Analysis Multilevel: Application of Health Belief Model on Tertiary Prevention Behavior in Kaur District, Bengkulu Province, Indonesia
DOI:
https://doi.org/10.26911/thejhpb.2025.10.01.02Abstract
Background: Uncontrolled hypertension can cause complications, so efforts to prevent and
control hypertension can be carried out by applying the Health Belief Model health promotion
theory. This study aimed to determine the influence of the Health Belief Model construct on
tertiary prevention behavior in hypertensive patients.
Subjects and Method: This was a cross-sectional study conducted in 16 health centers in Kaur
district, Bengkulu, from November to December 2023. A total of 208 hypertension patients were
selected by simple random sampling. The dependent variable is tertiary prevention behavior.
Independent variables are a number of constructs in the Health Belief Model theory including
perceived susceptibility, stimulus to act, and self-efficacy. Data collection was carried out using
questionnaires and data were analyzed using a multilevel double linear regression analysis model.
Results: There was a positive association between perception of vulnerability (b= 0.11; CI 95%=
0.01 to 0.22; p= 0.065), signal to act (b= 0.20; CI 95%= 0.03 to 0.38; p= 0.022), self-efficacy (b=
0.16; CI 95%= -0.01 to 0.32; p= 0.059) on hypertension tertiary prevention behavior. Public health
center have less contextual influence on tertiary prevention behavior in hypertensive patients
(ICC= 6.68%).
Conclusion: Perception of vulnerability, cues to act, and self-efficacy are predictors of
hypertension tertiary prevention behaviors.
Keywords:
health belief model, hypertension, tertiary prevention behaviorsReferences
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