Journal of Health Promotion and Behavior
type: channel
description: e-ISSN: 2549-1172 Publisher: Masters Program in Public Health, Sebelas Maret University, Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia Editor in Chief: Dr. Rohmaningtyas Hidayah Setyaningrum, dr., Sp.KJ., M.Kes Sebelas Maret University, Solo, Indonesia Aim and Scope The Journal of Health Promotion and Behavior (JHPB) is a peer-reviewed, open-access international journal that publishes original research articles, systematic reviews, and meta-analyses on a quarterly basis. Since its establishment on May 21, 2015, JHPB has served as a scholarly platform for advancing knowledge and practice in health promotion, health education, and health-related behavior across diverse populations and settings. JHPB takes a multidisciplinary approach to understanding the complex interplay of psychological, social, cultural, behavioral, and policy-level factors that influence health outcomes. The journal welcomes contributions from fields such as psychology, sociology, anthropology, communication, education, nursing, public health, and allied health professions, particularly as they relate to the prevention of illness, promotion of well-being, and transformation of health behaviors. The journal aims to provide evidence-based insights and practical strategies for improving population health through behavior change, policy reform, and community-based interventions. It seeks to deepen understanding of health behaviors and their determinants at individual, community, and societal levels. JHPB encourages submissions from researchers worldwide and places a strong emphasis on supporting high-quality research from low- and middle-income countries (LMICs), especially work that addresses pressing local health issues with potential global relevance. Areas of interest include, but are not limited to: Health behavior theories and applications Health promotion and disease prevention strategies Behavioral epidemiology and lifestyle research Health education methodologies and outcomes Cu…
publisher: Masters Program in Public Health, Sebelas Maret University
language: en
publication name: Journal of Health Promotion and Behavior
issn: 2549-1172
items: Associations Between Social Support, Health Belief Model Constructs, and Smoking Cessation Among Patients Attending a Smoking Cessation Clinic in Surakarta, Central Java, Indonesia
items: Transforming Dengue Prevention: Community Knowledge and Health Promotion as Keys to Reducing Mortality in Surakarta, Central Java, Indonesia
items: Effect of Social Capital on Tertiary Preventive Behavior among Older Adults with Type 2 Diabetes Mellitus: A Structural Equation Modeling Approach
items: The Influence of the Health Belief Model on Reproductive Health Behavior among Adolescents in Surakarta, Indonesia
items: Application of Social Cognitive Theory on the Determinants of Tertiary Prevention Behavior and Its Impact on Blood Pressure among Elderly Individuals with Hypertension in Surakarta, Indonesia
items: Socioeconomic Factors, Parenting Styles, Bullying, and Adolescent Mental Health in Surakarta, Central Java, Indonesia
items: Implementation of the Health Belief Model to Explore Elderly Health Post Service Utilization in Jaten, Karanganyar District, Central Java, Indonesia
items: The Role of the Health Belief Model in Antenatal Care Visits among Pregnant Women at Sentru Saude Komunitaria, Baucau Municipality, Timor Leste
items: Cervical Cancer Patients’ Perceptions of Treatment Experiences at Dr. Moewardi Regional General Hospital, Surakarta, Central Java, Indonesia
items: Application of Social Cognitive Theory in Promoting Tertiary Prevention Behavior among Hypertensive Patients in Tulungagung, East Java, Indonesia
items: Social Support, Depression, and Anxiety as Predictors of Suicidal Ideation in People Living with HIV/AIDS: A Meta-Analysis
items: Path Analysis: Health Belief Model Application on Predicting Oral Hygiene Behavior of Junior High School Students in Surakarta, Central Java, Indonesia
items: Implementation of the Health Belief Model to Predict Acupuncture Therapy Adherence in Patients with Hernia Nucleus Pulposus
items: Effects of Social Norms and Social Networks on Non-Smoking Behavior among Junior High School Adolescents in Boyolali, Central Java, Indonesia
items: Effect of Yoga and Walking on Systolic Blood Pressure and Physical Fitness in Older People with Hypertension
items: Theory of Planned Behavior Constructs in Predicting Iron Supplement Consumption Adherence among Female Adolescents in Kudus, Central Java, Indonesia
items: Tertiary Prevention Behavior among Elderly with Hypertension Based on the Information Motivation Behavioral Skill Model
items: Effectiveness of Health Promotion Model-Based Educational Video on Adolescent Knowledge and Attitude Regarding Stunting Prevention: A Case Study in Ponorogo, Indonesia
items: Maternal Decisions on Prelacteal Feeding Practices for Newborns using the Theory of Planned Behavior Approach in Grogol, Sukoharjo, Central Java, Indonesia
items: Analysis of Factors Influencing Community Participation in the Free Health Screening Program Based on the Precede–Proceed Model

Associations Between Social Support, Health Belief Model Constructs, and Smoking Cessation Among Patients Attending a Smoking Cessation Clinic in Surakarta, Central Java, Indonesia
type: item
description: Background: Smoking behaviour is a major health problem in Indonesia, with a high prevalence rate. The decision to quit smoking is influenced by various factors, including social support and components of the Health Belief Model (HBM). However, the direct and indirect mechanisms through which social support and HBM components influence smoking behaviour remain incompletely understood, particularly among patients attending smoking cessation clinics. Understanding these factors is crucial for improving the success of smoking cessation programmes. Subjects and Method: This analytical observational study employed a case-control design involving patients at the Surakarta Smoking Cessation Clinic from September 2025 to November 2025. Data were collected using structured questionnaires and analysed using logistic regression and generalized structural equation modeling (GSEM) to evaluate the direct and indirect effects between variables. Results: Self-efficacy had a positive effect on smoking cessation (b = 1.23; 95% CI = 0.60 to 1.85; p < 0.001). Perceived susceptibility (b = 0.66; 95% CI = 0.05 to 1.27; p = 0.034) and perceived benefit (b = 0.63; 95% CI = 0.001 to 1.26; p = 0.050) have a positive effect on smoking cessation, whilst perceived barriers have a negative effect on smoking cessation (b = −0.70; 95% CI = −1.30 to −0.09; p = 0.025). Cues to action had a positive effect on self-efficacy (b = 0.73; 95% CI = 0.16 to 1.31; p = 0.013). Social support positively influenced cues to action (b = 1.85; 95% CI = 1.21 to 2.49; p < 0.001) and perceived benefits (b = 1.00; 95% CI = 0.42 to 1.59; p = 0.001). Social support influences smoking cessation indirectly through cues to action, perceived benefits, and self-efficacy. Conclusion: Smoking cessation is influenced by the interaction between social support and the components of the Health Belief Model, with self-efficacy being the most dominant factor. Social support plays an indirect role by increasing cues to action, percei…
subject: Articles
  topic: section
subject: smoking cessation
  topic: keywords
subject: social support
  topic: keywords
subject: Health Belief Model
  topic: keywords
subject: Generalized Structural Equation Model
  topic: keywords
creator: Seindy Arya Kusuma Timoer
creator: Hendrastutik Apriningsih
creator: Bhisma Murti
creator: Jatu Aphridasari
creator: Ana Rima Setijadi
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-07-16
publication date: 2026-07-16
starting page: 307
ending page: 317
doi: 10.26911/thejhpb.2026.11.03.01

Transforming Dengue Prevention: Community Knowledge and Health Promotion as Keys to Reducing Mortality in Surakarta, Central Java, Indonesia
type: item
description: Background: Dengue Haemorrhagic Fever (DHF) remains a major public health threat in tropical regions like Surakarta, Indonesia. While conventional mosquito control methods such as fogging are widely implemented, their long-term effectiveness is limited. This study investigates how gaps in community knowledge regarding dengue symptoms and warning signs contribute to treatment delays and increased mortality rates. Subjects and Method: The study employed a quantitative-method approach focusing on the year 2024. Due to fieldwork challenges, a total sampling of 11 families who lost members to DHF was conducted using proxies, including relatives, neighborhood heads, and health cadres. Data were collected through semi-structured interviews and analyzed using SPSS for descriptive and inferential statistics, including multiple linear regression and ANOVA analysis. Results: DHF fatalities in Surakarta rose by over 150%, from 4 deaths in 2023 to 11 in 2024, with the 5–14 age group being most vulnerable. Statistical analysis revealed that all 11 families lacked sufficient knowledge of dengue symptoms. While most variables were not statistically significant, family recognition of experienced symptoms was a critical factor in identifying the disease. The high R-square value (91.4%) indicates that knowledge gaps and information access strongly influence DHF awareness. Conclusion: The primary driver of DHF mortality in Surakarta is a critical lack of knowledge among families, leading to fatal delays in seeking medical care. Traditional reactive strategies like fogging are insufficient. Reducing mortality requires a paradigm shift toward inclusive, knowledge-based community empowerment and early warning health education.
subject: Articles
  topic: section
subject: dengue
  topic: keywords
subject: empowerment
  topic: keywords
subject: knowledge-based mitigation
  topic: keywords
subject: mortality
  topic: keywords
creator: Akbarudin Arif
creator: Kurnia Atika Suri
creator: Sapja Anantanyu
creator: Agus Kristiyanto
creator: Haryani Saptaningtyas
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-01-16
publication date: 2026-01-16
starting page: 132
ending page: 144
doi: 10.26911/thejhpb.2026.11.01.010

Effect of Social Capital on Tertiary Preventive Behavior among Older Adults with Type 2 Diabetes Mellitus: A Structural Equation Modeling Approach
type: item
description: Background: Diabetes Mellitus (DM), known as the “silent killer,” continues to show an increasing number of cases. It has emerged as one of the most serious and common chronic diseases, leading to life-threatening complications, disability, and reduced life expectancy. The persistently high prevalence of diabetes in Karanganyar Regency, along with the interaction among multiple determinants, underlies the objective of this study, which is to analyze the influence of structural, cognitive, and relational social capital models on tertiary preventive behavior among elderly individuals with Type 2 Diabetes Mellitus. Subjects and Method: This study employed a cross-sectional design. It was conducted in Karanganyar Regency (Jatipuro, Jatiyoso, and Karanganyar sub-districts), Central Java, from January to March 2025. A total of 210 elderly participants were selected using certified random sampling. Data were collected using a structured questionnaire. The analyses included univariate, bivariate, and multivariate analyses using a structural equation model (SEM). The dependent variable was tertiary preventive behavior among elderly individuals with Type 2 Diabetes Mellitus. The independent variables were social capital, comprising structural social capital, cognitive social capital, and relational social capital. Results: Structural social capital had a positive and statistically significant effect on tertiary preventive behavior (b= 0.32; 95% CI= 0.13 to 0.52; p= 0.001). Relational social capital also showed a positive and significant effect on tertiary preventive behavior (b= 0.37; 95% CI= 0.15 to 0.59; p= 0.001). Age demonstrated a negative and statistically significant effect on tertiary preventive behavior (b= -0.09; 95% CI= -0.16 to -0.03; p= 0.003). Conclusion: The findings of this study indicate that elderly individuals with Type 2 Diabetes Mellitus who have higher levels of social capital—comprising structural, cognitive, and relational dimensions—are more likely to…
subject: Articles
  topic: section
subject: structural equation model
  topic: keywords
subject: elderly
  topic: keywords
subject: type 2 diabetes mellitus
  topic: keywords
creator: Anna Nugrahani
creator: Bhisma Murti
creator: Setyo Sri Rahardjo
creator: Argyo Demartoto
creator: Revi Gama Hatta Novika
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2025-10-16
publication date: 2025-10-16
starting page: 497
ending page: 507
doi: 10.26911/

The Influence of the Health Belief Model on Reproductive Health Behavior among Adolescents in Surakarta, Indonesia
type: item
description: Background: Adolescents are vulnerable to reproductive health problems. Globally, approximately 1.7 million adolescents are living with HIV, and 12 million births occur among those aged 15–19 years. In Surakarta, 224 cases have been reported, highlighting the need for a Health Belief Model (HBM)-based approach. This study aimed to analyze the influence of HBM constructs on adolescent reproductive health behavior in Surakarta, both directly and indirectly. Subject and method: This was a quantitative study with a cross-sectional design conducted among 200 respondents selected through multistage random sampling from five secondary schools. Data were collected using a structured questionnaire and analyzed using simple logistic regression and path analysis. Results: Bivariate analysis showed that perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy were significantly associated with reproductive health behavior (p < 0.05). In multivariate analysis, self-efficacy had a positive and significant effect (b = 0.08; p = 0.015), perceived barriers had a negative and significant effect (b = -0.03; p = 0.034), and cues to action had a positive and significant effect (b = 0.19; p < 0.001). In addition, several HBM components had indirect effects on reproductive health behavior through self-efficacy as a mediating variable. The model demonstrated a good fit to the data (p = 0.441; RMSEA = 0.000; CFI = 1.000; TLI = 1.003; SRMR = 0.016). Conclusion: The components of the Health Belief Model significantly influence adolescent reproductive health behavior, both directly and indirectly through self-efficacy. Reproductive health interventions should emphasize improving self-efficacy and strengthening behavioral enabling factors.
subject: Articles
  topic: section
subject: adolescents
  topic: keywords
subject: health belief model
  topic: keywords
subject: self-efficacy
  topic: keywords
subject: reproductive health behavior
  topic: keywords
creator: Bita Lestari
creator: Ika Sumiyarsi Sukamto
creator: Okid Parama Astirin
creator: Revi Gama Hatta Novika
creator: Vitri Widyaningsih
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-01-16
publication date: 2026-01-16
starting page: 112
ending page: 131
doi: 10.26911/

Application of Social Cognitive Theory on the Determinants of Tertiary Prevention Behavior and Its Impact on Blood Pressure among Elderly Individuals with Hypertension in Surakarta, Indonesia
type: item
description: Background: Hypertension is a noncommunicable disease that commonly affects older adults and may lead to serious complications. Effective hypertension control also depends on tertiary preventive behaviors. This study aimed to examine the reduction of hypertension through tertiary preventive behaviors and to analyze the direct and indirect effects of Social Cognitive Theory constructs on tertiary preventive behaviors and systolic blood pressure among older adults with hypertension. Subjects and Method: This cross-sectional study was conducted in Surakarta, Indonesia. A multistage random sampling technique was employed, resulting in the selection of seven community health centers (Puskesmas) and a total sample of 211 respondents. Data were collected using questionnaires that had been tested for validity and reliability. Multivariate data analysis was performed using path analysis. Results: Tertiary preventive behavior was directly and significantly influenced by behavioral skills (b= 0.26; 95% CI= 0.11 to 0.40; p = 0.001), reinforcement (b = 0.23; 95% CI = 0.10 to 0.36; p = 0.001), self-regulation (b = 0.16; 95% CI = 0.02 to 0.30; p = 0.021), observational learning (b = 0.18; 95% CI = 0.06 to 0.30; p = 0.003), and female sex (b= 0.12; 95% CI= 0.02 to 0.21; p = 0.013). Systolic blood pressure was directly and significantly associated with tertiary preventive behavior in a negative direction (b= −0.14; 95% CI= −0.27 to −0.02; p= 0.027), indicating that better tertiary preventive behavior was associated with lower systolic blood pressure. In contrast, body mass index (b= 0.19; 95% CI = 0.06 to 0.32; p = 0.003) and age (b= 0.21; 95% CI= 0.08 to 0.34; p= 0.001) showed positive associations with systolic blood pressure. Sex was not significantly associated with systolic blood pressure. Outcome expectations indirectly influenced tertiary preventive behavior through self-efficacy and subsequently through behavioral skills. Conclusion: Tertiary preventive behavior is influence…
subject: Articles
  topic: section
subject: hypertension
  topic: keywords
subject: older people
  topic: keywords
subject: Social Cognitive Theory
  topic: keywords
creator: Tania Febiola
creator: Argyo Demartoto
creator: Bhisma Murti
creator: Revi Gama Hatta Novika
creator: Erindra Budi Cahyanto
creator: Anik Lestari
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-01-16
publication date: 2026-01-16
starting page: 77
ending page: 91
doi: 10.26911/

Socioeconomic Factors, Parenting Styles, Bullying, and Adolescent Mental Health in Surakarta, Central Java, Indonesia
type: item
description: Background: According to the World Health Organization (WHO) in 2018, approximately 970 million people worldwide live with mental disorders, with anxiety and depression being the most prevalent. In Indonesia, mental health problems are particularly common among adolescents; the 2022 Indonesian Adolescent Mental Health Survey (I-NAMHS) reported that 34.9% experienced mental health issues in the past year. In Surakarta, 597 cases of mental health problems were recorded between January and June 2024, with adolescents aged over 15 years accounting for 5.51% of cases. This study examined the direct and indirect effects of socioeconomic status, parenting styles, and bullying on adolescent mental health in Surakarta. Subjects and Method: A quantitative cross-sectional study was conducted on 200 respondents selected through multistage random sampling in three secondary schools. The independent variables were socioeconomic status, parenting styles, and bullying. The dependent variable was mental health. Data were collected using questionnaires and analyzed using simple logistic regression and path analysis. Results: The risk of mental health problems decreased with higher socioeconomic status (b= −1.59; 95% CI= −2.63 to −0.55; p = 0.003), positive parenting practices (b= −0.87; 95% CI= −1.68 to −0.61; p= 0.035), and a lower frequency of bullying (b = 1.77; 95% CI = 1.02 to 2.51; p < 0.001). Conclusion: This study concludes that mental health disorders decrease if adolescents have high socioeconomic status and good parenting patterns applied by their parents. Mental health disorders increase if adolescents experience high frequency of bullying. And this path analysis model shows good fit
subject: Articles
  topic: section
creator: Dwi Kurniawati
creator: Sri Mulyani
creator: Okid Parama Astirin
creator: Setyo Sri Rahardjo
creator: Ika Sumiyarsi Sukamto
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-01-16
publication date: 2026-01-16
starting page: 55
ending page: 65
doi: 10.26911/

Implementation of the Health Belief Model to Explore Elderly Health Post Service Utilization in Jaten, Karanganyar District, Central Java, Indonesia
type: item
description: Background: The utilization of elderly integrated health post (posyandu) visits remains a significant issue affecting the health status of older adults. Elderly health post service serves as a community-based health service platform designed to cater to the needs of the elderly population. However, the utilization of elderly health post service visits is still very low. This study aims to analyze the factors associated with the utilization of elderly health post service services based on the Health Belief Model (HBM). Subjects and Method: The study employed a cross-sectional design and was conducted in Jaten District, Karanganyar, Central Java, Indonesia, from March to April 2025. Sampling was carried out using a multistage sampling method, involving 210 elderly individuals from 30 existing elderly health post service centers. The dependent variable was the utilization of elderly health post service. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. Data were collected using a questionnaire. Path analysis was employed for data analysis. Results: The utilization of elderly health post service was significantly influenced by perceived susceptibility (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001), perceived barrier (b= -0.29; 95% CI= 0.42 to -0.15; p <0.001), and self-efficacy (b= 0.13; 95% CI= 0.01 to 0.26; p= 0.038). It was indirectly affected by perceived benefits, perceived susceptibility, perceived severity, and cues to action. Conclusion: The utilization of elderly health post service services is directly influenced by perceived susceptibility, perceived barriers, and self-efficacy. Indirectly, the utilization of elderly health post service visits is affected by perceived barriers, perceived benefits, perceived susceptibility, perceived severity, and cues to action.
subject: Articles
  topic: section
subject: health belief model
  topic: keywords
subject: community health service
  topic: keywords
subject: elderly health post service
  topic: keywords
creator: Herry Putut Cahyono
creator: Setyo Sri Rahardjo
creator: Bhisma Murti
creator: Revi Gama Hatta Novika
creator: Ika Sumiyarsi Sukamto
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2025-07-16
publication date: 2025-07-16
starting page: 374
ending page: 385
doi: 10.26911/

The Role of the Health Belief Model in Antenatal Care Visits among Pregnant Women at Sentru Saude Komunitaria, Baucau Municipality, Timor Leste
type: item
description: Background: Antenatal Care (ANC) visits are an essential intervention for reducing the risk of maternal morbidity and mortality. However, ANC coverage in several regions of Timor-Leste, including Baucau Municipality, remains below the national target. This study aimed to analyze factors influencing pregnant women’s compliance with recommended ANC visits according to timing and guidelines using the Health Belief Model (HBM) Subjects and Method: This cross-sectional study involved 200 pregnant women registered at healthcare facilities in Baucau Municipality, Timor-Leste. Data were collected using a question-naire based on HBM constructs that had been tested for validity and reliability. Data were analyzed using path analysis with STATA version 13 to identify direct and indirect effects among variables associated with ANC visits. Results: The results showed that cues to action had a direct and positive effect on ANC visits (b= 0.12; 95% CI= 0.03 to 0.20; p= 0.005). Gestational age had a significant positive effect on ANC visits (b= 0.24; 95% CI= 0.16 to 0.32; p< 0.001). In contrast, distance to healthcare facilities had a significant negative effect (b= -0.70; 95% CI= -0.75 to -0.64; p< 0.001), while parity had a negative but non-significant effect (b= -0.05; 95% CI= -0.14 to 0.03; p= 0.175). Self-efficacy had an indirect effect on ANC visits through perceived benefits (b= 0.15; 95% CI= 0.01 to 0.29; p= 0.040) and perceived benefits also had a significant indirect effect (b= 0.22; 95% CI= 0.08 to 0.37; p= 0.002). Perceived severity indirectly influenced ANC visits as well (b= -0.14; 95% CI= -0.26 to -0.01; p= 0.035). Conclusion: ANC visits increased with stronger cues to action and advancing gestational age. Conversely, ANC visits decreased with greater parity and longer distance to healthcare facilities. ANC visits were indirectly influenced by perceived susceptibility, perceived severity, perceived barriers, perceived benefits, and self-efficacy.
subject: Articles
  topic: section
subject: antenatal care
  topic: keywords
subject: health belief model
  topic: keywords
subject: pregnant women
  topic: keywords
creator: Natalino de Jesus Varela
creator: Yulia Lanti Retno Dewi
creator: Bhisma Murti
creator: Revi Gama Hatta Novika
creator: Setyo Sri Rahardjo
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-01-16
publication date: 2026-01-16
starting page: 41
ending page: 54
doi: 10.26911/

Cervical Cancer Patients’ Perceptions of Treatment Experiences at Dr. Moewardi Regional General Hospital, Surakarta, Central Java, Indonesia
type: item
description: Background: Cervical cancer is one of the most common cancers affecting women and ranks fourth worldwide. During the course of treatment, cervical cancer patients in Indonesia often face various challenges that may affect their quality of life and treatment outcomes. Some of the main challenges experienced by cervical cancer patients include physical, psychological, social, and economic aspects. This study aimed to explore the experiences of cervical cancer patients while undergoing treatment. Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted at Dr. Moewardi Regional General Hospital, Surakarta, Central Java, parti-cular¬ly in the Obstetrics and Gynecology Outpatient Clinic. A total of 20 informants, consist¬ing of 1 key informant, 10 main informants, and 9 supporting informants, were selected using purposive sampling. Data were collected through interviews, observations, and documen¬tation. Data were analyzed using the Miles and Huberman approach. Results: The study identified five themes: (1) the emotional journey of cervical cancer patients during treatment, (2) physical challenges experienced during cervical cancer treatment, (3) socio-economic barriers to undergoing cervical cancer treatment, (4) the role of social and spiritual support in patient resilience, and (5) the benefits of and expectations toward cervical cancer treatment. Conclusion: The perceptions of cervical cancer patients during treatment were not limited to medical aspects alone but also encompassed emotional, social, spiritual, and economic dimensions. Addressing these aspects is essential for improving patients’ quality of life and enhancing adherence to cervical cancer treatment.
subject: Articles
  topic: section
subject: patient perceptions
  topic: keywords
subject: cervical cancer
  topic: keywords
subject: phenomenology
  topic: keywords
creator: La Karman Gojali
creator: Eti Poncorini Pamungkasari
creator: Bhisma Murti
creator: Argyo Demartoto
creator: Revi Gama Hatta Novika
creator: Haryani Saptaningtyas
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-01-16
publication date: 2026-01-16
starting page: 26
ending page: 40
doi: 10.26911/

Application of Social Cognitive Theory in Promoting Tertiary Prevention Behavior among Hypertensive Patients in Tulungagung, East Java, Indonesia
type: item
description: Background: Hypertension is a non-communicable disease that can affect individuals across all age groups, including the productive age population, largely due to changes in lifestyle. The implementation of tertiary prevention behaviors is essential to prevent disease complications such as coronary heart disease, stroke, kidney failure, and liver disease. This study aimed to analyze the application of Social Cognitive Theory in relation to tertiary prevention behaviors among patients with hypertension. Subjects and Method: This analytic observational study employed a cross-sectional design. The study subjects were patients with hypertension of productive age (15–64 years) in Tulungagung Regency, selected using a non-proportional random sampling technique, with a total sample of 220 participants. Data were collected using a research questionnaire that had been tested for validity and reliability. Multivariate data analysis was conducted using path analysis to examine both direct and indirect effects among variables. Results: There were direct and statistically significant effects of observational learning (b = 0.13; 95% CI = 0.01 to 0.24; p = 0.028), self-efficacy (b = 0.20; 95% CI = 0.05 to 0.35; p = 0.008), and attitude (b = 0.31; 95% CI= 0.17 to 0.45; p < 0.001) on tertiary prevention behaviors. Education was not significantly associated with tertiary prevention behaviors. Age (b = 0.17; 95% CI= 0.05 to 0.29; p = 0.005) and tertiary prevention behaviors (b= −0.38; 95% CI = −0.49 to −0.27; p < 0.001) showed direct and significant effects on blood pressure. Sex was not significantly associated with blood pressure. Social support, outcome expectations, and age had indirect effects on tertiary prevention behaviors through self-efficacy. Conclusion: There are direct effects of observational learning, attitude, and self-efficacy on tertiary prevention behaviors, as well as indirect effects of social support, outcome expectations, age, and education on tertiary prevention…
subject: Articles
  topic: section
subject: hypertension
  topic: keywords
subject: tertiary prevention behavior
  topic: keywords
subject: Social Cognitive Theory
  topic: keywords
creator: Anggie Rahmatul Azizah
creator: Ratih Puspita Febrinasari
creator: Bhisma Murti
creator: Okid Parama Astirin
creator: Argyo Demartoto
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2025-10-16
publication date: 2025-10-16
starting page: 460
ending page: 474
doi: 10.26911/thejhpb.2025.10.04.07

Social Support, Depression, and Anxiety as Predictors of Suicidal Ideation in People Living with HIV/AIDS: A Meta-Analysis
type: item
description: Background: Acquired Immune Deficiency Syndrome (AIDS) is a disease caused by the Human Immunodeficiency Virus (HIV). People living with HIV/AIDS (PLWHA) are 7 to 36 times more likely to experience suicidal ideation compared to the general population. Suicidal ideation among PLWHA is closely correlated with depression and anxiety. Social support plays a crucial role in helping individuals cope with HIV, serving as a direct protective factor for psychosocial health. This meta-analysis aims to examine the relationship between social support, depression, and anxiety with suicidal ideation among people living with HIV/AIDS (PLWHA) Subjects and Method: The meta-analysis was conducted using the PICO framework. Population: people living with HIV/AIDS (PLWHA). Intervention: high social support, presence of depression, and anxiety. Comparison: low social support, absence of depression, and absence of anxiety. Outcome: suicidal ideation. Research data were obtained from the Google Scholar, PubMed, and ScienceDirect databases. The keywords used were “social support” OR “depression” OR “anxiety” AND “suicidal ideation” AND “HIV/AIDS” OR “PLWHA.” The inclusion criteria included cross-sectional studies published between 2014 and 2024. Data analysis was performed using RevMan version 5.4. Results: The meta-analysis included 19 primary studies conducted in Indonesia, South Korea, China, Ethiopia, Uganda, Nigeria, South Africa, and the United States, with a total sample size of 11,166 participants. PLWHA residing in communities with high social support had 0.65 times lower odds of suicidal ideation compared to those with low social support (aOR= 0.65; 95% CI= 0.57 to 0.74; p<0.001). PLWHA experiencing depression had a 3.21 times higher risk of suicidal ideation compared to those without depression (aOR= 3.21; 95% CI= 2.07 to 4.99; p <0.001). PLWHA with anxiety were 1.67 times more likely to experience suicidal ideation than those without anxiety (aOR= 1.67; 95% CI= 1.29 to 2.18; p= …
subject: Articles
  topic: section
subject: social support
  topic: keywords
subject: depression
  topic: keywords
subject: anxiety
  topic: keywords
subject: people living with HIV/AIDS
  topic: keywords
subject: suicidal ideation
  topic: keywords
creator: Aulia Putri Nugraheni
creator: Maoli Zartika
creator: Anis Lupita Ningrum
creator: Bhisma Murti
creator: Ika Yuli Ayuningrum
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2025-10-16
publication date: 2025-10-16
starting page: 421
ending page: 437
doi: 10.26911/thejhpb.2025.10.04.04

Path Analysis: Health Belief Model Application on Predicting Oral Hygiene Behavior of Junior High School Students in Surakarta, Central Java, Indonesia
type: item
description: Background: The high prevalence of orodental diseases, accompanied by low prevalence of appropriate behavior in maintaining orodental health, shows the urgency of health institutions to understand the determinants influencing such behaviors in Indonesia. The aims of this study was to analyze the effect of applying the health belief model on orodental health behavior among middle school students in Surakarta. Subjects and Method: This study was a cross-sectional observational analytical quantitative study, which was conducted in 14 public Junior High Schools in Surakarta, Central Java, Indonesia from January to March 2025. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy, and cues to action. Orodental health behavior acts as the dependent variable. Subjects were determined using a multistage random sampling method with a total of 210 students. The data were collected through a researcher-made questionnaire, which included questions about demographic characteristics and the six HBM constructs. Data analysis was conducted using path analysis by StataMP 13. Results: Orodental health behavior in middle school students was directly influenced by perceived benefit (OR= 0.36; CI 95%= 0.26 to 0.45; p<0.001), perceived susceptibility (OR= 0.47; CI 95%= 0.38 to 0.55; p<0.001), and self-efficacy (OR= 0.20; CI 95%= 0.10 to 0.30; p<0.001). Orodental health behavior was also indirectly influenced by perceived susceptibility and cues-to-action. Conclusion: Perceived benefit, perceived susceptibility, and self-efficacy significantly improved orodental health behavior in students.
subject: Articles
  topic: section
subject: oral behavior
  topic: keywords
subject: health belief
  topic: keywords
subject: path analysis
  topic: keywords
creator: Rifda Muthia Sabrina
creator: Eti Poncorini Pamungkasari
creator: Bhisma Murti
creator: Revi Gama Hatta Novika
creator: Anik Lestari
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2025-10-16
publication date: 2025-10-16
starting page: 409
ending page: 420
doi: 10.26911/thejhpb.2025.10.04.03

Implementation of the Health Belief Model to Predict Acupuncture Therapy Adherence in Patients with Hernia Nucleus Pulposus
type: item
description: Background: Hernia Nucleus Pulposus is one of the causes of low back pain that can interfere with activity and quality of life. Acupuncture therapy is one of the effective non-pharmacological treatment alternatives in reducing pain due to Hernia Nucleus Pulposus. However, patient adherence to undergoing acupuncture therapy is still a challenge. This study aims to analyze the factors within the framework of the Health Belief Model that affect adherence to acupuncture therapy in patients with Hernia Nucleus Pulposus. Subjects and Method: This study was a cross-sectional study conducted in Surakarta, from January to March 2025. A total of 200 patients were selected randomly. The depen­dent variable was adherence to acupuncture therapy in Hernia Nucleus Pulposus. Independent variables were perceived susceptibility, perceived severity, perceived benefits, perception of barriers, self-efficacy, and cues to action. The data were analyzed using Linear Regression. Results: Adherence to acupuncture therapy patients with hernia nucleus pulposus increased with high perceived susceptibility (b=0.14; 95% CI= 0.01 to 0.27; p= 0.040), high perceived severity (b= 0.30; 95% CI= 0.02 to 0.59; p=0.038), high perceived benefits (b= 0.16; 95% CI= 0.01 to 0.31; p=0.042), high cues to action (b=0.19; 95% CI= 0.02 to 0.36; p= 0.032), high self-efficacy (b=0.19; 95% CI= 0.02 to 0.38; p= 0.022). Adherence to acupuncture therapy decreased with high perceived barrier (b= -0.10; 95% CI= -0.21 to -0.01; p= 0.046). Conclusion: There was a positive relationship between perceived susceptibility, perceived severity, perceived benefits, cues to action, and self-efficacy on adherence to acupuncture therapy. Perceived barriers decrease adherence to acupuncture therapy in hernia nucleus pulposus.
subject: Articles
  topic: section
subject: health belief model
  topic: keywords
subject: adherence
  topic: keywords
subject: acupuncture therapy
  topic: keywords
subject: hernia nucleus pulposus
  topic: keywords
creator: Afifah Kusumaning Tyas
creator: Bhisma Murti
creator: Ika Sumiyarsih Sukamto
creator: Hanung Prasetyo
creator: Setyo Sri Rahardjo
creator: Revi Gama Hatta Novika
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2025-10-16
publication date: 2025-10-16
starting page: 397
ending page: 408
doi: 10.26911/thejhpb.2025.10.04.02

Effects of Social Norms and Social Networks on Non-Smoking Behavior among Junior High School Adolescents in Boyolali, Central Java, Indonesia
type: item
description: Background: Smoking behavior among adolescents remains a public health problem that may lead to long-term health consequences. Junior high school students are a vulnerable population at risk of engaging in smoking behavior due to social environmental influences, particularly from peers and family members. Social norms and social networks play an important role in shaping adolescents’ ability to maintain non-smoking behavior. This study aimed to analyze the effects of social norms and social networks on non-smoking behavior among junior high school students in Boyolali Regency. Subjects and Method: This study employed a quantitative research method with a cross-sectio­nal design. The population consisted of 33,700 junior high school adolescents in Boyolali Regency. A total of 240 respondents were included in this study, and the data were collected using a stratified random sampling technique. The samples were obtained from eight junior high schools in Boyolali Regency, comprising four public junior high schools and four private junior high schools. Results: Based on Table 4, social norms had a significant effect on non-smoking behavior. Respondents with high social norms were 7.34 times more likely to engage in non-smoking behavior than those with low social norms (AOR = 7.34; 95% CI = 3.48 to 15.49; p = 0.001). Social networks also had a significant effect on non-smoking behavior. Respondents with high social networks were 7.78 times more likely to engage in non-smoking behavior than those with low social networks (AOR= 7.78; 95% CI= 3.68 to 16.43; p= 0.001). Gender was significantly associated with non-smoking behavior. Female respondents were 2.52 times more likely to engage in non-smoking behavior than male respondents (AOR = 2.52; 95% CI = 1.22 to 5.21; p = 0.012). Conclusion: Social norms and social networks significantly influenced non-smoking behavior among junior high school adolescents in Boyolali Regency.
subject: Articles
  topic: section
subject: Social norms
  topic: keywords
subject: social networks
  topic: keywords
subject: non-smoking behavior
  topic: keywords
creator: Budi Santoso
creator: Argyo Demartoto
creator: Revi Gama Hatta Novika
creator: Haryani Saptaningtyas
creator: Yulia Lanti Retno Dewi
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-04-16
publication date: 2026-04-16
starting page: 202
ending page: 211
doi: 10.26911/thejhpb.2026.11.02.06

Effect of Yoga and Walking on Systolic Blood Pressure and Physical Fitness in Older People with Hypertension
type: item
description: Background: Hypertension in the elderly is one of the most common health problems and is at risk of causing cardiovascular complications. Physical activities such as yoga and walking are seen as effective non-pharmacological interventions in helping control blood pressure, improving physical fitness, and providing a positive impact on the quality of elderly health services. This study aims to analyze the effect of yoga and walking on systolic blood pressure and physical fitness in older people with hypertension. Subjects and Method: This was an experimental study. The independent variable was yoga and walking program. The dependent variables were systolic blood pressure and physical fitness. The effect of yoga and walking interventions on systolic blood pressure and physical fitness was analyzed using Freadman test. Results: The results showed that yoga and walking had a significant effect on reducing systolic blood pressure in the elderly with (Sig. 0.001 <0.05). Spearman’s rho analysis results indicate that behavioral activity is significantly associated with all variables, as the p-value is < 0.001. The strongest association was found with pre-test systolic blood pressure (r = 0.78). Meanwhile, post-test physical fitness showed an r-value of 0.67, pre-test physical fitness r = 0.54, and systolic blood pressure r = 0.47. Conclusion: There is a significant difference in the effect of behavioral activity on systolic blood pressure and physical fitness in elderly people with hypertension, based on the Friedman test. Behavioral activity has been shown to contribute to lowering systolic blood pressure and improving physical fitness; there is a strong relationship between behavioral activity on systolic blood pressure and physical fitness based on the Spearman's rho correlation test.
subject: Articles
  topic: section
subject: Yoga
  topic: keywords
subject: walking
  topic: keywords
subject: systolic blood pressure
  topic: keywords
subject: physical fitness
  topic: keywords
subject: hypertensive elderly
  topic: keywords
creator: Ely Tri Susiani
creator: Yulia Lanti Retno Dewi
creator: Siti Khoiriyah
creator: Dhoni Akbar Ghozali
creator: Adi Prayitno
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-07-16
publication date: 2026-07-16
starting page: 355
ending page: 366
doi: 10.26911/

Theory of Planned Behavior Constructs in Predicting Iron Supplement Consumption Adherence among Female Adolescents in Kudus, Central Java, Indonesia
type: item
description: Background: Anemia among female adolescents remains a significant public health problem in Indonesia. One of the main strategies to prevent anemia is the routine provision of iron supple­mentation tablets (TTD) for female adolescents. However, compliance to iron tablet consumption remains suboptimal. This study aimed to analyze the influence of the constructs of the Theory of Planned Behavior, on adherence to iron tablet consumption among female adolescents. Subjects and Method: This study employed a quantitative research design with a cross-sectional approach. The study was conducted among 275 female adolescents attending senior high schools at Ngembal Kulon and Jekulo sub districts, Kudus, Central Java, Indonesia. Participants were selected using proportional sampling. Data were collected using structured questionnaires and analyzed using logistic regression to determine the influence of attitude, subjective norms, perceived behavioral control, and intention on adherence to iron tablet consumption. Results: The results showed that attitude (OR=0.78; 95% CI=0.45–1.37; p=0.397) and intention (OR=0.82; 95% CI=0.44–1.51; p=0.520) was not significantly associated with compliance to iron tablet consumption. In contrast, subjective norms (OR=1.80; 95% CI=1.03–3.15; p=0.040) and perceived behavioral control (OR=4.67; 95% CI=2.40–9.10; p<0.001) were significantly associated with adherence to iron tablet consumption. Among these variables, perceived behavioral control was identified as the strongest determinant.in non-smoking behavior than male respondents (AOR = 2.52; 95% CI = 1.22 to 5.21; p = 0.012). Conclusion: Subjective norms and perceived behavioral control significantly influence adherence to iron tablet consumption among female adolescents.
subject: Articles
  topic: section
subject: anemia
  topic: keywords
subject: adherence
  topic: keywords
subject: iron supplementation tablets
  topic: keywords
subject: female adolescents
  topic: keywords
subject: theory of planned behavior
  topic: keywords
creator: Pelangi Pagi Kalimasadha
creator: Revi Gama Hatta Novika
creator: Ika Sumiyarsi Sukamto
creator: Okid Parama Astiri
creator: Arsita Eka Prasetyawati
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-04-16
publication date: 2026-04-16
starting page: 212
ending page: 221
doi: 10.26911/thejhpb.2026.11.02.07

Tertiary Prevention Behavior among Elderly with Hypertension Based on the Information Motivation Behavioral Skill Model
type: item
description: Background: Hypertension among the elderly is a prevalent health problem with a high risk of serious complications, including stroke and renal failure. However, tertiary prevention behaviors, such as treatment adherence and lifestyle management, remain suboptimal. The Information Motivation Behavioral Skill (IMB) model suggests that health behavior is influenced by information, motivation, and behavioral skills. This study aimed to analyze tertiary prevention behavior among elderly patients with hypertension based on the IMB model. Subjects and Method: This was an analytic observational study with a cross-sectional design. A total of 252 older people with hypertension were selected using simple random sampling at Gambirsari and Sibela Primary Health Centers in Surakarta, Central Java, Indonesia. Variables independent were information, motivation, behavioral skills, and the dependent was tertiary prevention behavior. Data were collected using questionnaires and analyzed using path analysis run on STATA 13. Results: Information (b=4.32; 95% CI=2.2 to 6.43; p<0.001), motivation (b=3.15; 95% CI=1.77 to 4.54; p<0.001), and behavioral skills (b=3.33; 95% CI=2.09–4.57; p<0.001) had significant direct effects on tertiary prevention behavior. Indirect effects through behavioral skills were also observed for information (b=0.81; 95% CI=0.19 to 1.42; p=0.010) and motivation (b=1.49; 95% CI= 0.88 to 1.11; p<0.001), with AIC = 401.34, BIC = 426.05. Conclusion: Information, motivation, and behavioral skills directly influence tertiary prevention behavior among elderly patients with hypertension. In addition, information and motivation also have indirect effects through behavioral skills.
subject: Articles
  topic: section
subject: hypertension
  topic: keywords
subject: information motivation behavioral model
  topic: keywords
subject: tertiary prevention behavior
  topic: keywords
subject: older people
  topic: keywords
creator: Dewi Laraswati
creator: Argyo Demartoto
creator: Ika Sumiyarsi Sukamto
creator: Erindra Budi Cahyanto
creator: Haryani Saptaningtyas
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-04-16
publication date: 2026-04-16
starting page: 234
ending page: 245
doi: 10.26911/thejhpb.2026.11.02.09

Effectiveness of Health Promotion Model-Based Educational Video on Adolescent Knowledge and Attitude Regarding Stunting Prevention: A Case Study in Ponorogo, Indonesia
type: item
description: Background: Indonesia’s stunting prevalence stands at 19.8%, far above the national target of 14%. Adolescents, as future mothers, represent a critical yet underutilized upstream prevention target. No study has previously integrated all constructs of the Health Promotion Model (HPM) into an educational video for adolescent stunting prevention. This study aimed to develop a valid HPM-based reproductive health education video and evaluate its effectiveness on adolescent knowledge and attitudes. Subjects and Method: A sequential exploratory mixed-method study applied the Analysis, Design, Development, Implementation, and Evaluation in Research and Development (ADDIE R&D) framework combined with a quasi-experimental with control group design, was conducted at two High Schools in Ponorogo, Indonesia. The intervention group consisted of 55 senior high school students, while the control group consisted of 55 vocational high school students. Study was carried out from September 2025 to March 2026. Content validity was assessed by two experts: a health promotion specialist and a visual media specialist. Quantitative data were analyzed using the Wilcoxon signed-rank test (within-group) and Mann-Whitney test (between-group). Results: Expert validation demonstrated excellent content validity, with a perfect Scale-Level Content Validity Index based on the average method (S-CVI/Ave = 1.00), and no revisions were required. Knowledge scores increased significantly in the intervention group (p < 0.001). Attitude scores also improved significantly in the control group (p<0.001). However, the post-test comparison between the intervention and control groups showed a statistically significant difference (p <0.001), with the intervention group achieving superior outcomes. Conclusion: The Health Promotion Model (HPM)-based reproductive health educational video demonstrated excellent content validity and significantly improved adolescents' reproductive health outcomes. Therefore, its integ…
subject: Articles
  topic: section
subject: educational video
  topic: keywords
subject: health promotion model
  topic: keywords
subject: reproductive health
  topic: keywords
subject: stunting prevention
  topic: keywords
subject: adolescents
  topic: keywords
creator: Denis Khorudin
creator: Sajidan
creator: Ratih Puspita Febrinasari
creator: Revi Gama Hatta Novika
creator: Hari Wahyu Nugroho
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-07-16
publication date: 2026-07-16
starting page: 333
ending page: 343
doi: 10.26911/

Maternal Decisions on Prelacteal Feeding Practices for Newborns using the Theory of Planned Behavior Approach in Grogol, Sukoharjo, Central Java, Indonesia
type: item
description: Background: Exclusive breastfeeding is essential for optimal infant health, yet its coverage in Indonesia remains suboptimal, partly due to prelacteal feeding practices that interfere with breastfeeding initiation and increase health risks for newborns. The purpose of this study was to examine how maternal intention and prelacteal feeding habits are impacted by attitude, subjective standards, and perceived behavioral control among postpartum mothers. Subjects and Method: This was a quantitative observational study employing a cross-sectional design, conducted in Grogol District, Sukoharjo, Central Java, Indonesia, from February to March 2026. A total of 82 postpartum mothers ≤42 days after delivery were chosen using total sampling. The independent factors were attitude, subjective norms, perceived behavioral control, and intention, and the dependent variable was prelacteal feeding practice. A structured questionnaire was used to collect the data, and logistic regression was used for analysis. Results: Subjective norms (OR= 3.12; 95% CI= 1.15 to 8.64; p= 0.012) and perceived behavioral control (OR= 5.16; 95% CI= 1.83 to 14.79; p<0.001) were significantly associated with maternal intention. Intention (OR= 2.68; 95% CI= 0.99 to 7.27; p= 0.029) and perceived behavioral control (OR= 4.69; 95% CI= 1.67 to 13.45; p<0.001) were significantly associated with prelacteal feeding practices. In multivariate analysis, perceived behavioral control remained the strongest determinant of intention (OR= 6.88;95% CI= 1.63 to 28.92; p= 0.008) and prelacteal feeding practice (OR= 4.26; 95 % CI= 1.62 to 11.17; p= 0.003). Conclusion: The most significant factor influencing mother intention and prelacteal feeding practices was perceived behavioral control. Health promotion strategies should focus on reducing breastfeeding barriers and strengthening family and healthcare support.
subject: Articles
  topic: section
subject: breastfeeding
  topic: keywords
subject: prelacteal feeding
  topic: keywords
subject: postpartum mothers
  topic: keywords
subject: theory of planned behavior
  topic: keywords
creator: Arjuna Pratama Waruwu
creator: Haryani Saptaningtyas
creator: Revi Gama Hatta Novika
creator: Eti Poncorini Pamungkasari Pamungkasari
creator: Ika Sumiyarsi Sukamto
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-04-16
publication date: 2026-04-16
starting page: 222
ending page: 233
doi: 10.26911/thejhpb.2026.11.02.08

Analysis of Factors Influencing Community Participation in the Free Health Screening Program Based on the Precede–Proceed Model
type: item
description: Background: Free health screening programs (Program Pemeriksaan Kesehatan Gratis/PKG) are essential promotive and preventive strategies to improve public health through early disease detection. However, community participation remains suboptimal despite the availability of free services. This study aimed to analyze factors influencing community participation based on the PRECEDE–PROCEED model. Subjects and Method: This was an analytic cross-sectional study conducted in six public health centers in Sragen Regency, Central Java, Indonesia. The target population was community members aged ≥15 years who were eligible for the PKG program. A total of 264 respondents were selected using simple random sampling. The dependent variable was community participation in the PKG Program. Independent variables included predisposing factors (knowledge, attitude, motivation), enabling factors (facilities, ease of access, service information), and reinforcing factors (social support). Data were collected using a structured questionnaire and analyzed using the Chi-Square test and multiple logistic regression. Results: Multivariate analysis showed that respondents with easy access to health services were 4.40 times more likely to participate in the PKG Program than those with difficult access (OR= 4.40; 95% CI=1.41 to 13.72; p=0.011). Respondents with high social support were 22.03 times more likely to participate than those with low social support (OR= 22.03; 95% CI=4.59 to 105.74; p <0.001). Although not statistically significant, facilities showed a borderline association with participation (OR=0.02; 95% CI=0.0002 to 1.39; p=0.070). Social support was the most dominant factor influencing participation. Conclusion: Community participation in the PKG Program was relatively high. Social support was the strongest determinant of participation, while ease of access significantly influenced participation. Although not statistically significant, the availability of facilities showed a border…
subject: Articles
  topic: section
subject: community participation
  topic: keywords
subject: health screening
  topic: keywords
subject: social support
  topic: keywords
subject: access
  topic: keywords
subject: health behavior
  topic: keywords
creator: Wendewina Victorin
creator: Eti Poncorini Pamungkasari
creator: Setyo Sri Rahardjo
creator: Sri Mulyani
creator: Revi Gama Hatta Novika
rights: Copyright (c) 2026 Journal of Health Promotion and Behavior
date: 2026-07-16
publication date: 2026-07-16
starting page: 344
ending page: 354
doi: 10.26911/