Health Promotion Model Not Smoking among Adolescents: A Path Analysis Evidence from Indonesia

Smoking behavior is a threat to public health. This study identified factors that influence non-smoking behavior among adolescents. The aim is to determine the effect of media exposure, knowledge of the dangers of smoking, social capital, access to cigarettes among adolescents by using Theory of Planned Behavior (TPB).This cross-sectional study was conducted in Kulon Progo Regency, Yogyakarta Province, Indonesia, in April - May 2018. The dependent variable is non-smoking behavior. Independent variables were intention to not smoke, attitude to smoking, knowledge of tobacco use, subjective norms of not smoking, control of perceived behaviors for not smoking, media exposure to cigarette advertising, access to cigarettes and social capital among teenagers. Data were collected by questionnaire and analyzed by path analysis carried out in Stata 13.This study resulted in an attitude towards not smoking (b = 1,15; 95% CI = 0,55 to 1,75; p< 0,001), subjective norm for not smoking (b = 1,56; 95% CI = 0,96 to 2,16; p <0,001), and perceived behavioral control for not smoking (b = 1,99; 95% CI = 1,39 to 2,60; p <0,001), which affects the intention of not smoking, and finally on non-smoking behavior. Exposure to tobacco advertising has an indirect impact on non-smoking behavior through attitudes toward non-smoking (b = -0,82; 95% CI = -1,28 to -0,37; p< 0,001) and the intention not to smoke. This exposure to cigarette advertising also has an indirect impact on non-smoking behavior through low knowledge about smoking (b = -0,45; 95% CI = -0,47 to -0,03; p = 0,037). Weak social capital has an indirect impact on non-smoking behavior through subjective norms of smoking (b = 0,64; 95% CI = 0,25 to 1,05; p = 0,001) and the intention not to smoke. Knowledge about tobacco smoking (poor) impact on perceived behavior control not to smoke (b = 1,59; 95% CI = 1,15 to 2,03; p <0,001) and influential to attitude positive toward no smoking (b = 1,60; 95% CI = 1,16 to 2,05; p <0,001).Health promotion model with Theory of Planned Behavior (TPB) can be used to explain not smoking behavior among adolescents.

Health promotion method of small group discussion effectively increases the behaviour of mosquito eradication in Gunungkidul Yogyakarta

Background: In Indonesia, Dengue Hemorrhagic Fever (DHF) is a disease that is a public health problem, many areas have become endemic. This disease has become a global health problem. This disease is a recurring disease, so it needs serious handling. Objectives: The purpose of this study was to determine the effectiveness of the lecture method and small group discussions on community behavior in eradicating mosquitoes. Methods: This research is a survey method in the form of a quantitative design with a quasi-experimental type. The technique used is a time series control with a sample size of 400 people carried out in Gunungkidul Yogyakarta Regency in May-July 2020. A total of 200 subjects were given health promotion interventions with the lecture method, and 200 other subjects were given health promotion using the small group discussion method. Before being given the Health promotion, every resident's house was checked for the presence of larvae, and after being given the Health promotion, the presence of larvae was re-checked for three weeks. The data obtained were analyzed using the Mann-Whitney test using the SPSS program.Results: This research shows an effect of giving health promotion with lecture method or small group discussion method on community behaviour changes in eradicating mosquito nests with p-value <0.001. Conclussion: Health promotion using the small group discussion method is more effective than Health promotion using the lecture method. Health promotion using the small group discussion method effectively changes people's behaviour to eradicate mosquito nests

Smoking behavior analysis on teenagers in Kulon Progo Yogyakarta

Background: Adolescent smoking behavior from day to day is increasing. Teenagers who initially did not smoke became smokers because the environment around them did not heed subjective norms. Coupled with the influence of smoking, families increases the power of adolescents to be negative towards smoking. Objectives: This study aimed to determine the direct or indirect effect of attitude, subjective norm, and intention on adolescent smoking behavior in Kulon Progo Yogyakarta. Methods: This research is quantitative in form, conducted in Kulon Progo Yogyakarta. The population was 59.588 adolescents, after being calculated by the Slovin formula obtained 400 samples. Variable in the form of attitude, subjective norm, intention, and smoking behavior. The data were obtained by distributing valid and reliable questionnaires to 400 respondents, 200 smokers and 200 non-smokers, then analyzed using a path analysis using Stata 13. Results: There was a direct influence on adolescent attitudes towards not smoking (p <0.001) and intention to not smoke in adolescents. (p <0.001) on smoking behavior in adolescents in Kulon Progo Yogyakarta. Conclusions: There is an indirect influence between subjective norms of not smoking through non-smoking attitudes and non-smoking intentions on smoking behavior among adolescents in Kulon Progo Yogyakarta

KINERJA PERAWAT DI RSD Dr. H.MOH ANWAR SUMENEP MADURA DITINJAU DARI MOTIVASI KERJA

The aim of this study was to know the relationship between job motivation with nurses performance in Dr. H. Moh. Anwar hospital Sumenep Madura. This study used survey methods  with cross sectional design. The sample of this study  consisted 110 nurses working in Dr. H. Moh. Anwar hospital Sumenep Madura. Questionnaires were self administered by respondents. Check lists were completed by the researcher. Data were analyzed using correlation kendall - tau.The results were that motivation is not associated with nurses performance (p= 0.114). The finding of this study would be recommended for the policy making in increasing of high performance climate. Key Words: Job Motivation, performance Nurs

Smoking behavior analysis on teenagers in Kulon Progo Yogyakarta

Background: Adolescent smoking behavior from day to day is increasing. Teenagers who initially did not smoke became smokers because the environment around them did not heed subjective norms. Coupled with the influence of smoking, families increases the power of adolescents to be negative towards smoking. Objectives: This study aimed to determine the direct or indirect effect of attitude, subjective norm, and intention on adolescent smoking behavior in Kulon Progo Yogyakarta. Methods: This research is quantitative in form, conducted in Kulon Progo Yogyakarta. The population was 59.588 adolescents, after being calculated by the Slovin formula obtained 400 samples. Variable in the form of attitude, subjective norm, intention, and smoking behavior. The data were obtained by distributing valid and reliable questionnaires to 400 respondents, 200 smokers and 200 non-smokers, then analyzed using a path analysis using Stata 13. Results: There was a direct influence on adolescent attitudes towards not smoking (p <0.001) and intention to not smoke in adolescents. (p <0.001) on smoking behavior in adolescents in Kulon Progo Yogyakarta. Conclusions: There is an indirect influence between subjective norms of not smoking through non-smoking attitudes and non-smoking intentions on smoking behavior among adolescents in Kulon Progo Yogyakarta

Menstrual knowledge associated with adolescent’s attitude of intellectual disability on facing menstruation in Bantul, Indonesia

Background: Menstruation is an important event in puberty as a biological sign of sexual maturity for young women. Adolescent with intellectual disability has the same stage of biological development as normal adolescent. Menstruation often causes many problems such as menstrual pain, emotional changes and menstrual personal hygiene (such as: using sanitary napkins). It causes a lot of negative reactions and anxiety. The phenomenon that has often happened in community is feeling taboo to discuss menstrual problems, so that adolescents are not well informed. Objective of this study was to determine the association between menstrual knowledge with adolescent’s attitude of mental retardation (intellectual disability) on facing menstruation.Methods: This research is a descriptive analytic with a cross-sectional study. It was conducted at SLB Masudi Putra I and II Bantul, in August to October 2018 with intellectual disability adolescents who experienced menstruation, those were 39 respondents. Data collection is done by using a questionnaire. Bivariate analysis was done by the Spearman rank test.Results: The results of this research indicate that the percentages of adolescent’s knowledge of intellectual disability on facing menstruation were in medium category of 16 respondents (41.0%), and adolescent’s attitude of intellectual disability on facing menstruation mostly were negative of 24 respondents (61.5%) with p-value 0.001 (p<0.05 ) and the correlation coefficient (r) is positive at 0.495. It shows that there is an association between menstrual knowledge with adolescent’s attitude on facing menstruation with the closeness of the correlation in medium category.Conclusions: There were an association between menstrual knowledge with adolescent’s attitude of intellectual disability on facing menstruation at SLB Marsudi Putra Bantul with p-value 0.001 (p<0.05)

HUBUNGAN KARAKTERISTIK DAN PENGETAHUAN REMAJA TENTANG ROKOK DENGAN PERILAKU MEROKOK REMAJA DI KULONPROGO YOGYAKARTA

Smoking is a habit that can provide pleasure for smokers themselves, but on the otherhand can also cause negative impacts for the smokers themselves and for those around them. Aperson exposed to secondhand smoke (passive smokers) for eight hours is proportional to directsmoking of 20 cigarettes per day. The purpose of this research is to know the correlation ofadolescent characteristic and knowledge about cigarette with teenage smoking behavior inKulonprogo YogyakartaThis research is quantitative by using analytic survey method with cross sectionalapproach, as many as 160 teenagers who smoke in Kulonprogo Regency Yogyakarta. Datacollection by using questionnaire and analyzed by using Pearson correlation statistic test.The results showed that the correlation coefficient between adolescent knowledge aboutsmoking with teen smoking behavior in Kulonprogo Yogyakarta (-0.205). The correlation coefficientbetween adolescent age and teenage smoking behavior in Kulonprogo Yogyakarta amounted to(0,472) and correlation coefficient between adolescent pocket money and teenage smokingbehavior in Kulonprogo Yogyakarta (0,412).There is a relationship between adolescent age with teenage smoking behavior inKulonprogo Yogyakarta. There is a relationship between adolescent pocket money and teenagesmoking behavior in Kulonprogo Yogyakarta. The higher the adolescent knowledge aboutcigarettes then the behavior of adolescent smoking in Kulonprogo Yogyakarta will be lower

The Effect of Peer Group Social Capital on Smoking Behavior among Adolescents in Kulon Progo, Yogyakarta

Background: Almost 5.4 million people die annually from smoking. It is estimated that in 2030, deaths from smoking will reach 8 million per year, 80% of which will correspond to developing countries. Smokers have about 20-25 years less life expectancy. Smoking is associated with various diseases such as heart and respiratory diseases, stroke and cancer. This study aimed to determine the effect of peer group social capital on smoking behavior among adolescents in Kulon Progo, Yogyakarta. Subjects and Method: This was a case control study conducted in Kulon Progo, Yogyakarta, from April to June 2018. A total of 400 adolescents consisting of 200 smokers and 200 non smokers were selected for this study. The dependent variable was smoking behavior. The independent variables were intention, subjective norm, and peer group social capital. The data were collected by questionnaire and analyzed by a path analysis. Results: The decision not to smoke was associated with strong intention (b= 1.74; 95% CI= 2.29 to 1.18; p<0.001), favorable subjective norm (b= 1.58; 95% CI = 0.99 to 2.18; p<0.001), favorable peer group social capital (b= 2.88; 95% CI= 1.50 to 4.46; p= 0.038). Conclusion: The decision not to smoke is associated with intention, subjective norm, and peer group social capital. Keywords: smoke, intention, subjective norm, social capital, peer group

Asesmen

a complete medical record reflects the quality of good documentation, the complete of diagnosis writing reduces incorrect and inaccurate code and appropriate reporting to support decision makers. this study aims to measure the completeness and accuracy of the death code and the basic cause of death of patients. This study uses a quantitative descriptive design using a completeness checklist instrument. researchers used secondary data from the medical records of patients who died in 2021, the total sample was 199 using the slovin formula. secondary data analyzed with STATA, presented with tabulations and descriptive narratives. the basic cause of the basic cause of death was highest in code J80 at 33 (17%), J12.8 at 21 (11%) and the third being E11.9 . Based on the category of completeness of filling out of the 199 medical records analyzed, there were 37% (75) death forms that were not filled in completelyrekam medis yang lengkap mencerminkan kualitas pendokumentasian, kelengkapan penulisan diagnosis meminimalisir kesalah dan kode tidak akurat, dan juga berpengaruh pada kualitas pelaporan guna mendukung pemangku kebijakan. Penelitian ini bertujuan mengukur kelengkapan dan kealuratan kode penyebab pasien meninggal. Penelitian ini menggunakan rancangan deskriptif kualitatif, instrumennya dengan checklist kelengkapan. Peneliti menggunakan data sekunder dari rekam medis pasien meninggal tahun 2021, total samplenya sebesar 199 diukur dengan rumus slovin. Data dianalisis dengan STATA, disajikan dalam bentuk tabulasi dan narasi deskriptif. Hasil asesmen diagnosis tertinggi pada kode J80 &nbsp;sebesar 33 (17%), tertinggi kedua yaitu J96.8 yaitu&nbsp;21 kasus (11%). Untuk penyebab dasar penyebab dasar pasien meninggal tertinggi pada kode J80 atau Adult respiratory distress syndrome sebesar 33 (17%), J12.8 sebesar 21 (11%) dan ketiga yaitu E11.9 atau diabetes mellitus unspecified. Berdasarkan kategori kelengkapan pengisiannya dari 199 rekam medis yang dianalisis, terdapat 37% (75) formulir kematian yang tidak terisi lengkap. Apabila di asesmen secara rinci, terdapat &nbsp;terdapat 15% (30 kode) kode terisi lengkap namun akurat tidak akurat, meskipun prosesntase kelengkapan dan keakuratan kode hingga karakter ke 4 mencapai 80% (161 kasus)

Efektivitas Promosi Kesehatan dalam Meningkatkan Perilaku Masyarakat Memberantas Sarang Nyamuk di Yogyakarta

Dengue hemorrhagic fever is a disease that requires prompt and appropriate treatment so that the sufferer does not experience a more severe condition. This disease is spread in almost all parts of Indonesia and has become a public health problem because many areas are endemic. The purpose of this study was to compare and determine the effect of providing health promotion with the lecture and small group discussion method on community behavior changes in eradicating mosquito nests. The design of this research was a survey method with a quasi-experimental design. This study was conducted in Gunungkidul District from May to July 2020. The number of samples was 400 persons, a total of 200 subjects were given health promotion interventions with the lecture method and 200 subjects were given a small group discussion method. The presence of mosquito larvae was checked before and after the intervention. The Mann-Whitney test was used when the data are not normally distributed. The result of this study show that health promotion with the small group discussion method is more effective than the lecture method on community behavior in eradicating mosquito nests