Nasrul Zaman, Said Usman, Atik Badi’ah, Fahrun Nur Rosyid, Yuseva Sariati, Irwan Saputra
Introduction: Non-communicable diseases (NCDs) are currently the leading cause of mortality in Indonesia, particularly impacting the industrial workforce. Although the government provides the Integrated Health Service Post (IHSP) for NCDs as an early detection service, its utilization rate is low. This study aimed to analyze the influence of self-efficacy and social support (from family, IHSP cadres, health workers, and peers) on the use of IHSP NCD services among industrial workers. Methods: This quantitative study employed a cross-sectional design involving 1200 industrial workers across 4 provinces in Indonesia. Participants were selected using stratified random sampling. Data were collected through a structured questionnaire and analyzed using partial least squares structural equation modeling (PLS-SEM). Results: The findings revealed a low utilization rate of IHSP services, with only 40% of respondents participating. Hypothesis analysis showed that self-efficacy was the only significant predictor of service utilization (β = .385; P < .001). Conversely, social support variables, including family, cadre, health worker, and peer support, were found to have no statistically significant influence. Discussion: Self-efficacy is the dominant factor driving the utilization of NCD early detection services among industrial workers, surpassing the role of social support. Therefore, workplace health interventions should prioritize programs that build individuals’ confidence and their ability to manage their health. © The Author(s) 2026. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Department of Public Health, Faculty of Medicine, University of Syiah Kuala, Banda Aceh, Indonesia; Department of Nursing, Yogyakarta Health Polytechnic, Indonesia; Department of Medical-Surgical Nursing, School of Nursing, Universitas Muhammadiyah Surakarta, Central Java, Indonesia; Department of Midwifery, Faculty of Medicine, Brawijaya University, Malang, Indonesia
