Iranian Journal of War and Public Health

en Determinants of Integrated Health Post Utilization among Older Adults under Indonesia’s Integrated Primary Health Service Model آمار و اپیدمیولوژی معلولیت‌های ناشی از جنگ/حادثه Epidemiology and Statistics of War/Accident Related Injuries توصیفی و نظرسنجی Descriptive & Survey Aims: This study aimed to identify the factors associated with integrated health post utilization among older adults under Indonesia’s Integrated Primary Health Service model. Instrument & Methods: This analytic cross-sectional study was conducted from May 20 to June 20, 2026, in the working area of Tandung Nanggala Health Center, North Toraja Regency, Indonesia. A total of 122 older adults aged ≥60 years registered at two Integrated Primary Health Service-integrated health posts were selected by proportionate stratified random sampling. Knowledge, attitude, cadre role, family support, healthcare accessibility, motivation, and integrated health post utilization were assessed using a validated interviewer-administered questionnaire. Data were analyzed using the chi-square test and backward stepwise binary logistic regression. Findings: Only 34 respondents (27.9%) utilized integrated health post services. All six independent variables were significantly associated with utilization in the bivariate analysis (p≤0.001). In the final multivariate model, only attitude (adjusted odds ratio [AOR]=723.10; 95% CI: 69.31-7543.94; p<0.001) and family support (AOR=10.56; 95% CI: 1.05-105.80; p=0.045) remained independent predictors. Conclusion: Low integrated health post utilization among older adults under the Integrated Primary Health Service model is mainly associated with their attitude toward preventive care and the reinforcing role of family support rather than with service availability alone; therefore, fostering positive attitudes through respectful services and engaging families are recommended to improve utilization.   Aged,Attitude to Health,Family Support,Primary Health Care,Indonesia 351 357 http://ijwph.ir/browse.php?a_code=A-10-2464-1&slc_lang=en&sid=1 T.J.R. Marampa Yes Department of Health Administration and Policy, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia A. Razak No Department of Health Administration and Policy, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia B. Balqis No Department of Health Administration and Policy, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia I. Indar No Department of Health Administration and Policy, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia H. Hidayanty No Department of Nutrition Sciences, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia