Level of Knowledge, Attitudes and Its Effect Towards Healthy Lifestyle Practices Among Primary School Students
Keywords:
Knowledge, attitudes, Primary School, Healthy LifestyleAbstract
This study aimed to assess the levels of knowledge, attitudes, and healthy lifestyle practices among primary school students in East Lombok, Indonesia, and to examine the effects and correlations between these dimensions. The research sought to determine whether knowledge and attitudes significantly influence healthy lifestyle practices and to identify areas for intervention to improve health outcomes in this population. A quantitative survey design was employed, with data collected from 148 primary school students selected through random sampling. The research instrument, adapted from KIP-Questionaire, measured knowledge, attitudes, and healthy lifestyle practices. Descriptive and inferential statistical analyses, including linear regression and Pearson correlation, were conducted to evaluate the relationships between these variables. The results revealed moderate levels of knowledge, attitudes, and healthy lifestyle practices among students, with only 11.5–14.9% categorized as "high." Regression analysis showed that knowledge and attitudes collectively explained 23.2% of the variance in healthy practices, indicating a significant but modest influence. Correlation analysis demonstrated moderate positive relationships between knowledge, attitudes, and practices, with knowledge showing a slightly stronger correlation with practices (r = 0.514) than attitudes (r = 0.445). The findings highlight the need for integrated health education programs that address both knowledge gaps and attitudinal barriers while considering socio-environmental factors. Schools and policymakers should prioritize interventions that foster health literacy, positive attitudes, and supportive environments to promote sustainable healthy lifestyle practices among primary school students.
References
Agostoni, C., Baglioni, M., La Vecchia, A., Molari, G., & Berti, C. (2023). Interlinkages between Climate Change and Food Systems: The Impact on Child Malnutrition—Narrative Review. Nutrients 2023, Vol. 15, Page 416, 15(2), 416. https://doi.org/10.3390/NU15020416
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037//0033-295X.84.2.191
Bandura, A. (1997). Self-efficacy: The exercise of control. In Self-efficacy: The exercise of control. W H Freeman/Times Books/ Henry Holt & Co.
Bandura, A. J., Wright, R., Tanner, A. B., Right, F., & Dane, M. (1977). Social learning theory. Englewood Cliffs. Prentice Hal.
Best, C., Neufingerl, N., van Geel, L., van den Briel, T., & Osendarp, S. (2010). The Nutritional Status of School-Aged Children: Why Should We Care? Food and Nutrition Bulletin, 31(3), 400–417. https://doi.org/10.1177/156482651003100303
Bosnjak, M., Ajzen, I., & Schmidt, P. (2020). The Theory of Planned Behavior: Selected Recent Advances and Applications. Europe’s Journal of Psychology, 16(3), 352–356. https://doi.org/10.5964/ejop.v16i3.3107
Darfour-Oduro, S. A., Andrade, J. E., & Grigsby-Toussaint, D. S. (2020). Do Fruit and Vegetable Policies, Socio-Environmental Factors, and Physical Activity Influence Fruit and Vegetable Intake Among Adolescents? Journal of Adolescent Health, 66(2), 172–180. https://doi.org/10.1016/J.JADOHEALTH.2019.07.016
Hanifah, L., Nasrulloh, N., & Sufyan, D. L. (2023). Sedentary Behavior and Lack of Physical Activity among Children in Indonesia. Children 2023, Vol. 10, Page 1283, 10(8), 1283. https://doi.org/10.3390/CHILDREN10081283
Kelly, S., Martin, S., Kuhn, I., Cowan, A., Brayne, C., & Lafortune, L. (2016). Barriers and Facilitators to the Uptake and Maintenance of Healthy Behaviours by People at Mid-Life: A Rapid Systematic Review. PLOS ONE, 11(1), e0145074. https://doi.org/10.1371/JOURNAL.PONE.0145074
Kementerian Kesehatan Republik Indonesia. (2018). Capaian Kinerja Promkes 2018.
Kigaru, D. M. D., Loechl, C., Moleah, T., Macharia-Mutie, C. W., & Ndungu, Z. W. (2015). Nutrition knowledge, attitude and practices among urban primary school children in Nairobi City, Kenya: a KAP study. BMC Nutrition, 1(1), 44. https://doi.org/10.1186/s40795-015-0040-8
Kiriakidis, S. (2017). Perceived Behavioural Control in the Theory of Planned Behaviour: Variability of Conceptualization and Operationalization and Implications for Measurement. Springer Proceedings in Business and Economics, 197–202. https://doi.org/10.1007/978-3-319-33865-1_25
Laddu, D., Paluch, A. E., & LaMonte, M. J. (2021). The role of the built environment in promoting movement and physical activity across the lifespan: Implications for public health. Progress in Cardiovascular Diseases, 64, 33–40. https://doi.org/10.1016/J.PCAD.2020.12.009
Lane, J., Lane, A. M., & Kyprianou, A. (2004). Self-efficacy, self-esteem and their impact on academic performance. Social Behavior and Personality, 32(3), 247–256. https://doi.org/10.2224/sbp.2004.32.3.247
Mahmood, L., Flores-Barrantes, P., Moreno, L. A., Manios, Y., & Gonzalez-Gil, E. M. (2021). The Influence of Parental Dietary Behaviors and Practices on Children’s Eating Habits. Nutrients, 13(4). https://doi.org/10.3390/nu13041138
Malczyk, E., Muc-Wierzgoń, M., Fatyga, E., & Dzięgielewska-Gęsiak, S. (2024). Salt Intake of Children and Adolescents: Influence of Socio-Environmental Factors and School Education. Nutrients 2024, Vol. 16, Page 555, 16(4), 555. https://doi.org/10.3390/NU16040555
Moitra, P., Verma, P., & Madan, J. (2021). Development and validation of a questionnaire measuring knowledge, attitudes, and practices (KAP) to healthy eating and activity patterns in school children (HEAPS). Nutrion and Health, 1–11. https://doi.org/10.1177/0260106020982356
Nix, R. L., Francis, L. A., Feinberg, M. E., Gill, S., Jones, D. E., Hostetler, M. L., & Stifter, C. A. (2021). Improving toddlers’ healthy eating habits and self-regulation: A randomized controlled trial. Pediatrics, 147(1). https://doi.org/10.1542/PEDS.2019-3326/33444
Prakot, S., Fink, A. M., Culbert, G., & Visudtibhan, P. J. (2024). An Analysis and Evaluation of the Information-Motivation-Behavioral Skills (IMB) Model for Antiretroviral Therapy. Advances in Nursing Science, 47(1), 73–88. https://doi.org/10.1097/ANS.0000000000000469
Rahayu, Y. Y. S., Sujarwo, W., Irsyam, A. S. D., Dwiartama, A., & Rosleine, D. (2024). Exploring unconventional food plants used by local communities in a rural area of West Java, Indonesia: ethnobotanical assessment, use trends, and potential for improved nutrition. Journal of Ethnobiology and Ethnomedicine 2024 20:1, 20(1), 1–23. https://doi.org/10.1186/S13002-024-00710-Y
Rozaki, Z. (2021). Food security challenges and opportunities in indonesia post COVID-19. Advances in Food Security and Sustainability, 6, 119. https://doi.org/10.1016/BS.AF2S.2021.07.002
Saavedra, J. M., & Prentice, A. M. (2023). Nutrition in school-age children: a rationale for revisiting priorities. Nutrition Reviews, 81(7), 823–843. https://doi.org/10.1093/NUTRIT/NUAC089
Sharma, M. (2012). Information-Motivation-Behavioral Skills (IMB) Model: Need for utilization in alcohol and drug education. Journal of Alcohol and Drug Education, 56(1), 3–7.
Storey, K. E., Montemurro, G., Flynn, J., Schwartz, M., Wright, E., Osler, J., Veugelers, P. J., & Roberts, E. (2016). Essential conditions for the implementation of comprehensive school health to achieve changes in school culture and improvements in health behaviours of students. BMC Public Health, 16(1), 1–11. https://doi.org/10.1186/S12889-016-3787-1/FIGURES/1
Usher, E. L., & Schunk, D. H. (2017). Social Cognitive Theoretical Perspective of Self-Regulation. Handbook of Self-Regulation of Learning and Performance, Second Edition, 19–35. https://doi.org/10.4324/9781315697048-2/Social-Cognitive-Theoretical-Perspective-Self-Regulation-Ellen-Usher-Dale-Schunk
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Copyright (c) 2025 Rudihari Asgar, Ahmad Yudi Saputra, Mujahidin Hasanul Bisri, Ade Sofyan Hadi, Faizi Anwar (Author)

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