Relationship of Perceived Susceptibility and Threats to Prevention Practices of Pulmonary Tuberculosis Among Indonesians as Moderated by Cultural Beliefs

  • Yohane Chitra Natalia Nababan Adventist International Institute of Advanced Studies
  • Susy A. Jael Adventist University of The Philippines
Keywords: Perceived Susceptibility and Threats, PTB, Cultural Beliefs, Prevention Practices

Abstract

Pulmonary Tuberculosis (PTB) appears to lead in the worldwide unending battle of healthproblems. This study sought to determine the relationship of perceived susceptibility andthreats to Pulmonary Tuberculosis (PTB) prevention practices as moderated by cultural beliefs.Descriptive evaluative and correlational research designs were utilized. The study employed393 respondents (20-55 years old) from five provinces in Indonesia with the highest incidenceof PTB, selected through the multi-stage and purposive sampling technique. The data analyzedthrough the SPSS program, utilized statistical methods: Mean and Standard Deviation,Correlation Analysis, and Structural Equation Modelling (SEM) using AMOS. Therespondents had high perceived susceptibility and threats (mean = .755, SD = .421), andpracticed the PTB prevention sometimes (mean = 3.347 and SD = .826). This implies thatIndonesian adults understand that certain conditions an d practices would lead them or putthem at risk to be infected with PTB. Perceived susceptibility and threats have a positive weaksignificant correlation (r = .320̽ ̽, ρ = .000) with PTB prevention practices. The higher theperceived susceptibility and threats, the better is the PTB prevention practices. The perceivedsusceptibility and threats has influenced over their prevention practices. Cultural beliefs havea moderating role (estimate value of - .053, ρ = .000) in the relationship of perceivedsusceptibility and threats to PTB prevention practices. The stronger the respondents hold onto their cultural beliefs, the weaker is the impact of perceived susceptibility and threats. Furtherstudy from other provinces that excluded in this study and on another specific culture relatedto PTB prevention practices with a comparison of different population groups (urban and rural),and with a bigger sample size. Also, may employ a qualitative research method to explore indepth understanding of the phenomenon.
Article Metrics

Downloads

Download data is not yet available.

References

Adams, K. A., & Lawrence, E. K. (2015). Research methods, statistics, and applications. 0CA, Thousand Oaks: SAGE Publications, Inc

Agus, A., Horiuchi, S., & Porter, S. E. (2012). Rural Indonesia women’s traditional beliefs about antenatal care. PubMed National Center for Biotechnology Information(NCBI), U.S. National Library of Medicine. doi: 10.1186/1756-0500-5-589

Alami, N. N., Yuen, C. M., Miramontes, R., Pratt, R., Price, S. F., & Navin, T., R. (2014). Trends in tuberculosis — United States, 2013. Centre for Disease Contol and Prevention, 63(11), 229–233.

Aldohaian, A., Alshammari, S. A., & Arafah, D. M. (2019). Using the Health Belief Model to assess beliefs and behaviors regarding cervical cancer screening among Saudi women: A cross-sectional observational study. PubMed National Center for Biotechnology Information (NCBI), U.S. National Library of Medicine: Journal Anasthesia and Analgesia: BMC Women’s Health, 19(1), 6. doi: 10.1186/s12905-018-0701-2

Azhar, K., &Perwitasari D., M. (2013). Physical housing conditions and behaviors with prevalence of pulmonary tuberculosis in province of Jakarta, Banten, and North Sulawesi. Media Litbangkes, 23(4), 172-181.

Bae, S., Hyun, M., & Ra, Y. (2014). Mediating effects of forgiveness and emotion-focused coping on post-traumatic stress disorder symptoms caused by physical injury and perceived threat. Asia-Pacific Psychiatry. Doi :10.1111/appy.12

Blair, E., & Blair, J. (2015). Applied survey sampling. CA, Thousand Oaks: SAGE Publications, Inc.

Becker, M.H. (1974). The health belief model and personal health behavior. Health Education Monographs, 2, 324- 508.

Bertens, K. (2001). Etika. Jakarta: Gramedia Pustaka Utama

Carter, M. (2018). New TB cases occur rapidly among close contacts of people with pulmonary TB. Retrieved from: http://www.aidsmap.com/New-TB-cases-occur-rapidly-amongclose-contacts-of-people-with-pulmonary-TB/page/3282159/

Chang, S. H., & Cataldo, J. K. (2014). A systematic review of global cultural variations in knowledge, attitudes and health responses to tuberculosis stigma. PubMed National Center for Biotechnology Information (NCBI), U.S. National Library of Medicine, 18 (2), 168-73, i-iv.

DEPKES (Ministry of Health Republic of Indonesia). (2016). TOSS TB: Temukan TB Obati Sampai Sembuh. Kementrian Kesehatan Republik Indonesia. Retrieved from: http://www.depkes.go.id/article/view/16040400008/toss-tb-temukan-tb-obati-sampaisembuh.html

DEPKES (Ministry of Health Republic of Indonesia). (2017a). Profil kesehatan indonesia tahun 2016. Retrieved from http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatanindonesia/Profil-Kesehatan-Indonesia-2016.pdf

DEPKES (Ministry of Health Republic of Indonesia). (2017b). Data dan informasi profil kesehatan Indonesia tahun 2016. Retrieved from http://www.depkes.go.id/resources/download/pusdatin/lainlain/Data%20dan%20Informasi%20Kesehatan%20Profil%20Kesehatan%20Indonesia %202016%20-%20%20smaller%20size%20-%20web.pdf

DEPKES (Ministry of Health Republic of Indonesia). (2018). Indonesia national TB program: Current status of integrated community based TB service delivery and the Global. Retrieved from https://www.who.int/tb/features_archive/indonesia_11apr18.pdf?ua=1

Duru, C. B., Iwu, A. C., Uwakwe, K. A., Diwe, K. C., Merenu, I. A., Chineke, H. N., & Adaeze, C. A. (2016). Pulmonary tuberculosis preventive practices and its determinants among residents in communities in Orlu, Imo State, Nigeria. International Journal of Science and Healthcare Research, 1, 2.

Esmael, A., Ali, I., Agonafir, M., Desale, A., Yaregal., Z, & Desta, K. (2013). Assessment of patients' knowledge, attitude, and practice regarding pulmonary tuberculosis in Eastern Amhara regional state, Ethiopia: Cross-sectional study. PubMed National Center for Biotechnology Information (NCBI), U.S. National Library of Medicine, (4), 88

Fitria, L., Susanna, D., & Eryando, T. (2017). Personal hygiene and sanitation in cafeterias at university X in Depok, Indonesia. Knowledge E Life Science, The 1st International Conference on Global Health, (1), 93-102.

Glanz, K., Rimer, B.K. & Lewis, F.M. (2002). Health behavior and health education. theory, research, and practice. San Fransisco: Wiley & Sons.

Herman, E., Woerdenbag, J., & Kayser, O. (2012). Jamu: Indonesian traditional herbal medicine towards rational phytopharmacological use. BMC Res Notes, (5), 589.

Huether, S., E., & McCance,K., L. (2017), Understanding pathophysiology. Missouri: Elsevier (6th ed.)

Iseman M. (2013). Tuberculosis: Risk factors. National Jewish Health. Retrieved from https://www.nationaljewish.org/conditions/tuberculosis-tb/risk-factors

Iskandarsyah, A., Klerk, C., Suardi, D. R., Soemitro., Sadarjoen, S. S., & Passchier. (2013). Psychosocial and cultural reasons for delay in seeking help and no adherence to treatment in Indonesian women with breast cancer: A qualitative study. Health Psychology: Psychosocial and Cultural Reasons for Delay in Seeking Help and treatment. doi: 10.1037/a0031060

Iskandarsyah, A., Klerk, C., Suardi, D. R., Sadarjoen, S. S., & Passchier, J. (2014). Consulting a traditional healer and negative illness perceptions are associated with non-adherenceto treatment in Indonesian women with breast cancer. PubMed NCBI, (10), 1118-24. doi: 10.1002/pon.3534

Janz, N. K., Becker, M.H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11(1), 1-47.

Kwintessential. (2018). Guide to Indonesia-ettiquette, custom, culture and business. KwinEssential UK. Retrieved from https://www.kwintessential.co.uk/resources/guides/guide-to-indonesia-etiquettecustoms-culture-business/

Li, Y., Ehiri, J., Tang, S., Li, D., Bian, Y., Lin, H. ... Cao, J. (2013). Factors associated with patient, and diagnostic delays in Chinese TB patients: A systematic review and metaanalysis. BMC Medicine, (11), 156. doi.org/10.1186/1741-7015-11-156

Liao, Q. Cowling, B., Lam, W. T., Ng, M. W., & Fielding, R. (2010). Situational awareness and health protective responses to pandemic influenza A (H1N1) in Hongkong: A cross-sectional study. Public Library of Science (PLOS) Journal.

Lock, W. A., Ahmad, R. A., Ruiter, R. A., van der Werf, M. J., Bos., A. E. R., Mahendrata, Y., & de Vlas, S. J. (2011). Patient delay determinants for patients with suspected tuberculosis in Yogyakarta province, Indonesia. Tropical Medicine and International Health, 16(12), 1501-1510.

Lovell, G. P., El Ansari, W., & Parker, J. K. (2010). Perceived exercise benefits and barriers of non-exercising female university students in the United Kingdom. PubMed National Center for Biotechnology Information (NCBI), U.S. National Library of Medicine : International Journal of Environmental Research and Public Health, 7(3), 784-98.

McKenzie, J. F., Neiger, B. L., & Thackeray, R. (2013). Planning, implementing, and evaluating health promotion programs. (6th ed.). San Francisco, CA: Pearson Education Incorporated.

Meliono-Budianto, V. I. (2004). Dimensi etis terhadap budaya makan dan dampaknya pada masyarakat. Makara, Sosial Humaniora, 8(2), 65-70.

Mills, G. E., & Gay, L. R. (2016), Educational Research: Competencies for Analysis and Applications. England: Pearson (6th ed)

Ministry of Health Indonesia. (2011). Peraturan menteri kesehatan no. 2269/Menkes/Per/XI/2011 tentang pedoman pembinaan perilaku hidup bersih dan sehat. Pusat Promosi Kesehatan Kementerian Kesehatan RI, Jakarta Retrieved from https://lib.atmajaya.ac.id/default.aspx?tabID=61&src=a&id=239492

Mirpuri, G., Cooper, R., Spilling, M., (2012), Cultures of the word: Indonesia. NY, Tarrytown: Marshall Cavendish Benchmark. (3rd ed.)

Narasimhan P., Wood, J., MacIntyre, C. R., & Mathai, D. (2013). Risk factors for tuberculosis. Pulmonary Medicine. 828939. doi.org/10.1155/2013/828939

O’ Dwyer, L. M., & Bernauer, J. A (2014). Quantitative research for the qualitative researcher. CA, Thousand Oaks: SAGE Publications, Inc.

Oxlade, O., & Murray, M. (2012). Tuberculosis and poverty: Why are the poor at greater risk in India?. Public Library of Science (PLOS) Journal.

Park, M. J., Laksono, B., Sadler, R., Clements, A., & Stewart E. D. (2015). Household latrines to control environmental contamination and helminthiasis: An exploratory study in Indonesia. International Journal of Social Science and Humanity, 5(5).

Puspitasari, R., Nurlaela, H. E., Setio, K. A. D. (2018). Tuberculosis (TB)-preventive behavior and its determinants among students boarded in Islamic boarding schools (pesantren) in Garut, West Java, Indonesia. KnE Life Sciences | The 2nd International Meeting of Public Health 2016 (IMOPH), 281–287.

Putera, I., Pakasi, T. A., Karyadi, E.(2015). Knowledge and perception of tuberculosis and the risk to become treatment default among newly diagnosed pulmonary tuberculosis patients treated in primary health care, East Nusa Tenggara: A retrospective study. National Center for Biotechnology Information (NCBI), U.S. National Library of Medicine, 8, 238.

Qrafli, M., Imane, A., Bourkadi, J. E., El Aouad, R., & Sadki, K. (2018). New variant identified in major susceptibility locus to tuberculosis on chromosomal region 8q12-q13 in Moroccan population: A case control study. BMC Infectious Disease, EBSCOhost . 17(8), 1-8.

Ratini, M. (2016). Tuberculosis Prevention: What to Know. WebMD. Retrieved from https://www.webmd.com/lung/tuberculosis-prevention

Rutherford, M. E., Ruslami, R., Anslemo, M., Alisjahbana, B. Yulianti, N., Sampurno, H., Creveld, R. & Hilla, P. C. (2013). Management of children exposed to mycobacterium tuberculosis: A public health evaluation in West Java, Indonesia. Bulletin of the World Health Organization, 91(12), 932–941A.

Satyanarayana, S. Nair, S. A., Chanda, S. S., Shivashankar, R., Sharma, G., Yadav, S., Mohanty, S., Kamimeni, V. … & Dewan, P. K. (2011). From where are tuberculosis patients accessing treatment in India? Results from cross-sectional community based survey of 30 districts. Public Library of Science (PLOS) Journal, 6(9), e24160.

Susanto, T., Sulistyorini, L., Wuryaningsih, E. W., & Bahtiar, S. (2016) School health promotion: A cross-sectional study on clean and healthy living program behavior (CHLB) among Islamic boarding schools in Indonesia. International Journal of Nursing Sciences, 3(3), 291-298.

Ukwaja, K. N., Alobu., I., Nweke, C. O., & Onyenwe, E. C. (2013). Healthcare-seeking behavior, treatment delays and its determinants among pulmonary tuberculosis patients in rural Nigeria: A cross-sectional study. BMC Health Services Research. doi: https://doi.org/10.1186/1472-6963-13-25

Ul-Hag, F., Maryam, R. Rizwan, I., Sanila, A., Tahir, Y., Ur-Rehman, H., Kamran A., Ali Raza, A. … and Nadia, M. (2016). Antimicrobial and wound healing properties of human saliva. International Journal of Pharmacy & Life Sciences, 7(2), 4911-4917.

United Nation. (2015). Millenium development goals and beyonds 2025. Retrieved fromhttp://www.un.org/millenniumgoals/aids.shtml

United Nation Development Programme. (2018). Sustainable development goal. Retrieved from http://www.undp.org/content/undp/en/home/sustainable-developmentgoals/goal-3-good-health-and-well-being/targets/

U.S. Agency for International Development. (2016). Controlling tuberculosis in indonesia. Retrieved from https://www.usaid.gov/indonesia/fact-sheets/reducing-multidrugresistant-tuberculosis-indonesia

Usfar, A. A., Iswarawanti, N. Davelyna, D., & Dylon, D. (2010). Food and personal hygiene perceptions and practices among caregivers whose children have diarrhea: A qualitative study of urban mothers in Tangerang, Indonesia. Journal of Nutrition Education and Behavior, 42(1), 33-40.

VanMeter, K. C. & Huebert, R. J. (2015). Gould's pathophysiology for the health professions. (5th ed.) USA: Saunders, Elsevier.

Victoria, C. (2008). Perceived benefits. NIH Journal: National Cancer Institute.

Weinstein, N. D. (1984). Why it won't happen to me: Perceptions of risk factors and susceptibility. Health Psychology, 3(5), 431-457. doi: org/10.1037/0278-6133.3.5.431

Wispriyono, B., Sari, M., & Kamarudin. (2016). Behavior to healthy homes condition in Cilegon city and Kutai Kartanegara district, Indonesia. Journal of Sustainable Developmen,. (9)6.

Wiryomartono, B. (2014). Perspectives on traditional settlements and communities home, form and culture in Indonesia. Singapore: Springer. DOI 10.1007/978-981-4585-05-7

World Health Organization. (2016). Global tuberculosis report 2016. WHO, Geneva: Switzerland.

World Health Organization.(2017a). Global tuberculosis report 2017. WHO, Geneva: Switzerland.

World Health Organization. (2017b). Chest radiography in tuberculosis detection – summary of current WHO recommendations and guidance on programmatic approaches 2016. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/259366/9789241565516eng.pdf;jsessionid=7B415738AD2CEA66E4C8632F5827D880?sequence=1

World Health Organization. (2018a). Global tuberculosis report: WHO report 2018. Switzerland: WHO, Geneva.

World Health Organization. (2018b). Systematic screening for active tuberculosis: principles and recommendations. Retrieved from http://www.who.int/tb/tbscreening/en/

Wyatt, G. E., Williams, J. K., Gupta, A., & Malebranche, D. (2013). Are cultural values and beliefs included in U.S. based HIV interventions? PubMED Prev Medicine Journal, 55(5), 362–370.

Yermi, Ardi, M., Lahming, Tahmir, S., Pertiwi, N. (2018). Knowledge and attitudes with family role in prevention of pulmonary tuberculosis in Maros, Indonesia. Reasearch Gate, 1028(1), 012001.

Yoshitake, N., Omori, M., Sugawara, M., Akishinonomiya , K., & Shimada S. (2019). Do health beliefs, personality traits, and interpersonal concerns predict TB prevention behavior among Japanese adults? PloS ONE, 14(2), e0211728. https://doi.org/10.1371/journal.pone.0211728

Yuen, C. M., Kammerer, J. S., Marks, K., Navin, T. R, France, A. M., (2016). Recent transmission of tuberculosis — United States, 2011–2014. PLoS ONE, 11(4), e0153728. doi: https://doi.org/10.1371/journal.pone.0153728

Yuliwulandari, R., Sachrowardi, Q., Nakajima, H., Kashiwase, K., Hirayasu K., Mabuchi, A., Salam, A., Sofro, M., & Tokunaga., K. (2010). Association of HLA-A, -B, and -DRB1 with pulmonary tuberculosis in Western Javanese, Indonesia. Science Direct: Human Immunology, 71(7), 697-701.

Zein, R. A., Suhariadi, F., and Hendriani, W. (2017). Estimating the effect of lay knowledge and prior contact with pulmonary TB patients, on Health-Belief Model in a high-risk pulmonary TB transmission population. Research Gate. (10),187-194.

Zhou, Y., Tan, C., Mo, Z., Gao, Q., He, D., Li, J., … Zhang, H. (2017). Research article polymorphisms in the SP110 and TNF-α gene and susceptibility to pulmonary and spinal tuberculosis among Southern Chinese population. Hindawi Disease Markers, (1), 1-8.

Published
2019-12-18
How to Cite
Nababan, Y. C., & Jael, S. (2019). Relationship of Perceived Susceptibility and Threats to Prevention Practices of Pulmonary Tuberculosis Among Indonesians as Moderated by Cultural Beliefs. Abstract Proceedings International Scholars Conference, 7(1), 129-154. https://doi.org/10.35974/isc.v7i1.923