Implementation of the Health Belief Model to Explore Elderly Health Post Service Utilization in Jaten, Karanganyar District, Central Java, Indonesia
DOI:
https://doi.org/10.26911/Abstract
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.
Keywords:
health belief model, community health service, elderly health post service
How to Cite
References
Ayuningsih D, Ulfah M, Kurniawan WE (2023). Factors Influencing Older Adults’ Behavior in Utilizing Elderly Integrated Health Posts in Pageraji Village (in Indonesia). Jurnal Kepera-watan Suaka Insan. 8(1) : 52-57. DOI: 10.51143/jksi.v8i1.364.
Anil A, John N, Soorya J, H. Doddaya H (2021). An Overview of the Health Is-sues of the Elderly: A Cross Sectional Study. J Drug Deliv Ther. 11(2): 38–41. DOI:10.22270/jddt.v11i2.4761.
Charkhchi P, Schabath MB, Carlos R (2018). Breast, cervical, and colorectal cancer screening adherence: Effect of low body mass index in women. J Womens Health. 29(7). DOI : htt-ps://doi.org/10.1089/jwh.2019.7739.
Chen N, Li X, Yuan N, Zhou C, Wang C (2019). Utilization willingness of insti¬tutional care between disabled and non-disabled seniors: evidence from Jiangsu, China. BMC Health Serv Res. 19(1): 410. DOI:10.1186/-s12913-019-4259-y.
Djabar R, Tasnim T, Munir S (2022). The relationship of elderly behavior with visit compliance at the elderly Posyan¬du review from the health belief the¬ory in the Pomalaa Puskesmas area; Elderly behavior. IJHSRD. 3(2): 110–117. doi: 10.36566/ijhsrd/Vol3.Iss¬3/99.
Duah AW, Rosenberg MW. (2023). Healthcare utilization among infor-mal caregivers of older adults in the Ashanti region of Ghana: a study ba-sed on the health belief model. Arch Public Health. 81(1): 1–18. DOI: 10.11¬86/s13690-023-01200-5.
Eun Y, Song MG, Gu M (2008). Barriers to Health Behaviors in Male and Female Elderly People in Korea. J Korean Acad Nurs. 38(43) h: 332. DOI: 1-0.4040/jkan.2008.38.2.332.
Green EC, Murphy EM, Gryboski K, Sweeny K (2020). The Health Belief Model. The Wiley Encyclopedia of Health Psychology. DOI: 10.1002/97811190-57840.ch68.
Gupta S, Arora VK, Gupta AK, Gupta MB (2022).Utilization of health care services by elderly for respiratory diseases including TB - Challenges. Indian J Tuberc. 69(2): S246-S252. DOI: https://doi.org/10.1016/j.ijtb.2-022.10.013.
Handayani F, Mawarti H, Asumta MZ (2024). The Influence of Health Belief Model Components on Self Awareness among Pulmonary Tuberculosis Pati¬ents Lost to Follow Up: A Literature Review (in Indonesia). Jurnal Kepera¬watan Jiwa. 12(4): 829-839. http-s://doi.org/10.26714/jkj.12.4.2024.829-839.
Karanganyar District Health Office. (2024). Profile of Jaten I Primary Health Cen¬ter 2023. UPT Jaten I Primary Health Center.
Karanganyar District Health Office. (2024). Profile of Jaten II Primary Health Center 2023. UPT Jaten II Primary Health Center.
Karanganyar District Health Office. (2024). Karanganyar District Health Profile 2023. Government of Karanganyar Regency.
Kim YS, Lee J, Moon Y, Kim KJ, Lee K, Choi J, Han SH (2018). Unmet he-althcare needs of elderly people in Ko¬rea. BMC Geriatr 18(98). DOI: http¬s://doi.org/10.1186/s12877-0180786-3.
Lee YH, Chang YC, Shelley M, Liu CT. (2022). Factors Associated with Pre-ventive Care Utilisation among Chine¬se Older Adults: Evidence from the 2018 Chinese Longitudinal Healthy Longevity Survey. Soc Policy Soc.2¬3(2): 314-329. DOI:10.1017/S14747¬46422000161.
Ling JTY, Zain AM, Naffi AA, Mustapha M, Halim WHWA. (2023). Determina-tion of Factors Influencing the Health Belief Model (HBM) and Adherence to Intravitreal Anti-vascular Endo-thelial Growth Factor (VEGF) Among Patients With Diabetic Macular Ede-ma (DME). Cureus, 15(2): 1–14. DOI: https:10.7759/cureus.34669.
Luquis R, Kensinger W.(2018).Applying the Health Belief Model to assess preven-tion services among young adults. Int J Health Promot Educ. 57: 1-11. 10.1080/14635240.2018.1549958.
Mc Combes S (2023). Multistage sampling | Definition, methods & examples. http-s://www.scribbr.com/methodology/multistage-sampling/
Ministry of Health of the Republic of Indo-nesia. (2021). Action Plan for Older Adult Health 2020–2024 (in Indo-nesia). Directorate of Family Health, Ministry of Health of the Republic of Indonesia.
Muflikhah HM, Widjanarko B, Sugihantono A (2016). Factors Associated with the Utilization of Elderly Integrated He-alth Posts in Bulusan Subdistrict, Tembalang District, Semarang City (in Indonesia). Jurnal Kesehatan Masyarakat. 4(5): 309-315.
Nurdin, Asyura F, Fitria I, Zulkifli (2024). Determinants of Elderly Posyandu Vi-sits and Impact on Hypertension and Diabetes Mellitus in the Elderly in Aceh Besar Regency. J Healthc Tech-nol Med. 10(1).
Prabasari (2021). Self Efficacy, Self Care Management, and Adherence among Older Adults with Hypertension: A Phenomenological Study (in Indo-nesia). Jurnal Kesehatan Malang. 6(1). https://doi.org/10.36916/jkm.v-6i1.115.
Prihatiningsih A, Sriatmi A, Fatmasari EY (2020). Utilization of Health Care Servi¬ces Among Older Adults: A Cross Sectional Study in the Catchment Are-a of Semarang City Health Centers (in Indonesia). Jurnal Ilmiah Maha¬siswa. 10(3):78-83. Available at: htt-ps://ejournal.undip.ac.id/index.php/jim/article/view/31783.
Putra, Farhandika, Hikmah, Indah (2023). Factors Influencing Older Adults’ Compliance with Visits to Elderly In-tegrated Health Posts in Rantau Pan-jang Hulu Village, Kusan Hilir Sub-district, Tanah Bumbu Regency, 2020 (in Indonesia). J Nurs Invent. 4(10). DOI: 33859/jni.v4i1.286.
Rochmah S, Purnami C, Agushybana F (2023). Elderly Participation in Non-Communicable Disease Posbindu Services in Rembang Regency. Win Health J Kes. 6(2): 167-178. doi: 10.33096/woh.vi.741.
Thinley S (2021). Health and Care of an Ageing Population: Alignment of Health and Social Systems to Address the Need. JHM. 23(1):109-118. DOI:10.1177/0972063421994992.
Xie H, Cheng C, Tao Y., et al.(2020). Quality of life in Chinese family caregivers for elderly people with chronic diseases. HQLO J. 14 (99). DOI: https://doi.org/10.1186/s12955-016-0504-9.
