Preventive Behaviors Research Articles

Comparing virtual reality vs. augmented reality in promoting COVID-19 self-testing, vaccination, and preventive behaviors.

Virtual Reality (VR) and Augmented Reality (AR) are innovative technologies that can serve as effective tools for creating health interventions by altering psychological distance. Based on construal level theory and the reality-virtuality continuum, we designed, tested, and compared VR and AR campaigns to encourage proactive measures against COVID-19. 143 participants were randomly assigned to one of three messages: VR, AR, and a CDC video, and completed surveys before, immediately, and one week following message exposure. VR and AR increased preventive intentions and behaviors against COVID-19 both in the short and long run. VR was particularly effective as it also increased risk perceptions, more preventive intentions in the short term, and more preventive behaviors, including social distancing and mask wearing, in the long term. VR was more efficient than AR in enhancing risk perceptions and preventive intentions right after being exposed to the messages as well as promoting behaviors such as avoiding crowds, maintaining social distance from others, and wearing a mask in indoor public areas one week later. Moreover, among the three conditions, VR was the only intervention that generated actual behavior change after one week, which indicated potential long-term advantages of VR compared to other mediums. VR decreased social, spatial, and hypothetical distances to a greater degree than AR. VR was more effective than video. However, AR was not more persuasive than video. Insights gained from the findings extend beyond the pandemic phase, offering practical applications for employing VR and AR technologies in health campaigns.

Indoor air pollution: an Italian Knowledge, Attitude and Practice (KAP) study among the general population.

Indoor air pollution negatively affects population health and the national health services in terms of socio-economic costs. The presence of indoor pollutants depends a lot on lifestyles. The aim of this work is to evaluate knowledge, daily habits and the preventive behaviors in order to contrast the effects on health caused by indoor pollutants. The study was conducted through the administration of questionnaires to the population resident in the metropolitan city of Messina (Italy), asking about sociodemographic characteristics, knowledge, daily habits and preventive behaviors. The questionnaire was filled by 894 subjects (46.8% M; 53.2% F). Regarding knowledge, 66.8% had heard of indoor air pollution and 94.9% knew what the most common indoor pollutants are; regarding daily habits they often aired out the house (91.9% in the morning and 71.4% after cleaning), 24.8% were smokers and 36.7 of them smoked indoors; regarding preventive behaviors, 41.6% chose the cleaning products based on habit and only 32.9% bought plants able to purify environments. Although the analyzed population had adequate knowledge of indoor air pollution, this did not strongly impact on the adoption of healthy lifestyles. Therefore, it becomes necessary to intervene on a social level with environmental education activities, starting from school age.

Addressing Breast Cancer Equity Through Virtual Community Oncology Navigation and Engagement (vCONET).

Breast cancer remains a leading cause of cancer morbidity and mortality worldwide. In the United States, Black women face significant disparities in screening mammograms, experience higher rates of breast cancer at advanced stages, and are more likely to die from the disease. This study aimed to develop and beta-test a virtual health navigation program to enhance breast cancer care within the Black community. We identified barriers to utilizing virtual patient navigators and factors impacting the adoption of virtual navigation for breast cancer information among Black women. The vCONET (Virtual Community Oncology Navigation and Engagement) intervention was delivered through the Second Life virtual platform. The informational content was collaboratively developed with community members. Participants engaged in an informational session on risk factors, mammography information, and preventive behaviors. Surveys (n = 18) and focus groups (n = 9) assessed knowledge and insights into perceptions. Findings revealed a positive impact of the intervention, with participants expressing increased knowledge and willingness to seek further information about breast cancer prevention, and highlighted the engaging nature of the virtual environment, while acknowledging potential technological challenges. Virtual health navigation shows promise in addressing breast cancer disparities by promoting awareness among Black women. Future efforts should optimize virtual navigation approaches through collaborative engagement for lasting impact, enhancing breast cancer care and equity in communities of color.

Invesigate How Cultural and Socioeconomic Factors Influence Oral Cancer Prevention Behaviors, Screening Uptake, and Treatment Outcomes

ABSTRACT Background: Oral cancer is a significant global health issue, with prevention and early detection being pivotal for improved outcomes. This study investigates the impact of cultural and socioeconomic factors on oral cancer prevention behaviors, screening participation, and treatment outcomes Materials and Methods: A cross-sectional study design was employed, involving a sample size of 1,000 participants. Participants were recruited through stratified sampling to ensure cultural and socioeconomic diversity. Statistical analyses, including logistic regression, were used to explore associations between factors and outcomes. Results: The study revealed multifaceted influences of cultural and socioeconomic factors on oral cancer-related aspects. Cultural factors significantly influenced prevention behaviors, with participants from certain cultural backgrounds exhibiting higher rates of tobacco use and lower rates of dietary adherence). Socioeconomic status played a role in screening uptake, with individuals from lower income brackets less likely to undergo regular screenings Conclusion: Cultural and socioeconomic factors have a substantial influence on oral cancer prevention behaviors, screening participation, and treatment outcomes.

Enhancing Testicular Cancer Prevention Among University Students: A Health Belief Model and Social Support Intervention.

Testicular cancer poses a significant health concern for young adults, particularly university students, who often lack tailored interventions. Drawing on the Health Belief Model and a social support strategy, this study implemented an innovative educational program to empower male university students with knowledge and promote proactive engagement in testicular cancer self-examination practices. A quasi-experimental research design was utilized in this study. The study participants consisted of 350 male individuals aged 18-25, corresponding to the final academic year (fourth year). The educational intervention for the post-test phase group consisted of seven 50 to 60-minute training and education sessions designed to enhance knowledge and promote preventive behaviors related to testicular cancer. Various statistical tests, such as Chi-square tests, independent t-tests, Mann-Whitney tests, and Repeated Measurement ANOVA, were systematically employed to unravel meaningful insights and determine the statistical significance of observed trends. The findings showed significant improvements post-intervention in knowledge, perceived susceptibility, severity, benefits, self-efficacy, cues to action, social support, and testicular self-examination performance. The study underscores the effectiveness of the intervention in promoting preventive behaviours against testicular cancer among university students, laying the groundwork for future educational initiatives.<br />.

EDUKASI GIZI SEBAGAI UPAYA PENCEGAHAN BALITA STUNTING DI KELURAHAN MUJA MUJU TAHUN 2023

ABSTRACK Yesterday's Covid-19 pandemic caused an increased risk of stunting prevalence in toddlers. One of the efforts that can be made to prevent stunting is through continuous education. The purpose of this community service activity (PKM) is to increase the knowledge and attitudes of posyandu cadres regarding the message of balanced nutrition which is carried out through outreach to the community in Muja Muju Village, Yogyakarta City District. The method used in this PKM activity is through socialization by conveying education to the community with, 4 (four) pillars of balanced nutrition which includes 1) consumption of a variety of foods, 2) Clean and Healthy Behavior (PHBS), 3) weight monitoring , and 4) physical activity. Messages were given to 17 posyandu cadres from the Muja Muju Village. The educational results showed that there was an increase in the average knowledge score regarding balanced nutrition related to the prevention of stunting in toddlers from 77.52 ± 10.82 SD during the pre-test to 82.19 ± 9.93 SD during the posttest. In addition, the average attitude score also increased from 40.21 ± 6.67 SD to 44.48 ± 5.44 SD. Posyandu cadres are expected to become agents of change in stunting prevention behavior through educating parents of toddlers to prevent stunting.

A quantitative study to assess cardiovascular risks among older African American women living in rural black belt areas of Alabama.

Limited information is available regarding the knowledge of Cardiovascular Disease (CVD)risk factors and the actual risk behaviors among African American (AA) older women living in rural areas of Alabama. A pilot study of needs assessment for CVD prevention behaviors was conducted to collect such data from rural AA women. This paper reports the quantitative part of the needs assessment of this pilot study. We recruited participants (N=30) using convenience sampling.Data collection measures included: i) American Heart Association's CVD-related knowledge questionnaire, ii) Five Times Sit to Stand Test to measure dynamic balance and iii) Six minute walk test (6MWT) to assess exercise endurance iv) standard weighing scale to measure body weight and v) standard measurements scale to measure height. Descriptive and inferential statistics were used to analyze the data. The majority (76%) of participants had hypertension (70%), diabetes (60%), poor balance (70%), and low exercise endurance (100%). Most of the participants had low knowledge related to CVD risk factors. This study demonstrated the need to conduct a large-scale study to assess knowledge related to heart health and the actual needs and preferences of these individuals. Conducting such a study would lay the foundation for developing a need-based program for these underserved individuals while incorporating their preferences and the strategies that would help engage them in a heart health intervention.

Determinants of Health Behavior for Effective Treatment and Prevention of Chronic Obstructive Pulmonary Disease: Empirical Advances

Objective: The prime objective of this research is to investigate the impact of health behavior, quitting smoking, access to healthcare, and patients' adherence to healthcare on chronic obstructive pulmonary disease treatment. Methods: A 7-point Likert scale questionnaire was administered to collect the data. A sample size of 471 respondents was used for the determination of results with a structural equation modeling approach. Smart PLS 4 was used for testing the results of the measurement model assessment and structural model assessment. Results: The findings of the current study showed that health behavior, quitting smoking, access to healthcare, and patients' adherence to healthcare are significant antecedents of chronic obstructive pulmonary disease effective treatment. Conclusion: This research reported that the emphasis and support for health behavior improvement, quitting smoking support, access to better healthcare, and patient adherence to healthcare are opportunities useful for chronic obstructive pulmonary disease effective treatment all over the world. The research has reliable theoretical as well as practical implications that are critical to improving the body of knowledge and practices for the improvements in the treatment of chronic obstructive pulmonary disease.

Attitudes Toward Injury-Prevention Program Participation Based on Race and Collegiate Division in Female Athletes.

Injury-prevention programs (IPPs) have been effective in reducing lower extremity injury rates, but user compliance plays a major role in their effectiveness. Race and collegiate division may affect attitudes toward participation in IPPs and compliance in female collegiate athletes. To compare attitudes toward IPPs based on race and collegiate division. Cross-sectional study. Survey. A total of 118 female collegiate athletes (age = 19.71 ± 1.47 years, height = 169.46 ± 9.09 cm, mass = 69.57 ± 11.57 kg) volunteered. Participants completed the Health Belief Model Scale and the Theory of Planned Behavior Scale (TPBS) on 1 occasion. The Health Belief Model Scale contains 9 subscales (perceived susceptibility, perceived consequences, fear of injury, perceived benefits, perceived barriers, community-led self-efficacy, individual self-efficacy, general health cues, external health cues), whereas the TPBS has 5 subscales (perceived benefits, perceived barriers, perceived social norms, social influence, intention to participate). The independent variables were race (White versus Black, Indigenous, and other people of color [BIPOC]) and National Collegiate Athletic Association division (I and III). Mann-Whitney U tests were used to detect differences in attitudes toward IPP participation based on race and collegiate division. White female athletes perceived fewer TPBS barriers to participation in IPPs (P = .003) and more community-led self-efficacy when compared with BIPOC female athletes (P = .009). Division I athletes perceived a greater fear of injury (P = .002) and more general health cues (P = .01) than Division III athletes. For lower extremity IPPs, BIPOC and Division III female collegiate athletes may need different implementation strategies. Individuals who identify as BIPOC may benefit from interventions focusing on solutions for common barriers to participation and improving community-led self-efficacy, and Division III athletes may benefit from interventions focusing on education related to the risk of injury and general preventive health behaviors.

Dental implications of childhood obesity and prevention and management methods in dental office

Childhood obesity is a common chronic disease in childhood, and its prevalence and socioeconomic costs have increased worldwide over the past 40 years. The World Health Organization has designated obesity as a global epidemic, emphasizing the need for its treatment and management. The impacts of childhood obesity on dentistry include a higher risk of dental caries, advanced dental development, as well as psychological changes (anxiety, depression, attention deficit hyperactiv-ity disorder) and physical changes (increased complications, changes in drug metabolism) that should be considered when implementing preventive strategies, orthodontic treatment, behavior management and sedative procedures. Dentists should regularly check child’s body mass index and diet for every child visiting dental office. Parental obesity, consumption of sugar-sweetened beverages, poor dietary habits, and lack of exercise can be a risk factors for obesity in normal/overweight child. Diet counseling should be provided to high-risk children and their parents. Preventing childhood obesity is crucial, and the key point in treating childhood obesity is behavior modification therapy, which focuses on regulating daily eatinghabits and physical activity. Dentists should recognize the seriousness of childhood obesity and participate in the prevention and management of the obesity epidemic, thus enhancing oral and systemic health

GAMBARAN PERILAKU (PENGETAHUAN, SIKAP, DAN PERILAKU) PENCEGAHAN GASTROESOPHAGEAL REFLUX DISEASE (GERD) PADA MAHASISWA

Gastroesophageal Reflux Disease (GERD) is a chronic disease and is common in society, especially in adults. Activities for students are so dense, such as lectures, thesis writing, and other activities that there are more risk factors for GERD. The purpose of this study was to describe the behavior of prevention of Gastroesophageal Reflux Disease (GERD) in Diponegoro University Semarang students. This research is a cross-sectional study, with respondents as many as 193 students aged 17-25 years who were selected through accidental sampling. Data collection was carried out by filling out a questionnaire which was distributed via gform. Data were analyzed univariately. The results showed that there were 58 respondents who suffered from GERD (30.1%), the majority of whom were female, namely 55 people (32%). A total of 119 respondents (61.7%) had a good level of knowledge, 103 respondents (53.4%) had a positive attitude, and 115 respondents (59.6) had good prevention practices against GERD. Good knowledge and attitudes that are carried out consistently regarding GERD prevention will make it easier for someone to carry out good GERD prevention practices as well

Preventive behaviors against COVID-19 among health care providers in Iran: A cross-sectional study.

During outbreaks of infectious diseases, if healthcare providers do not follow the principles of prevention, the risk of personal infection increases and they become a source of infection spread. This study aimed to determine the factors related to the preventive health behaviors of COVID-19 among Iranian healthcare providers based on protection motivation theory (PMT). This analytical cross-sectional study included 346 healthcare providers. Data was collected by an online researcher-made questionnaire based on PMT. To analyze the data, independent T tests, analysis of variance (ANOVA), Spearman correlation coefficient, multiple linear regression, and SPSS 22 software were used. α was considered as 0.05. 85.3% of the healthcare providers would always wear masks, 80.7% would always refuse to kiss and touch hands with others, and 34.7% sometimes would exercise at home. The preventive behaviors were significantly correlated with protection motivation (r = 0.84), self-efficacy (r = 0.51), response efficiency (r = 0.43), perceived severity (r = 0.41) Fear (r = 0.21), perceived susceptibility (r = 0.11), response cost (r = -0.14), and reward (r = -0.15). PMT constructs were able to predict 77% of the variance of the behaviors and the protection motivation construct was the strongest predictor (β = 0.806). Income above 300 Dolars per month was significantly related to the decrease in the mean score of preventive behaviors against COVID-19. The female sex and the individual or family history of infectious diseases were significantly related to increasing the mean score of COVID-19 preventive behaviors. Based on the study results, it is suggested that some educational interventions be designed and implemented with a focus on this construct and the perceived severity construct and that more attention be given to the education of health care providers with high-income levels, male providers, and the individuals without a history of corona infection in themselves or their family members.

COVID-19 information seeking and individuals’ protective behaviors: examining the role of information sources and information content

BackgroundSeeking COVID-19 information promotes individuals to adopt preventive behaviors, including wearing a mask, social distancing, staying away from risky places, and washing hands. This study aims to investigate which information and sources individuals relied on in seeking COVID-19 information and further examine their roles in individuals’ adoption of preventive behaviors.MethodsThrough a statistical analysis of 1027 valid responses from citizens in different Chinese cities in 2022 to the self-designed items in an online survey, this study identified individuals’ preferred information sources and content on COVID-19. Regarding the information sources and content, the study used multiple regression analysis to examine their associations with individuals’ preventive behaviors, and further applied fuzzy-set qualitative comparative analysis (fsQCA) to explore their configurations that increase the likelihood of individuals adopting preventive behaviors.ResultsIndividuals preferred information about the newest prevention and control policies, precautions and treatment, and symptoms from the sources of workplace and community, social media, and social live streaming services. Additionally, individuals’ preventive behaviors were positively related to the workplace and community (β = 0.202, p <.001), social live streaming services (β = 0.089, p <.01), government department websites (β = 0.079, p <.05), television (β = 0.073, p <.05), and online news media (β = 0.069, p <.05), but were negatively associated with newspapers (β=-0.087, p <.05). Regarding information content, precautions and treatments (β = 0.211, p <.001), the newest prevention and control policies (β = 0.173, p <.001), symptoms (β = 0.152, p <.001), and official rumor-dispelling information (β = 0.082, p <.05) had a positive relationship with individuals’ preventive behaviors. In addition, fsQCA results presented eight configurations that promote individuals to adopt preventive behaviors. The total coverage and solution consistency values were 0.869 and 0.987, respectively. Furthermore, COVID-19 information content, the sources of social media and interpersonal sources, and official news media played an essential role in increasing the likelihood of individuals adopting preventive behaviors.ConclusionsOur findings demonstrated that individuals seek various COVID-19 information from multiple sources. The direct and degree of association of information sources and content with individuals’ preventive behaviors vary from source to source and from content to content. Information sources and content could combinatorially promote individuals to adopt preventive behaviors through several configurations.

Knowledge, Attitudes, Anxiety, and Preventive Behaviors Regarding Covid-19 Affliction among Healthcare Workers in Pakistan

Introduction: We sought to assess the knowledge, attitudes, anxiety, and preventative behaviors of healthcare workers among high-risk persons regarding Covid-19 affliction. Methodology: The participants in this cross-sectional study were healthcare workers (physicians, nurses, administrators, pharmacists, medical lab technologists, non-physician specialists, and technicians) working in various hospitals and clinics in Pakistan’s twin cities (Islamabad/ Rawalpindi). To assess knowledge, attitude, anxiety, and preventive behaviors about Covid-19 affliction, a self-administered questionnaire was employed. Results: Every participant (n=470) said they were aware of the Covid-19 affliction. Regarding the knowledge of HCWs, 65.5% have good knowledge with a mean score of 6.77±1.17. It was discovered that physicians and pharmacists scored much higher on knowledge tests than other health professionals (P&lt; 0.0001). The percentage of positive attitudes among healthcare workers and the mean score was 93.4 and, 7.22±1.24, associated with education, i.e. P = 0.045. 16.1% of HCWs reported having mild anxiety, 57.9% had moderate anxiety, and 26% had severe anxiety with a mean score of 12.29±3.73 with a significant association with education (P&lt;0.0001), healthcare domain (P&lt;0.0001), and frontline HCW domain (P&lt;0.0001). The preventive behaviors indicate that 93.8% had good conduct (mean score = 3.65±0.63) with a positive association with education (P=0.045) and the healthcare domain (P=0.045). The Healthcare workers exhibited adequate awareness regarding Covid-19 affliction. Conclusion: The knowledge, attitudes, anxiety, and preventative behaviors of HCWs in twin cities of Pakistan related to the Covid-19 affliction study are relatively positive; however, anxiety problems in the present research must be resolved to effectively counter the Covid-19 affliction.

The Underlying Structure of Preventive Behaviors and Related Factors During the COVID-19 Pandemic: A Comprehensive Network Analysis.

Various strategies against COVID-19 have been adopted in different countries, with vaccination and mask-wearing being widely used as self-preventive interventions. However, the underlying structure of these behaviors and related factors remain unclear. In this study, we aimed to explore the network structure of preventive behaviors during the COVID-19 pandemic and their underlying factors, incorporating age and sex in the network. We used a multi-center sample of 20,863 adults who were vaccinated against COVID-19 in China between April 1, 2021, and June 1, 2021. Networks were estimated using unregularized partial correlation models. We also estimated the accuracy and stability of the network. The preventive behaviors related to network factors revealed that self-initiated vaccination was more connected with cognition factors, and mask-wearing was more connected with personal profiles. The two clusters were linked through information-seeking and political beliefs. Moreover, self-initiated vaccination was negatively connected with vaccine hesitancy and concerns about COVID-19 vaccines and positively connected with trust in the vaccines, pandemic-related altruism, political beliefs, and being married. Mask-wearing was negatively connected with being a professional/white collar worker and higher education level and positively connected with regular physical examination, self-rated health, migration, being married, and better family relationships. Incorporation of age and sex into the network revealed relevant associations between age and mask-wearing and age and self-initiated vaccination. The network was highly accurately estimated. The subset bootstrap showed that the order of node strength centrality, betweenness, and closeness were all stable. The correlation stability coefficient (CS-coefficient) also showed the stability of this estimate, with 0.75 for node strength, 0.75 for betweenness, and 0.67 for closeness. The internal structures of vaccination and mask-wearing behaviors were quite different, the latter of which were mainly affected by socioeconomic status and health-related behaviors and the former by knowledge about vaccines and political beliefs. Information-seeking and family relationships were the bridge factors connecting these two self-preventive behavior clusters, suggesting the direction of future efforts.

PERCEPTIONS, ATTITUDES, AND PERSPECTIVES OF VISITORS OF WELLNESS CENTERS AS A COMPONENT OF A HEALTHY LIFESTYLE: A CROSS-SECTIONAL STUDY

The concept of wellness encompasses various dimensions of health, aiming to promote proactive and preventive behavior for overall well-being. This cross-sectional study investigated the characteristics and benefits of visiting wellness centers. A total of 186 participants (average age of 41.31±10.475, including 49 males and 137 females) in Serbia were included, and data were analyzed using the Pearson χ2 (chi-square) test and independence test. The questionnaire was distributed from 25 to 31 December 2022. Results revealed no significant associations between age, gender, education, and marital status, but monthly income showed significant differences (p=0.002). Wellness was found to positively contribute to the physical, mental, and social aspects of health. The main motivators for visiting wellness centers were relaxation, reduction of mental tension, and travel for happiness and pleasure (p=0.001). Wellness centers were identified as promoting a preventive and proactive approach to lifestyle improvement, with 97.2% of respondents acknowledging its positive impact. The pleasure of free time and the desire to escape from everyday life were crucial motivators among Serbian wellness center visitors (p=0.013). These findings highlight the role of wellness centers in promoting proactive and preventive approaches to improve physical, mental, and social well-being. The main motivators for visiting wellness centers were identified as relaxation, reduction of mental tension, and travel for happiness and pleasure, with pleasure with free time and escape from everyday life being key motivators among visitors in Serbia.

Application of Health Belief Model (HBM) With Sexual Behavior in Bandar Lor Mojoroto District Kediri 2022

Health belief model is a model used to describe an individual's belief in healthy living behavior, so that the individual will carry out health behavior in the form of preventive behavior. This health belief model is often used to predict preventive health behavior. The health belief model is used to predict various health-related behaviors. The main concept of the Health belief model is healthy behavior determined by individuals in Bandar Lor Village, Mojoroto District, Kediri City.This type of research is analytical observational with a cross sectional approach with a sample size of 54 respondents, taken using the Porposive Sampling technique. The data analysis used was univariate, bivariate, univariate analysis and the Chi Square test. The results of this research show that the statistical test results of Perceived Susceptibility (p=0.306), Perceived Severity (p=0.503), Perceived Benefit of Action (p=0.301), Cues to Action (p=0.209) have no relationship with sexual behavior. Meanwhile, Self Efficacy (p=0.003) has a relationship with sexual behavior. Based on the research results, it can be concluded that the perception related to sexual behavior is Self Efficacy. So it is hoped that teenagers can learn and increase their insight into the impact of sexual behavior so that they can avoid negative sexual behavior.

Experiences and lessons from structural interventions against COVID-19 in Addis Ababa, Ethiopia.

Fighting pandemics like COVID-19 requires implementing successful structural and behavioral interventions that attempt to change the social and political environments to increase adherence to preventive behavior among community members. However, studying structural interventions implemented during pandemics and their challenges remains to be uncharted territory in developing implemented countries. Given this, we documented the experiences of implementing such interventions in Ethiopia with the aim of drawing lessons for future efforts to fight similar outbreaks in resource limited and low-income settings. We conducted a qualitative study between September and October 2021. Data were collected through face to face and telephone interviews from purposefully selected stakeholders from government and private sectors engaged in social interventions to prevent COVID-19. The systematization and the analysis of the data were conducted with MAXQDA 2020 software. Ethiopia implemented structural and social interventions to respond to the COVID-19 pandemic. This included: developing national policy and guidelines, mainstreaming COVID-19 interventions to local organizations, implementing capacity development programs, and developing strategies to engage the community, through traditional institutions, in intervention activities. In addition, a mass communication approach was used to deliver risk messages. This yielded a promising result in slowing down the spread of COVID-19 in the capital of Ethiopia-Addis Ababa. On the other hand, competing interests, misconceptions, capacity constraints among professionals and organizations, limited capacity to enforce legislation and lack of motivation for change from the community side affected the implementation and the outcomes of interventions. Going forward, these challenges need to be taken into consideration when designing and implementing structural interventions to contain disease outbreaks effectively. The study highlighted that attempts to withstand pandemic in low- and middle-income settings shall successfully utilize local resources, act swiftly when pandemics outbreak and adjust themselves to the dynamic challenges and limitations of structural interventions.

CORRELATION OF FAMILY SUPPORT AND FAMILY RESILIENCE WITH DHF PREVENTION BEHAVIOR IN OLDER ADULTS

Background: The elderly are a vulnerable age group for Dengue Haemorrhagic Fever (DHF) with a high risk of death. Families must carry out their roles in efforts to prevent DHF in older adults. Purpose: This study aims to identify the correlation between family support and resilience with DHF prevention behavior. Methods: This study used a correlational design to detect a relationship between family support and resilience variables and DHF prevention behavior by older adults. The research location was at the Andalas Health Center in Padang, with 96 randomly recruited from seven elderly Integrated Public Health Centers. The instrument consisted of three closed-question questionnaires. Family support is identified through informational, reward, instrumental, and emotional indicators, while family resilience includes relationship communication, positive framing, and external resources. Data were analyzed using the Spearman Rho test. Results: Most respondents were older adults (73.96%) aged 60-65 (68.75%). The correlation test between family support and family resilience with DHF prevention behavior has a significant relationship (0.00). Testing the correlation partially on each indicator shows the highest level of correlation on the instrumental indicator (0.83). The correlation between family support and resilience was highest on emotional and communication-relationship indicators (0.71). Conclusion: Family support and resilience are correlated with DHF prevention behavior by the elderly. Emotional support from the family through communication appropriate to the older adults' age phase is needed to prevent DHF.

DETERMINANTS OF HYPERTENSION PREVENTION BEHAVIOR IN WOMEN OF REPRODUCTIVE AGE (WRA) IN TAKERAN SUB-DISTRICT, MAGETAN REGENCY

Background: Basic health research data (Riskesdas) in 2018 shows that hypertension is one of the highest causes of death in Indonesia, reaching 6.8%. If hypertension occurs in women of childbearing age, the risk of complications, morbidity, and even death will be higher due to the risk of eclampsia during labor. Efforts to prevent hypertension in women of Reproductive age (WRA) need to be improved through increasing hypertension prevention behavior. Various factors can influence hypertension prevention behavior. Purpose: This study aims to analyze the determinants of hypertension prevention behavior in a group of women of reproductive age in Takeran District, Magetan Regency. Methods: This observational study was conducted with a cross-sectional design. The research sample was women of Reproductive age in the Takeran District, Magetan Regency, with as many as 276 people. The sampling technique used purposive sampling technique. This research was conducted in March 2022, using data analysis using the Chi-Square Test and Logistic Regression Test. The instruments used in this research were questionnaires and informed consent. Results: There was a relationship between knowledge (p = 0.02), self-efficacy (p = 0.00, family support (p = 0.00, and support from health workers (p = 0.000) with hypertension prevention behavior, but there was no relationship between age (p = 1,00) and attitude (p = 0.49) with hypertension prevention behavior. Conclusion: The strongest determinant factor for hypertension prevention behavior in the group of women of Reproductive age was self-efficacy. Good self-efficacy can influence good hypertension prevention behavior.