School health promotion: A cross-sectional study on Clean and Healthy Living Program Behavior (CHLB) among Islamic Boarding Schools in Indonesia

ObjectiveThis study aims to identify the knowledge, attitude, and behavior of students using eight indicators of Clean and Healthy Living Behavior (CHLB) in relation to the health education and grade levels in Islamic Boarding Schools (IBS) in Jember regency, East Java Province, Indonesia.MethodsA cross-sectional school-based survey design was used. About 114 students (mean age of 13.17 years old) selected through a multi-stage random sampling completed a self-administered questionnaire to measure the eight indicators of CHLB, such as washing hands with running water and soap, eating healthy snacks, using clean and healthy latrines, exercising regularly and measurably, eradicating mosquito larvae, not smoking at school, weighing and height measurement every 6 months, and disposing garbage properly. The data analyses included descriptive and comparative analyses of the difference in knowledge, attitude, and behavior toward CHLB by health education and grade level.ResultsAbout 66.7% students received health education. Significant knowledge in CHLB in relation to health education and grade was observed (P < .05), including in-depth knowledge of exercises, measurable weight and height, smoking, and healthy latrines. Meanwhile, no significant difference was observed between the attitude toward CHLB and health education in different grade levels. Furthermore, CHLB was associated with health education, including habitual exercise and using of clean and healthy latrines.ConclusionsKnowledge, attitude, and behavior toward CHLB differ with health education and grade level. Thus, IBS can promote personal hygiene practice and environmental sanitations for the prevention of diseases in school-based environments.