https://thejhpb.com/index.php/thejhpb/issue/feedJournal of Health Promotion and Behavior2024-01-16T00:00:00+07:00Journal of Health Promotion and Behaviorjurnals2ikm@gmail.comOpen Journal Systems<p>e-ISSN: <a href="https://issn.brin.go.id/terbit/detail/1484202940" target="_blank" rel="noopener">2549-1172</a></p> <p><strong>Publisher</strong>: <br /><a href="https://pasca.uns.ac.id/S2ikm/" target="_blank" rel="noopener">Masters Program in Public Health</a>,<br />Universitas Sebelas Maret, Indonesia</p> <p><strong><strong>Editor in Chief</strong>: </strong><br /><a href="https://argyo.staff.uns.ac.id/about/" target="_blank" rel="noopener">Dr. Argyo Demartoto, M.Si</a><br />Department of Sociology, Faculty of Social and Political Science, Universitas Sebelas Maret</p> <p><strong>Description</strong>:</p> <p>Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind, and peer-reviewed journal in the areas of health promotion, health behavior, and health education. The journal began its publication on May 21, 2015, and it is published four times yearly. It seeks to understand factors at various layers associated with health behavior, lifestyle, and health-impacting policy. It provides with a platform to find strategies to improve population health status. </p> <p>The JHPB covers a broad range of topics including psychology, sociology, anthropology, communication, education, nursing, public health, and the allied health profession, as they are related to health promotion, health education, health-related behavior, and illness.</p> <p>JHPB welcomes papers on the theories and concepts, methodologies, policy formulation, organizational change, as well as social and environmental development, using quantitative or qualitative methods. We give special consideration to papers submitted from developing countries, as health promotion and behavior issues impacting populations in the developing world are currently under-documented and underreported in the existing international journals. </p> <p>All of the papers published are freely available as downloadable PDF files. JHPB is currently abstracted and indexed in <a href="https://www.cabdirect.org/globalhealth/search/?q=sn%3A2549-1172" target="_blank" rel="noopener">CABI Global Health</a>, <a href="https://scholar.google.com/citations?user=Ne_Fl6oAAAAJ&hl=en\%22%20ADD_DATE=" target="_blank" rel="noopener">Google Scholar</a>, <a href="https://search.crossref.org/search/works?q=10.26911%2Fthejhpb&from_ui=yes" target="_blank" rel="noopener">CrossRef</a>, <a href="https://sinta.kemdikbud.go.id/journals/profile/3502" target="_blank" rel="noopener">SINTA</a>, <a href="https://garuda.kemdikbud.go.id/journal/view/13069?page=1" target="_blank" rel="noopener">GARUDA.</a></p> <p>This journal is accredited by the Ministry of Research, Technology, and Higher Education, Government of Indonesia, No. 21/E/KPT/2018, effective from July 9, 2018 to July 8, 2023.</p>https://thejhpb.com/index.php/thejhpb/article/view/456Application of Social Cognitive Theory on Factors Related to Alcohol Consumption in Adolescents: Meta-Analysis2024-01-05T02:40:35+07:00Hana Fathiya Dasairyhanafathiyadasairy@student.uns.ac.idArgyo Demartotohanafathiyadasairy@student.uns.ac.idHanung Prasetyahanafathiyadasairy@student.uns.ac.id<p><strong>Background:</strong> Alcoholic drinks are all types of drinks that contain ethanol. In several countries, alcohol is a drink that is easy to obtain, so it tends to be abused a lot. Continuous alcohol consumption can lead to alcohol dependence. The purpose of this research is to analyze the application of social cognitive theory about the factors that influence alcohol consumption in adolescents.</p> <p><strong>Subjects and Method:</strong> The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: Teenagers. Intervention: anxiety, drinking parents and drinking friends. Comparison: No anxiety, no drinking parents, and no drinking friends. Outcome: Consumption of alcoholic beverages. The online databases used are: PubMed, Google Scholar, Science Direct, and Scopus with the keywords “factors associated” AND “alcohol consumption” AND “anxiety” OR “parents alcohol consumption” OR “peers alcohol consumption” AND “adolescents” AND " cross-sectional." The inclusion criteria for this study were complete articles using cross-sectional research, published years from 2013-2023. Data analysis used RevMan 5 software.</p> <p><strong>Results: </strong>A total of 16 cross-sectional studies from several countries namely Ethiopia, Canada, United States, Taiwan, South Africa, Buthan, Myanmar, Uganda, Thailand, Zambia, Brazil, Ghana, and Iran were selected for systematic review and meta-analysis. The results of the meta-analysis showed that adolescents with anxiety had the possibility of consuming alcohol 1.57 times higher than adolescents who were not anxious (aOR= 1.57; 95% CI= 1.30 to 1.89; p< 0.001), adolescents whose parents drank had a probability of consuming alcohol 1.53 times higher than adolescents whose parents do not drink (aOR=1.53; 95%CI= 1.23 to 1.89; p= 0.001), adolescents whose friends drink have the possibility of consuming alcohol 2.63 times higher than adolescents whose friends are not drinkers (aOR=2.63 ; 95%CI= 1.59 to 4.35; p= 0.002)<strong>.</strong></p> <p><strong>Conclusion:</strong> Teenagers with anxiety, have drinking parents, and have drinking friends are more likely to consume alcohol.</p>2024-01-16T00:00:00+07:00Copyright (c) 2024 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/454Meta Analysis of Health Belief Model Theory on the Predictor of HPV Vaccine Uptake in Women of Reproductive Age 2023-12-17T08:24:32+07:00Nurul Qomariahnqomariah730@gmail.comBhisma Murtinqomariah730@gmail.comUki Retno Budihastutinqomariah730@gmail.com<p><strong>Background:</strong> Lack of knowledge about the use of HPV vaccine in women of productive age can result in cervical cancer. This study aims to determine the effect of the Health Belief Model application on the predictor of HPV vaccine uptake in women of reproductive age.</p> <p><strong>Subjects and Method:</strong> Systematic review and meta-analyses were conducted using PRISMA guidelines and PICO model including: Population = women of reproductive age; Intervention= high perceived benefits, high perceived severity, high perceived susceptibility; Comparison= low perceived benefits, low perceived severity, low perceived susceptibility; Outcome= HPV vaccine uptake. Articles were collected from databases such as PubMed, Science Direct, and Google Scholar. The keywords used in the database search were "Health Belief Model" AND "Human Papilloma Virus" OR "HPV" AND "Women" AND "cross sectional study". A total of 7 articles met the inclusion criteria, namely full-text primary paper, cross-sectional study design, with a measure of association was the Odds Ratio (OR), the study subjects were women of reproductive age, interventions were in the form of high perceived benefits, high perceived severity, high perceived vulnerability, and the outcome was in the form of HPV vaccine use. They were subsequently assessed for meta-analysis using RevMan 5.3.</p> <p><strong>Results: </strong>Meta-analysis from Indonesia, Ethiopia, the United Kingdom, Japan, Romania, Spain, and Italy showed that high perceived benefits of HPV vaccine use (aOR= 1.81; 95% CI= 1.00 to 3.26; p= 0.050), high perceived severity (aOR= 1.78; 95% CI= 0.94 to 3.40; p= 0.080), and high perceived susceptibility (aOR= 1.70; CI 95%= 0.75 to 3.83; p= 0. 200) increased the likelihood of HPV vaccine uptake.</p> <p><strong>Conclusion:</strong> High perceived benefits, high perceived severity, and high perceived susceptibility have the likelihood of women of productive age to use HPV vaccine</p>2024-01-16T00:00:00+07:00Copyright (c) 2024 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/453Effect of Mobile Application Use on Oral Hygiene among Orthodontics Users: Meta-Analysis2023-12-14T02:52:46+07:00Dini Hapsarihapsaridini3@gmail.comEti Poncorini Pamungkasarihapsaridini3@gmail.comArgyo Demartotohapsaridini3@gmail.com<p><strong>Background:</strong> The high prevalence of malocclusion causes the need for orthodontic treatment to increase. The results of the 2018 National Basic Health Research, the prevalence of dental and oral problems is 57.6%, especially in adolescents. Oral hygiene is an important factor that must be controlled by patients during orthodontic treatment because it can affect the quality and time of treatment. The mobile application is here to facilitate and provide optimal dental health information to orthodontic users. This study aims to analyze and estimate the influence of mobile applications on oral hygiene in orthodontic users.</p> <p><strong>Subjects and Method:</strong> This study used a systematic review and meta-analysis by following PICO, Population: orthodontic patients. Interventions: mobile applications. Comparation: without a mobile application. Outcome: oral hygiene. The data used were obtained from scientific research articles from electronic databases including Pubmed, Google Schoolar, Science Direct Randomized Control Trial (RCT) designs from 2013 to 2023 which report effect sizes with Mean and SD. The keywords used are “orthodontic” AND “oral hygiene” OR “oral health” AND “mobile application” OR “app”. The selection of articles was carried out using the PRISMA flowchart. Data were analyzed using Review Manager software version 5.3.</p> <p><strong>Results:</strong> A total of 9 articles with eligible RCT designs from Asia and Europe were selected for the systematic review and meta-analysis. The results of the meta-analysis showed that oral hygiene for orthodontic users who used mobile applications was better than those who did not use mobile applications, and was statistically significant (SMD= -0.59; 95% CI= -0.90 to 0.29; p= .001)<strong>.</strong></p> <p><strong>Conclusion:</strong> Mobile application improves oral hygiene in orthodontic users.</p>2024-01-16T00:00:00+07:00Copyright (c) 2024 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/452Health Belief Model for the Analysis Factors Affecting Community Acceptance of COVID-19 Vaccination Dose II in Oenggae Village, Pantai Baru Subdistrict, Rote Ndao, East Nusa Tenggara 2023-12-14T02:44:36+07:00Herpri Astince Batukhepybatukh@gmail.comAmelya B. Siramelia.sir@staf.undana.ac.idSigit Purnawansigit.purnawan@staf.undana.ac.id<p><strong>Background:</strong> Efforts to reduce transmission of COVID-19 by carrying out COVID-19 vaccinations. The COVID-19 vaccination coverage in Rote Ndao is 52.92%. Oenggae Village is included in the working area of the Korbafo Health Center which has the lowest dose II COVID-19 vaccination coverage, namely 41.76%. This study aimed to analyze the relationship between the Health Belief Model (HBM) theoretical approach and community acceptance of the COVID-19 Dose II vaccination in Oenggae Village, Pantai Baru District, Rote Ndao in 2022.</p> <p><strong>Subjects and Method:</strong> An observational analytic study with a cross-sectional design was conducted in Oenggae Village, Pantai Baru District, Rote Ndao from December 2022 to January 2023. A total of 107 people aged 6->55 years were selected for this study. The dependent variable is people's acceptance of the second dose of COVID-19 vaccination. The independent variables are perceived vulnerability, perceived severity, perceived benefits, perceived barriers and cues to act. Data was collected using a questionnaire. Data were analyzed by chi-square test.</p> <p><strong>Results:</strong> Perceived vulnerability is high (OR= 3.91; 95 CI= 1.70 to 9.03; p= 0.002), perceived severity is high (OR= 10.59; 95% CI= 3.27 to 34.25; p< 0.001), perceived benefit is high (OR= 11.27; 95) % CI= 1.33 to 94.94; p= 0.009), perceived inhibition is low (OR= 6.22; 95% CI= 2.21 to 17.46; p= 0.001), and cues to act are high (p= 0.001) statistically significant effect on acceptance of vaccination COVID-19 2<sup>nd</sup> dose.</p> <p><strong>Conclusion:</strong> Community acceptance of COVID-19 dose II vaccination is related to perceptions of vulnerability, perceived severity, perceived benefits, perceived obstacles, and cues to act.</p>2024-01-16T00:00:00+07:00Copyright (c) 2024 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/451Meta-Analysis: Factors Related to Pap Smear Service Utilization Using Health Belief Model2023-12-14T02:39:09+07:00Ayun Safitriayunsafitri99@student.uns.ac.idArgyo Demartotoayunsafitri99@student.uns.ac.idHanung Prasetyahanungprasetya168@gmail.com<p><strong>Background:</strong> Cervical cancer or cervical cancer is the most frequently diagnosed cancer and the fourth leading cause of death from cancer in women. Regular cervical cancer screening with the Papanicolaou (Pap) smear test remains an effective public health intervention in preventing and reducing the incidence of cervical cancer morbidity and mortality. The health belief model (HBM) is a psychological health behavior change model which shows that belief, perception, and attitude about a disease determine their willingness to use preventive interventions such as disease screening. This study aims to analyze the effect of the health belief model on the utilization of Pap smear screening services.</p> <p><strong>Subjects and Method:</strong> This was a systematic review and meta-analytic study. This study uses the PICO model. The meta-analytic study was carried out by searching for articles from databases in electronic form using PubMed, Google Scholar and Proquest. Article search was carried out for 1 month. The keywords used were “Cervical Cancer Screening” OR “Pap Smear” AND “Health Belief Model” OR “Health Belief” AND Cervical Cancer”. The inclusion criteria for this study were complete articles using cross-sectional, 2013-2023. Analysis of the articles in this study used RevMan5.3 software.</p> <p><strong>Results:</strong> A total of 15 cross-sectional studies from several countries, namely Indonesia, Ethiopia, Ghana, Iran, Italy, Lebanon, South Korea and the United States. The results of the meta-analysis showed that women of childbearing age with a high perceived vulnerability had a 1.19 times higher likelihood of utilizing Pap Smear screening services than those with a low perceived vulnerability (aOR= 1.19; 95% CI= 1.08 to 1.32; p< 0.001). High perceived benefit (aOR= 1.12; 95% CI= 1.07 to 1.16; p< 0.001) and high self-efficacy (aOR= 1.17; 95% CI= 1.01 to 1.36; p= 0.040) increased utilization of Pap smear screening services<strong>.</strong></p> <p><strong>Conclusion:</strong> Perceived vulnerability, perceived usefulness and self-efficacy significantly influence the utilization of Pap Smear screening services</p>2024-01-16T00:00:00+07:00Copyright (c) 2024 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/450Determinant Factors Affecting Public Awareness in Maintaining Dental and Oral Health in Wonokromo and Sawunggaling Subdistricts, Surabaya, East Java2023-12-13T12:46:27+07:00Diajeng Ayu Permatasari Yusufdiajengayu15@gmail.comByba Meldadiajengayu15@gmail.comKatminidiajengayu15@gmail.com<p><strong>Background:</strong> Dental and oral health maintainance is one of the most supporting aspects in healthy paradigm, and it’s a national development strategy to create Indonesia’s Healthy life. Dental and oral health among Indonesian people still needs serious attention. Therefore, dental and oral health maintainance needs to be considered. This study aimed to analyze the theory of Health Belief Model (HBM) consisting of knowledge, environment, perceived barriers, perceived susceptibility, perceived benefits, and cues to action on public awareness in maintaining dental and oral health in Wonokromo and Sawunggaling Subdistrics, Surabaya.</p> <p><strong>Subjects and Method:</strong> An observational analytic with a cross sectional research design was conducted at Wonokromo and Sawunggaling Subdistricts, Surabaya, East Java from July to September 2022. A total of 400 people were selected for this study. The dependent variable was awareness in maintaining dental and oral health. The independent variables were knowledge, environment, perceived susceptibility, perceived severity, perceived barrier, perceived benefit, and cues to action. The data were analyze using linear regression.</p> <p><strong>Results:</strong> Maintaining dental and oral health increased with the environment (b=0.02; p= 0.181), perceived severity (b= 0.01; p= 0.676), perceived benefit (r= 0.007; p= 0.304), and cues to action (r= 0.01; p= 0.181), but statistically not significant.</p> <p><strong>Conclusion:</strong> Maintaining dental and oral health increased with environment, perceived severity, perceived, and cues to action, but statistically not significant.</p>2024-01-16T00:00:00+07:00Copyright (c) 2024 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/446Meta-Analysis: Effects of Adolescent's Knowledge, Attitude, and Parental Support, on Human Papilloma Virus Immunization Uptake2023-10-20T11:05:13+07:00Wiwit Marlianamarlianwi.midwifery@gmail.comUki Retno Budihastutimarlianwi.midwifery@gmail.comEti Poncorini Pamungkasarimarlianwi.midwifery@gmail.com<p><strong>Background:</strong> Human papillomavirus (HPV) is one of the most common sexually transmitted viruses worldwide. HPV vaccination coverage is still low, especially for adolescents, some influential factors are lack of knowledge, rejection, and support of the closest environment in receiving vaccination services. This study aims to estimate the effect size of knowledge, attitudes, and parental support on the use of HPV immunization services in adolescents.</p> <p><strong>Subjects and Method:</strong> A systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on eligibility criteria with the PICO Model. Population: female adolescents, Intervention: high knowledge, positive attitude, strong parental support, Comparison: less knowledge, negative attitude, poor parental support, Outcome: Use of HPV immunization services. The articles used were from Google Scholar, Europe PMC, PubMed, and Science Direct published from 2016 – 2023. The keywords used in the search were “adolescent" OR "young women" OR "Parental of Adolescent” AND "Knowledge" AND "attitude" OR "awareness" AND "HPV" OR "HPV Vaccination" OR "Immunization". The study subjects were female adolescents, and articles published in English. The study used multivariate analysis with an adjusted Odds Ratio. Eligible articles were analyzed using the RevMan 5.3.</p> <p><strong>Results:</strong> The meta-analysis included 10 cross-sectional studies from Asia, Australia, Africa, Europe, and America. High knowledge increased the likelihood of HPV immunization uptake in female adolescents (aOR= 3.24; 95% CI = 2.43 to 4.32; p<0.001). The meta-analysis included 7 cross-sectional studies showed that positive attitude increased HPV immunization uptake in female adolescents (aOR= 4.10; CI 95% = 2.78 to 6.05; p<0.001). 7 cross-sectional studies showed that strong parental support increased HPV immunization uptake (aOR=2.53; CI95% = 1.79 to 3.58; p< 0.001)<strong>.</strong></p> <p><strong>Conclusion:</strong> High knowledge, positive attitude, and strong parental support increase the likelihood of HPV immunization uptake.</p> <p><strong>Keywords: </strong>knowledge, attitude, parental support, adolescents, HPV vaccination.</p> <p><strong>Correspondence:</strong></p> <p>Wiwit Marliana. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: <a href="mailto:marlianwi.midwifery@gmail.com">marlianwi.midwifery@gmail.com</a>. Mobile: +6282118277592.</p>2023-10-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/445Meta Analysis: Effects of Peer, Family, and School Environment on Smoking Behavior in Adolescents2023-10-17T09:55:23+07:00Anse Putraanseputra9@gmail.comHanung Prasetyahanungprasetya@poltekkes-solo.ac.idBhisma Murtibhisma.murti@gmail.com<p><strong>Background:</strong> Smoking behavior is a behavior that is harmful to health, but there are still many people who do smoking activities, even someone starts smoking starting as a teenager. This study aimed to estimate the influence of peers, family, school on smoking behavior in adolescents through a meta-analysis of primary studies conducted by previous authors.</p> <p><strong>Subjects and Method:</strong> This was a systematic review and meta-analysis conducted following the PRISMA diagram and the PICO format. Population: Teenagers. Intervention: Smokers' peers, smokers' family members, schools apply smoking rules. Comparison: Peers don't smoke, family members don't smoke, schools don't enforce smoking rules. Outcome: Smoking. The online databases used are Google Scholar, Science Direct, and ProQuest with the words ''Smoking peers'' AND ''Smoking parents'' AND ''Smoking policy school'' AND ''smoking'' AND behavior AND adolescents AND ''cross sectional'' AND aOR. There were 16 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3.</p> <p><strong>Results:</strong> The meta-analysis included 16 cross-sectional studies from India, Korea, China, Hong Kong, Taiwan, South Africa, America, Chile, Denmark, Saudi Arabia and, Turkey. The total sample was 191,101. Smoking behavior increased with smoker peers (aOR= 5.04; 95% CI = 3.23 to 7.87; p< 0.001), smoker family members (aOR=2.04; 95% CI= 1.45 to 2.87; p< 0.001), and low smoking policy in school (aOR= 1.00; 95% CI= 0.65 to 1.54; p< 0.001)<strong>.</strong></p> <p><strong>Conclusion:</strong> There is influence of smoking peers, smoking families, smoking policies in schools with smoking behavior in adolescents.</p> <p><strong>Keywords: </strong>adolescents, peers of smokers, families of smokers, smoking policies.</p> <p><strong>Correspondence:</strong></p> <p>Anse Putra. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anseputra9@gmail.com. Mobile: +6282120298227.</p>2023-10-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/443Factors Associated with Community Behavior in Complying with Health Protocols during COVID-19 Pandemic in 2022: Study on Community of Liliba Village, Oebobo District, Kupang, East Nusa Tenggara2023-08-28T11:57:55+07:00Jon Kristyson Baitanujohnbaitanu50@gmail.comRina Waty Siraitjohnbaitanu50@gmail.comDominirsep O Dodojohnbaitanu50@gmail.com<p><strong>Background:</strong> Facts show that Liliba Village is one of the health service outreaches in the form of prevention and control of the coronavirus (COVID-19) which truly needs cooperation between the government and health sector, state defense and security sectors such as the Indonesian National Arm Force and the National Police as well as participation from the community. Without good cooperation between the government and related agencies and participation from the community, the spread of the coronavirus (COVID-19) cannot be controlled, causing adverse impacts on the community. This study aims to determine the factors related to community behavior in complying with health protocols during the COVID-19 pandemic in Liliba Village, Oebobo District, Kupang City in 2022.</p> <p><strong>Subjects and Method:</strong> This was a cross-sectional study conducted in Liliba Village, Oebobo District, Kupang City, East Nusa Tenggara, from June 2021 to November 2022. A total of 268 subjects were selected for the study. The dependent variable was community behavior. The independent variables were knowledge, attitudes, actions, confidence, beliefs, discipline, facilities and infrastructure, and COVID-19 vaccines. The data were collected using questionnaires and checklists and analyzed using the Chi-square test.</p> <p><strong>Results:</strong> Good knowledge (OR= 0.23; 95% CI= 0.08 to 0.62; p= 0.002), positive action (OR= 0.48; 95% CI= 0.40 to 0.57; p= 0.039), high confidence (OR= 0.11; 955 CI= 0.10 to 0.43; p= 0.012), discipline (OR= 0.21; 95% CI= 0.21 to 0.57; p= 0.019), availability of facilities and infrastructure (OR= 0.34; 95% CI= 0.20 to 0.34; p= 0.002), and have complete COVID-19 vaccines (OR= 0.24; 95% CI= 0.10 to 0.54; p= 0.003) were significantly related to community behavior in complying with the health protocols during the COVID-19 pandemic.</p> <p><strong>Conclusion:</strong> Good knowledge, positive actions, high confidence, discipline, availability of facilities and infrastructure, and having complete COVID-19 vaccines were related to community behavior in complying with health protocols during the COVID-19 pandemic.</p> <p><strong>Keywords:</strong> behavior, compliance, health protocols, pandemic, COVID-19 vaccines.</p> <p><strong>Correspondence:</strong><br />Jon Kristyson Baitanu. Public Health Study Program, Faculty of Public Health, Universitas Nusa Cendana Kupang. Jl. Adisucipto Penfui, Kupang, East Nusa Tenggara, Indonesia. Email: johnbaitanu50@gmail.com. Mobile: +62 8133 9754 645.</p>2023-10-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/442Relationship Between Level of Knowledge with Behavior Using Personal Protective Equipment among Laboratory Workers at Al-Ihsan Hospital, Bandung, West Java2023-08-28T11:33:47+07:00Sekarningtyas Rahardianti Putriendang.dwiasfar@fkm.unair.ac.idEndang Dwiyantiendang.dwiasfar@fkm.unair.ac.id<p><strong>Background:</strong> Personal protective equipment (PPE) is mandatory equipment for workers to use while working in accordance with the hazards and risks that are being faced. This behavior of using PPE itself aims to isolate the workers’ bodies from hazards and risks of occupational accidents. Based on the results of observations, laboratory workers of Al-Ihsan Hospital Bandung still often ignored the use of PPE which may inflict the risk of the occurrence of occupational accidents. This study aims to analyze the relationship between the level of knowledge and the behavior of using PPE among laboratory workers of Al-Ihsan Hospital Bandung, West Java.</p> <p><strong>Subjects and Method:</strong> It was a quantitative study with a cross-sectional study design conducted at Al-Ihsan Regional General Hospital Bandung from June to September 2022. The sample used was 43 laboratory workers. The dependent variable was the behavior of using personal protective equipment (PPE). The independent variable was the level of knowledge. Data collection was carried out using an online questionnaire. The data were analyzed using the Chi-Square test.</p> <p><strong>Results:</strong> The level of knowledge relates to the use of PPE. Well-informed workers increased the behavior of using PPE by 60.0 times compared to workers with a low level of knowledge and it was statistically significant (OR= 60.0; 95% CI= 8.98 to 400.8; p<0.001).</p> <p><strong>Conclusion:</strong> The level of knowledge is significantly related to the behavior of using PPE.</p> <p><strong>Keywords:</strong> behavior of using ppe, level of knowledge, and laboratory workers.</p> <p><strong>Correspondence:</strong></p> <p>Endang Dwiyanti. Study Program of Public Health, Universitas Airlangga. Jl. Kebonsari Elvenka II Cluster Graha Mas 36-37 Surabaya, East Java. Email: endang.dwiasfar@fkm.unair.ac.id. Mobile: +6282132330900</p>2023-10-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/436Effects of Parental Monitoring and Communication on the Prevention of Sexual Risk Behavior in Adolescents: Meta-Analysis2023-07-14T15:13:12+07:00Elsa Jumasni Ayuelsajuma1502@gmail.comArgyo Demartotoelsajuma1502@gmail.comHanung Prasetyahanungprasetya@poltekkes-solo.ac.id<p><strong>Background:</strong> Risky sexual deviations in adolescents are habits that include having sex at an early age, using condoms that are inconsistent, having more than one sexual partner or being a commercial sex worker. Communication between parents and children plays an important role in fostering the relationship between the two and parents who are less able to communicate with their children will cause relationship conflict so that it can have an impact on adolescent sexual behavior. This study aims to estimate the influence of parental monitoring and parental communication on sexual risk behavior in adolescents based on the results of primary research.</p> <p><strong>Subjects and Method:</strong> This was a review of meta-analytic studies and this article was obtained from databases namely PubMed, Google Scholar, Elsevier, Spinger Link and Science Direct. The articles used in this study are articles published from 2012-2022. The article search was carried out by considering the eligibility criteria defined using the PICO model, namely P: Adolescents, I: Parental monitoring and parental communication C: No parental monitoring and no parental communication O: Sexual risky behavior. The articles included in this research are full text articles with a cross-sectional study design. This article was analyzed using the Review Manager 5.3 application.</p> <p><strong>Results:</strong> A total of 17 cross-sectional studies from 5 Americas, 1 Europe, 2 Asia and 9 Africa with a sample size of 13,404. The results of the meta-analysis showed that adolescents with parental monitoring reduced risky sexual behavior 0.84 times compared to those without parental monitoring, but the effect was not statistically significant (aOR=0.84; 95% CI=0.61-1.17; p=0.300), adolescents without parental communication has the possibility of having risky sexual behavior 1.26 times compared to adolescents who communicate with parents (aOR=1.26; 95% CI 0.81-1.95; p= 0.310) which is not statistically significant. The results of research on parental monitoring showed that there was high heterogeneity (I<sup>2</sup>=74%; p=0.001) and parental communication (I<sup>2</sup>=90%; p<0.001), so that the average effect estimation calculation on the forest plot used the random effect model.</p> <p>Conclusion: Parental monitoring and parental communication have no effect on sexual risk behavior in adolescents.</p> <p><strong>Keywords: </strong>parental monitoring, parental communication, sexual risk behavior, youth.</p>2023-07-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/435Relationships between Knowledge, Sanitation and Hygiene of Food Handlers, and Food Safety in the Restaurants in Pasir Panjang, Kupang, East Nusa Tenggara, Indonesia 2023-07-13T16:12:07+07:00Yohanes Karolus Tokanyohanes91carolus@gmail.comYeni W. Astutikyohanes91carolus@gmail.comAdrianus Sambayohanes91carolus@gmail.comFany A. Djubidayohanes91carolus@gmail.comDorthea I. Lakahenayohanes91carolus@gmail.comSertulus L. Maliyohanes91carolus@gmail.comEka M. Rahmawatiyohanes91carolus@gmail.comMarylin S. Juniasyohanes91carolus@gmail.com<p><strong>Background:</strong> The hygiene factor of the food handler or manager, commonly called personal hygiene, is a very important procedure in maintaining the cleanliness of safe and healthy food management. Hygiene procedures are clean behaviors to prevent contamination of the managed food. This study aimed to determine sanitation hygiene behavior based on food handlers' knowledge on food safety at restaurants in the working area of the Pasir Panjang Puskesmas (Community Health Center).</p> <p><strong>Subjects and Method:</strong> A cross-sectional study were conducted in the working are of Pasir Panjang Health center, Kupang, East Nusa Tenggara in December, 2022. A total of 47 restaurants were selected for this study. The dependent variable was food safety. The independent variables were the knowledge and sanitizing hygiene attitude of the handler. The data were collected using questionnaires, and analyzed using Chi-square.</p> <p><strong>Results:</strong> There is a significant relationship between knowledge (p< 0001) and behavior (p< 0.001) with food handler hygiene and food safety.</p> <p><strong>Conclusion:</strong> knowledge and behaior were associated with food handler hygiene and food safety.</p> <p><strong>Keywords:</strong> knowledge, behavior, food handlers, food sanitation hygiene.</p> <p><strong>Correspondence:</strong></p> <p>Yohanes K. Tokan. Master’s Program of Public Health. Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Penfui, Maulafa, 85001, Kupang, East Nusa Tenggara, Indonesia. Email: yohanes91carolus@gmail.com. Mobile: +62 812-9597-9745.</p>2023-07-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/433Factors Associated with Work Fatigue among Public Gas Station Operators in Kupang, East Nusa Tenggara2023-07-12T14:00:04+07:00Maria Sahra Keronmariasahra08@gmail.comSerlie K. A. Littikmariasahra08@gmail.comTadeus A. L. Regalethamariasahra08@gmail.com<p><strong>Background:</strong> Public Gas Station (SPBU) is a public infrastructure to provide the fuel needs of the wider community. The high demand for fuel in Indonesia leads to demanding activities and potentially causes work fatigue to the workforce, especially operators. The study aims to analyze the correlation between working period, noise, workload, and work fatigue among the operators of the Public Gas Station in Kupang, East Nusa Tenggara.</p> <p><strong>Subjects and Method:</strong> A cross-sectional study was conducted in Kupang, East Nusa Tenggara from October- November 2022. A total of 68 subjects consisted of 30 operators of 16 hours Public Gas Station; 38 operators of 24 hours Public Gas Station. The dependent variable was work fatigue. The independent variables were working period, noise, and workload. The data were collected using a questionnaire and analyzed using Spearman Correlation (rho).</p> <p><strong>Results:</strong> Working period indicated a strong negative correlation with work fatigue, and was statistically significant (r= -0.74; p< 0.001). Noise revealed a weak negative correlation with work fatigue at gas station operators (r= -0.25; p= 0.837), while workloads showed a strong positive correlation with work fatigue at gas station operators, and the result was statistically significant (r= 0.850; p< 0.001).</p> <p><strong>Conclusion:</strong> Working period, noise, and workload have a correlation with work fatigue among public gas station operators.</p> <p><strong>Keywords:</strong> work fatigue, working period, noise, workload.</p> <p><strong>Correspondence:</strong></p> <p>Maria Sahra Keron. Public Health Study Program, Faculty of Public Health, Universitas Nusa Cendana, Kupang. Jl. Adi Sucipto Penfui, Penfui, Maulafa, 85001, Kupang, East Nusa Tenggara, Indonesia. Email: mariasahra08@gmail.com. Mobile: +6282145967956.</p>2023-07-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/432Analysis of Musculoskeletal Disorders Complaints among Ikat Weaving Craftsmen in Langa Bajawa, Ngada, East Nusa Tenggara in 20222023-07-11T10:44:53+07:00Agostin Nofembriyani Djawaagostinnofembriyanidjawa@gmail.comMuntasiragostinnofembriyanidjawa@gmail.comSoleman Landiagostinnofembriyanidjawa@gmail.com<p><strong>Background:</strong> Ikat weavers work manually and non-stop for a long duration of time, which increases the risk of occupational diseases such as musculoskeletal disorders (MSDs). Ikat weaving craftsmen perform work manually and non-stop for a long duration of time which generates occupational diseases such as musculoskeletal disorders (MSDs). This study aimed to determine the analysis of complaints of musculoskeletal disorders (MSDs) among ikat weavers in Langa Bajawa</p> <p><strong>Subjects and Method:</strong> A cross-sectional study were conducted from August to September 2022 among ikat weaving craftsmen in Langa Bajawa region, Ngada, East Nusa Tenggara. A total of 38 subjects were included in this study. The dependent variable was complaints of musculoskeletal disorders (MSDs). The independent variables were age, working period, duration of work, body posture, work-load, repetitive activity, stretching, and back rest. The data were collected with study questionnaires, Nordic Body Map questionnaires, Rapid Upper Limb Assessment (RULA) questionnaires, and observations. The data were analyzed using Chi-square.</p> <p><strong>Results:</strong> Age >35 years (OR= 1.07; 95% CI= 1.07 to 17.79; p= 0.034), working period >10 years (OR= 3.85; 95% CI= 0.98 to 15.12; p= 0.049), posture with RULA score >4 (OR= 5.66; 95% CI= 1.36 to 23.46; p= 0.013), working hours >8 hours/day (OR= 10.5; 95% CI= 2.16 to 51.42; p= 0.002), repetitive activity (OR= 11.55; 95% CI= 2.41 to 55.39; p= 0.001), rarely stretching (OR= 0.04; 95% CI= 0.00 to 0.27; p< 0.001), and not having a backrest (OR= 0.09; 95% CI= 0.02 to 0.44; p= 0.001) had a significant effect on complaints of musculoskeletal disorder in ikat weaving craftsmen. Meanwhile, the workload of a person who has a pulse of (> 125 BPM) affected the complaints of MSDs, however, it was statistically insignificant.</p> <p><strong>Conclusion:</strong> Age >35 years, working period >10 years, posture with a RULA score of >4, working hours >8 hours/ day, repetitive activities, rarely stretching, not having a backrest, and the workload of a person with a pulse rate (> 125 BPM) affect complaints of musculoskeletal disorder in ikat weaving craftsmen.</p> <p><strong>Keywords:</strong> complaints of musculoskeletal disorders, craftsmen, ikat weaving.</p> <p><strong>Correspondence:</strong></p> <p>Agostin Nofembriyani Djawa. Faculty of public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Penfui, Maulafa, 85001, Kupang, East Nusa Tenggara, Indonesia. Email: agostinnofembriyanidjawa@gmail.com. Mobile: +62 823-1135-6914.</p>2023-07-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/431Determinant Factors of COVID-19 Vaccination Participation at Ndetundora Health Center, Ende, East Nusa Tenggara2023-07-11T10:04:29+07:00Hafaf Lutfiani Sanihafafsani16@gmail.comMuntasirhafafsani16@gmail.comTadeus A. L. Regalethahafafsani16@gmail.com<p><strong>Background:</strong> The COVID-19 pandemic is one of the major public health problems today and the whole country is experiencing a pandemic. Vaccination is the government's effort to tackle the COVID-19 pandemic. The coverage of COVID-19 vaccination at the Ndetundora Health Center in 2021 is still low, namely as much as 14.80% for dose 1 and 7.04% for dose 2, then in 2022 the vaccination coverage will increase quite high, namely 75.16% for dose 1 and 53.23% for dose 2. The purpose of this study was to find out the public's interest in taking the COVID-19 vaccination in the working area of the Ndetundora Health Center, Ende Regency in 2022.</p> <p><strong>Subjects and Method:</strong> A cross-sectional study was conducted at the Ndetundora Health Center, Ende, East Nusa Tenggara, from September to October 2022. A total of 243 people were selected for this study. The dependent variable was the public's interest in taking the COVID-19 vaccination. The independent variables are age, gender, education, occupation, knowledge, attitude, community motivation and public communication. Data were collected using a questionnaire and analyzed using Chi-square.</p> <p><strong>Results:</strong> The results showed that someone with higher education increased their interest in taking the COVID-19 vaccination by 0.38 times compared to people with low education, and the results were statistically significant (OR= 0.38; 95% CI= 0.21 to 0.69; p= 0.001). Someone with motivation High motivation increase interest in taking the COVID-19 vaccination by 49.5 times compared to those with low motivation (OR = 49.5; 9% CI = 21.49 to 114.16; p < 0.001), good public communication will increase public interest in taking the COVID-19 vaccination 2.74 times compared to poor public communication (OR= 2.74; 95% CI= 1.20 to 6.25; p= 0.014).</p> <p><strong>Conclusion:</strong> Education, knowledge, attitudes, community motivation, and public communication have a significant effect on participation in the COVID-19 vaccination.</p> <p><strong>Keywords:</strong> public interest, vaccination, COVID-19.</p> <p><strong>Correspondence:</strong></p> <p>Hafaf Luthfianti Sani. Study Program of Public Health, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adisucipto, Penfui, Kupang, 85001, East Nusa Tenggara. Email: hafafsani16@gmail.com. Mobile: +62 821-4436-7462.</p>2023-07-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/430The Occurrence of Asthenopia among Online Gamers in Kupang City, East Nusa Tenggara2023-06-12T09:51:18+07:00Anggie Elzha Yulindri Welkisanggirwelkis@gmail.comNoorce Christin Berekanggirwelkis@gmail.comAgus Setyobudianggirwelkis@gmail.com<p><strong>Background:</strong> Data from WHO shows that asthenopia cases in the world range from 75-90%. Astenopia can result from excessive efforts of the vision system to obtain the quality of vision it should. Excessive online gaming habits have the potential to result in decreased vision quality. This problem needs to be considered because asthenopia is an early symptom sign of more serious visual impairment. This study aimed to discover an overview of the incidence of asthenopia among online game players in Kupang City based on the duration, distance of smartphones, body position, and eye rest while playing online games.</p> <p><strong>Subjects and Method:</strong> It was a descriptive study conducted in Kupang City from March to April 2023. With a total of 378 online game players aged 15-24 years selected by purposive sampling. The dependent variable was the incidence of asthenopia. The independent variables were the duration of playing online games, the viewing distance of smartphone, body position, and eye rest. The data collection techniques used was questionnaires. The data were presented descriptively.</p> <p><strong>Results:</strong> A total of 367 people (97.1%) complained about symptoms of eyestrain (asthenopia), 251 people (66.4%) played online games with a duration of >2 hours and other 127 people (33.6%) played online games <2 hours. 277 people (73.3%) used smartphones with a distance of <30 cm and other 101 people (26.7%) with a distance of >30 cm. 184 people (48.7%) played online games while lying down and 194 people (51.3%) sitting. 187 people (49.5%) did not do eye rest and as many as 191 people (50.5%) did eye rest consisting of 53 people (14.0%) doing micro break, 55 people (14.6%) doing mini break and 83 people (22.0%) doing maxi break.</p> <p><strong>Conclusion:</strong> Different types of asthenopia have been discovered. The most common incidence of asthenopia is experienced by online game players with risky viewing distance of smartphone.</p>2024-01-16T00:00:00+07:00Copyright (c) 2024 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/428Meta Analysis: The Effects of Parental Smokers, Peer Smokers, and Stress on Smoking Behavior in Teenagers2023-05-11T04:35:49+07:00Riya Ulin Nuhaulin514@gmail.comArgyo Demartotoulin514@gmail.comHanung Prasetyahanungprasetya168@gmail.com<p><strong>Background:</strong> The habit of smoking is one of the health problems that the world is still facing today. The habit of smoking generally starts from youth, where it can have an impact on the health and cognitive behavior of adolescents that is sustainable. This study aims to estimate the influence of smoking parents, close friends of smokers, and stress on smoking habits in adolescents based on values obtained from several previous similar studies.</p> <p><strong>Subjects and Method:</strong> This study used a systematic review study design and meta-analysis. The primary articles used were obtained from online databases (Google Scholar, Elsevier, PubMed, Springer Link, and Science Direct) published in 2012-2022. Population: teenagers. Intervention: parents of smokers, close friends of smokers, and stress. Comparison: parents don't smoke, close friends don't smoke, and don't get stressed. Outcome: smoking habit. In searching for primary articles, the researcher used the keywords “parents smoking” AND “peers smoking OR friends smoking” AND “stress” AND “adolescents OR youth” AND “smoking behavior” AND “cross-sectional study”. This study uses full text articles with a cross-sectional study design and contains aOR (adjusted odds ratio) values. The selection of articles is done using PRISMA flow diagrams. Primary article analysis using the Review Manager 5.4 application.</p> <p><strong>Results:</strong> Articles with a sample size of 378,135 from Finland, Saudi Arabia, Brazil, Nigeria, South Korea, Taiwan, Malaysia, Turkey, Nepal, Ethiopia, Iran, Tunisia, France and Spain were selected for this meta-analysis. This study showed that adolescents whose parents smoked (aOR = 2.18; 95% CI = 2.12 to 2.25; p< 0.001), close friends smoked (aOR = 6.09; 95% CI = 2.71 to 13.70; p< 0.001), and stress significantly increased smoking behavior in adolescents (aOR = 1.41; 95% CI = 1.33 to 1.49; p< 0.001).</p> <p><strong>Conclusion:</strong> Parents of smokers, close friends of smokers, and stress may all increase the risk of smoking.</p> <p><strong>Keywords: </strong>parents, close friends, stress, smoking, teenagers.</p> <p><strong>Correspondence:</strong></p> <p>Riya Ulin Nuha. Master’s Program, Universitas Sebelas Maret. Jl. Ir Suratmi No.36A, Jebres, Jebres, 57126 Surakarta, Central Java, Indonesia. Email: ulin514@gmail.com. Telepon: +6281238710748.</p>2023-07-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/427Factors Associated with the Occurrence of Stunting in Naibonat Village, Kupang Regency, East Nusa Tenggara, in 20222023-05-11T04:23:37+07:00Wehelmince Sisilia Cantika Dasi Mudasisiliadasimuda09@gmail.comMarselinus Laga Nursisiliadasimuda09@gmail.comRut Rosina Riwusisiliadasimuda09@gmail.com<p><strong>Background:</strong> Stunting is a condition of failure to thrive in children under five years old (children under five) due to chronic malnutrition in the First 1000 Days of Life (HPK) and is based on the BB/U or TB/U index with a z-score limit of less than -2 SD to - 3 SD. Stunting can be caused by several factors, namely exclusive breastfeeding, father's education, mother's education, family income, number of children. The purpose of this study is to determine the factors associated with the incidence of stunting in the Naibonat Village, Kupang Regency in 2022.</p> <p><strong>Subjects and Method:</strong> This is a case-control study conducted in Naibonat Village, East Kupang, Kupang, East Nusa Tenggara, in September-October 2022. There were 134 children under five consisting of 67 stunted children under five and 67 children under five who were not stunted. The dependent variable is the incidence of stunting. The independent variables were exclusive breastfeeding, history of infectious diseases, father's education, mother's education, family income, history of LBW, and number of children. Data were collected using observation sheets and analyzed using the chi-square test.</p> <p><strong>Results:</strong> Not exclusively breastfed (OR= 4.12; 95% CI= 1.84 to 9.24; p< 0.001), history of father's education was low (OR= 0.34; 95% CI= 0.13 to 0.89; p= 0.024), history of mother's education was low (OR= 0.17; 95% CI= 0.04 to 0.65; p= 0.004), low family income (OR= 0.23; 95% CI= 0.08 to 0.62; p= 0.002), and history of LBW (OR= 0.48; 95% CI= 0.40 to 0.51; p= 0.042) related to the incidence of stunting, and statistically significant.</p> <p><strong>Conclusion:</strong> A history of exclusive breastfeeding, a history of low father education, a history of low maternal education, low family income, and a history of LBW are statistically related to the incidence of stunting.</p> <p><strong>Keywords:</strong> stunting, risk factors, children under five.</p> <p><strong>Correspondence:</strong></p> <p>Wehelmince Sisilia Cantika Dasi Muda. Study Program of Public Health, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adisucipto Penfui, Kupang, East Nusa Tenggara Timur. Email: sisiliadasimuda09@gmail.com. Mobile: +62 813-3901-4476.</p>2023-07-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/423Relationship between Environmental Sanitation and Incidence of Diarrhea among Children Under Five in Alak Health Center, Kupang, East Nusa Tenggara 2023-03-07T03:08:26+07:00Dahniar Salsabiella Djabadahniarsalsabielladjaba@gmail.comJohny A. R Salmunjohnysalmun26@gmail.comAmelya Betsalonia Siramelya.sir@staf.undana.ac.id<p><strong>Background:</strong> Diarrhea is an occurrence of mushy to liquid bowel movements, with a frequency of 3 times or more in a day. Diarrhea is influenced by several factors that directly or indirectly include agent, host, and environmental factors. Environmental sanitation factors are the most dominant factors causing diarrhea, namely drinking water sources, latrine conditions, garbage disposal conditions, and waste drain conditions. Alak Community Health Center is one of the community health centers with the highest cases of diarrhea with a total of 557 cases in 2018, 428 cases in 2019, and 296 cases in 2020. This study aims to determine the correlation between environmental sanitation and the incidence of diarrhea in children under five in the working area of the Alak Community Health Center, Kupang City.</p> <p><strong>Subjects and Method:</strong> A quantitative study with a cross-sectional design conducted in the working area of the Alak community health center, Kupang, East Nusa Tenggara in November-December 2022. A total of 93 children under five were selected by simple random sampling. The dependent variable was the incidence of diarrhea in children under five. The independent variables were raw water sources, latrine conditions, garbage disposal conditions, and wastewater disposal conditions. The data were collected using questionnaires and analyzed using chi-square tests.</p> <p><strong>Results:</strong> There was a significant association between raw water sources (p< 0.001), latrine conditions (p< 0.001), landfills (p< 0.001), and wastewater disposal (p= 0.001) to the incidence of diarrhea in children under five.</p> <p><strong>Conclusion:</strong> There is a correlation between raw water sources, latrine conditions, garbage disposal, and wastewater disposal to the incidence of diarrhea in children under five.</p> <p><strong>Keywords:</strong> diarrhea, environmental sanitation, children under five.</p> <p><strong>Correspondence:</strong></p> <p>Dahniar Salsabiella Djaba. Faculty of Public Health Universitas Nusa Cendana Kupang. Lasiana, Lima, Kupang, East Nusa Tenggara, Indonesia. Email: dahniarsalsabielladjaba@gmail.com. Mobile: +62 812-3909-5885.</p>2023-10-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behaviorhttps://thejhpb.com/index.php/thejhpb/article/view/421Meta-Analysis of the Effects of Stress and Anxiety on Alcohol Consumption Behavior in Early Adults2023-03-13T02:00:16+07:00Windya Kartika Paramitawindyakartikap@gmail.comArgyo Demartotowindyakartikap@gmail.comHanung Prasetyawindyakartikap@gmail.com<p><strong>Background:</strong> Consumption of alcoholic beverages is a risk factor for health problems globally. The consumption of alcoholic beverages is very influential on the effect of calmness in people who have anxiety and stress disorders. The effect occurs because alcohol is classified as a psychoactive substance that affects nerves in the brain with the effect of dependence on the dose consumed. This study aims to assess the effect size of stress and anxiety on increased alcohol consumption behavior in early adulthood using a meta-analysis of primary studies conducted by the previous authors.</p> <p><strong>Subjects and Method:</strong> This study was a meta-analysis with the following PICO, population: Early adults (18-25 years). Intervention: Stress and Anxiety. Comparison: no stress and no anxiety. Result: Increased Alcoholic Beverages Consumption Behavior. 9 The articles used in this study were obtained from three databases namely Google Scholar, PubMed, and Scopus. The keywords for searching for articles were stress AND (Anxiety OR nervousness OR discomfort) AND ("consumption of drinking alcohol" OR "Alcohol use"). The included articles were full-text English with a cross-sectional study design from 2012 to 2022. Article selection was conducted using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 app.</p> <p class="Yeti"><strong>Results:</strong> A total of 9 cross-sectional case studies from Europe, Asia, North America, Africa, and Australia were selected for systematic review and meta-analysis. 7 studies discovered that stress increased alcoholic beverage consumption behavior in early adults by 1.29 times compared to low stress, and the result of the meta-analysis was statistically significant (aOR= 1.29; CI 95%= 1.31-1.47; p< 0.001) with the heterogeneity of I<sup>2</sup>= 84%, p<0.001. 7 studies of the effect of anxiety on increased alcoholic beverage consumption behavior in early adults showed anxiety increased alcoholic beverage consumption behavior in early adults by 1.59 times compared to low anxiety. The result of the meta-analysis was statistically significant (aOR= 1.59; CI 95%= 1.22-2.07; p= 0.001) with heterogeneity of I<sup>2</sup>=96%, p< 0.001.</p> <p class="Yeti"><strong>Conclusion:</strong> Stress and anxiety increased the behavior of alcoholic beverage consumption in early adults..</p> <p class="Yeti"><strong>Keywords: </strong>stress, anxiety, alcohol consumption.</p> <p class="Yeti"><strong>Correspondence:</strong></p> <p>Windya Kartika Paramita. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: <a href="mailto:windyakartikap@gmail.com">windyakartikap@gmail.com</a>. Mobile: +6282227841414. </p>2023-04-16T00:00:00+07:00Copyright (c) 2023 Journal of Health Promotion and Behavior