Identification of Adolescent Behavioral Tendencies After Utilization of Health Promotion Applications About Pre-Pregnancy Care Based on the Health Belief Model Framework
Main Article Content
Keywords
Adolescents, Behavior, Preparation for pre-pregnancy
Abstract
Background: Increasing knowledge and attitudes towards pregnancy preparation is one of the earliest possible efforts to produce a healthy pregnancy. This study aims to identify behavioral tendencies regarding pregnancy preparation in adolescents by applying the Health Belief Model.
Methods: A total of 300 adolescents in Metro City participated in an experimental study on the use of health promotion application media. Identification of behavioral tendencies regarding pregnancy preparation is explained using hierarchical regression on knowledge, attitudes, peers, access to information, and perception constructs in the Health Belief Model.
Results: Benefits ← friends (R=0.016, ρ=0.026), obstacles ← friends (R=0.106, ρ=0.001), barriers ← knowledge (R=0.016, ρ=0.045), motivation ← benefits (R=0.286, ρ =0.001), motivation ← obstacles (R=0.286, ρ=0.007), attitude ← knowledge (R=0.088, ρ=0.001), behavior ← attitude (R=0.160, ρ=0.005), behavior ← motivation (R=0.160 , ρ=0.001), behavior ← access (R=0.160, ρ=0.009).
Conclusion: Identification of behavioral tendencies that are influenced by peers, access to media, and the HBM constructs in this study can be a basis for midwives for health promotion interventions. In addition, the use of digital media is a wise choice to start early pre-pregnancy preparation for teenagers.
References
1. Abriyani, N. N. Y., Sunarsih, T., & Rosida, L. (2022). Increased Knowledge and Attitudes of Preconception Care using the Dedi Torri Application. Indonesian Journal of Obstetrics and Gynecology, 10(1), 31–36. https://doi.org/10.32771/INAJOG.V10I1.1453
2. Ajzen, I. (2012). The theory of planned behavior. Handbook of Theories of Social Psychology: Volume 1, July, 438–459. https://doi.org/10.4135/9781446249215.n22
3. Arteaga, S. A., L, C., & Manchikanti. (2019). Planned, unplanned, and in-between: The meaning and context of pregnancy planning for young people. Contraception, 99(1), 16–21. https://doi.org/10.1016/j.contraception.2018.08.012.Planned
4. Backhausen, M. G., Ekstrand, M., Tydén, T., Magnussen, B. K., Shawe, J., Stern, J., & Hegaard, H. K. (2014). Pregnancy planning and lifestyle prior to conception and during early pregnancy among Danish women. European Journal of Contraception and Reproductive Health Care, 19(1), 57–65. https://doi.org/10.3109/13625187.2013.851183
5. Chivers, B. R., Boyle, J. A., Lang, A. Y., Teede, H. J., Moran, L. J., & Harrison, C. L. (2020). Preconception health and lifestyle behaviours of women planning a pregnancy: A cross-sectional study. Journal of Clinical Medicine, 9(6).https://doi.org/10.3390/jcm9061701
6. Du, L., La, X., Zhu, L., Jiang, H., Xu, B., Chen, A., & Li, M. (2021). Utilization of preconception care and its impacts on health behavior changes among expectant couples in Shanghai, China. BMC Pregnancy and Childbirth, 21(1), 1–8. https://doi.org/10.1186/s12884-021-03940-0
7. Fraser Diane M, C. M. A. (2009). Myles Buku Ajar Bidan (Fraser DM (ed.); 14th ed.). EGC.
8. Guttmacher Institute. (2022). Unintended Pregnancy and Abortion. Issues in Brief, March, 1–2.
9. Habte, A., Dessu, S., & Haile, D. (2021). Determinants of practice of preconception care among women of reproductive age group in southern Ethiopia, 2020: content analysis. Reproductive Health, 18(1), 1–14. https://doi.org/10.1186/s12978-021-01154-3
10. Hanson, A., Anne, B., Sophie, E. M., & Oken, E. (2015). I ntern a tion a l J ourn a l of Gynecology a nd Obstetrics The I ntern a tion a l Feder a tion of Gynecology a nd Obstetrics ( F I GO ) recommend a tions on a dolescent , preconception , a nd m a tern a l nutrition : “ Think Nutrition First ” #. 4.
11. Kementerian Kesehatan. (2019). Laporan Nasional Riskesdas 2018. In Badan Penelitian dan Pengembangan Kesehatan (p. 674). Litbangkes. http://labdata.litbang.kemkes.go.id/ images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
12. Kementerian Kesehatan Republik Indonesia. (2021). Laporan Kinerja Kementrian Kesehatan Tahun 2020. Kementerian Kesehatan Republik Indonesia Tahun 2021, 1–224.
13. Kementerian Kesehatan RI. (2017). Infodatin Reproduksi Remaja-Ed.Pdf. In Situasi Kesehatan Reproduksi Remaja (Issue Remaja, pp. 1–8).
14. Kementerian Kesehatan RI. (2018). Laporan kinerja kementerian kesehatan tahun 2018.
15. Kim, H. W., Kang, S. Y., & Kim, J. (2022). Factors influencing adolescents’ healthy pregnancy preparation behavior: a cross-sectional gender comparison applying the health belief model. Reproductive Health, 19(1), 1–10. https://doi.org/10.1186/s12978-022-01392-z
16. Lameshow Stanley, Hosmer, K. J. (1997). Besar Sampel dalam Penelitian Kesehatan (Pramono Dibyo (ed.)). Gadjah Mada University Press.
17. Lassi, Z. S., Kedzior, S. G. E., Tariq, W., Jadoon, Y., Das, J. K., & Bhutta, Z. A. (2020). Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low-and middle-income countries: A systematic review. Nutrients, 12(3). https://doi.org/10.3390/nu12030606
18. Launiala, A. (2009). How much can a KAP survey tell us about people’s knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropology Matters, 11(1), 1–13. https://doi.org/10.22582/am. v11i1.31
19. Mazza, D., Chapman, A., & Michie, S. (2013). Barriers to the implementation of preconception care guidelines as perceived by general practitioners: a qualitative study. BMC Health Services Research, 13(1), 36. https://doi.org/10.1186/1472-6963-13-36
20. Murti Bhisma. (2018a). Prinsip Dan Metode Riset Epidemiologi. Bintang Fajar Offset.
21. Murti Bhisma. (2018b). Teori Promosi dan Perilaku Kesehatan (Edisi kesa). Bintang Fajar Offset.
22. Ning, L., Niu, J., Bi, X., Yang, C., Liu, Z., Wu, Q., Ning, N., Liang, L., Liu, A., Hao, Y., Gao, L., & Liu, C. (2020). The impacts of knowledge, risk perception, emotion and information on citizens’ protective behaviors during the outbreak of COVID-19: a cross-sectional study in China. BMC Public Health, 20(1), 1–12. https://doi.org/10.1186/s12889-020-09892-y
23. Okemo, J. K., Kamya, D., Mwaniki, A. M., & Temmerman, M. (2021). Determinants of preconception care among pregnant women in an urban and a rural health facility in Kenya: a qualitative study. BMC Pregnancy and Childbirth, 21(1), 1–13. https://doi.org/10.1186/s12884-021-04201-w
24. OWH. (2021). Preconception health. U.S. Department of Health & Human Services. https://www.womenshealth.gov/pregnancy/you-get-pregnant/preconception-health
25. Park, C. W., Gardner, M. P., & Thukral, V. K. (1988). Self-Perceived Knowledge: Some Effects on Information Processing for a Choice Task. The American Journal of Psychology, 101(3), 401. https://doi.org/10.2307/1423087
26. Parmar, S. M., & Taylor, R. (2010). Health Promotion & Behavioural Change Theory. 1–14.
27. Raingruber Bonnie. (2014). Contemporary Health Promotion in Nursing Practice (Second Edi, pp. 49–90). Jones & Bartlett Learning. http://samples.jbpub.com/9781284094749/ Table_of_Contents.pdf
28. Roden, J. (2004). Revisiting the Health Belief Model: Nurses applying it to young families and their health promotion needs. Nursing and Health Sciences, 6(1), 1–10. https://doi.org/10.1111/j.1442-2018.2003.00167.x
29. Rural Health Infotmation Hub. (2018). The Health Belief Model. RHI Hub. https://www.ruralhealthinfo.org/toolkits/health-promotion/2/theories-and-models/health-belief
30. Sainafat, A., Asmawati, Ikhlasiah, M., Mat, S. B., & Hassan, H. C. (2020). Preconception care in adolescents. Enfermeria Clinica, 30(2019), 73–76. https://doi.org/10.1016/j.enfcli. 2019.11.024
31. Sallis JF, Owen N, F. E. (2008). Social and Behavioral Theories. Health Behavior and Health Education: Theory, Research, and Practice, 4th, 465–486. https://doi.org/10.1146/ annurev.publhealth.012809.103604
32. Savira Azizah. (2022). Kenali 7 Ciri-Ciri Gen Z, Apakah Kamu Termasuk? Liputan 6. https://www.liputan6.com/citizen6/read/5118789/kenali-7-ciri-ciri-gen-z-apakah-kamu-termasuk
33. Setegn Alie, M., Alemu, T., Alemayehu, D., Negesse, Y., & Gebremariam, A. (2022). Preconception care utilization and associated factors among reproductive age women in Mizan-Aman town, Bench Sheko zone, Southwest Ethiopia, 2020. A content analysis. Plos One, 17(8), e0273297. https://doi.org/10.1371/journal.pone.0273297
34. Sori, S. A., Teji Roba, K., Yadeta, T. A., Jiru, H. D., Metebo, K. N., Weldekidan, H. A., & Regassa, L. D. (2021). Knowledge of preconception care and associated factors among maternal health care providers working in urban public health institutions of Eastern Ethiopia. Women’s Health, 17. https://doi.org/10.1177/17455065211046139
35. Tazangi, R. M., Bijani, M., Karimi, S., & Naghizadeh, M. M. (2022). The Effect of Peer Group-Based Training Using Health Belief Model on Quality of Life and Foot Ulcer Self-Care Behaviour in Patients with Type 2 Diabetes : A Randomized Controlled Clinical Trial. 251–261. https://doi.org/10.5603/DK.a2022.0031
36. Ukoha, W. C., & Mtshali, N. G. (2022). “We Are Having a Huge Problem with Compliance”: Exploring Preconception Care Utilization in South Africa. Healthcare (Switzerland), 10(6). https://doi.org/10.3390/healthcare10061056
37. Wegene, M. A., Gejo, N. G., Bedecha, D. Y., Kerbo, A. A., Hagisso, S. N., & Damtew, S. A. (2022). Utilization of preconception care and associated factors in Hosanna Town, Southern Ethiopia. PLoS ONE, 17(1 January), 1–16. https://doi.org/10.1371/journal.pone.0261895
38. Widyawati. (2018). Remaja Indonesia Harus Sehat. Kemenkes RI. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20180515/4625896/menkes-remaja-indonesia-harus-sehat/
39. Zhong, B. L., Luo, W., Li, H. M., Zhang, Q. Q., Liu, X. G., Li, W. T., & Li, Y. (2020). Knowledge, attitudes, and practices towards COVID-19 among chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey. International Journal of Biological Sciences, 16(10), 1745–1752. https://doi.org/10.7150/ijbs.45221
2. Ajzen, I. (2012). The theory of planned behavior. Handbook of Theories of Social Psychology: Volume 1, July, 438–459. https://doi.org/10.4135/9781446249215.n22
3. Arteaga, S. A., L, C., & Manchikanti. (2019). Planned, unplanned, and in-between: The meaning and context of pregnancy planning for young people. Contraception, 99(1), 16–21. https://doi.org/10.1016/j.contraception.2018.08.012.Planned
4. Backhausen, M. G., Ekstrand, M., Tydén, T., Magnussen, B. K., Shawe, J., Stern, J., & Hegaard, H. K. (2014). Pregnancy planning and lifestyle prior to conception and during early pregnancy among Danish women. European Journal of Contraception and Reproductive Health Care, 19(1), 57–65. https://doi.org/10.3109/13625187.2013.851183
5. Chivers, B. R., Boyle, J. A., Lang, A. Y., Teede, H. J., Moran, L. J., & Harrison, C. L. (2020). Preconception health and lifestyle behaviours of women planning a pregnancy: A cross-sectional study. Journal of Clinical Medicine, 9(6).https://doi.org/10.3390/jcm9061701
6. Du, L., La, X., Zhu, L., Jiang, H., Xu, B., Chen, A., & Li, M. (2021). Utilization of preconception care and its impacts on health behavior changes among expectant couples in Shanghai, China. BMC Pregnancy and Childbirth, 21(1), 1–8. https://doi.org/10.1186/s12884-021-03940-0
7. Fraser Diane M, C. M. A. (2009). Myles Buku Ajar Bidan (Fraser DM (ed.); 14th ed.). EGC.
8. Guttmacher Institute. (2022). Unintended Pregnancy and Abortion. Issues in Brief, March, 1–2.
9. Habte, A., Dessu, S., & Haile, D. (2021). Determinants of practice of preconception care among women of reproductive age group in southern Ethiopia, 2020: content analysis. Reproductive Health, 18(1), 1–14. https://doi.org/10.1186/s12978-021-01154-3
10. Hanson, A., Anne, B., Sophie, E. M., & Oken, E. (2015). I ntern a tion a l J ourn a l of Gynecology a nd Obstetrics The I ntern a tion a l Feder a tion of Gynecology a nd Obstetrics ( F I GO ) recommend a tions on a dolescent , preconception , a nd m a tern a l nutrition : “ Think Nutrition First ” #. 4.
11. Kementerian Kesehatan. (2019). Laporan Nasional Riskesdas 2018. In Badan Penelitian dan Pengembangan Kesehatan (p. 674). Litbangkes. http://labdata.litbang.kemkes.go.id/ images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
12. Kementerian Kesehatan Republik Indonesia. (2021). Laporan Kinerja Kementrian Kesehatan Tahun 2020. Kementerian Kesehatan Republik Indonesia Tahun 2021, 1–224.
13. Kementerian Kesehatan RI. (2017). Infodatin Reproduksi Remaja-Ed.Pdf. In Situasi Kesehatan Reproduksi Remaja (Issue Remaja, pp. 1–8).
14. Kementerian Kesehatan RI. (2018). Laporan kinerja kementerian kesehatan tahun 2018.
15. Kim, H. W., Kang, S. Y., & Kim, J. (2022). Factors influencing adolescents’ healthy pregnancy preparation behavior: a cross-sectional gender comparison applying the health belief model. Reproductive Health, 19(1), 1–10. https://doi.org/10.1186/s12978-022-01392-z
16. Lameshow Stanley, Hosmer, K. J. (1997). Besar Sampel dalam Penelitian Kesehatan (Pramono Dibyo (ed.)). Gadjah Mada University Press.
17. Lassi, Z. S., Kedzior, S. G. E., Tariq, W., Jadoon, Y., Das, J. K., & Bhutta, Z. A. (2020). Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low-and middle-income countries: A systematic review. Nutrients, 12(3). https://doi.org/10.3390/nu12030606
18. Launiala, A. (2009). How much can a KAP survey tell us about people’s knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropology Matters, 11(1), 1–13. https://doi.org/10.22582/am. v11i1.31
19. Mazza, D., Chapman, A., & Michie, S. (2013). Barriers to the implementation of preconception care guidelines as perceived by general practitioners: a qualitative study. BMC Health Services Research, 13(1), 36. https://doi.org/10.1186/1472-6963-13-36
20. Murti Bhisma. (2018a). Prinsip Dan Metode Riset Epidemiologi. Bintang Fajar Offset.
21. Murti Bhisma. (2018b). Teori Promosi dan Perilaku Kesehatan (Edisi kesa). Bintang Fajar Offset.
22. Ning, L., Niu, J., Bi, X., Yang, C., Liu, Z., Wu, Q., Ning, N., Liang, L., Liu, A., Hao, Y., Gao, L., & Liu, C. (2020). The impacts of knowledge, risk perception, emotion and information on citizens’ protective behaviors during the outbreak of COVID-19: a cross-sectional study in China. BMC Public Health, 20(1), 1–12. https://doi.org/10.1186/s12889-020-09892-y
23. Okemo, J. K., Kamya, D., Mwaniki, A. M., & Temmerman, M. (2021). Determinants of preconception care among pregnant women in an urban and a rural health facility in Kenya: a qualitative study. BMC Pregnancy and Childbirth, 21(1), 1–13. https://doi.org/10.1186/s12884-021-04201-w
24. OWH. (2021). Preconception health. U.S. Department of Health & Human Services. https://www.womenshealth.gov/pregnancy/you-get-pregnant/preconception-health
25. Park, C. W., Gardner, M. P., & Thukral, V. K. (1988). Self-Perceived Knowledge: Some Effects on Information Processing for a Choice Task. The American Journal of Psychology, 101(3), 401. https://doi.org/10.2307/1423087
26. Parmar, S. M., & Taylor, R. (2010). Health Promotion & Behavioural Change Theory. 1–14.
27. Raingruber Bonnie. (2014). Contemporary Health Promotion in Nursing Practice (Second Edi, pp. 49–90). Jones & Bartlett Learning. http://samples.jbpub.com/9781284094749/ Table_of_Contents.pdf
28. Roden, J. (2004). Revisiting the Health Belief Model: Nurses applying it to young families and their health promotion needs. Nursing and Health Sciences, 6(1), 1–10. https://doi.org/10.1111/j.1442-2018.2003.00167.x
29. Rural Health Infotmation Hub. (2018). The Health Belief Model. RHI Hub. https://www.ruralhealthinfo.org/toolkits/health-promotion/2/theories-and-models/health-belief
30. Sainafat, A., Asmawati, Ikhlasiah, M., Mat, S. B., & Hassan, H. C. (2020). Preconception care in adolescents. Enfermeria Clinica, 30(2019), 73–76. https://doi.org/10.1016/j.enfcli. 2019.11.024
31. Sallis JF, Owen N, F. E. (2008). Social and Behavioral Theories. Health Behavior and Health Education: Theory, Research, and Practice, 4th, 465–486. https://doi.org/10.1146/ annurev.publhealth.012809.103604
32. Savira Azizah. (2022). Kenali 7 Ciri-Ciri Gen Z, Apakah Kamu Termasuk? Liputan 6. https://www.liputan6.com/citizen6/read/5118789/kenali-7-ciri-ciri-gen-z-apakah-kamu-termasuk
33. Setegn Alie, M., Alemu, T., Alemayehu, D., Negesse, Y., & Gebremariam, A. (2022). Preconception care utilization and associated factors among reproductive age women in Mizan-Aman town, Bench Sheko zone, Southwest Ethiopia, 2020. A content analysis. Plos One, 17(8), e0273297. https://doi.org/10.1371/journal.pone.0273297
34. Sori, S. A., Teji Roba, K., Yadeta, T. A., Jiru, H. D., Metebo, K. N., Weldekidan, H. A., & Regassa, L. D. (2021). Knowledge of preconception care and associated factors among maternal health care providers working in urban public health institutions of Eastern Ethiopia. Women’s Health, 17. https://doi.org/10.1177/17455065211046139
35. Tazangi, R. M., Bijani, M., Karimi, S., & Naghizadeh, M. M. (2022). The Effect of Peer Group-Based Training Using Health Belief Model on Quality of Life and Foot Ulcer Self-Care Behaviour in Patients with Type 2 Diabetes : A Randomized Controlled Clinical Trial. 251–261. https://doi.org/10.5603/DK.a2022.0031
36. Ukoha, W. C., & Mtshali, N. G. (2022). “We Are Having a Huge Problem with Compliance”: Exploring Preconception Care Utilization in South Africa. Healthcare (Switzerland), 10(6). https://doi.org/10.3390/healthcare10061056
37. Wegene, M. A., Gejo, N. G., Bedecha, D. Y., Kerbo, A. A., Hagisso, S. N., & Damtew, S. A. (2022). Utilization of preconception care and associated factors in Hosanna Town, Southern Ethiopia. PLoS ONE, 17(1 January), 1–16. https://doi.org/10.1371/journal.pone.0261895
38. Widyawati. (2018). Remaja Indonesia Harus Sehat. Kemenkes RI. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20180515/4625896/menkes-remaja-indonesia-harus-sehat/
39. Zhong, B. L., Luo, W., Li, H. M., Zhang, Q. Q., Liu, X. G., Li, W. T., & Li, Y. (2020). Knowledge, attitudes, and practices towards COVID-19 among chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey. International Journal of Biological Sciences, 16(10), 1745–1752. https://doi.org/10.7150/ijbs.45221
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Mar 29, 2023
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Firda Fibrila, Sri Sulistyowati, Muhammad Akhyar, & Anik Lestari. (2023). Identification of Adolescent Behavioral Tendencies After Utilization of Health Promotion Applications About Pre-Pregnancy Care Based on the Health Belief Model Framework. Journal of Population Therapeutics and Clinical Pharmacology, 30(5), 320-330. https://doi.org/10.47750/jptcp.2023.30.05.033
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How to Cite
Firda Fibrila, Sri Sulistyowati, Muhammad Akhyar, & Anik Lestari. (2023). Identification of Adolescent Behavioral Tendencies After Utilization of Health Promotion Applications About Pre-Pregnancy Care Based on the Health Belief Model Framework. Journal of Population Therapeutics and Clinical Pharmacology, 30(5), 320-330. https://doi.org/10.47750/jptcp.2023.30.05.033