Faktor-Faktor yang Berhubungan dengan Perilaku Pencegahan Penyakit Hipertensi pada Lansia di Kecamatan Senen Kota Jakarta Pusat Tahun 2025
DOI:
https://doi.org/10.55606/klinik.v4i1.6011Keywords:
Behaviors, Determinant Factors, Hypertension, Older Adults, PreventiveAbstract
Hypertension is a non-communicable disease with the highest global prevalence, reaching 33.1%, and Indonesia ranks second among countries in the South-East Asia region. In DKI Jakarta, based on the 2023 SKI report, the prevalence of physician-diagnosed hypertension reached 12.6%, the highest recorded in the past 15 years, and hypertension accounted for 52% of non-communicable disease–related deaths in 2024. Central Jakarta has the highest prevalence (12.20%), with Senen District reporting the highest subdistrict prevalence (12.50%), predominantly among older adults. This study aims to analyze factors associated with hypertension prevention behaviors among older adults in Senen District. The study employed an analytic observational design with a cross-sectional approach. The study population consisted of 13,292 older adults, and a total of 106 respondents were selected using Proportionate Stratified Sampling. Primary data were collected through interviews using structured questionnaires. Data were analyzed using chi-square tests and logistic regression. Bivariate analysis demonstrated significant associations between education, knowledge, attitudes, access to healthcare facilities, family support, and support from healthcare workers (p<0.05). Multivariate analysis identified knowledge (OR 10.642), healthcare facilities (OR 5.785), and attitudes (OR 5.101) as variables significantly influencing hypertension prevention behaviors. Knowledge was found to be the dominant variable with the strongest effect. The study recommends strengthening health education and counseling tailored to the educational level of older adults, as well as enhancing continuous support through community health posts (Posyandu) and home visits. Family involvement in supporting preventive practices is also encouraged. Future research is recommended to employ a mixed-methods approach to obtain a more comprehensive understanding of factors influencing hypertension prevention behaviors in older adults.
References
Afsahi, F., & Kachooei, M. (2020). Relationship between hypertension with irrational health beliefs and health locus of control. Journal of Education and Health Promotion, 9(1), 110. https://doi.org/10.4103/JEHP.JEHP_650_19
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior, 36(1), 1–10. https://doi.org/10.2307/2137284
Apriana, L., Hadiyanto, H., & Basri, B. (2023). Hubungan Dukungan Keluarga Dengan Pencegahan Hipertesni Pada Lansia Di Wilayah Kerja Puskesmas Sukabumi. Jurnal Kesehatan Tambusai, 4(4), 4567–4574. https://doi.org/10.31004/JKT.V4I4.16970
Aulia Nur Fadhilah, R. Sitti Nur Djannah, & Lina Handayani. (2025). Hubungan Pengetahuan Dan Sikap Dengan Perilaku Pencegahan Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Wangi-Wangi Selatan Sulawesi Tenggara. Jurnal Kesehatan Masyarakat, 9, 510–517. https://doi.org/https://doi.org/10.31004/prepotif.v9i1.41949
Boonyathee, S., Seangpraw, K., Ong-Artborirak, P., Auttama, N., Tonchoy, P., Kantow, S., Bootsikeaw, S., Choowanthanapakorn, M., Panta, P., & Dokpuang, D. (2021). Effects of a social support family caregiver training program on changing blood pressure and lipid levels among elderly at risk of hypertension in a northern Thai community. PloS One, 16(11). https://doi.org/10.1371/JOURNAL.PONE.0259697
BPS. (2020). Persentase Penduduk Daerah Perkotaan Hasil Proyeksi Penduduk menurut Provinsi, 2015 - 2035 - Tabel Statistik - Badan Pusat Statistik Indonesia. https://www.bps.go.id/id/statistics-table/1/MTI3NiMx/persentase-penduduk-daerah-perkotaan-menurut-provinsi-2010-2035.html
Devi, H. M., Sari, R., & Putri, M. (2021). Peningkatan Pengetahuan dan Kepatuhan Diet Hipertensi melalui Pendidikan Kesehatan di Posyandu Lansia Tlogosuryo Kota Malang. Jurnal Akademika Baiturrahim Jambi, 10(2), 432–438. https://doi.org/10.36565/JAB.V10I2.399
Dinas Kesehatan Provinsi DKI Jakarta. (2023). Profil Kesehatan Provinsi DKI Jakarta 2023. 100.
Dluhos-Sebesto, C., Jethwa, T. E., Bertasi, T. G. O., Bertasi, R. A. O., Nishi, L. Y. M., Pantin, S. A. L., Argenio, S. L., Shahsamand, A., Omololu, A., & Pujalte, G. G. A. (2021). Women’s Health Information Survey: Common Health Concerns and Trusted Sources of Health Information Among Different Populations of Female Patients. Women’s Health Reports, 2(1), 173. https://doi.org/10.1089/WHR.2020.0118
Edward, A., Campbell, B., Manase, F., & Appel, L. J. (2021). Patient and healthcare provider perspectives on adherence with antihypertensive medications: an exploratory qualitative study in Tanzania. BMC Health Services Research 2021 21:1, 21(1), 834-. https://doi.org/10.1186/S12913-021-06858-7
Fadhilah, A. N., Djannah, R. S. N., & Handayani, L. (2025). Hubungan Pengetahuan Dan Sikap Dengan Perilaku Pencegahan Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Wangi-Wangi Selatan. Jurnal Kesehatan Masyarakat, 9(April), 510–517.
Firmansyah, R. S., & Aprilianti, V. (2023). Hubungan tingkat pengetahuan dengan perilaku pencegahan hipertensi pada mahasiswa keperawatan tingkat 1 di Sekolah Tinggi Ilmu Kesehatan Kuningan tahun 2023. Journal of Nursing Practice and Education, 4(1), 164–171. https://doi.org/10.34305/JNPE.V4I1.856
Glazier, J. J. (2022). Pathophysiology, Diagnosis, and Management of Hypertension in the Elderly. International Journal of Angiology, 31(4), 222–228. https://doi.org/10.1055/S-0042-1759486
Green, L. W., Gielen, A. C., Ottoson, J. M., Peterson, D. V., & Kreuter, M. W. (2022). Health program planning, implementation, and evaluation : creating behavioral, environmental, and policy change. In Health Program Planning, Implementation, and Evaluation. Johns Hopkins University Press. https://www.ebsco.com/terms-of-use
Harding, B. N., Hawley, C. N., Kalinowski, J., Sims, M., Muntner, P., Young Mielcarek, B. A., Heckbert, S. R., & Floyd, J. S. (2022). Relationship between social support and incident hypertension in the Jackson Heart Study: a cohort study. BMJ Open, 12(3). https://doi.org/10.1136/BMJOPEN-2021-054812
Hasan, M. J., et al. (2024). Health-care-seeking behaviour in patients with hypertension: experience from a dedicated hypertension centre in Bangladesh. Blood Pressure, 33(1), 2339434. https://doi.org/10.1080/08037051.2024.2339434
Hijrah, H., & Asrina, A. (2024). Pengaruh Reinforcing Factors Terhadap Perilaku Pencegahan Hipertensi pada Pra Lansia Berisiko di Wilayah Kerja Puskesmas Tamalate Makassar. Jurnal Manajemen Bisnis Dan Kesehatan, 1(02), 65–72. https://doi.org/10.53690/ihj.v4i02.245
Kemenkes. (2021). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07 Tahun 2021 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi Dewasa. Kementerian Kesehatan Republik Indonesia, 1–85.
Kemenkes. (2023a). Laporan Tematik SKI - Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes. https://www.badankebijakan.kemkes.go.id/laporan-tematik-ski/
Kemenkes. (2023b, April 26). Cara Mengatasi Hipertensi. https://ayosehat.kemkes.go.id/cara-mengatasi-hipertensi
Kemenkes RI. (2023). Profil Kesehatan Indonesia. In Pusdatin.Kemenkes.Go.Id. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf
Long, C., Liu, P., & Yi, C. (2020). Does Educational Attainment Affect Residents’ Health? Healthcare, 8(4), 364. https://doi.org/10.3390/HEALTHCARE8040364
Mahendra, D., Jaya, I. M. M., & Lumban, A. M. R. (2019). Buku Ajar Promosi Kesehatan. In Program Studi Diploma Tiga Keperawatan Fakultas Vokasi UKI.
Manao, A. B. (2022). Faktor Yang Memengaruhi Perilaku Pencegahan Penyakit Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Darussalam Kotamedan 2022 [Institut Kesehatan Helvetia]. In Institut Kesehatan Helvetia. https://doi.org/10.1016/J
Mancia, G., et al. (2023). 2023 ESH Guidelines for the management of arterial hypertension the Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Associat. Journal of Hypertension, 41(12), 1874–2071. https://doi.org/10.1097/HJH.0000000000003480
Maytasari, S., Ayu, R., & Sartika, D. (2020). Family, Social, and Health Workers Support with Complience Behaviour to Patients with Hypertension in Bogor, Indonesia. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 8(2), 146–153. https://doi.org/10.20473/JPK.V8.I2.2020.146-153
Nurlita, W. A. (2017). Hubungan Dukungan Tenaga Kesehatan Dengan Perilaku Pencegahan Hipertensi Lansia Di Posyandu Nurus-Asyfa Rw 01 Kelurahan Tlogomulyo Semarang [Universitas Muhamadiyah Semarang]. http://repository.unimus.ac.id/970/
Oduro, J. K., Okyere, J., & Nyador, J. K. M. T. (2023). Risky health behaviours and chronic conditions among aged persons: analysis of SAGE selected countries. BMC Geriatrics 2023 23:1, 23(1), 145-. https://doi.org/10.1186/S12877-023-03836-Y
Paczkowska, A., et al. (2021). Impact of patient knowledge on hypertension treatment adherence and efficacy: A single-centre study in poland. International Journal of Medical Sciences, 18(3), 852–860. https://doi.org/10.7150/ijms.48139
Pakpahan, M., Siregar, D., Susilawaty, A., Tasnim, Mustar, Ramdany, R., Manurung, E. I., Sianturi, E., Tompunu, M. R. G., Sitanggang, Y. F., & M, Maisyarah. (2021). Promosi Kesehatan & Prilaku Kesehatan. In Jakarta: EGC. Yayasan Kita Menulis.
Pirkle, C. M., Oliveira Guerra, R., Gómez, F., & Belanger, E. (2023). Socioecological Factors Associated with Hypertension Awareness and Control Among Older Adults in Brazil and Colombia: Correlational Analysis from the International Mobility in Aging Study. 18(1), 66. https://doi.org/10.5334/gh.1282
Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical assessment of OECD countries for the period 1995-2015. Archives of Public Health, 78(1). https://doi.org/10.1186/s13690-020-00402-5
Shorey, S., & Lopez, V. (2021). Self-Efficacy in a Nursing Context. Health Promotion in Health Care - Vital Theories and Research, 145–158. https://doi.org/10.1007/978-3-030-63135-2_12
Singh, J. N., Nguyen, T., Kerndt, C. C., & Dhamoon, A. S. (2023). Physiology, Blood Pressure Age Related Changes. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK537297/
Sulastri, N. S., Hidayat, W., Fakultas Kesehatan, L., Mega Buana Palopo, U., & Artikel, R. (2021). Hubungan Tingkat Pengetahuan tentang Hipertensi dengan Perilaku Pencegahan Terjadinya Komplikasi Hipertensi. Jurnal Keperawatan Florence Nightingale, 4(2), 89–93. https://doi.org/10.52774/JKFN.V4I2.78
Sun, K., et al. (2022). Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults. Journal of Epidemiology and Community Health, 76(5), 451. https://doi.org/10.1136/JECH-2021-217006
Wahyuni, A. S., Mukhtar, Z., Pakpahan, D. J. R., Guhtama, M. A., Diansyah, R., Situmorang, N. Z., & Wahyuniar, L. (2019). Adherence to Consuming Medication for Hypertension Patients at Primary Health Care in Medan City. Open Access Macedonian Journal of Medical Sciences, 7(20), 3483. https://doi.org/10.3889/OAMJMS.2019.683
Wang, C., et al. (2020). Association of Age of Onset of Hypertension With Cardiovascular Diseases and Mortality. Journal of the American College of Cardiology, 75(23), 2921–2930. https://doi.org/10.1016/J.JACC.2020.04.038
WHO. (2021). Hypertension among adults aged 30-79 years. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-hypertension-among-adults-aged-30-79-years
WHO. (2023). Global report on hypertension. In http://apps.who.int/iris (Vol. 01).
WHO. (2024, August 7). The top 10 causes of death. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
Yulidar, E., et al. (2023). Hubungan Pengetahuan Dengan Perilaku Pencegahan Hipertensi Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Grogol Tahun 2022. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 1(1), 264–274. https://ejurnal.politeknikpratama.ac.id/index.php/Detector/article/view/1531
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