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Program Makanan Bergizi Gratis (MBG) merupakan salah satu upaya pemerintah dalam meningkatkan status gizi anak sekolah dasar melalui penyediaan makanan sehat dan bergizi. Namun, keberhasilan program ini tidak hanya ditentukan oleh ketersediaan makanan, tetapi juga dipengaruhi oleh perilaku konsumsi siswa. Perilaku konsumsi makanan pada anak sekolah dipengaruhi oleh berbagai faktor, seperti pengetahuan gizi, pengaruh teman sebaya, peran guru, rasa makanan, dan kebiasaan makan di rumah. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi perilaku konsumsi Makanan Bergizi Gratis (MBG) pada siswa Sekolah Dasar Negeri 66 Kota Jambi. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh siswa kelas IV dan V SDN 66 Kota Jambi sebanyak 231 siswa. Sampel penelitian berjumlah 96 responden yang dipilih menggunakan teknik stratified random sampling. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa sebagian besar siswa memiliki pengetahuan gizi yang baik. Analisis bivariat menunjukkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan gizi (p=0,868) dan pengaruh teman sebaya (p=0,229) dengan perilaku konsumsi MBG. Namun, terdapat hubungan yang signifikan antara peran guru (p=0,005), rasa makanan (p=0,045), dan kebiasaan makan di rumah (p=0,005) dengan perilaku konsumsi MBG. Faktor yang paling memengaruhi perilaku konsumsi siswa adalah rasa makanan dan dukungan lingkungan sekitar

Tuberkulosis (TB) merupakan penyakit menular yang masih menjadi masalah kesehatan global dan terus meningkat setiap tahunnya. Penyakit ini tersebar luas dan menjadi salah satu penyebab utama kematian akibat infeksi. Pemberian Terapi Pencegahan Tuberkulosis (TPT) merupakan salah satu strategi penting dalam upaya penanggulangan TB, khususnya pada kelompok berisiko seperti kontak serumah pasien TB, pelaksanaan program TPT di Kota Kendari masih belum optimal dan tergolong rendah dan Puskesmas Poasia merupakan puskesmas dengan jumlah kasus TB tertinggi dalam tiga tahun terakhir. Penelitian ini bertujuan untuk mengetahui gambaran penerimaan Terapi Pencegahan Tuberkulosis pada kontak serumah pasien TB dengan pendekatan teori Health Belief Model (HBM) di wilayah kerja Puskesmas Poasia Kota Kendari tahun 2025. Jenis penelitian adalah deskriptif kuantitatif yang dilaksanakan pada Maret 2026. Jumlah sampel sebanyak 80 responden yang dipilih menggunakan teknik simple random sampling. Analisis data yang digunakan adalah analisis univariat untuk menggambarkan distribusi frekuensi dan persentase setiap variabel. Hasil penelitian menunjukkan bahwa sebagian besar responden tidak menerima TPT yaitu sebanyak 71 responden (88,8%), sedangkan yang menerima hanya 9 responden (11,2%). Mayoritas responden memiliki persepsi kerentanan dan keseriusan yang rendah, persepsi hambatan yang tinggi, serta efikasi diri yang rendah, sedangkan persepsi manfaat menunjukkan hasil yang cukup berimbang. Hal ini menunjukkan bahwa faktor-faktor dalam Health Belief Model berperan dalam memengaruhi penerimaan TPT. Diperlukan peningkatan edukasi dan dukungan tenaga kesehatan untuk meningkatkan kesadaran serta penerimaan TPT.

Adolescents have low levels of physical activity, one of which is caused by poor perceptions of the components of the Health Belief Model (HBM), while a sedentary lifestyle increases the risk of long-term health problems. This study aims to describe the HBM (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action) in students before counseling, and analyze the differences in HBM (perceived susceptibility, perceived severity, perceived benefits, perceived barriers) after counseling with film media. The study used a quasi-experimental design with a cross-sectional approach, involving 51 eighth-grade students of SMP PGRI 363 Pondok Petir who were selected using a total sampling technique. Data were collected using pre-test and post-test questionnaires, then analyzed descriptively using the median as the cut-off point. The results showed an increase in all four HBM constructs evaluated: perceived susceptibility increased by 50.0% (median 14 to 21), perceived severity increased by 44.4% (18 to 26), perceived benefits increased by 44.0% (25 to 36), and perceived barriers increased by 54.5% (11 to 17). Before the counseling, the majority of students were in the medium category for self-efficacy (65%) and cues to action (96%), but these two constructs were not re-evaluated after the counseling. Further research is needed to fully measure the increase in students' HBM perceptions of physical activity through film media.

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Tuberculosis (TB) remains one of the leading infectious causes of death worldwide and continues to pose a major public health challenge. The disease is caused by Mycobacterium tuberculosis and is transmitted through airborne droplets when infected individuals cough or speak. Without treatment, TB has a mortality rate of approximately 50%; however, about 85% of patients can be successfully treated with anti-tuberculosis drugs administered for 4–6 months according to standard guidelines. Indonesia is among the eight countries contributing the highest number of TB cases globally, yet national treatment adherence remains suboptimal. This study aimed to analyze factors associated with medication regularity among pulmonary TB patients in Indonesia using data from the 2023 Indonesian Health Survey. A cross-sectional design was applied using secondary data from respondents aged ≥15 years who had been diagnosed with TB and received treatment, with a weighted sample of 667,421 individuals. Data were analyzed using univariate, bivariate (Rao-Scott Chi-Square), and multivariate logistic regression with backward elimination. The prevalence of regular medication intake was 72.21%. Education level, residence, presence of a treatment supervisor (PMO), type of therapy, and comorbidities were significantly associated with medication regularity. Multivariate analysis identified the presence of a PMO as the most dominant factor, followed by higher education and absence of comorbidities. Strengthening treatment supervision and implementing Health Belief Model–based health education are essential to support the 2030 TB elimination target in Indonesia.  

Premarital sexual behavior in adolescents is a public health issue influenced by various individual, social, and environmental factors. Changes in social norms, technological advancements, and limited reproductive health knowledge make adolescents a group vulnerable to risky sexual behavior. This study aims to examine the factors influencing premarital sexual behavior among adolescents based on the Health Belief Model (HBM) approach. The method used is a Systematic Literature Review (SLR), review national and international scientific articles published between 2013 and 2025. Data sources were abtained from Google Scholar and ScienceDirect, with inclusion criteria including articles in Indonesia and English, open access, full text, and relevant to HBM components. The study result indicate that factors such as perceived barriers, self-efficacy, and the quality of information play an important role in shaping adolescent sexual behavior. Low knowledge and limited perception oh the negative impacts of premarital sex increase the risk of engaging in risky sexual behavior. In addition, health promotion interventions based on the Health Belief Model (HBM) have been proven effective in improving knowledge, attitudes, and preventive behaviors regarding premarital sex among adolescents. Therefore, the HBM approach is recommended as a basis for developing comprehensive and sustainable adolescent reproductive health education and promotion programs.

Drug abuse is a serious global public health problem, with the prevalence in Indonesia reaching 1.73% or about 3.33 million people in 2023, mainly among those aged 15–24 years. Understanding the psychological determinants of this behavior is crucial to enhance prevention and rehabilitation efforts. Objective: To analyze determinants of drug abuse behavior based on the Health Belief Model (HBM) through a literature review of studies published between 2015 and 2025. Methods: A literature review of 8 academic articles from Google Scholar and PubMed, limited to open‑access Indonesian- and English‑language journals examining HBM constructs related to drug abuse and rehabilitation participation. Results: HBM variables were generally associated with drug abuse behavior and rehabilitation adherence, with self‑efficacy emerging as the most consistent determinant, followed by perceived susceptibility and perceived severity. Perceived barriers, especially complex administrative procedures, distance, costs, and stigma, were identified as major obstacles to engaging in rehabilitation. Conclusion: The HBM is useful for mapping determinants of drug abuse behavior and highlights the need to strengthen self‑efficacy, risk perceptions, and barrier reduction within health promotion and community‑based rehabilitation programs.

Premarital sex is sexual intercourse outside of legal or religious marriage. This behavior can cause various problems such as sexually transmitted diseases, unplanned pregnancies, and encourage early marriage. Analyzing the determinants of adolescent premarital sex based on the Health Belief Model. Using a literature review approach, this study analyzes several academic references such as journals, books, encyclopedias, and others that discuss the topic of premarital sex among adolescents based on the Health Belief Model (HBM) Theory. This study uses seven journals, with sources from the last six years. The study began in October-November 2025. Based on the analysis, there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and premarital sex behavior among adolescents. The conclusion shows that in all seven studies, the main components of HBM are significantly related to this behavior. For adolescents, it is recommended to better understand premarital sex behavior by seeking appropriate information and selecting positive friends and social environments so as not to be influenced by negative things or the urge to engage in premarital sex behavior.

Smoking behavior among adolescents is a serious and growing public health problem. Data from the 2023 Indonesian Health Survey (SKI) shows that 7.4% of adolescents aged 10–18 years smoke. This literature review aims to determine the determinants of smoking behavior among adolescents based on the Health Belief Model (HBM) theory, with a focus on components such as perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy. Using a literature review approach, this study identified and analyzed several academic references such as journals, books, encyclopedias, and others that discuss topics related to the determinants that influence smoking behavior among adolescents based on the Health Belief Model (HBM). The analysis conducted indicates that there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and smoking behavior among adolescents. The conclusion of this study shows that in 9 studies that applied the Health Belief Model (HBM) theory in examining smoking behavior in adolescents, all major components of HBM were proven to have a significant relationship with this behavior. This study provides an important theoretical basis for the development of effective and sustainable health promotion programs in controlling smoking behavior among adolescents.

ABSTRACT Background: Traditional medicinal plants play a significant role in public health in Indonesia, particularly in Bali, where the local wisdom of Usada is upheld. One of the commonly used plants is sandalwood (Santalum album L.), which is empirically believed to treat skin issues and minor injuries. Purpose: This study aimed to examine the community's perceptions of sandalwood in Perean Tengah Village using the HBM approach. Method: A qualitative method with an ethnographic study design was employed, and five informants (four sandalwood users and one traditional healer) were purposively selected. Data were gathered through in-depth interviews, participant observation, and documentation, and they were analyzed thematically using NVIVO software. Results: The results indicated that the community recognizes their susceptibility to minor injuries resulting from daily physical activities and uses sandalwood as a form of first aid. Sandalwood is perceived as beneficial because it provides a cooling sensation, reduces pain and swelling, and is considered safe and practical for use. However, the main barriers to its use include the limited availability of sandalwood in the local area and reliance on supplies from other regions. Conclusion: The tradition of using sandalwood is preserved through intergenerational practices and positive personal experiences. This study emphasizes the significance of sandalwood for health applications, cultural identity, and the local wisdom of the Balinese community.

Diabetes has steadily increased in the last two decades. Studies show people's behavior in managing diabetes is very complex and influenced by cultural beliefs and values. This research describes the understanding, belief, and related behaviors toward the diabetes mellitus of Diabetes Mellitus type II patients in the Eastern region of Indonesia. The researchers grouped the participants in a semi-structured focus group. The group consisted of 12 participants aged between 45 and 55 years old. The focused group was useful to obtain the perspective, experience, and attitude about diabetes. The researchers analyzed the qualitative data with the Health Belief Model as the analytical framework to identify the patterns and the main findings. The analysis results found five primary themes related to understanding, belief, and diabetic behavior. The themes were: The diabetic understanding of the Eastern regional communities such as the cultural problem and the role of local beliefs to treatment diabetes. The tradition and the modern medical approach, the challenges of healthy lifestyle practice, the psychological impacts of diabetes on health, and the expectations and the challenges of the local health system.The researchers expect the findings could be the principle for developing more directed and effective interventions

Smoking behavior among adolescents in Indonesia remains a serious public health challenge with increasing prevalence. Adolescence is a vulnerable period where psychological factors and the social environment significantly influence the decision to smoke. This study aims to review the factors influencing smoking behavior among adolescents based on the Health Belief Model (HBM) theoretical framework. This study is a literature review that analyzes various research findings related to the determinants of smoking behavior using HBM components. The analysis shows that all dimensions of HBM play a role in shaping smoking behavior. Self-efficacy and perceived susceptibility were found to be the strongest predictors. Although adolescents have a good perceived severity of the dangers of smoking, they are often hindered by high perceived barriers, such as peer pressure and psychological dependence. Consistent cues to action and perceived benefits are proven to encourage prevention and smoking cessation efforts. Adolescent smoking behavior is strongly influenced by individual beliefs in self-ability and health risks. Health interventions should focus on strengthening self-control and managing social influences to reduce the number of adolescent smokers.

Premarital sexual behavior among adolescents is a reproductive health problem influenced by various internal and external factors. The Health Belief Model (HBM) is used as a framework to understand this behavior, but previous research findings still show varying results. This study aims to analyze the contribution of the Health Belief Model components to premarital sexual behavior among adolescents based on the results of local research for the period 2020-2025. The method used was a literature review of relevant journal articles and scientific papers. The results showed that perceived vulnerability, perceived barriers, self-efficacy, and external cues to action such as media exposure and peer influence were variables that were consistently related to the main/dominant predictors of external cues to action, while perceived severity and perceived benefits showed inconsistent relationships. This study confirms that adolescent premarital sexual behavior is influenced by the interaction between cognitive, psychosocial, and environmental factors, thus requiring comprehensive and contextual reproductive health interventions.

Premarital sexual behavior among adolescents remains a public health concern influenced by social change, technological development, and social environment. This study aims to analyze factors associated with adolescent premarital sexual behavior based on the Health Belief Model (HBM). A systematic literature review was conducted on eight studies published between 2019 and 2025, including journal articles, undergraduate theses, and a doctoral dissertation. The findings were analyzed by categorizing the results into six HBM components: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The results indicate that perceived susceptibility is the most consistently associated component with adolescent premarital sexual behavior. Perceived severity, perceived barriers, cues to action, and self-efficacy also show significant associations in several studies, whereas perceived benefits demonstrate the weakest and most inconsistent relationship. Overall, adolescent premarital sexual behavior is shaped by the interaction between risk perception, environmental support, and individual confidence in behavioral control. These findings confirm that the Health Belief Model remains a relevant framework for designing adolescent health promotion and preventive interventions.

Type 2 diabetes mellitus (T2DM), once primarily affecting adults, is now increasingly prevalent among adolescents due to lifestyle changes. Adolescents represent a critical age group for the development of healthy behaviors, making it essential to identify factors influencing T2DM preventive behavior. This study employed a quantitative approach with a cross-sectional design, conducted in Ciledug District, Tangerang City, from April to June 2025. A total of 224 adolescents aged 15–24 years were selected using stratified random sampling. Data were analyzed using the Chi-Square test. The results showed that 49.1% of adolescents exhibited poor preventive behavior against T2DM. Gender and perceived barriers were significantly associated with preventive behavior (p < 0.05), whereas other factors such as age, family history, and other Health Belief Model (HBM) constructs were not significantly related. In conclusion, adolescents’ preventive behavior toward T2DM remains relatively low and is influenced by perceived barriers. Therefore, interventions should focus on reducing perceived barriers while enhancing environmental support and self-motivation. Active involvement from schools, governments, families, and communities is crucial to foster positive behavioral change.

Background: Smoking among adolescents in Pidie, Aceh, is a growing public health concern, marked by increasing prevalence and significant household expenditure despite known health risks. This behavior persists due to cultural and social influences and a lack of motivation to quit, with adolescents' perceptions of risk, though crucial, not fully understood. Method : This analytical cross-sectional survey of 303 male high school students in Pidie used Partial Least Squares (PLS) to examine the relationship between Health Belief Model (HBM) factors and smoking cessation efforts. Result : The findings revealed that perceived barriers (t-statistic = 4.284 > t-table = 1.96), perceived susceptibility (t-statistic = 2.050 > t-table = 1.96), and perceived benefits (t-statistic = 4.082 > t-table = 1.96) had a direct significant relationship with cessation attempts, while perceived severity did not. Conclution: This study concluded that perceived barriers actually motivate quitting, with negative experiences like health problems for themselves or family acting as triggers. Therefore, understanding both the benefits and barriers is key to increasing smoking cessation motivation among adolescent males.

Non-communicable diseases (NCDs) are the leading cause of death globally, with type 2 diabetes being one of the most prevalent conditions. Nutritional management for clients with type 2 diabetes requires strict adherence to the correct schedule, type, and quantity of food. To improve medication adherence, it is essential to implement preventive strategies that promote patient engagement and self-management. One such strategy is the Health Belief Model (HBM), which encourages patients to adopt healthy behaviors based on their perceptions of risk, severity, benefits, and barriers. This study aims to analyze the relationship between the Health Belief Model and medication adherence among type 2 diabetic patients in the Galala Community Health Center (Puskesmas) work area. A quantitative cross-sectional study design was used, with a sample size of 108 participants selected through simple random sampling. The independent variables in this study were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, while the dependent variable was medication adherence. The results revealed significant relationships between all the HBM constructs and medication adherence. Specifically, perceived susceptibility (p=0.000), perceived severity (p=0.000), perceived benefits (p=0.000), perceived barriers (p=0.000), and cues to action (p=0.000) all had strong associations with adherence to medication. The findings suggest that the Health Belief Model is a valuable framework for improving medication adherence among type 2 diabetes patients. Additionally, the use of health information technology is an effective strategy to increase patient awareness of the risks of non-adherence and the importance of regular medication intake. A combination of education, social support, technology, and an individualized approach can create a supportive environment that encourages patients to manage their treatment effectively.

Low fiber consumption among university students increases the risk of chronic diseases such as coronary heart disease, and diabetes. Many students prioritize convenient eating habits and are influenced by peer groups, often overlooking the importance of fiber intake in their daily diet. This educational program aims to enhance students' knowledge about the benefits of fiber consumption through interactive audio and visual media. The program applies the Health Belief Model (HBM) theory to design educational content in the form of videos and posters distributed via the social media platform Instagram. Involving 26 student respondents from various faculties at Halu Oleo University, the results showed a significant improvement in students' understanding of the health benefits of fiber, types of fiber-rich foods, and the role of fiber in preventing chronic diseases. Education through engaging media successfully increased students' motivation to improve their dietary habits by incorporating more fiber into their diets.

Instant Noodle Consumption Education Among University Students is a program aimed at raising awareness of the dangers of excessive instant noodle consumption and the importance of a balanced diet. A situational analysis using a questionnaire based on the Health Belief Model (HBM) provided foundational information on students' perceptions of instant noodles, serving as the basis for developing educational media. Next, a combination of poster and educational video media was used to encourage students to limit their instant noodle consumption. Educational content was shared through the social media platform Instagram to reach a larger student audience, leveraging this platform's capacity for rapid and widespread information dissemination. The results showed an increase in students' awareness about balanced nutrition and the health impacts of instant noodles. Ongoing education is expected to help foster healthier eating habits among students.