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NAME : ERNA NUR HASANAH

NIM : P1337420216025

Influencing Factors on Health-Promoting Lifestyle and Health Related Quality of Life


among

Adolescents: A Path Analysis Based on the Health Promotion Model

Behavior and quality of life related to healt by using health promotion model. health
risk behaviors increase significantly during adolescence compared with. previous years of
childhood (Klosky et al., 2012; Sawye et al., 2012). To address these adverse health
problems, health promotion practices will be a cost-effective approach in the long term (Abu-
Moghli, Khalaf, & Barghoti, 2010).

Promotional health goals are to achieve the highest level of wellbeing and quality of
life related health mental health and behavioral issues are associated significantly with health
promotion behavior. Using a health promotion model, self-esteem significantly affects
perceived benefits and barriers, and is identified as a significant factor in emotional and
behavioral issues of behavioral behavior (behavioral abnormalities, hyperactivity / lack of
attention, and difficulty in relationships among friends).

Health promotion behavior was assessed by using the Questionnaire Lifestyle


Questionnaire (ALQ) (Gillis, 1997). The instrument consists of 43 items in seven subscales:
life appreciation, healthy eating, engaging in physical activity, safety, health responsibility,
social support, and stress management. Items are measured by 6-point Likert scale (1 = never,
2 = rare, 3 = sometimes, 4 = often, 5 = almost always), and the total score ranges between 43
and 215. Higher scores indicate health promotion which is positive behavior.

Those with higher levels of confidence and social support are involved in better health
promotion. Behavior problems have a negative direct effect, while social support has a
positive direct effect on health promotion behavior, after controlling for personal factors (sex,
type of school, and school experience). Behavioral issues and social support have an indirect
effect on HRQoL. Health promotional behavior mediates the relationship between behavioral
issues and HRQoL, and between social support and HRQoL. strategies to increase self-
esteem to be supportive of the social environment can be an effective approach to promoting
positive health behaviors among children and adolescents (Mann et al., 2004).

The results show that self-esteem, behavioral problems, and social support have a
significant direct effect on health promotion behavior, while emotional problems, behavioral
problems, and health promotion behaviors are directly significant effects on HRQoL.
Behavioral issues and social support have an indirect effect on HRQoL. Health Promotional
behavior mediates the relationship between behavioral issues and HRQoL, and between
social support and HRQoL. Behavioral problems directly affect the health promotion
behavior of direct / indirect effects on HRQoL. In this indirect effect, health promotion
behavior mediates the relationship between behavioral problems and HRQoL.

Some studies illustrate that mental health is closely related to health risk behavior
(Patton et al., 2002). Mainly mental health behavior issues significant impact on health
promotion behavior (Adrian et al., 2014). Schools can provide a positive environment for
preventing mental health problems and school-based Interventions can be effective in
promoting socio-emotional competence in children and adolescents, thereby reducing the
prevalence of mental health problems (Reinke, Stormont, Herman, Puri, & Goel, 2011 ;
Weare & Nind, 2011)

school connectivity is more influential in reducing health-risk behaviors than family or


teacher connectivity (Brooks et al., 2012). School linkages include school likes and positive
relationships with friends and teachers, and are associated with some health outcomes
(Thompson, Iachan, Overpeck, Ross, & Kotor, 2006).