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The high number of elderly people has led to various health problems that must be faced. However, there are still elderly people who are reluctant to carry out regular physical activity, so the health status and quality of life of the elderly also decline. Aims: This systematic review aims to identify the relationship between social cognitive theory (SCT) on physical activity in the elderly. Methods: This systematic review method approach is based on PRISMA. This systematic review examines several research articles from journal databases, namely PubMed and ScienceDirect, and obtained 13 articles in 2019-2024. The keywords used in the search are “Social Cognitive Theory”, “SCT”, “Physical Activity”, “PA”, and “Elderly”. The articles reviewed met the inclusion criteria, namely relevant article topics, original research articles in English, and publications in the last five years. The eligibility criteria were then assessed separately using the JBI Critical Appraisal Checklist tool.  Results: From a total of 13 articles reviewed, it can be concluded that the majority of articles explain how important the social cognitive patterns that elderly people must have in relation to the physical activity of the elderly, such as predicting the physical activity of the elderly, increasing the exercise behavior of the elderly, influencing the level of physical activity for people with chronic diseases, and adjusting physical activity with the abilities of the elderly. The higher an elderly person's social cognition, self-efficacy, encouragement, and social support to be able and willing to carry out physical activities in accordance with the elderly's abilities and physical condition. Conclusion: The social cognition of the elderly places more emphasis on the ability of the elderly to learn things around them, so that the elderly have self-efficacy, encouragement, and social support to do things in according to their goals and beliefs. Health workers in provide health services to the community, social cognitive theory can be used for alternative to increase the physical activity of the elderly. A personalized smartphone-based intervention based on SCT is highly effective for promoting physical activity in older adults.  

Tuberkulosis (TB) merupakan penyakit menular yang masih menjadi masalah kesehatan global dan terus meningkat setiap tahunnya. Penyakit ini tersebar luas dan menjadi salah satu penyebab utama kematian akibat infeksi. Pemberian Terapi Pencegahan Tuberkulosis (TPT) merupakan salah satu strategi penting dalam upaya penanggulangan TB, khususnya pada kelompok berisiko seperti kontak serumah pasien TB, pelaksanaan program TPT di Kota Kendari masih belum optimal dan tergolong rendah dan Puskesmas Poasia merupakan puskesmas dengan jumlah kasus TB tertinggi dalam tiga tahun terakhir. Penelitian ini bertujuan untuk mengetahui gambaran penerimaan Terapi Pencegahan Tuberkulosis pada kontak serumah pasien TB dengan pendekatan teori Health Belief Model (HBM) di wilayah kerja Puskesmas Poasia Kota Kendari tahun 2025. Jenis penelitian adalah deskriptif kuantitatif yang dilaksanakan pada Maret 2026. Jumlah sampel sebanyak 80 responden yang dipilih menggunakan teknik simple random sampling. Analisis data yang digunakan adalah analisis univariat untuk menggambarkan distribusi frekuensi dan persentase setiap variabel. Hasil penelitian menunjukkan bahwa sebagian besar responden tidak menerima TPT yaitu sebanyak 71 responden (88,8%), sedangkan yang menerima hanya 9 responden (11,2%). Mayoritas responden memiliki persepsi kerentanan dan keseriusan yang rendah, persepsi hambatan yang tinggi, serta efikasi diri yang rendah, sedangkan persepsi manfaat menunjukkan hasil yang cukup berimbang. Hal ini menunjukkan bahwa faktor-faktor dalam Health Belief Model berperan dalam memengaruhi penerimaan TPT. Diperlukan peningkatan edukasi dan dukungan tenaga kesehatan untuk meningkatkan kesadaran serta penerimaan TPT.

Program Makanan Bergizi Gratis (MBG) merupakan salah satu upaya pemerintah dalam meningkatkan status gizi anak sekolah dasar melalui penyediaan makanan sehat dan bergizi. Namun, keberhasilan program ini tidak hanya ditentukan oleh ketersediaan makanan, tetapi juga dipengaruhi oleh perilaku konsumsi siswa. Perilaku konsumsi makanan pada anak sekolah dipengaruhi oleh berbagai faktor, seperti pengetahuan gizi, pengaruh teman sebaya, peran guru, rasa makanan, dan kebiasaan makan di rumah. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi perilaku konsumsi Makanan Bergizi Gratis (MBG) pada siswa Sekolah Dasar Negeri 66 Kota Jambi. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh siswa kelas IV dan V SDN 66 Kota Jambi sebanyak 231 siswa. Sampel penelitian berjumlah 96 responden yang dipilih menggunakan teknik stratified random sampling. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa sebagian besar siswa memiliki pengetahuan gizi yang baik. Analisis bivariat menunjukkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan gizi (p=0,868) dan pengaruh teman sebaya (p=0,229) dengan perilaku konsumsi MBG. Namun, terdapat hubungan yang signifikan antara peran guru (p=0,005), rasa makanan (p=0,045), dan kebiasaan makan di rumah (p=0,005) dengan perilaku konsumsi MBG. Faktor yang paling memengaruhi perilaku konsumsi siswa adalah rasa makanan dan dukungan lingkungan sekitar

Adolescents have low levels of physical activity, one of which is caused by poor perceptions of the components of the Health Belief Model (HBM), while a sedentary lifestyle increases the risk of long-term health problems. This study aims to describe the HBM (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action) in students before counseling, and analyze the differences in HBM (perceived susceptibility, perceived severity, perceived benefits, perceived barriers) after counseling with film media. The study used a quasi-experimental design with a cross-sectional approach, involving 51 eighth-grade students of SMP PGRI 363 Pondok Petir who were selected using a total sampling technique. Data were collected using pre-test and post-test questionnaires, then analyzed descriptively using the median as the cut-off point. The results showed an increase in all four HBM constructs evaluated: perceived susceptibility increased by 50.0% (median 14 to 21), perceived severity increased by 44.4% (18 to 26), perceived benefits increased by 44.0% (25 to 36), and perceived barriers increased by 54.5% (11 to 17). Before the counseling, the majority of students were in the medium category for self-efficacy (65%) and cues to action (96%), but these two constructs were not re-evaluated after the counseling. Further research is needed to fully measure the increase in students' HBM perceptions of physical activity through film media.

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Homemade food is increasingly dominating the choices of consumers who are oriented towards a healthy lifestyle. However, the belief that self-cooking is synonymous with food safety is not always supported by scientific evidence. This Narrative Review aims to build an in-depth thematic synthesis of the various dimensions of food safety risks that arise in the process of preparing healthy homemade food, ranging from biological and chemical contamination, to human behavioral factors as the main agents of contamination. The study was conducted against seven reputable sources of scientific literature published between 2010–2025, including observational, experimental, cross-sectional, and review studies. Four main themes were identified: (1) risky behaviors in the household kitchen as the dominant factor; (2) unexpected cross-contamination pathways including table salt as a vector; (3) chemical and biological contaminants hidden in "healthy" materials; and (4) evidence-based interventions that have been proven to be effective. This review confirms that homemade food safety is a behavioral issue, not just a technical one, so the intervention approach must be multidimensional and sustainable.

This article examines the phenomenon of interfaith solidarity rapidly flourishing in Indonesia’s digital sphere during Ramadan, specifically through the viral "war takjil" trend involving active participation from non-Muslim communities. With national social media users reaching 180 million, digital platforms have transformed into crucial interaction spaces facilitating fluid and participatory interfaith communication. This research employs a qualitative approach using literature review, phenomenological analysis, and theological reflection within the Catholic tradition to understand the meaning behind this social behavior. Main findings indicate that this phenomenon is a concrete manifestation of bottom-up pluralism, emerging organically from daily social interactions. Based on the Contact Hypothesis, these digital interactions successfully reduce prejudice by achieving common goals and maintaining equal status in public spaces. Theologically, the phenomenon reflects the spirit of universal brotherhood and solidarity emphasized in the documents Fratelli Tutti and Nostra Aetate. The article concludes that healthy pluralism is the capacity to maintain one's own faith identity while actively building bridges of love with those of different beliefs. The implications emphasize the importance of media literacy for faith educators and catechists to guide the community in responding to digital social dynamics constructively without compromising theological truths. This study serves as a reference for developing inclusive, love-based interfaith communication strategies within Indonesia’s diverse digital society.

Online gambling is a form of addictive behavior that often begins with simple experimentation. Early wins tend to encourage individuals to continue gambling with increasingly larger stakes, driven by the belief that higher bets will lead to greater profits. Along with the rapid advancement of digital technology, online gambling has become more accessible to various groups, including university students, through convenient and flexible online platforms. Although it is often perceived as a form of entertainment, online gambling has significant negative impacts. This study aims to analyze the effects of online gambling on students’ mental health. The research uses a qualitative approach, with data collected through observations and interviews involving respondents who engage in online gambling activities. The findings reveal that online gambling has detrimental effects on students’ psychological well-being, including increased levels of stress, anxiety, depression, and sleep disturbances. Furthermore, it contributes to decreased concentration, reduced learning motivation, and declining academic performance. Therefore, stronger preventive measures and educational efforts are necessary to minimize the negative impacts of online gambling among university students.

Mental health is an essential aspect of human life that is deeply connected to one’s spiritual and faith condition. In the Islamic creed (ʿaqīdah) perspective, mental well-being is not merely defined by emotional stability or positive thinking but by one’s ability to maintain faith, surrender to Allah, and face life’s trials with patience and gratitude. Islam teaches that the source of inner peace (ṭuma’ninah) lies in closeness to Allah through remembrance (dhikr), prayer, and belief in divine destiny (qadha and qadar). Hence, a strong foundation of faith is crucial in maintaining a balanced psychological state for Muslims. In addition to patience and gratitude, the concept of ikhtiar (effort) also plays a vital role in overcoming anxiety. A Muslim is taught to make sincere efforts while trusting in Allah’s will, thereby achieving harmony between physical endeavor and spiritual strength. By internalizing the values of patience, gratitude, and effort, individuals can develop strong mental resilience, manage stress wisely, and find meaningful purpose in life’s challenges. This study highlights the significant role of Islamic teachings in fostering holistic mental health rooted in spiritual tranquility.

Tuberculosis (TB) remains one of the leading infectious causes of death worldwide and continues to pose a major public health challenge. The disease is caused by Mycobacterium tuberculosis and is transmitted through airborne droplets when infected individuals cough or speak. Without treatment, TB has a mortality rate of approximately 50%; however, about 85% of patients can be successfully treated with anti-tuberculosis drugs administered for 4–6 months according to standard guidelines. Indonesia is among the eight countries contributing the highest number of TB cases globally, yet national treatment adherence remains suboptimal. This study aimed to analyze factors associated with medication regularity among pulmonary TB patients in Indonesia using data from the 2023 Indonesian Health Survey. A cross-sectional design was applied using secondary data from respondents aged ≥15 years who had been diagnosed with TB and received treatment, with a weighted sample of 667,421 individuals. Data were analyzed using univariate, bivariate (Rao-Scott Chi-Square), and multivariate logistic regression with backward elimination. The prevalence of regular medication intake was 72.21%. Education level, residence, presence of a treatment supervisor (PMO), type of therapy, and comorbidities were significantly associated with medication regularity. Multivariate analysis identified the presence of a PMO as the most dominant factor, followed by higher education and absence of comorbidities. Strengthening treatment supervision and implementing Health Belief Model–based health education are essential to support the 2030 TB elimination target in Indonesia.  

Non-health facility deliveries remain a significant maternal health problem in rural areas, increasing the risk of complications for both mothers and newborns. Cigobang Village, Karang Tengah, Babakan Madang District, is one of the areas where home deliveries assisted by non-health personnel are still practiced. This community service activity was conducted through the Village Community Health Development (PKMD) program involving 103 respondents, there were 8 pregnant women (100%) who still planned to give birth at home assisted by non-health personnel. The objective of this activity was to improve community awareness and knowledge regarding safe delivery practices in health facilities. The methods included a community health assessment using questionnaires, maternal health education sessions, and interactive discussions with pregnant women, families, and community health cadres. The results showed that despite the implementation of health education, some pregnant women still planned home deliveries assisted by non-health personnel due to cultural beliefs, accessibility issues, and financial considerations. The PKMD activities contributed to increased community knowledge; however, continuous education and multisectoral collaboration are required to promote safer delivery practices.

Psychological Impact and Manifestations of PTSD Due to Childhood Violence Trauma represent a complex intersection of developmental disruption and chronic emotional distress. Children exposed to such violence often internalize the trauma, leading to profound shifts in their mental health that manifest as persistent hypervigilance, emotional numbing, and intrusive memories that disrupt their daily functioning. Beyond immediate fear, these manifestations involve structural changes in the brain, such as an overactive amygdala and a reduced volume of the hippocampus and prefrontal cortex, which impair a child's ability to regulate emotions and process information. Behaviorally, this often translates into externalizing symptoms like aggression and irritability, or internalizing reactions such as social withdrawal, dissociation, and "foreshortened future"—a belief that they will not live a long or normal life. If left unaddressed, these psychological scars can evolve into chronic anxiety, depression, and severe difficulties in forming healthy interpersonal relationships, creating a cycle of vulnerability that persists well into adulthood and impacts their overall quality of life.

Premarital sexual behavior in adolescents is a public health issue influenced by various individual, social, and environmental factors. Changes in social norms, technological advancements, and limited reproductive health knowledge make adolescents a group vulnerable to risky sexual behavior. This study aims to examine the factors influencing premarital sexual behavior among adolescents based on the Health Belief Model (HBM) approach. The method used is a Systematic Literature Review (SLR), review national and international scientific articles published between 2013 and 2025. Data sources were abtained from Google Scholar and ScienceDirect, with inclusion criteria including articles in Indonesia and English, open access, full text, and relevant to HBM components. The study result indicate that factors such as perceived barriers, self-efficacy, and the quality of information play an important role in shaping adolescent sexual behavior. Low knowledge and limited perception oh the negative impacts of premarital sex increase the risk of engaging in risky sexual behavior. In addition, health promotion interventions based on the Health Belief Model (HBM) have been proven effective in improving knowledge, attitudes, and preventive behaviors regarding premarital sex among adolescents. Therefore, the HBM approach is recommended as a basis for developing comprehensive and sustainable adolescent reproductive health education and promotion programs.

Drug abuse is a serious global public health problem, with the prevalence in Indonesia reaching 1.73% or about 3.33 million people in 2023, mainly among those aged 15–24 years. Understanding the psychological determinants of this behavior is crucial to enhance prevention and rehabilitation efforts. Objective: To analyze determinants of drug abuse behavior based on the Health Belief Model (HBM) through a literature review of studies published between 2015 and 2025. Methods: A literature review of 8 academic articles from Google Scholar and PubMed, limited to open‑access Indonesian- and English‑language journals examining HBM constructs related to drug abuse and rehabilitation participation. Results: HBM variables were generally associated with drug abuse behavior and rehabilitation adherence, with self‑efficacy emerging as the most consistent determinant, followed by perceived susceptibility and perceived severity. Perceived barriers, especially complex administrative procedures, distance, costs, and stigma, were identified as major obstacles to engaging in rehabilitation. Conclusion: The HBM is useful for mapping determinants of drug abuse behavior and highlights the need to strengthen self‑efficacy, risk perceptions, and barrier reduction within health promotion and community‑based rehabilitation programs.

Premarital sex is sexual intercourse outside of legal or religious marriage. This behavior can cause various problems such as sexually transmitted diseases, unplanned pregnancies, and encourage early marriage. Analyzing the determinants of adolescent premarital sex based on the Health Belief Model. Using a literature review approach, this study analyzes several academic references such as journals, books, encyclopedias, and others that discuss the topic of premarital sex among adolescents based on the Health Belief Model (HBM) Theory. This study uses seven journals, with sources from the last six years. The study began in October-November 2025. Based on the analysis, there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and premarital sex behavior among adolescents. The conclusion shows that in all seven studies, the main components of HBM are significantly related to this behavior. For adolescents, it is recommended to better understand premarital sex behavior by seeking appropriate information and selecting positive friends and social environments so as not to be influenced by negative things or the urge to engage in premarital sex behavior.

Smoking behavior among adolescents is a serious and growing public health problem. Data from the 2023 Indonesian Health Survey (SKI) shows that 7.4% of adolescents aged 10–18 years smoke. This literature review aims to determine the determinants of smoking behavior among adolescents based on the Health Belief Model (HBM) theory, with a focus on components such as perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy. Using a literature review approach, this study identified and analyzed several academic references such as journals, books, encyclopedias, and others that discuss topics related to the determinants that influence smoking behavior among adolescents based on the Health Belief Model (HBM). The analysis conducted indicates that there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and smoking behavior among adolescents. The conclusion of this study shows that in 9 studies that applied the Health Belief Model (HBM) theory in examining smoking behavior in adolescents, all major components of HBM were proven to have a significant relationship with this behavior. This study provides an important theoretical basis for the development of effective and sustainable health promotion programs in controlling smoking behavior among adolescents.

ABSTRACT Background: Traditional medicinal plants play a significant role in public health in Indonesia, particularly in Bali, where the local wisdom of Usada is upheld. One of the commonly used plants is sandalwood (Santalum album L.), which is empirically believed to treat skin issues and minor injuries. Purpose: This study aimed to examine the community's perceptions of sandalwood in Perean Tengah Village using the HBM approach. Method: A qualitative method with an ethnographic study design was employed, and five informants (four sandalwood users and one traditional healer) were purposively selected. Data were gathered through in-depth interviews, participant observation, and documentation, and they were analyzed thematically using NVIVO software. Results: The results indicated that the community recognizes their susceptibility to minor injuries resulting from daily physical activities and uses sandalwood as a form of first aid. Sandalwood is perceived as beneficial because it provides a cooling sensation, reduces pain and swelling, and is considered safe and practical for use. However, the main barriers to its use include the limited availability of sandalwood in the local area and reliance on supplies from other regions. Conclusion: The tradition of using sandalwood is preserved through intergenerational practices and positive personal experiences. This study emphasizes the significance of sandalwood for health applications, cultural identity, and the local wisdom of the Balinese community.

Stunting is a chronic nutritional problem characterized by a child’s height being inappropriate for their age, particularly among children under five years old. One of the interventions implemented to prevent stunting is immunization. However, immunization coverage, especially complete basic immunization, has not yet reached the target, including in Medan City. Therefore, this literature study aims to explore the determinants of complete basic immunization coverage in Medan City using the Google Scholar database. The literature search identified nine articles that were extracted and discussed in this study. The determinants of complete basic immunization coverage include individual maternal factors such as age, education level, knowledge, attitudes, and mothers’ beliefs or perceptions toward immunization; social support factors including family support, economic conditions, and prevailing norms and cultural practices within families and communities; as well as health service factors. Comprehensive and integrated interventions are urgently needed to achieve optimal complete basic immunization coverage in Medan City.

Diabetes has steadily increased in the last two decades. Studies show people's behavior in managing diabetes is very complex and influenced by cultural beliefs and values. This research describes the understanding, belief, and related behaviors toward the diabetes mellitus of Diabetes Mellitus type II patients in the Eastern region of Indonesia. The researchers grouped the participants in a semi-structured focus group. The group consisted of 12 participants aged between 45 and 55 years old. The focused group was useful to obtain the perspective, experience, and attitude about diabetes. The researchers analyzed the qualitative data with the Health Belief Model as the analytical framework to identify the patterns and the main findings. The analysis results found five primary themes related to understanding, belief, and diabetic behavior. The themes were: The diabetic understanding of the Eastern regional communities such as the cultural problem and the role of local beliefs to treatment diabetes. The tradition and the modern medical approach, the challenges of healthy lifestyle practice, the psychological impacts of diabetes on health, and the expectations and the challenges of the local health system.The researchers expect the findings could be the principle for developing more directed and effective interventions