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Determinan Perilaku Pola Makan Vegetarian pada Orang Dewasa Berdasarkan Pendekatan Theory of Planned Behavior Syamsul Bahri; Muhammad Azwar; Faradiba Anggraeni
Jurnal Kesehatan Marendeng Vol. 10 No. 2 (2026): JURNAL KESEHATAN MARENDENG
Publisher : LPPM STIKES Marendeng Majene

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58554/jkm.v10i2.237

Abstract

A vegetarian diet is a plant-based dietary behavior increasingly recognized as a strategy to support the prevention of non-communicable diseases. However, maintaining vegetarian dietary practices is influenced not only by nutritional factors but also by psychosocial determinants. This study aimed to analyze determinants of vegetarian dietary behavior among adults using the Theory of Planned Behavior approach. An analytical observational study with a cross-sectional design was conducted among 115 adult vegetarians in the Ajatappareng region, South Sulawesi, selected through purposive sampling. Independent variables included attitude, subjective norm, perceived behavioral control, and intention, while the dependent variable was vegetarian dietary behavior. Data were analyzed using chi-square tests and multiple logistic regression. Bivariate analysis showed that attitude (p=0.003), subjective norm (p=0.018), perceived behavioral control (p<0.001), and intention (p<0.001) were significantly associated with vegetarian dietary behavior. After multivariate adjustment, positive attitude (AOR=2.27; 95% CI:1.02–5.05), high perceived behavioral control (AOR=3.25; 95% CI:1.32–8.00), and strong intention (AOR=4.81; 95% CI:1.89–12.25) remained significant determinants. Intention was the strongest predictor of healthy vegetarian dietary behavior. These findings suggest that health promotion interventions should move beyond providing nutritional information by fostering intrinsic motivation, emotional engagement, and self-regulatory capacity to support sustained adherence to plant-based dietary practices.
Strengthening Oral Health and Oral Hygiene Behaviour among School-Aged Children through the Healthier Smiles Phase 7 Programme: Results of an End-line Assessment in North Luwu and East Luwu Regencies, South Sulawesi, Indonesia Andi Alim; Arlin Adam; Roberth Edison Nufninu; Zamli; Syamsul Bahri
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1407

Abstract

Oral health problems among school-aged children remain a major public health challenge in Indonesia, particularly in rural areas where access to dental care services is limited. This study aimed to evaluate the achievements of the Healthier Smiles Phase 7 Programme through an end-line assessment, focusing on changes in oral health knowledge, attitudes, and practices, the strengthening of the school environment, and programme sustainability. A mixed-methods approach with a non-experimental repeated cross-sectional design was employed, integrating quantitative surveys, school observations, Key Informant Interviews (KIIs), and Focus Group Discussions (FGDs). A total of 544 respondents, comprising 250 students, 250 parents or caregivers, and 44 teachers from 12 schools, participated in the study. The findings demonstrated that students' knowledge increased from 64.4% to 84.0%, while positive attitudes reached 98.4%. The programme also strengthened supervised toothbrushing activities, school-based health education, collaboration with community health centres (Puskesmas), and the implementation of the School Health Programme (Usaha Kesehatan Sekolah—UKS). However, healthy behavioural practices did not fully correspond with the improvement in knowledge, indicating the need for sustained reinforcement through support from families, schools, and local government. It is concluded that the Healthier Smiles Phase 7 Programme has contributed to improving oral health and oral hygiene behaviours while strengthening the school health system. Nevertheless, sustaining these achievements requires stronger policy support and continued cross-sectoral collaboration.