Health Belief Model-Based Determinants of Hypertension Management Adherence in Productive-Age Adults: Evidence From the Cerdik Program

ABSTRACT Hypertension is a condition of persistent systemic blood pressure elevation. Cases among productive-age patients at Puskesmas Sangatta Utara, Kutai Timur Regency increased annually, raising the risk of serious complications. To identify determinants of adherence to hypertension management behavior (CERDIK Program) among productive-age patients in the working area of Puskesmas Sangatta Utara. Observational cross-sectional study with 107 productive-age hypertension patients (17-55 years) using simple random sampling. Multivariate analysis employed PLS-SEM (Partial Least Square - Structural Equation Modeling). Vulnerability and severity perceptions did not directly influence CERDIK adherence (p0.05). Vulnerability perception significantly affected social media and health worker roles; severity perception affected health worker role only. Health workers positively influenced CERDIK adherence directly. Social media and health worker roles as moderating variables strengthened the effect of severity perception on adherence (p0.05). CERDIK adherence is more influenced by severity perception through the role of health workers and social media. Health education programs should maximize health worker roles and social media use to improve CERDIK behavior. Keywords: Adherence Behavior, CERDIK Program, Health Belief Model, Hypertension, Productive Age. ABSTRAK Hipertensi merupakan kondisi meningkatnya tekanan darah secara sistemik yang berlangsung lama. Penderita hipertensi usia produktif di Puskesmas Sangatta Utara, Kabupaten Kutai Timur mengalami kenaikan kasus setiap tahun sehingga berisiko menimbulkan komplikasi serius. Mengetahui determinan kepatuhan perilaku penanganan hipertensi (Program CERDIK) pada penderita hipertensi usia produktif di wilayah kerja Puskesmas Sangatta Utara. Penelitian observasional dengan pendekatan cross sectional. Sampel 107 penderita hipertensi usia produktif (17-55 tahun) dengan simple random sampling. Analisis multivariat menggunakan PLS-SEM (Partial Least Square - Structural Equation Modeling). Persepsi kerentanan dan keseriusan tidak berpengaruh langsung terhadap kepatuhan perilaku CERDIK (p0,05). Persepsi kerentanan berpengaruh signifikan terhadap peran media sosial dan peran petugas kesehatan, sedangkan persepsi keseriusan hanya berpengaruh terhadap peran petugas kesehatan. Peran petugas kesehatan berpengaruh positif langsung terhadap kepatuhan CERDIK. Peran media sosial dan petugas kesehatan sebagai variabel moderasi memperkuat pengaruh persepsi keseriusan terhadap kepatuhan perilaku CERDIK (p0,05). Kepatuhan perilaku CERDIK lebih dipengaruhi persepsi keseriusan melalui peran petugas kesehatan dan media sosial. Program edukasi kesehatan perlu memaksimalkan peran petugas kesehatan dan media sosial untuk meningkatkan perilaku CERDIK. Kata Kunci: Health Belief Model, Hipertensi, Kepatuhan Perilaku, Program CERDIK, Usia Produktif.