The correlation of knowledge and attitude on clean and healthy living practices in junior high school adolescents: A cross-sectional study
https://doi.org/10.52235/lp.v6i4.626
Keywords:
adolescent, health behavior, health knowledgeAbstract
Background: Clean and Healthy Living Practices (PHBS) are essential for preventing communicable diseases among adolescents, yet many junior high school students continue to demonstrate inconsistent hygiene behaviors despite exposure to school-based health programs.
Objective: This study aimed to examine the correlation between knowledge and attitude with PHBS behaviors among adolescents in a junior high school setting.
Methods: A cross-sectional design was employed, involving 39 students selected through total sampling. Data were collected using structured questionnaires measuring knowledge, attitude, and PHBS behaviors. Descriptive statistics were used to present frequency distributions, while Chi-Square tests examined the relationship between variables.
Results: Most adolescents demonstrated poor knowledge (48.7%) and moderate attitudes toward PHBS. PHBS behaviors were mostly in the fair (46.2%) and poor (48.7%) categories. Cross-tabulation showed that adolescents with good or very good knowledge did not necessarily demonstrate better PHBS behaviors. Statistical analysis indicated no significant correlation between knowledge and PHBS (p = 0.74). Attitude also showed no significant association with PHBS.
Conclusion: Knowledge and attitude were not significantly related to PHBS behavior among adolescents, suggesting that cognitive and affective factors alone are insufficient to shape consistent hygiene practices. Multi-level interventions involving schools, families, and communities are needed to strengthen adolescent PHBS behaviors.
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References
Agblevor, E. A., Darko, N. A., Acquah, P. A., Addom, S., Mirzoev, T., & Agyepong, I. A. (2023). “We have nice policies but…”: Implementation gaps in the Ghana adolescent health service policy and strategy (2016–2020). Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1198150
Agustina, A. N., Dewi, S. U., Rahayu, H. S., & Mahardika, P. (2024). Upaya menurunkan kejadian anemia melalui program pelayanan kesehatan peduli remaja. GEMAKES: Jurnal Pengabdian Kepada Masyarakat, 4, 120–128. https://doi.org/10.36082/gemakes.v4i1.1513
Amalia, L., Mokodompis, Y., & Hiola, F. (2023). Pembentukan kader remaja peduli stunting dalam upaya penanggulangan masalah gizi pada balita. Jurnal Pengabdian Masyarakat Farmasi: Pharmacare Society, 2, 178–183. https://doi.org/10.37905/phar.soc.v2i3.22011
Baroroh, I. (2022). Peningkatan pengetahuan tentang pemenuhan gizi remaja dan edukasi pencegahan stunting. Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat, 3, 60–64. https://doi.org/10.37402/abdimaship.vol3.iss2.194
Barua, A., Watson, K., Plesons, M., Chandra-Mouli, V., & Sharma, K. (2020). Adolescent health programming in India: A rapid review. Reproductive Health, 17, 87. https://doi.org/10.1186/s12978-020-00929-4
Badan Kebijakan Pembangunan Kesehatan. (2023). Survei Kesehatan Indonesia (SKI) dalam Angka: Data akurat Kebijakan Tepat. Survei Kesehatan Indonesia Tahun 2023.
Bhan, N. (2019). Preventing teenage pregnancy in India to end the cycle of undernutrition. The Lancet Child & Adolescent Health, 3, 439–440. https://doi.org/10.1016/S2352-4642(19)30111-7
Davoudi-Kiakalayeh, A., Mohammadi, R., Pourfathollah, A. A., Siery, Z., & Davoudi-Kiakalayeh, S. (2017). Alloimmunization in thalassemia patients: New insight for healthcare. International Journal of Preventive Medicine, 8, 66–69. https://doi.org/10.4103/ijpvm.IJPVM
Erfina, E., Hariati, S., & Tawali, S. (2023). Development and evaluation of nursing intervention in preventing stunting in children of adolescent mothers: A mixed-methods research protocol. Nutrition and Health, 29, 369–375. https://doi.org/10.1177/02601060231181712
Fitriani, L., & Wahyuni, S. (2022). Peningkatan pengetahuan dan kepatuhan remaja putri melalui pemberian pendidikan kesehatan tentang mengkonsumsi tablet Fe. SIPISSANGNGI: Jurnal Pengabdian Kepada Masyarakat, 2, 54. https://doi.org/10.35329/sipissangngi.v2i1.2783
Gosdin, L., Sharma, A. J., Tripp, K., Amoaful, E. F., Mahama, A. B., Selenje, L., et al. (2021). A school-based weekly iron and folic acid supplementation program effectively reduces anemia in a prospective cohort of Ghanaian adolescent girls. The Journal of Nutrition, 151, 1646–1655. https://doi.org/10.1093/jn/nxab024
Hikmah, H., & Musa, S. M. (2022). Gaya hidup sehat remaja dengan pendekatan edukatif dan komunikatif. Prosiding Simposium Nasional Multidisiplin (SinaMu), 3. https://doi.org/10.31000/sinamu.v3i0.6001
I Gusti Ayu Putu Desy, R., Berlian Novianti, Winda Anggita, Anggi Shinta Pratama, Wiwice Arianti, & Anisa Dara Tista. (2023). Permainan Edukasi Rangking 1 dalam Penerapan PHBS pada Siswa Sekolah Dasar di Masa Adaptasi New Normal. Lentera Perawat, 4(2), 92–98. https://doi.org/10.52235/lp.v4i2.197
Indra Frana Jaya KK, Nurul Fitriah, Dewi Putri Ayu, & Inayah Kamilah. (2023). Keefektifan Metode Penyuluhan Door To Door Dan Penyuluhan Kelompok Dalam Upaya Promosi Kesehatan. Lentera Perawat, 4(2), 123–130. https://doi.org/10.52235/lp.v4i2.243
Jusliani, J., & Syamsuddin, S. (2024). Tinjauan efektivitas intervensi gizi terhadap stunting dan masalah gizi pada anak balita. Jurnal Riset Sains dan Kesehatan Indonesia, 1, 124–129. https://doi.org/10.69930/jrski.v1i3.156
Kadek Alit Arsani, N. L. (2013). Peranan program PKPR terhadap kesehatan reproduksi remaja di Kecamatan Buleleng. Jurnal Ilmu Sosial dan Humaniora, 2. https://doi.org/10.23887/jish-undiksha.v2i1.1289
Margatot, D. I., & Huriah, T. (2021). The effectiveness of women empowerment in preventing stunting in children aged 6–59 months. Bali Medical Journal, 10, 1230–1234. https://doi.org/10.15562/bmj.v10i3.2852
Marlinawati, D. A., Rahfiludin, M. Z., & Mustofa, S. B. (2023). Effectiveness of media-based health education on stunting prevention in adolescents: A systematic review. AgriHealth: Journal of Agri-food, Nutrition and Public Health, 4, 102. https://doi.org/10.20961/agrihealth.v4i2.71357
Medise, B. E., Julia, M., Devaera, Y., Sitaresmi, M. N., Asmarinah, W. N. A., Kalalo, R. T., et al. (2024). Understanding the pubertal, psychosocial, and cognitive developmental trajectories of stunted and non-stunted adolescents: Protocol of a multi-site Indonesian cohort study. Frontiers in Pediatrics, 12. https://doi.org/10.3389/fped.2024.1296128
Mideksa, S., Getachew, T., Bogale, F., Woldie, E., Ararso, D., Samuel, A., et al. (2024). School feeding in Ethiopia: A scoping review. BMC Public Health, 24, 1–13. https://doi.org/10.1186/s12889-023-17613-4
Mistry, S. K., Hossain, M. B., & Arora, A. (2019). Maternal nutrition counselling and reduced stunting prevalence: A post-program comparison study. Nutrition Journal, 18, 1–9. https://doi.org/10.1186/s12937-019-0473-z
Mitra, N., & Rahmalisa, U. (2022). Program kemitraaan masyarakat pembinaan satuan tugas peduli stunting remaja sebagai agen perubahan melalui informasi digital. J-ABDI: Jurnal Pengabdian kepada Masyarakat, 2, 5045–5052. https://doi.org/10.53625/jabdi.v2i5.3595
Murdiningrum, S., & Handayani, H. (2021). Efektivitas media edukasi gizi untuk peningkatan pengetahuan gizi remaja. Jurnal Mahasiswa BK An-Nur, 7, 53. https://doi.org/10.31602/jmbkan.v7i3.5759
Mursalins, L., Siahaan, A. H. I., Saputera, W., Wahid, A., Dermawan, Z., Bassa, N., et al. (2024). Pelaksanaan program Investing in Nutrition and Early Years (INEY) dalam mendukung percepatan penurunan stunting Tahun 2018–2023: Laporan akhir.
Nugraheni, R. (2024). Program edukasi gizi pada remaja putri untuk mencegah stunting: Tinjauan literatur. Jurnal Promotif Preventif, 7, 569–577.
Putra, A., & Fitri, Y. (2021). Studi meta analisis: Efektivitas pencegahan stunting melalui program literasi gizi menggunakan pendekatan pendidikan keluarga. Jurnal Obor Penmas, 4, 1–10. https://doi.org/10.32832/oborpenmas.v4i1.4727
Roy, K., Shinde, S., Sarkar, B. K., Malik, K., Parikh, R., & Patel, V. (2019). India’s response to adolescent mental health: A policy review and stakeholder analysis. Social Psychiatry and Psychiatric Epidemiology, 54, 405–414. https://doi.org/10.1007/s00127-018-1647-2
Rustiawan, A., & Pratiwi, A. (2022). Evaluasi program pemberian tablet tambah darah pada ibu hamil di puskesmas Gedongtengen. Abdi Geomedisains, 2, 61–71. https://doi.org/10.23917/abdigeomedisains.v2i2.313
Sari, D. P., & Yusran, R. (2022). Evaluasi kebijakan pencegahan stunting di Nagari Pulakek Koto Baru. Jurnal Civic Edu, 5, 90–100. https://doi.org/10.24036/jce.v5i1.661
Setiawan, A. S., Budiarto, A., & Indriyanti, R. (2023). Eating behavior of adolescent girls in countries with a high prevalence of stunting under five: A systematic review. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1228413
Sulastiyo, A. (2022). Pengaruh edukasi dengan daily meal tracker terhadap pengetahuan & sikap remaja usia 13–16 tahun. Jurnal Riset Gizi, 10. https://doi.org/10.31983/jrg.v10i1.8091
Sumarwati, M., Mulyono, W. A., Nani, D., Swasti, K. G., & Abdilah, H. A. (2022). Pendidikan kesehatan tentang gaya hidup sehat pada remaja tahap akhir. Jurnal Abdimas BSI, 5, 36–48. https://doi.org/10.31294/jabdimas.v5i1.11354
van Leer, E. (2021). Enhancing adherence to voice therapy via social cognitive strategies. Seminars in Speech and Language, 42, 19–31. https://doi.org/10.1055/s-0040-1722755
Wagustina, S., Arnisam, A., Mulyani, N. S., Hadi, A., & Fitriyaningsih, E. (2024). Penguatan percepatan penurunan stunting melalui pemberdayaan remaja peduli stunting. Jurnal PADE: Pengabdian & Edukasi, 6, 39. https://doi.org/10.30867/pade.v6i1.1788
Wandini, K., & Angesti, A. N. (2023). Peran remaja dalam pencegahan stunting. Jurnal Pemberdayaan Komunitas MH Thamrin, 5, 15–21. https://doi.org/10.37012/jpkmht.v5i1.1368
WHO. (2020). Nutrition action in schools: A review of the evidence related to the Nutrition-Friendly Schools Initiative. World Health Organization.
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