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School-Based Intervention in Reducing Sugar-Sweetened Beverage Consumption Among Children and Adolescents: A Systematic Literature Review Zahra Ayu Qalbina; Tri Krianto
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55313

Abstract

Sugar-sweetened beverages (SSB) consumption in Indonesia has increased, contributing to the prevalence of obesity and cardiometabolic diseases. Schools represent a strategic setting to promote healthy lifestyles among children and adolescents. This study aimed to review school-based interventions for reducing SSB consumption and to identify their limitations and recommendations. A systematic literature review was conducted in accordance with PRISMA guidelines. Articles published between 2015 and 2025 were retrieved from PubMed, Scopus, and ProQuest. From an initial 705 articles, 8 studies met the eligibility criteria for inclusion. The findings revealed that most interventions utilized a combination of educational and environmental strategies, while others employed peer-influence or environmental-only approaches. Integrated approaches that addressed both educational and environmental strategies were generally associated with more favorable outcomes. Nevertheless, several limitations were identified, particularly those related to challenges in establishing causal inference and the potential for measurement bias. For further research, it is advised to adopt a participatory design approach, integrate interventions into school curriculum and policy framework, and improve both physical and social access to drinking water within the school environment.
Mothers’ Experiences in Providing Sexual and Reproductive Health Education to Prevent Child Sexual Abuse Zahra Ayu Qalbina; Annisa Nurrachmawati; Lies Permana
Jurnal Kesehatan Akimal Vol 5 No 2 (2026): EDISI OKTOBER 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i2.278

Abstract

Background: Child sexual abuse (CSA) is a public health problem, and parents, especially mothers, play an important role in prevention by providing sexual and reproductive health education. However, local qualitative evidence on why parents’ knowledge does not always translate into practice remains limited. Objective: This study explored mothers’ experiences, barriers, and needs in providing sexual and reproductive health education to prevent CSA. Methods: This qualitative study was conducted in February 2023 at a public elementary school in Samarinda, East Kalimantan. Eleven mothers of lower-grade students were recruited through purposive sampling and took part in two focus group discussions. The discussions were audio-recorded, transcribed verbatim, and analyzed thematically. Results: Five themes emerged: (1) mothers’ efforts to prevent CSA, (2) shifting perspectives and responsibility for the education, (3) the content taught, (4) barriers, and (5) needs and recommendations. Mothers supervised their children’s mobility, limited physical contact with relatives, applied religion-based parenting, and taught body safety, privacy, and hygiene. Some mothers viewed the education less as taboo and more as a way to protect children. They regarded the education as the responsibility of parents and caregivers, although mothers often carried a larger share. Mothers faced barriers in communication and limited knowledge of age-appropriate content. They asked for health education for parents and teachers and preferred a printed booklet. Suggestions: This study suggests that parents build open, non-judgmental communication with their children, that comprehensive sexuality education be integrated into the school curriculum, and that families, schools, and health professionals strengthen their collaboration to support effective CSA prevention.