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In Indonesia, the prevalence of smoking among adolescents continues to rise, particularly in Lamongan Regency, which recorded the highest tobacco consumption rate for the 5-19 age group in East Java, according to 2022 data from BPS East Java. This study aims to identify the factors associated with smoking behavior among adolescents at SMKN 2 Lamongan in 2024. The study used a quantitative method with a cross-sectional study design. A total of 175 students were selected as samples using the proportional stratified random sampling method based on grade levels (10, 11, 12, and 13). The proportion of samples was adjusted according to the number of students in each grade, and students were randomly selected to ensure that the sample represented the student population at SMKN 2 Lamongan. Primary data were collected through self-administered questionnaires and analyzed using the chi-square test. The results showed that more than half (58.9%) of SMKN 2 Lamongan students smoked, with 19.4% using conventional cigarettes, 10.9% using electronic cigarettes, and 28.6% using both. Attitudes toward smoking (p < 0.001), accessibility of cigarettes (p < 0.001), peer smoking behavior (p < 0.001), and children's perception of parental attitude (p < 0.001) were significantly associated with adolescent smoking behavior at SMKN 2 Lamongan, while age (p = 0.377), knowledge about cigarettes (p = 0.979), pocket money (p = 0.227), and cigarette advertisements (p = 0.555) were not associated. Therefore, strict supervision of student smoking behavior is necessary, along with firm sanctions for students caught smoking on school premises, educational programs for students, and the reinforcement of No Smoking Area (KTR) signs around the school.
Masa remaja merupakan periode kritis dalam pembentukan kebiasaan makan yang akan berdampak pada kesehatan jangka panjang. Remaja diperkirakan mencakup 16% dari seluruh populasi dunia dengan kebutuhan nutrisi yang tinggi akibat pertumbuhan dan perkembangan yang pesat. Remaja secara konsisten ditemukan sebagai kelompok populasi dengan kebiasaan makan terburuk dibandingkan kelompok usia lainnya. Kebiasaan makan yang tidak sehat pada remaja, seperti rendahnya konsumsi buah dan sayur serta tingginya konsumsi makanan cepat saji, berkontribusi terhadap peningkatan prevalensi obesitas yang mencapai 23,48% secara nasional dan 29,16% di Kota Depok. Obesitas pada masa remaja merupakan katalis berbagai penyakit tidak menular di kemudian hari dan cenderung berlanjut hingga dewasa. Lingkungan keluarga memainkan peran penting dalam membentuk perilaku makan remaja melalui ketersediaan makanan di rumah, frekuensi makan bersama keluarga, dan keberfungsian keluarga. Penelitian ini bertujuan untuk mengetahui hubungan faktor-faktor lingkungan keluarga dengan kebiasaan makan siswa SMP di SMPN 3 Depok tahun 2025. Penelitian cross-sectional ini melibatkan 219 siswa kelas VIII dengan pengumpulan data menggunakan kuesioner. Hasil penelitian menunjukkan bahwa ketersediaan makanan di rumah (p<0,05) dan keberfungsian keluarga (p<0,05) memiliki hubungan signifikan dengan kebiasaan makan siswa, sedangkan frekuensi makan bersama keluarga tidak menunjukkan hubungan yang signifikan (p>0,05). Penelitian ini menyimpulkan bahwa faktor lingkungan keluarga, khususnya ketersediaan makanan di rumah dan keberfungsian keluarga, berperan penting dalam membentuk kebiasaan makan remaja. Penemuan ini dapat menjadi dasar pengembangan intervensi berbasis keluarga dalam mengatasi masalah obesitas remaja di Indonesia.
Adolescence represents a critical period for establishing eating habits that significantly impact long-term health outcomes. Adolescents comprise approximately 16% of the global population with high nutritional requirements due to rapid growth and development. Adolescents are consistently identified as the population group with the poorest eating habits compared to other age groups. Unhealthy eating habits among adolescents, such as low consumption of fruits and vegetables and high consumption of fast food, contribute to increasing obesity prevalence reaching 23.48% nationally and 29.16% in Depok City. Adolescent obesity serves as a catalyst for various non- communicable diseases later in life and tends to persist into adulthood. Family environment plays an important role in shaping adolescent eating behaviors through food availability at home, family meal frequency, and family functioning. This study aimed to determine the relationship between family environmental factors and eating habits among junior high school students at SMPN 3 Depok in 2025. This cross-sectional study involved 219 eighth-grade students with data collection using questionnaires. The results showed that food availability at home (p<0.05) and family functioning (p<0.05) had significant relationships with student eating habits, while family meal frequency showed no significant relationship (p>0.05). This study concludes that family environmental factors, particularly food availability at home and family functioning, play important roles in shaping adolescent eating habits. These findings can serve as a foundation for developing family-based interventions to address adolescent obesity problems in Indonesia.
