https://doi.org/10.4081/hls.2025.13315
Peer empowerment and influencing factors in improving adolescents’ healthy lifestyles in urban areas: a cross-sectional study
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Published: 6 March 2025
Adolescents’ unhealthy lifestyles are greatly influenced by their peers. However, peers often struggle to positively impact healthy lifestyle choices. Therefore, empowering peer groups has become essential, although the factors that contribute to the effectiveness of peer empowerment programs are still unclear. This study aims to analyze the factors influencing peer empowerment in shaping healthy lifestyles among adolescents. This research employed a descriptive-analytic design with a cross-sectional approach. The sample comprised 205 adolescents residing in urban areas, selected using proportional stratified random sampling. Data were collected through questionnaires and analyzed using multiple linear regression tests with p<0.05. The findings indicate that peer empowerment in promoting healthy lifestyles among adolescents is influenced by attitude (p=0.000; t=4.034), perceived benefits (p=0.037; t=2.098), affect (p=0.000; t=4.795), and motivation (p=0.000; t=7.298). Health practitioners and relevant stakeholders should consider approaches that optimize adolescents’ attitudes, perceived benefits, affect, and motivation in developing peer empowerment programs to promote healthy lifestyles among adolescents.
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Abdel-Baset Taha O, Mohamed Abd Elaal E, Gamal Eldein Ibrahiem S. Healthy Lifestyle among Adolescents Students Through Electronic Platform. J Nurs Sci Benha Univ 2023;4:809–21.
Arafa A, Yasui Y, Kokubo Y, et al. Lifestyle behaviors of childhood and adolescence: contributing factors, health consequences, and potential interventions. Am J Lifestyle Med 2024:15598276241245941. DOI: https://doi.org/10.1177/15598276241245941
Alderman EM, Breuner CC. Unique needs of the adolescent. Pediatrics 2019;144. DOI: https://doi.org/10.1542/peds.2019-3150
Ulfiana E, Rachmawati PD, Fadhilah DK. Contributing Factors of the Mother’s Behavior in Fulfilling Nutritional Needs for Under-Five Children with Overweight and Obesity. Indian J Public Heal Res Dev 2019;10:2713. DOI: https://doi.org/10.5958/0976-5506.2019.02280.0
Briawan D, Khomsan A, Alfiah E, et al. Preference for and consumption of traditional and fast foods among adolescents in Indonesia. Food Res 2023;7:211–26. DOI: https://doi.org/10.26656/fr.2017.7(4).156
Nurwanti E, Hadi H, Chang JS, et al. Rural–urban differences in dietary behavior and obesity: results of the riskesdas study in 10–18-year-old indonesian children and adolescents. Nutrients 2019;11:2813. DOI: https://doi.org/10.3390/nu11112813
Ufrida K, Harianto S. Consumerism of fast food as a lifestyle for adolescents in the city of surabaya: a case study of female students at Muhammadiyah 4 High School in Surabaya City. J Anal Sosiol 2022;11. DOI: https://doi.org/10.20961/jas.v11i1.57134
Ragelienė T, Grønhøj A. The influence of peers′ and siblings′ on children’s and adolescents′ healthy eating behavior. A systematic literature review. Appetite 2020;148:104592. DOI: https://doi.org/10.1016/j.appet.2020.104592
Laursen B, Veenstra R. Toward understanding the functions of peer influence: A summary and synthesis of recent empirical research. J Res Adolesc 2021;31:889–907. DOI: https://doi.org/10.1111/jora.12606
Watts LL, Hamza EA, Bedewy DA, Moustafa AA. A meta-analysis study on peer influence and adolescent substance use. Curr Psychol 2024;43:3866–81. DOI: https://doi.org/10.1007/s12144-023-04944-z
Ciranka S, van den Bos W. Social influence in adolescent decision-making: a formal framework. Front Psychol 2019;10:1915. DOI: https://doi.org/10.3389/fpsyg.2019.01915
Sudarko LNR, Djannah SN, Handayani L, et al. Study of adolescent health behavior towards non-communicable disease risk factors in Special Region of Yogyakarta. Epidemiol Soc Heal Rev 2023;5. DOI: https://doi.org/10.26555/eshr.v5i1.7237
Abdel-Baset Taha O, Mohamed Abd Elaal E, Gamal Eldein Ibrahiem S. Healthy Lifestyle among Adolescents Students Through Electronic Platform. J Nurs Sci Benha Univ 2023;4:809–21. DOI: https://doi.org/10.21608/jnsbu.2023.310619
de Carvalho NA, Veiga FH. Psychosocial Development Research in Adolescence: a Scoping Review. Trends Psychol 2022;30. DOI: https://doi.org/10.1007/s43076-022-00143-0
Veenstra R, Laninga-wijnen L. ScienceDirect Peer network studies and interventions in adolescence. Curr Opin Psychol 2022;44:157–63. DOI: https://doi.org/10.1016/j.copsyc.2021.09.015
Unicef. Technical Note: Adolescent Empowerment. 2022, p. 1–16. Available from: https://www.unicef.org/adolescent-empowerment-technical-note
El Tantawi M. Editorial: Children and adolescent health-related behaviors. Front Public Health 2023;11:1263452. DOI: https://doi.org/10.3389/fpubh.2023.1263452
Pender NJ. The Health Promotion Model. 2011, 1–17 p. Available from: https://deepblue.lib.umich.edu/bitstream/handle/2027.42/85350/HealthPromotion_Manual_Rev_5-2011.pdf
Morton MH, Montgomery P. Youth Empowerment Programs for Improving Adolescents’ Self-Efficacy and Self-Esteem. Res Soc Work Pract 2013;23:22–33. DOI: https://doi.org/10.1177/1049731512459967
Corazza I, Pennucci F, De Rosis S. Promoting healthy eating habits among youth according to their preferences: Indications from a discrete choice experiment in Tuscany. Health Policy (New York) 2021;125:947–55. DOI: https://doi.org/10.1016/j.healthpol.2021.03.014
Purborini N, Lee M been, Chang H Ju. Determinants of positive and negative affect among adolescents and young adults in Indonesia: a population-based survey. Int J Environ Res Public Health 2021;18:12326. DOI: https://doi.org/10.3390/ijerph182312326
Vrdoljak G, Kurtović A, Čikeš AB, et al. Gender and educational stage moderate the effects of developmental assets on risk behaviours in youth. Int J Adolesc Youth 2023;28:2183872. DOI: https://doi.org/10.1080/02673843.2023.2183872
Soares AS, Pais-Ribeiro JL, Silva I. Developmental assets predictors of life satisfaction in adolescents. Front Psychol 2019;10:236. DOI: https://doi.org/10.3389/fpsyg.2019.00236
Cardel MI, Szurek SM, Dillard JR, et al. Perceived barriers/facilitators to a healthy lifestyle among diverse adolescents with overweight/obesity: A qualitative study. Obes Sci Pract 2020;6:638–48. DOI: https://doi.org/10.1002/osp4.448
Roshita A, Riddell-Carre P, Sjahrial R, et al. A qualitative inquiry into the eating behavior and physical activity of adolescent girls and boys in Indonesia. Food Nutr Bull 2021;42:S122–31. DOI: https://doi.org/10.1177/0379572121990948
McHale F, Ng K, Taylor S, et al. A systematic literature review of peer-led strategies for promoting physical activity levels of adolescents. Heal Educ Behav 2022;49:41–53. DOI: https://doi.org/10.1177/10901981211044988
Maker Castro E, Wray-Lake L, Cohen AK. Critical consciousness and wellbeing in adolescents and young adults: a systematic review. Adolesc Res Rev 2022;7:499–522. DOI: https://doi.org/10.1007/s40894-022-00188-3
Nurmala I, Pertiwi ED, Muthmainnah M, et al. Peer‐to‐peer education to prevent drug use: A qualitative analysis of the perspectives of student peer educators from Surabaya, Indonesia. Judd J, editor. Heal Promot J Aust 2021;32:206–11. DOI: https://doi.org/10.1002/hpja.400
Antia N, Tabidze D, Gabunia L, et al. Attitudes of children and adolescents towards healthy lifestyle issues. Eur J Public Health 2022;32:ckac131.018. DOI: https://doi.org/10.1093/eurpub/ckac131.018
Marques A, Loureiro N, Avelar-Rosa B, et al. Adolescents’ healthy lifestyle. J Pediatr (Rio J) 2020;96:217–24. DOI: https://doi.org/10.1016/j.jped.2018.09.002
Vijayaraghavan J, Vidyarthi A, Livesey A, et al. Strengthening adolescent agency for optimal health outcomes. BMJ 2022;379:069484. DOI: https://doi.org/10.1136/bmj-2021-069484
Champion KE, Gardner LA, McCann K, et al. Parent-based interventions to improve multiple lifestyle risk behaviors among adolescents: A systematic review and meta-analysis. Prev Med (Baltim) 2022;164:107247. DOI: https://doi.org/10.1016/j.ypmed.2022.107247
Yañez AM, Bennasar-Veny M, Leiva A, García-Toro M. Implications of personality and parental education on healthy lifestyles among adolescents. Sci Rep 2020;10:7911. DOI: https://doi.org/10.1038/s41598-020-64850-3
Haidar A, Ranjit N, Archer N, Hoelscher DM. Parental and peer social support is associated with healthier physical activity behaviors in adolescents: a cross-sectional analysis of Texas School Physical Activity and Nutrition (TX SPAN) data. BMC Public Health 2019;19:640. DOI: https://doi.org/10.1186/s12889-019-7001-0
Alves H, Gibbs L, Marinkovic K, et al. Children and adolescents’ voices and the implications for ethical research. Childhood 2022;29:126–43. DOI: https://doi.org/10.1177/09075682211061230
Howells K, Coppinger T. The Forgotten age phase of healthy lifestyle promotion? a preliminary study to examine the potential call for targeted physical activity and nutrition education for older adolescents. Int J Environ Res Public Health 2022;19:5970. DOI: https://doi.org/10.3390/ijerph19105970
Lekše R, Godec D, Prosen M. Determining the Impact of lifestyle on the health of primary school children in Slovenia through mixed membership focus groups. J Community Health 2023;48:857–69. DOI: https://doi.org/10.1007/s10900-023-01231-7
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