= 2.49 to 11.09; p<0.001). Conclusion: Depression increases with bullying, strong perceived susceptibility, strong perceived severity, and weak self-efficacy. Keywords: bullying, depression, health belief model Correspondence: Kiyat Sudrajad. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285647116834. DOI: https://doi.org/10.26911/the6thicph.02.56


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