Integrasi Literasi Kesehatan Digital dalam Perilaku Pencegahan Penyakit Tidak Menular pada Remaja Perkotaan Indonesia di Era Transformasi Layanan Kesehatan Nasional Berbasis Teknologi
DOI:
https://doi.org/10.71094/jmhs.v1i3.285Keywords:
Digital Health Literacy, Non-Communicable Diseases, Preventive Behavior, Urban Adolescents, Health Service TransformationAbstract
The transformation of technology-based national health services has changed the way adolescents access and utilize health information. This situation places digital health literacy as a critical competency in supporting non-communicable disease prevention behaviors from an early age. This study aims to analyze the integration of digital health literacy into non-communicable disease prevention behaviors among urban Indonesian adolescents. The study used a quantitative approach with a cross-sectional design, involving adolescents aged 15–18 years who reside in urban areas and have access to digital technology. Data were collected through an online questionnaire that measured digital health literacy and non-communicable disease prevention behaviors, then analyzed using descriptive and inferential analysis. The results showed that adolescents' digital health literacy levels were in the moderate to high category, with the greatest variation in the ability to critically evaluate digital health information. Digital health literacy was shown to be significantly associated with non-communicable disease prevention behaviors, particularly in aspects of physical activity and healthy eating. Adolescents with better digital health literacy tended to demonstrate more consistent preventive behaviors, even after accounting for sociodemographic factors. This study confirms that digital health literacy is a critical determinant in shaping adolescent health behaviors in the digital era. Integrating digital health literacy into health promotion programs and non-communicable disease prevention policies is expected to increase the effectiveness of technology-based health interventions and support sustainable adolescent health development.
References
Ban, S., Kim, Y., & Seomun, G. (2024). Digital health literacy: A concept analysis. Digital health, 10, 20552076241287894. https://doi.org/10.1177/20552076241287894
Barbosa, M. C. F., Baldiotti, A. L. P., Resende, J. L., Perazzo, M. D. F., Firmino, R. T., Granville-Garcia, A. F., ... & Ferreira, F. D. M. (2024). Assessment of the psychometric properties of the eHealth Literacy Scale for Brazilian adolescents. PloS one, 19(11), e0314099. https://doi.org/10.1371/journal.pone.0314099
Baumann, H., Fiedler, J., Wunsch, K., Woll, A., & Wollesen, B. (2022). mHealth interventions to reduce physical inactivity and sedentary behavior in children and adolescents: systematic review and meta-analysis of randomized controlled trials. JMIR mHealth and uHealth, 10(5), e35920. https://doi.org/10.2196/35920
Carton Erlandsson, L., Bocchino, A., Palazón-Fernandez, J. L., Lepiani, I., Chamorro Rebollo, E., & Quintana Alonso, R. (2025). Validation of the Adapted eHEALS Questionnaire for Assessing Digital Health Literacy in Social Media: A Pilot Study. Nursing Reports, 15(9), 330. 330. https://doi.org/10.3390/nursrep15090330
Chen, Y., Perez-Cueto, F. J., Giboreau, A., Mavridis, I., & Hartwell, H. (2020). The promotion of eating behaviour change through digital interventions. International journal of environmental research and public health, 17(20), 7488.. https://doi.org/10.3390/ijerph17207488
Cini, K. I., Dumuid, D., Francis, K. L., Wulan, N. R., Sawyer, S. M., Handy Agung, F., ... & Azzopardi, P. S. (2024). The relationship between non-communicable disease risk and mental wellbeing in adolescence: a cross-sectional study utilising objective measures in Indonesia. BMC public health, 24(1), 3416. https://doi.org/10.1186/s12889-024-20902-1
de Sousa, D., Fogel, A., Azevedo, J., & Padrao, P. (2022). The effectiveness of web-based interventions to promote health behaviour change in adolescents: a systematic review. Nutrients, 14(6), 1258. https://doi.org/10.3390/nu14061258
He, Z., Wu, H., Yu, F., Fu, J., Sun, S., Huang, T., ... & Quan, M. (2021). Effects of smartphone-based interventions on physical activity in children and adolescents: systematic review and meta-analysis. JMIR mHealth and uHealth, 9(2), e22601. https://doi.org/10.2196/22601
Hidayatullaili, N. A., Musthofa, S. B., & Margawati, A. (2023). Media Health Literacy on Prevention of Noncommunicable Diseases in Adolescents (Systematic Review). Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 11(2), 229-236. https://doi.org/10.20473/jpk.V11.I2.2023.229-236
Htay, M. N. N., Parial, L. L., Tolabing, M. C., Dadaczynski, K., Okan, O., Leung, A. Y. M., & Su, T. T. (2022). Digital health literacy, online information-seeking behaviour, and satisfaction of Covid-19 information among the university students of East and South-East Asia. PLoS One, 17(4), e0266276. https://doi.org/10.1371/journal.pone.0266276
Levin-Zamir, D., Van den Broucke, S., Bíró, É., Bøggild, H., Bruton, L., De Gani, S. M., ... & Pelikan, J. (2025). HLS19-DIGI-a new instrument for measuring digital health literacy: development, validation and associations with determinants and health outcomes in 13 countries. Frontiers in Public Health, 13, 1472706. https://doi.org/10.3389/fpubh.2025.1472706
Li, Z., Lu, F., Wu, J., Bao, R., Rao, Y., Yang, Y., & Wang, H. (2024). Usability and effectiveness of eHealth and mHealth interventions that support self-management and health care transition in adolescents and young adults with chronic disease: systematic review. Journal of medical Internet research, 26, e56556. https://doi.org/10.2196/56556
Neherta, M., & Nurdin, Y. (2021). Comparative study of risk profiles for non-communicable diseases in urban and suburb adolescents in padang city (Indonesia). Open Access Macedonian Journal of Medical Sciences, 9(E), 1233-1237. https://doi.org/10.3889/oamjms.2021.7395
Park, E., & Kwon, M. (2021). Testing the digital health literacy instrument for adolescents: cognitive interviews. Journal of Medical Internet Research, 23(3), e17856. https://doi.org/10.2196/17856
Pengpid, S., & Peltzer, K. (2019). Behavioral risk factors of non-communicable diseases among a nationally representative sample of school-going adolescents in Indonesia. International Journal of General Medicine, 387-394. https://doi.org/10.2147/IJGM.S226633
Rose, T., Barker, M., Jacob, C. M., Morrison, L., Lawrence, W., Strömmer, S., ... & Baird, J. (2017). A systematic review of digital interventions for improving the diet and physical activity behaviors of adolescents. Journal of Adolescent Health, 61(6), 669-677. https://doi.org/10.1016/j.jadohealth.2017.05.024
Sari, D. S. K., Lipoeto, N. I., Bachtiar, H., Catri, I., Sari, N. K., & Semiarty, R. (2025). Assessing Telemedicine Demand and Viability in Indonesian Geriatric Clinics: A Comprehensive HOT FIT and Sociotechnical Analysis. Current Aging Science, 18(1), 47-58. https://doi.org/10.2174/0118746098302999240522092726
Seiterö, A., Henriksson, P., Thomas, K., Henriksson, H., Löf, M., Bendtsen, M., & Müssener, U. (2025). Effectiveness of a Mobile Phone-Delivered Multiple Health Behavior Change Intervention (LIFE4YOUth) in Adolescents: Randomized Controlled Trial. Journal of Medical Internet Research, 27, e69425. https://doi.org/10.2196/69425
Singh, B., Ahmed, M., Staiano, A. E., Vasiloglou, M. F., Gough, C., Petersen, J. M., ... & Maher, C. (2025). Lifestyle eHealth and mHealth Interventions for Children and Adolescents: Systematic Umbrella Review and Meta–Meta-Analysis. Journal of medical Internet research, 27, e69065. https://doi.org/10.2196/69065
Singh, V., Johnson K, R., Jacob, A. G., & John, O. (2025). The potential of digital health interventions to address health system challenges in Southeast Asia: A scoping review. Digital health, 11, 20552076241311062. https://doi.org/10.1177/20552076241311062
Soerachman, R. (2007). Global School-Based Student Health Survey (GSHS): Indonesia. Republic of Indonesia: National Institute of Health Research and Development, Ministry of Health.
Stauch, L., Renninger, D., Rangnow, P., Hartmann, A., Fischer, L., Dadaczynski, K., & Okan, O. (2025). Digital health literacy of children and adolescents and its association with sociodemographic factors: Representative study findings from Germany. Journal of Medical Internet Research, 27, e69170. https://doi.org/10.2196/69170
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