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Knowledge, Attitude, and Practice Related to Eating Behavior for the Prevention of Type 2 Diabetes Among High School Students

Indonesian Contemporary Nursing Journal (ICON Journal) · Vol. 10 No. 1 (2025) · pp. 44–57

DOI
10.20956/icon.v10i1.44053
ISSN
2686-116X, 2528-2557
Published
2025-08-17
Publisher
Faculty of Nursing, Universitas Hasanuddin
Language
en

Abstract

Aims: Diabetes mellitus is a major global public health concern, particularly in Indonesia. Eating behavior, particularly type 2 diabetes mellitus (T2DM), plays a crucial role in the prevention of diabetes. This study aimed to assess high school students’ knowledge of T2DM, attitudes toward healthy eating, and dietary practices related to diabetes prevention, as well as to examine the correlations among these variables. Methods: The study was conducted from May to October 2024 in three sub-districts of Kampar Regency, Riau Province, Indonesia. A total of 207 high school students were recruited through convenience sampling. Data were collected using a validated knowledge, attitude, and practice (KAP) questionnaire comprising four sections: Sociodemographic characteristics, Knowledge about T2DM, Attitudes toward healthy eating, and Dietary practices. Univariate analysis was conducted to describe the distribution of KAP levels, and Spearman’s rank-order correlation was used to examine the relationships among KAP scores. Results: Most senior high school students (80.2%) demonstrated a moderate overall KAP level. Specifically, 49.3% had moderate knowledge of T2DM, 81.2% exhibited a neutral attitude toward healthy eating, and 59.9% reported moderate dietary practices. Spearman’s rank correlation analysis revealed a weak but statistically significant positive correlation between knowledge and attitude (p=0.145, p=0.037), and between knowledge and practice (p=0.137, p=0.048). A moderate-to-strong positive correlation was found between attitude and practice (p=0.530), indicating a stronger association between these two variables. Conclusion: The findings indicate that students’ knowledge of T2DM is positively associated with both their attitudes toward healthy eating and their dietary practices, although the strength of these correlations is weak. In contrast, a moderate to strong positive correlation was observed between attitude and practice, suggesting that students with more positive attitudes toward healthy eating were more likely to engage in desirable dietary behaviors.

Keywords

Collaboration network of the authors

35 authors · 72 co-authorship links · 11 across different organisations

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • Universitas Halu Oleo
  • Universitas Bina Sarana Informatika
  • Institut Agama Islam Negeri Kendari
  • Jordan University of Science and Technology
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Syamsul KamriAffiliation unknown2
Hasnia AramiAffiliation unknown2
- HasliantiAffiliation unknown2
Ridwansyah RidwansyahUniversitas Bina Sarana Informatika1
Muhammad IqbalInstitut Agama Islam Negeri Kendari1
Henny DestianaUniversitas Bina Sarana Informatika1
Sugiono SugionoUniversitas Bina Sarana Informatika1
Yusnaini YusnainiUniversitas Halu Oleo1
Kangkuso AnaluddinUniversitas Halu Oleo1
Wa IbaUniversitas Halu Oleo1
La SyahrirUniversitas Halu Oleo1
LD Muhammad Yasir HayaAffiliation unknown1
Agustina AgustinaAffiliation unknown1
Vivin AprilyaniAffiliation unknown1
. HartonoAffiliation unknown1
Dedy OetamaUniversitas Halu Oleo1
Arfiaddin SaputraAffiliation unknown1
. EmiyartiAffiliation unknown1
Ahmad ZakirAffiliation unknown1
. HerfinAffiliation unknown1
. AsmiartiAffiliation unknown1
Rahma Safitri Ade WandewaAffiliation unknown1
Muhammad Fajar PurnamaAffiliation unknown1
Nur AriyantiAffiliation unknown1
Ahmad MustafaJordan University of Science and Technology1
. NurdiansyahAffiliation unknown1
Desy Fadilah Adina PutriAffiliation unknown1
Iga MaligaAffiliation unknown1
Muhammad Suhaemi SyawalAffiliation unknown1
Marwiyah UlfahAffiliation unknown1
Ani RahmawatiAffiliation unknown1
Muta Ali KhalifaAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unhas.ac.id/index.php/icon/oai, first harvested 2 Nov 2026, last seen 2 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en">Knowledge, Attitude, and Practice Related to Eating Behavior for the Prevention of Type 2 Diabetes Among High School Students</dc:title>
	<dc:creator xml:lang="en">Kusumawati, Nila</dc:creator>
	<dc:creator xml:lang="en">Glorie, Kim</dc:creator>
	<dc:creator xml:lang="en">Hamid, Abdul</dc:creator>
	<dc:subject xml:lang="en">adolescence</dc:subject>
	<dc:subject xml:lang="en">attitude</dc:subject>
	<dc:subject xml:lang="en">diabetes mellitus</dc:subject>
	<dc:subject xml:lang="en">eating behavior</dc:subject>
	<dc:subject xml:lang="en">practice</dc:subject>
	<dc:description xml:lang="en">Aims: Diabetes mellitus is a major global public health concern, particularly in Indonesia. Eating behavior, particularly type 2 diabetes mellitus (T2DM), plays a crucial role in the prevention of diabetes. This study aimed to assess high school students’ knowledge of T2DM, attitudes toward healthy eating, and dietary practices related to diabetes prevention, as well as to examine the correlations among these variables.
Methods: The study was conducted from May to October 2024 in three sub-districts of Kampar Regency, Riau Province, Indonesia. A total of 207 high school students were recruited through convenience sampling. Data were collected using a validated knowledge, attitude, and practice (KAP) questionnaire comprising four sections: Sociodemographic characteristics, Knowledge about T2DM, Attitudes toward healthy eating, and Dietary practices. Univariate analysis was conducted to describe the distribution of KAP levels, and Spearman’s rank-order correlation was used to examine the relationships among KAP scores.
Results: Most senior high school students (80.2%) demonstrated a moderate overall KAP level. Specifically, 49.3% had moderate knowledge of T2DM, 81.2% exhibited a neutral attitude toward healthy eating, and 59.9% reported moderate dietary practices. Spearman’s rank correlation analysis revealed a weak but statistically significant positive correlation between knowledge and attitude (p=0.145, p=0.037), and between knowledge and practice (p=0.137, p=0.048). A moderate-to-strong positive correlation was found between attitude and practice (p=0.530), indicating a stronger association between these two variables.
Conclusion: The findings indicate that students’ knowledge of T2DM is positively associated with both their attitudes toward healthy eating and their dietary practices, although the strength of these correlations is weak. In contrast, a moderate to strong positive correlation was observed between attitude and practice, suggesting that students with more positive attitudes toward healthy eating were more likely to engage in desirable dietary behaviors.</dc:description>
	<dc:publisher xml:lang="en">Faculty of Nursing, Universitas Hasanuddin</dc:publisher>
	<dc:date>2025-08-17</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Original Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unhas.ac.id/index.php/icon/article/view/44053</dc:identifier>
	<dc:identifier>10.20956/icon.v10i1.44053</dc:identifier>
	<dc:source xml:lang="en">Indonesian Contemporary Nursing Journal (ICON Journal); Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025 ; 44-57</dc:source>
	<dc:source>2686-116X</dc:source>
	<dc:source>2528-2557</dc:source>
	<dc:source>10.20956/icon.v10i1</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://journal.unhas.ac.id/index.php/icon/article/view/44053/13261</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Indonesian Contemporary Nursing Journal (ICON Journal)</dc:rights>
</oai_dc:dc>