Application of Health Belief Model on Obesity Prevention Behavior in Adolescents
DOI:
https://doi.org/10.26911/thejhpb.2024.09.03.08Abstract
Background: Adolescent obesity is a global challenge with serious health impacts. This study aimed to explore the application of the Health Belief Model (HBM) in the context of preventing obesity in adolescents.
Subjects and Method: This research uses an observational analytical design with a cross sectional approach. The population consists of teenagers aged 15-19 years in the city of Surakarta, with a sample of 200 teenagers chosen randomly. The dependent variable is obesity prevention behavior. The independent variable is the HBM construct (perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy). Data was collected using a questionnaire, and analyzed using multiple linear regression.
Results: There is a positive and statistically significant relationship between perceived vulnerability (b= 0.08; 95% CI= 0.03 to 0.13; p = 0.004), perceived seriousness (b= 0.37; 95% CI= 0.29 to 0.46; p<0.001), perceived benefits (b= 0.22; 95% CI= 0.14 to 0.29; p<0.001), cues to action (b= 0.15; 95% CI= 0.05 to 0.25; p= 0.005) and self-efficacy (b= 0.05; 95% CI = 0.01 to 0.10; p= 0.027) on obesity prevention behavior. Adjusted R-squared= 72.15%. This means that the HBM construct includes perceptions of vulnerability, perceptions of severity, perceptions of benefits, cues to action, and self-efficacy, together they are able to explain variations in obesity preventive behavior in adolescents by 72.15%.
Conclusion: The results of this study indicate that the Health Belief Model construct includes perceptions of vulnerability, perceptions of seriousness, perceptions of benefits, cues to action, and self-efficacy, which play a role together in shaping obesity prevention behavior in adolescents.
Keywords:
health belief model, obesity, preventive behavior, adolescentsReferences
Adimuntja NP, Asriati A, Nurdin, MA. (2023). Perilaku Pencegahan Obesitas pada Mahasiswa Universitas Cendera-wasih (Obesity Prevention Behavior in Cenderawasih University Students). J. Promotif Prevention, 6(2):218-229. Doi: 10.47650/jpp.v6i2.737
Badan Pusat Statistik Kota Surakarta. (2023). Kota Surakarta Dalam Angka 2023 (Surakarta City in Figures 2023). Surakarta: BPS Kota Surakarta
Bandura A (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychol. Rev., 84(2):191-215. Doi: 10.1016/0146-6402(78)90002-4
Basuki G, Hartati S (2013). Makna Obesitas (Obesity Meaning). J. EMPATI, 2(3): 369-376. Doi: 10.14710/empati.2013.7361
Batubara JR (2016). Adolescent develop-ment (perkembangan remaja). Sari pediatri, 12(1):21-9. Doi: 10.14238/sp12.1.2010.21-9
Buru K, Emeto TI, Malau-Aduli AE, Malau-Aduli BS (2021). Australian school stakeholders’ perceived strategies for preventing adolescent obesity. Int. J. Environ. Res. Public Health, 18(17): 9387. Doi: 10.3390/ijerph18179387
Chooi YC, Ding C, Magkos F (2019). The epidemiology of obesity. Metabolism, 92:6-10. Doi: 10.1016/j.metabol.20-18.09.005.
Destianty A, Caninsti R. (2021). Peran Health Consciousness terhadap Pre-ventive Health Care Behavior pada Individu yang Mengalami Obesitas. J. Psikogenesis, 9(1):81-103.
Diananda A (2019). Psikologi remaja dan permasalahannya (Adolescent psyc-hology and its problems). ISTIGHNA: J. Pendidik. dan Pemikir. Islam, 1(1): 116-133. Doi: 10.33853/istighna.v1i1.-20.g21
Flodgren GM, Helleve A, Lobstein T, Rutter H, Klepp KI (2020). Primary prevention of overweight and obesity in adolescents: An overview of systematic reviews. Obesity Reviews, 21(11): 13102. Doi: 10.1111/obr.13102
Haibah R, Sulistyowati M, Ismayani (2020). Preventive Behaviour to Obesity in Elementary School Students in Surabaya, Indonesia. Indones. J. Health Promot. and Health Educ., 8(2):190-197. Doi: 10.20473/jpk.V8.-I2.2020.190-197
Hita IPAD (2020). Efektivitas Metode Latihan Aerobik dan Anaerobik Untuk Menurunkan Tingkat Overweight dan Obesitas (The Effectiveness of Aerobic and Anaerobic Exercise Methods to Reduce Overweight and Obesity Levels). J. Penjakora Fakultas Olahraga Dan Kesehatan, 7(2):135-142.
Jebeil H, Kelly A S, O'Malley G, Baur LA (2022). Obesity in children and adolescents: epidemiology, causes, assessment, and management. Lancet Diabetes Endocrinol. Doi: 10.-1016/S22-138587(22)00047-X.
Kementerian Kesehatan Republik Indo-nesia. (2017). Pedoman umum gentas: Gerakan berantas obesitas (General guidelines for gentas: Movement to eradicate obesity). Jakarta: Kemen-terian Kesehatan Republik Indonesia. Accessed October 7, 2023.
Kementerian Kesehatan Republik Indonesia (2015). Pedoman umum dalam Pengendalian Obesitas (general guide-lines for controlling obesity). Jakarta: Kementerian Kesehatan Republik Indonesia.
Khumros W, Vorayingyong A, Suppapiti-porn S, Rattananupong T, Lohsoon-thorn V (2018). Effectiveness of modified health belief model-based intervention to reduce body mass index for age in overweight junior high school students in Thailand. J. Health Res., 33(2):162-172. Doi: 10.1108/JHR-08-2018-0065
Kivimäki M, Strandberg T, Pentti J, Nyberg ST, Frank P, Jokela M, Ervasti J, et al. (2022). Body-mass index and risk of obesity-related complex multi-morbidity: an observational multi-cohort study. Lancet Diabetes endocrinol., 10(4):253-263. Doi: 10.1016/S2213-8587(22)00033-X
Kurdanti W, Suryani I, Syamsiatun, NH, Siwi LP, Adityanti MM, Mustika-ningsih D, Sholiha KI (2015). Faktor-faktor yang mem-pengaruhi kejadian obesitas pada remaja (Factors that influence the incidence of obesity in adolescents). J. Gizi Klin. Indones., 11(4): 179-190. Doi: 10.-22146/ijcn.-22900.
Lambrinou CP, Androutsos O, Karaglani E, Cardon G, Huys N, Wikström K, Kivelä J, et al. (2020). Effective strategies for childhood obesity prevention via school-based, family-involved interventions: a critical review for the development of the Feel4Diabetes-study school-based component. BMC Endocrine Disorders, 20(2):1-20. Doi: 10.1186/s12902-020-0526-5
Lestari PH, Juliani E, Rosliany N (2022). Hubungan Efikasi Diri Remaja dengan Pengetahuan, Sikap dan Praktik Pencegahan Infeksi COVID-19 (The Relationship between Adolescent Self-Efficacy and Knowledge, Attitudes and Practices for Preventing COVID-19 Infection). J. Kesehat. Holist., 6(1):1-11. Doi: 10.33377/jkh.v6i1.120
McArthur LH, Riggs A, Uribe F, Spaulding TJ (2018). Health belief model offers opportunities for designing weight management interventions for college students. J Nutr Educ Behav, 50(5): 485-493. Doi: 10.1016/j.jneb.2017.-09.010
Muderedzwa TM, Matsungo TM (2020). Nutritional status, physical activity and associated nutrition knowledge of primary school learners. Nutr. Health, 26(2):115–125. Doi: 10.1177/0260-10-6020910625
Noorbakhsh A, Mostafavi F, Shahnazi H (2017). Effects of the educational intervention on some health belief model constructs regarding the prevention of obesity in students. Int. J. Pediatr, 5(8):5561-5570. Doi: 10.22-038/IJP.2017.24632.2077
Nuriannisa F, Yuliani K, Raharjeng S, Cha-sanatussy M, Awaliah RB, Adkhatus N, Anjali S (2023). Improvement of Nutrition Perception in Adult Women with Health Belief Model Approach”, Amalee: Indones. J. Community Res. and Engagem. 4(1):107-117. Doi: 10.37680/amalee.v4i1.2060
Riskesdas L (2013). Badan Penelitian dan Pengembangan Kesehatan (Agency for Health Research and Development). Jakarta: Kementerian Kesehatan RI.
Riskesdas T (2018). Laporan Provinsi Jawa Tengah Riskesdas 2018 (2018 Ris-kesdas Central Java Province Report). Kementerian Kesehatan RI, pp.88-94.
Riskesdas T (2019). Laporan nasional RISKESDAS 2018 (2018 RISKESDAS national report). Jakarta: Badan Penelitian dan Pengembangan Kesehatan.
Rosenstock IM (2000). Health Belief Model In A. E. Kazdin (Ed.), Encyclopedia of psychology,4:78–80. Oxford University Press.
Rusyani YY, Trisnowati H, Soekardi R, Susanto N, Agustin H (2021), May. Analisis Persepsi Keseriusan dan Manfaat Berperilaku dengan Praktik Pencegahan COVID-19. J. Formil Kes-mas Respati, 6(1):69-78). Doi: 10.35-842/formil.v6i1.344
Saghafi-As M, Aliasgharzadeh S, Asghari-Jafarabadi M (2020). Factors influencing weight management behavior among college students: An application of the Health Belief Model. PloS One, 15(2), p.e0228058. Doi: 10.1371/journal.pone.0228058
Santrock JW (2016). Adolescence (Sixteenth). McGraw-Hill Higher Education.
Story M, Nanney MS, Schwartz MB (2009). Schools and obesity prevention: creating school environments and policies to promote healthy eating and physical activity. Milbank Q., 87(1):71-100. Doi: 10-.1111/j.14680009.-2009.00548.x
Sudargo T, Freitag H, Kusmayanti NA, Rosiyani F (2018). Pola makan dan obesitas (Diet and obesity). UGM press.
Sugiatmi S, Handayani DR (2018). Faktor dominan obesitas pada siswa sekolah menengah atas di Tangerang Selatan Indonesia. J. Kedokt. dan Kesehat., 14(1):1-10. Doi: 10.24853/JKK.14.1.1-10
Sutherland ME (2021). Prevalence of overweight and obesity among African American children and adolescents: risk factors, health outcomes, and prevention/intervention strategies. J. Racial Ethn. Health Disparities, pp.1-12. Doi: 10.1007/s40615020-00890-9
Telisa I, Hartati Y, Haripamilu AD (2020). Faktor resiko terjadinya obesitas pada remaja SMA (Risk factors for obesity in high school adolescents). Faletehan Health J. 7(03): 124-131. Doi: 10.33-746/fhj.v7i03.160.
Thahir AIA, Masnar A. (2021). Obesitas anak dan remaja: faktor resiko, pen-cegahan, dan isu terkini (Childhood and Adolescent Obesity: Risk Factors, Prevention, and Current Issues). CV. Edugizi Pratama Indonesia.
Upadhyay J, Farr O, Perakakis N, Ghaly W, Mantzoros C (2018). Obesity as a disease. Med. Clin. 102(1):13-33. Doi: 10.1016/j.mcna.2017.08.004
WHO (2019b). What are the common health consequences of being overweight and obesity? Accessed October 7, 2023.
WHO (2019c). What causes obesity and overweight? Accessed October 7, 2023
WHO (2021a). Obesity and overweight. Accessed October 7, 2023.
Wilandika A (2020). Pendampingan kese-hatan aplikasi case-based learning (CBL) dalam peningkatan efikasi diri pencegahan perilaku beresiko hiv pada mahasiswa perguruan tinggi di kota Bandung. J. Pengabdian Nusantara, 3(2):156-164. Doi: 10.29407/ja.v3i2.13659.
Yang SJ, Jang SH, Kim SJ (2012). Physical activities and health beliefs of elementary school students for obesity prevention and management among elementary school students. J. Korean Public Health Nurs., 26(2):227-238. Doi: 10.5932/JKPHN.2012.26.2.227.
