Suprijandani Suprijandani, Setiawan Setiawan, Pathurrahman Pathurrahman, Wardoyo Slamet, Rahayyu Annisa Maulidia
Department of Environmental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia.
Health Office of East Lombok, Selong, Indonesia.
J Health Popul Nutr. 2025 Jan 30;44(1):23. doi: 10.1186/s41043-025-00746-0.
Tuberculosis (TB) is a global health problem, including in Indonesia, with East Lombok as a high prevalence region. Although control programmes have been implemented, TB cases remain high. Patient behaviours that are less supportive of treatment, such as non-compliance and social stigma, pose a challenge to TB control efforts in this area. This study aims to explore the behaviour of people with tuberculosis (TB) in East Lombok using the Health Belief Model (HBM) approach.
The method applied was a cross-sectional design, involving 112 respondents with TB who were registered at the Puskesmas. Data were collected through interviews using a questionnaire measuring components of HBM, including perceived vulnerability, severity, benefits, barriers, cues to action, and self-efficacy.
The analysis showed that perceived vulnerability (p = 0.022), perceived benefits (p = 0.006), perceived barriers (p = 0.045), cues to action (p = 0.004), and self-efficacy (p = 0.009) had a significant influence on the health behaviour of TB patients. Patients with high perceived vulnerability were 1.617 times more likely to adhere to treatment, while those with high perceived barriers were 31.6% less likely to adhere. Social support from family and health professionals also played an important role in improving adherence.
From this study emphasise the need for interventions designed to increase positive perceptions and reduce perceived barriers, as well as consider the local social and cultural context to improve TB treatment adherence in East Lombok.
结核病是一个全球性的健康问题，在印度尼西亚也不例外，龙目岛东部是结核病高流行地区。尽管已经实施了控制计划，但结核病病例仍然居高不下。患者对治疗支持度较低的行为，如不依从和社会耻辱感，给该地区的结核病控制工作带来了挑战。本研究旨在运用健康信念模型（HBM）方法探索龙目岛东部结核病患者的行为。
采用横断面设计方法，涉及112名在社区卫生中心登记的结核病患者。通过使用一份测量健康信念模型各组成部分的问卷进行访谈来收集数据，这些组成部分包括感知易感性、严重性、益处、障碍、行动线索和自我效能感。
分析表明，感知易感性（p = 0.022）、感知益处（p = 0.006）、感知障碍（p = 0.045）、行动线索（p = 0.004）和自我效能感（p = 0.009）对结核病患者的健康行为有显著影响。感知易感性高的患者坚持治疗的可能性是其他人的1.617倍，而感知障碍高的患者坚持治疗的可能性则低31.6%。来自家庭和卫生专业人员的社会支持在提高依从性方面也发挥了重要作用。
本研究强调需要设计干预措施，以增强积极认知并减少感知障碍，同时考虑当地社会和文化背景，以提高龙目岛东部的结核病治疗依从性。
