The Relationship Between Knowledge of Healthy Food and Food Additives and Attitudes and Behaviors Toward Safe Food Selection among School Adolescents

Authors

  • Silvia Nova Institut Kesehatan Helvetia Pekanbaru
  • Rahmi Dzulhijjah Institut Kesehatan Helvetia Pekanbaru
  • M. Fadil Amirullah Institut Kesehatan Helvetia Pekanbaru

DOI:

https://doi.org/10.37287/picnhs.v7i1.1627

Keywords:

adolescents, attitude, behavior, food additives, knowledge

Abstract

Food safety is a critical public health issue among adolescents, particularly in school environments where exposure to processed foods and snacks containing food additives is high. Limited awareness and understanding of healthy foods and food additives may influence adolescents’ attitudes and behaviors in food selection. This study aimed to analyze the relationship between knowledge of healthy food and food additives with attitudes and behaviors related to safe food selection among school adolescents. This quantitative study employed a cross-sectional design involving tenth-grade students at SMA X Pekanbaru. Data were collected using a structured questionnaire consisting of 21 items covering knowledge, attitudes, and self-reported behaviors related to healthy food and food additives. Data were analyzed using univariate analysis to describe respondents’ characteristics and levels of knowledge, attitudes, and behaviors, as well as bivariate analysis to examine the relationships between variables using appropriate statistical tests. The results indicated that most respondents had a good level of knowledge regarding healthy foods and food additives. However, good knowledge was not consistently accompanied by positive attitudes and healthy food selection behaviors. A significant relationship was found between knowledge level and both attitudes and behaviors toward safe food selection. These findings suggest that knowledge plays an important role in shaping adolescents’ attitudes and behavioral tendencies related to food safety. Continuous and context-based nutrition education is therefore necessary to support sustainable behavioral change.

References

Badan Pengawas Obat dan Makanan Republik Indonesia. (2020). Pangan aman untuk anak sekolah. BPOM RI.

Contento, I. R. (2016). Nutrition education: Linking research, theory, and practice (3rd ed.). Jones & Bartlett Learning.

European Food Safety Authority. (2019). Food additives and safety assessment. EFSA Journal.

Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.

Laska, M. N., Hearst, M. O., Forsyth, A., Pasch, K. E., & Lytle, L. (2015). Neighbourhood food environments: Are they associated with adolescent dietary intake, food purchases and weight status? Public Health Nutrition, 13(11), 1757–1763.

Nakamura, Y., Yamasaki, S., Okada, N., Ando, S., Nishida, A., Kasai, K., & Koike, S. (2024). Macronutrient intake is associated with intelligence and neural development in adolescents. Frontiers in Nutrition, 11, 1349738. https://doi.org/10.3389/fnut.2024.1349738

Nor, N. M., Rusli, S. F. M., & Asmawi, U. M. (2023). Awareness, Knowledge, and Practices towards Reading Snack Food Labels among Malaysian Adolescents. Jurnal Gizi dan Pangan, 18(1), 61–70.

Sains & Public Health. (2025). The impact of educational interventions on food label comprehension and food choices among adolescents: a scoping review. BMC Public Health, 25, 2682.

Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S. J., Dick, B., Ezeh, A. C., & Patton, G. C. (2012). Adolescence: A foundation for future health. The Lancet, 379(9826), 1630–1640.

Srimiati, M., & Ratnayani, R. (2025). Digital education on knowledge of ultra-processed foods in Grade XI adolescents. Jurnal Abmas Negeri (JAGRI).

Story, M., Neumark-Sztainer, D., & French, S. (2009). Individual and environmental influences on adolescent eating behaviors. Journal of the American Dietetic Association, 102(3), S40–S51.

Suhartini, E., Suryani, D., & Indrawati, V. (2019). Hubungan pengetahuan keamanan pangan dengan perilaku memilih jajanan pada siswa sekolah menengah. Jurnal Gizi dan Kesehatan, 11(2), 85–94.

UNICEF. (2023). The state of the world’s children 2023: For every child, nutrition. United Nations Children’s Fund.

Vaitkeviciute, R., Ball, L. E., & Harris, N. (2022). The relationship between food literacy and dietary intake in adolescents: A systematic review. Nutrients, 14(3), 567. https://doi.org/10.3390/nu14030567

Wardle, J., Parmenter, K., & Waller, J. (2000). Nutrition knowledge and food intake. Appetite, 34(3), 269–275.

World Health Organization. (2015). Food safety and foodborne diseases. WHO Press.

World Health Organization. (2022). Adolescent nutrition: A review of the situation in selected South-East Asian countries. WHO Regional Office.

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Published

2026-04-06

How to Cite

Nova, S., Dzulhijjah, R., & Amirullah, M. F. (2026). The Relationship Between Knowledge of Healthy Food and Food Additives and Attitudes and Behaviors Toward Safe Food Selection among School Adolescents. Proceedings of the International Conference on Nursing and Health Sciences, 7(1), 51–56. https://doi.org/10.37287/picnhs.v7i1.1627

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