An Evaluation of The Effectiveness of Chronic Illness Prevention Program: Multiple Logistic Regression Analysis

Nafi’ah Aprilia1), Didik  Tamtomo2), Endang Sutisna Sulaeman2)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret



Background: The chronic illness prevention program (Prolanis) is a proactive health service system in chronic diseases that can affect the control of hypertension. This stu­dy aimed to analyze the effectiveness of chronic illness prevention program using health belief model (HBM).

Subjects and Method: This was a retrospective cohort study carried at 4 community health centers in Ngawi, East Java, from April to May 2019. A sample of 200 elderly aged 60-74 years old was selected by fixed exposure sampling. The dependent variable was hyper­tension prevention. The independent variables were prolanis participation, per­ceived susceptibility, perceived seriousness, and self efficacy. The data were col­lected by questionnaire and analyzed by a multiple logistic regression.

Results: Hypertension prevention increased with prolanis participation (b= 2.79; 95% CI= 0.55 to 5.03; p= 0.015), perceived susceptibility (b= 1.35; 95%CI= 0.18 to 2.53; p= 0.024), perceived seriousness (b= 0.82; 95%CI= 0.04 to 1.61; p= 0.039), and self efficacy (b= 1.00; 95%CI= 0.16 to 1.85; p= 0.019).

Conclusion: Hypertension prevention increases with prolanis participation, perceived susceptibility, perceived seriousness, and self efficacy.

Keywords: hypertension, prevention program, health belief model

Correspondence: Nafi’ah Aprilia. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Mobile: 082­230766393.


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