Determinants of Older Adults’ Compliance with Community-Based Elderly Health Post Programs: A Cross-Sectional Study
DOI:
https://doi.org/10.66763/gjn.v2i1.34Keywords:
Compliance, Elderly Health Post, Knowledge, Health Education, Older Adults, Social SupportAbstract
Background: Community-based elderly health post programs support preventive care and health monitoring for older adults. However, their effectiveness depends on older adults’ compliance with scheduled activities.
Objectives: This study aimed to analyze the determinants of older adults’ compliance with community-based elderly health post programs.
Methods: This cross-sectional study included 152 older adults selected using total sampling. Data were collected using structured questionnaires on age, educational level, knowledge, family support, social support, and compliance. Data were analyzed using descriptive statistics, bivariate tests, and binary logistic regression.
Results: More than half of the respondents were non-compliant with elderly health post programs (55.9%). Bivariate analysis showed that age, educational level, knowledge, family support, and social support were significantly associated with compliance. In the multivariate model, knowledge emerged as the dominant determinant of compliance (AOR = 29.641; 95% CI = 2.140–410.493; p = 0.011). Social support and age also remained significantly associated with compliance.
Conclusions: Knowledge was the strongest determinant of older adults’ compliance with community-based elderly health post programs. Strengthening health education, repeated counselling, and social support from families, cadres, and health workers may improve older adults’ participation and continuity of care.
References
Abdillah, A. R., Falah, M., Saryomo, & Muksin, A. (2025). The relationship between family support and elderly participation in Posbindu activities in the Urug Health Center working area, Tasikmalaya. Gaster, 23(2), 127–138. https://doi.org/10.30787/gaster.v23i2.1925
BPS. (2024). Statistik penduduk lanjut usia 2024. Badan Pusat Statistik.
Che, R. P., & Cheung, M. C. (2024). Factors associated with the utilization of home and community-based services among older adults: A systematic review of the last decade. Journal of Gerontological Social Work. https://doi.org/10.1080/01634372.2024.2342455
Chesser, A. K., Keene Woods, N., Smothers, K., & Rogers, N. (2016). Health literacy and older adults: A systematic review. Gerontology and Geriatric Medicine, 2, 1–13. https://doi.org/10.1177/2333721416630492
Fernandez, D. M., Larson, J. L., & Zikmund-Fisher, B. J. (2016). Associations between health literacy and preventive health behaviors among older adults: Findings from the Health and Retirement Study. BMC Public Health, 16, 596. https://doi.org/10.1186/s12889-016-3267-7
Kementerian Kesehatan Republik Indonesia. (2023). Integrasi layanan primer melalui Posyandu. Kementerian Kesehatan Republik Indonesia.
Kim, I., An, H., Yun, S., & Park, H. Y. (2024). Effectiveness of community-based interventions for older adults living alone: A systematic review and meta-analysis. Epidemiology and Health, 46, e2024013. https://doi.org/10.4178/epih.e2024013
Linggi, B., Nurhanifah, D., Kamaruddin, M. I., Angreni, W. O. N., Suprapto, S., & Napolion, K. (2024). Knowledge and attitude can increase participation in elderly Posyandu visits. Window of Health: Jurnal Kesehatan, 7(4).
Lyu, X., & Fan, Y. (2024). The impact of home- and community-based services on the health of older adults: A meta-analysis. SAGE Open, 14(3). https://doi.org/10.1177/21582440241285674
Mah, J. C., Stevens, S. J., Keefe, J. M., Rockwood, K., & Andrew, M. K. (2021). Social factors influencing utilization of home care in community-dwelling older adults: A scoping review. BMC Geriatrics, 21, 145. https://doi.org/10.1186/s12877-021-02069-1
Margaretha, C., Sarjana, W., Suharto, S., & Jusup, I. (2021). Relationship between quality of life, depression, and participation in elderly integrated health service post among older adults. Nurse Media Journal of Nursing, 11(2), 144–153. https://doi.org/10.14710/nmjn.v11i2.33500
Qin, S., Cheng, Y., Zhang, H., & Ding, Y. (2023). Home/community-based medical and elderly care services utilization in China: A cross-sectional study from the middle-aged and elderly population. Healthcare, 11(17), 2431. https://doi.org/10.3390/healthcare11172431
Sardareh, M., Matlabi, H., Shafiee-Kandjani, A. R., Bahreini, R., Mohammaddokht, S., & Azami-Aghdash, S. (2024). Interventions for improving health literacy among older people: A systematic review. BMC Geriatrics, 24, 902. https://doi.org/10.1186/s12877-024-05522-z
Sari, C. W. M., Khoeriyah, V. N., & Lukman, M. (2024). Factors related to the utilization of integration health program (Posbindu) among older adults in Indonesia: A scoping review. Clinical Interventions in Aging, 19, 1361–1370. https://doi.org/10.2147/CIA.S462621
Trisfayeti, I. H., & Idris, H. (2023). Factors associated with utilization of Posyandu Lansia in Indonesia: An analysis of nationwide survey data. Public Health and Preventive Medicine Archive, 10(1). https://doi.org/10.53638/phpma.2022.v10.i1.p09
Valtorta, N. K., Moore, D. C., Barron, L., Stow, D., & Hanratty, B. (2018). Older adults’ social relationships and health care utilization: A systematic review. American Journal of Public Health, 108(4), e1–e10. https://doi.org/10.2105/AJPH.2017.304256
Wawomeo, A., Kurnia, T. A., Sekunda, M. S., & Fredimento, A. (2022). The correlation between health beliefs and family support on the elderly’s participation in the Elderly Health Service (Posyandu Lansia). Public Health of Indonesia, 8(2), 46–54. https://doi.org/10.36685/phi.v8i2.585
World Health Organization. (2024). Ageing and health. World Health Organization.
Yu, Y., Zhang, J., Petrovic, M., Zhang, X., & Zhang, W. H. (2024). Utilization of home- and community-based services among older adults worldwide: A systematic review and meta-analysis. International Journal of Nursing Studies, 155, 104774. https://doi.org/10.1016/j.ijnurstu.2024.104774
Zhou, W., Zhang, X., & Lyu, X. (2025). Monitoring utilisation patterns of home- and community-based services for healthy ageing: A cross-sectional study. BMC Geriatrics, 25, 291. https://doi.org/10.1186/s12877-025-05918-5
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Copyright (c) 2026 Sri Astutik Andayani, S. Tauriana, Agung Prasetyo Nugroho (Author)
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
