Key Factors Influencing Help-Seeking Behavior Toward Hypertension Treatment Among the Productive-Age Population

Riska Ratnawati; Mega Arianti Putri

doi:10.14710/jpki.21.1.67-76

DOI: https://doi.org/10.14710/jpki.21.1.67-76

Key Factors Influencing Help-Seeking Behavior Toward Hypertension Treatment Among the Productive-Age Population

*Riska Ratnawati - Department of Public Health, Stikes Bhakti Husada Mulia, Indonesia

Mega Arianti Putri - Department of Nursing, Stikes Bhakti Husada Mulia, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{JPKI81330,
    author = {Riska Ratnawati and Mega Arianti Putri},
    title = {Key Factors Influencing Help-Seeking Behavior Toward Hypertension Treatment Among the Productive-Age Population},
    journal = {Jurnal Promosi Kesehatan Indonesia},
  volume = {21},
    number = {1},
    year = {2026},
    keywords = {help-seeking behavior;hypertension;productive-age population;health belief model;treatment adherence},
    abstract = {   Background:      Hypertension remains a major public health concern, particularly among the productive-age population, where delayed treatment-seeking behavior contributes to poor disease control and an increased risk of complications. Guided by the Health Belief Model (HBM), this study aims to identify key factors influencing help-seeking behavior toward hypertension treatment among individuals aged 15–59 years.     Method:    This cross-sectional study was conducted in Taman Subdistrict, Madiun City, involving 146 respondents with documented long-standing hypertension selected through purposive sampling. Data were collected using a structured Likert-scale questionnaire assessing treatment-seeking behavior and HBM constructs, including perceived seriousness, perceived vulnerability, perceived barriers, perceived usefulness, self-efficacy, and cues to action.     Result   : Data were analyzed using descriptive statistics, chi-squared tests, and binary logistic regression. The results showed that 72.6% of participants demonstrated positive help-seeking behavior. Multivariate analysis revealed four significant predictors: perceived vulnerability (OR = 33), perceived barriers (OR = 0.02), perceived usefulness (OR = 0.03), and self-efficacy (OR = 0.04). Within the HBM framework, perceived seriousness and cues to action were not associated with help-seeking behavior. These findings highlight the critical role of psychological and perceptual factors in shaping treatment-seeking decisions. Strengthening patients’ self-efficacy, reducing barriers, and improving understanding of treatment benefits may enhance timely care-seeking among individuals with hypertension. Future studies employing more representative sampling and longitudinal designs are recommended to confirm and extend these findings.  },
   issn = {2620-4053},   pages = {67--76}  doi = {10.14710/jpki.21.1.67-76},
    url = {https://ejournal.undip.ac.id/index.php/jpki/article/view/81330}
}

Citation Format:

Abstract

Background: Hypertension remains a major public health concern, particularly among the productive-age population, where delayed treatment-seeking behavior contributes to poor disease control and an increased risk of complications. Guided by the Health Belief Model (HBM), this study aims to identify key factors influencing help-seeking behavior toward hypertension treatment among individuals aged 15–59 years.

Method: This cross-sectional study was conducted in Taman Subdistrict, Madiun City, involving 146 respondents with documented long-standing hypertension selected through purposive sampling. Data were collected using a structured Likert-scale questionnaire assessing treatment-seeking behavior and HBM constructs, including perceived seriousness, perceived vulnerability, perceived barriers, perceived usefulness, self-efficacy, and cues to action.

Result: Data were analyzed using descriptive statistics, chi-squared tests, and binary logistic regression. The results showed that 72.6% of participants demonstrated positive help-seeking behavior. Multivariate analysis revealed four significant predictors: perceived vulnerability (OR = 33), perceived barriers (OR = 0.02), perceived usefulness (OR = 0.03), and self-efficacy (OR = 0.04). Within the HBM framework, perceived seriousness and cues to action were not associated with help-seeking behavior. These findings highlight the critical role of psychological and perceptual factors in shaping treatment-seeking decisions. Strengthening patients’ self-efficacy, reducing barriers, and improving understanding of treatment benefits may enhance timely care-seeking among individuals with hypertension. Future studies employing more representative sampling and longitudinal designs are recommended to confirm and extend these findings.

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Keywords: help-seeking behavior;hypertension;productive-age population;health belief model;treatment adherence

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Section: Research Article

Language : EN

In Vol 21 No 1: January 2026

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