Biopshychosocial and Economic Determinants of Personal Hygiene in the Prevention of Diarrheal Diseases in Sragen District, Central Java

Authors

  • Hervindita Dinda Siswandwika Masters Program in Public Health, Sebelas Maret University
  • Bhisma Murti Masters Program in Public Health, Sebelas Maret University
  • Ruben Dharmawan Faculty of Medicine, Sebelas Maret University

Abstract

Background: Poor environmental sanitation and personal hygiene have been shown to be associated with increased risk of diarrheal disease. Poor personal hygiene that is associated with an increased risk of diarrheal disease may be explained by the constructs  of Health Belief Model, such as perceived susceptibility and perceived seriousness. This study aimed to examine biopshychosocial and economic determinants of personal hygiene in the prevention of diarrheal diseases.

Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Mondokan, Gesi, and Sambungmacan Health Centers, Sragen District, Central java, from January to March, 2017. A sample of 150 subjects, consisting of  50 cases of diarrheal disease during the past month and 100 subjects without diarrheal disease, was selected in this study by purposive sampling. The dependent variable was prevention behavior of diarrheal disease. The independent variable included perceived susceptibility, seriousness, threat, benefit, barrier, cues to action, and self-efficacy. The data was collected using a pre-tested questionnaire, and analyzed by path analysis model.  

Results: There were positive, and statistically significant effects of perceived seriousness (b= 0.26; SE=0.06; p= <0.001), threat (b= 0.29; SE=0.06; p= <0.001), benefit (b= 0.21; SE= 0.06; p= <0.001), barrier (b= -0.12; SE= 0.08; p= 0.032), cues to action (b= 0.17; SE= 0.07; p= 0.003), and self-efficacy (b= 0.28; SE= 0.14; p= <0.001) on prevention behavior of diarrheal disease. There were positive, indirect, and statistically significant effect of perceived susceptibility (b= 0.55; SE= 0.06; p= <0.001), seriousness (b= 0.34; SE= 0.06; p= <0.001), and benefit (b= 0.12; SE= 0.07; p= 0.025) on prevention behavior of diarrheal disease, via perceived threat.

Conclusion: Perceived seriousness, threat, benefit, barrier, cues to action, and self-efficacy, are direct determinants of prevention behavior of diarrheal disease. Perceived susceptibility, seriousness, and benefit, are indirect determinants of prevention behavior of diarrheal disease.

Keyword: Biopshychosocial and economy, personal hygiene, Health Belief Model

Correspondence: Hervindita Dinda Siswandwika. Masters Program in Public Health, Sebelas Maret University. Email: vindy_7@yahoo.com. Mobile: +6282136242777.

Journal of Health Promotion and Behavior (2017), 2(1): 1-14
https://doi.org/10.26911/thejhpb.2017.02.01.01

References

Anup KC (2012). A Descriptive Study On Water Sanitation Hygiene and Diarrhoeal Morbidity Among Under Five Years Children at Community LED Total Sanitation Elicited Area In Nawalparasi. Department of Public Health, School of Health and Allied Sciences, Pokhara University, Kaski, Nepal 2012.

Asamani C (2011). Water, Sanitation and Hygiene (WASH) Behaviour Change Communication (BCC) strategy for The Urban Sub Sector. USAID. http:// www.globalcommunities.org/publications/2011 ghana wash bcc strategy.pdf. Diakses November 2016.

Bakhtari AF, Zadeh NR, Sahebi L (2012). Effect of Education Based on Health Belief Model on Believe Promotion and Screening Behaviours of Breast Cancer Among Women Reffered to Tabriz Health Centers. Medl J Tabriz Uni Medl Sci 33: 25-31.

Brown J, Cairncross, Ensink (2013). Water, Sanitation, Hygiene And Enteric Infections In Children. Arch Dis Child 98: 629-634.

Burke E (2013). The Health Belief Model. www.iccwa.org.au. Diakses Maret 2016.

Clasen T, Schmidt WP, Rabie T, Roberts I, Cairncross S (2007). Interventions to Improve Water Quality for Preventing Diarrhoea: Systematic Review and Meta Analysis. BMJ 334(782).

Dinkes Jateng (2016). Profil Kesehatan Provinsi Jawa Tengah tahun 2015. Dinas Kesehatan Provinsi Jawa Tengah. http://dinkesjatengprov.go.id/v2015/ dokumen/profil2015/Profil_2015_fix.pdf. Diakses Desember 2016.

Dinkes Sragen (2016). Profil Kesehatan Kabupaten Sragen tahun 2014. Dinas Kesehatan Sragen. http://www.depkes.go.id/resources/ download/profil/PROFIL_KAB_KOTA_2014/3314_Ja teng_Kab_Sragen_2014.pdf. Diakses Oktober 2016.

Dreibelbis R, Winch PJ, Leontsini E, Hulland K, Ram P, Unicomb L, Luby S (2013). The Integrated Behavioural Model for Water, Sanitation, and Hygiene. BMC Public Health, 13:1015. http://www. biomedcentral.com/1471-2458/13/1015.

Fauziah IN, Djuari L, Arief YS (2015). Pengembangan Model Perilaku Ibu dalam Pencegahan Gizi Buruk Balita. Jurnal Ners 10(2): 195-207.

Freeman M, Stocks M, Cumming O, Jeandron A, Higgins J, Wolf J (2014). Hygiene and Health: Systemic review of Handwashing Practices Worldwide and Update of Health Effect. Tropical Medicine & International Health, 19 (8): 906-916. Doi: 10.1111/tmi.12339.

Geetha J & Kumar S (2014). Open Defecation: Awareness & Practices of Rural Districts of Tamil Nadu, India. International Journal Of Scientific Research 3(5): 537-539.

Gristwood J (2011). Applying The Health Belief Model to Physical Activity Engagement Among Older Adult. Illuminare: A Student Journal In Recreation, Parks and Leisure Studies 9(1): 59-71.

Hayden J (2010). Health belief theory. USA: Jones and Bartlett Publisher.

ISSDP (2015). Percepatan program STBM 2013-2015. Indonesian Studi Sanitation Sector Development Program. http://pppl. Depkes.go.id/asset/download/ROADMAP%20STBM.pdf. Diakses Maret 2017.

Jasper C, Le T, Bartram J (2012). Water and Sanitation In Schools: A Systematic Review of The Health and Educational Outcomes. Int J Environ Res Public Health 9: 2772-2787.

Kemenkes RI (2013). Profil Kesehatan Indonesia 2012. Kementerian Kesehatan RI. http://www.depkes.go.id/resources/download/ pusdatin/profilkesehatanindonesia/profilkesehatanindonesia 2012.pdf. Diakses Oktober 2016.

__________ (2015). Rencana Strategis Kementrian Kesehatan Tahun 2015-2019. Keputusan Menteri Kesehatan RI No.HK.02.02/MENKES/52/2015. http: //www.depkes.go.id/resources/download/infopublik/Renstra2015.pdf.Di akses Nevember 2016.

__________ (2016). Menuju 100% Akses Sanitasi Indonesia 2019. Kementerian Kesehatan RI. http://www.depkes.go.id/ article/ print/ 16060100003/menuju_100_akses_sanitasi_Indonesia2019.html. Diakses November 2016.

__________ (2016). Profil Kesehatan Indonesia 2015. Kementerian Kesehatan Republik Indonesia 2016. http://www. depkes.go.id/resources/download/pusdatin/profil_kesehatan_indonesia/profilkesehatanIndonesia-2015.pdf. Di-akses November 2016.

Magar B, Kaphle H, Gupta N (2016). Open Defecation Free Status of Magdi District of Nepal after Three Years Declaration: A Cross-Sectional Study. International Journal of Health Sciences and Research 6(9): 351-355.

Nelas P, Duarte J, Chaves C, Coutinho E, Amaral O (2015). Health Belief About Cervical Cancer in University Students. Procedia–Social and Behavioral Sciences 165: 189-194.

O’Connell K (2014). What Influences Open Defecation and Latrine Ownership in Rural Households? WSP & World Bank. http://www.wsp.org/sites/wsp.org/files/publications/WSPWhat-Influences-Open-Defecation-Global-Sanitation-Review. pdf. Diakses November 2016.

Orji R, Vassileva J, Mandryk (2012). To-ward and Effective Health Inter-ventions Design: An Extension of The Health Belief Model. Online Journal of Public Health Informatics. www-.hci.usask.ca. Diakses Desember 2016.

Priyoto (2014). Teori sikap & perilaku dalam kesehatan. Yogyakarta: Nuha Medika.

Romano V, Scott I (2014). Using Health Belief Model to Reduce Obesity Amongst African American and Hispanic Populations. Procedia – Social and Behavioral Science 159(23): 710-711.

Sigler R, Mahmoudi L, Graham J (2015). Analysis Behavioral Change Techniques in Community Led Total Sanitation Programs. Health Promot Int 30 (1): 16-28. Doi: 10.1093/heapro/dau073.

Smith PJ, Humistog SG, Marcuse SK, Zhao Z, Dorell CG, Howes C (2011). Parental delay or refusal of vaccine doses childhood vaccination coverage at 24 months of age, and the health belief model. Public Health Rep 2: 135-146.

Sukut S, Arif Y, Qur’aniati N (2015). Faktor Kejadian Diare Pada Balita dengan Pendekatan Teori Nola J. Pender Di IGD RSUD Ruteng. Jurnal Pediomaternal 3(2): 230-249.

Taosu SA dan Azizah R (2013). Hubungan Sanitasi Dasar Rumah dan Perilaku Ibu Dengan Kejadian Diare Pada Balita di Desa Bena, Nusa Tenggara Timur. Jurnal Kesehatan Lingkungan 7(1): 1-6.

Taylor D, Bury M, Campling N, Carter S, Garfied S, Newbould J, Rennie T (2007). A Review of the use of The Health Belief Model (HBM), The Theory of Reasoned Action (TRA), The Theory of Planned Behaviour (TPB) and The Trans Theoritical Model (TTM) to Study and Predict Health Related Behaviour Change. www.warwick.ac.uk. Diakses Desember 2015.

UNICEF Indonesia (2012). Air Bersih, Sanitasi dan Kebersihan. Ringkasan Kajian United for children. https://www.unicef.org/indonesia/id/A8_B_Ringkasan_Kajian_Air_Bersih.pdf. Diakses November 2016.

Vega N (2013). Knowledge, Attitudes and Traditions Regarding Water Consumption and Sanitary Practices of the Ngabe Bugle Indigenous Women in the Chiriqui Panama. Graduate Theses and Dissertations University of South Florida. http://scholarcommons.usf.edu/etd/4785.

Weaver ER, Agius PA, Veale H, Dorning K, Hlang TT, Aung PP (2016). Water, Sanitation Hygiene Facilities & Hygiene Practices Associated with Diarrhea and Vomiting in Monastic Schools, Myanmar. Am. J. Trop. Med. Hyg 95 (2): 278-287.

WHO and UNICEF (2014). Progress on Drinking Water and Sanitation: 2014. https://www.unicef.org/gambia/Progress_on_drinking_water_and_sanitation_2014_update.pdf. Diakses Januari 2017.

Williams H, Gaines J, Patrick M, Berendes D, Fitter D, Handzel T (2015). Perceptions of Health Communication, Water Treatment and Sanitation in Artibonite Department, Haiti, March-April 2012. PLoS ONE, 10(11): e0142778. Doi: 10.1371/journal.pone.0142778.

WSP (2008). Developing a Sanitation Behavior Change Framework: SaniFOAM. Water and Sanitation. http:// www.wsp.org/sites/wsp.org /files/publications/SaniFOAM_Report409_3.pdf. Diakses Oktober 2016.

Zetu L, Zetu I, Dogaru C, Duta C, Dumitrescu (2013). Gender Variations in The Psychological Factors as Defined by The Extended Health Belief Model of Oral Hygiene Behaviors. Procedia Social and Behavioral Sciences 127: 358-362.

Downloads

Published

2017-05-18

How to Cite

Siswandwika, H. D., Murti, B., & Dharmawan, R. (2017). Biopshychosocial and Economic Determinants of Personal Hygiene in the Prevention of Diarrheal Diseases in Sragen District, Central Java. Journal of Health Promotion and Behavior, 2(1), 1–14. Retrieved from https://thejhpb.com/index.php/thejhpb/article/view/33

Issue

Section

Articles

Most read articles by the same author(s)

<< < 1 2 3 4 5 6 7 8 9 > >>