Community-Based Screening and Health Education on Non-Communicable Disease Risk Factors Among High School Students

  • Icmi Ikhtiari Nanjar Sekolah Tinggi Ilmu Sakinah Husada
  • Fahnidar Rahmah Sekolah Tinggi Ilmu Sakinah Husada
  • Wilda Nurfadila Tanjung Sekolah Tinggi Ilmu Sakinah Husada
Keywords: Adolescents, Health Education, Non-Communicable Diseases

Abstract

This community service program aimed to identify NCD risk factors and improve students’ knowledge of healthy lifestyles through screening and health education activities. The program was conducted at SMA Muhammadiyah 5 Kisaran, Asahan Regency, North Sumatra, involving 300 students. Activities included food recall assessment, physical activity screening, smoking behavior assessment, anthropometric measurements, health education, and individual counseling. The findings showed that 52.7% of students had moderate dietary habits, while 27.3% demonstrated poor dietary patterns. Moderate physical activity levels were observed in 54.0% of participants, whereas 26.0% had low physical activity. Most respondents were non-smokers (79.3%), although 12.7% had experimented with smoking and 8.0% were current smokers. NCD risk screening revealed that 44.7% of participants were at moderate risk and 18.6% at high risk. Following the intervention, the mean knowledge score increased from 61.8 to 85.6, with a mean difference of 23.8 points. High participant satisfaction and engagement indicated that school-based health promotion effectively supports early NCD prevention among adolescents. This program contributes as a model for the implementation of NCD risk factor screening and school-based health education that can be replicated as a promotive and preventive effort to improve healthy living behaviors in adolescents.

Downloads

Download data is not yet available.

References

Adewale, O., Johnson, P., & Smith, T. (2025). Adolescent satisfaction with school-based health promotion programs: A cross-sectional study. BMC Public Health. https://doi.org/https://doi.org/10.1186/s12889-025-23045-0

Ahmed, N., Rahman, M., & Islam, F. (2025). Health literacy and smoking behavior among secondary school students: A cross-sectional study. BMC Public Health. https://doi.org/https://doi.org/10.1186/s12889-025-24018-y

Alves-Costa, S., et al. (2024). High Free Sugars, Insulin Resistance, and Low Socioeconomic Indicators: The Hubs in the Complex Network of Non-Communicable Diseases in Adolescents.

Benavides, C., Benítez-Andrades, J. A., Marqués-Sánchez, P., & Arias, N. (2024). Health Intervention to Improve Health Habits in the Adolescent Population: Mixed Methods Study.

Benítez-Andrades, J. A., Arias, N., García-Ordás, M. T., Martínez-Martínez, M., & García-Rodríguez, I. (2024). Feasibility of Social-Network-Based eHealth Intervention on the Improvement of Healthy Habits among Children.

Benítez-Andrades, J. A., Arias, N., García-Ordás, M. T., et al. (2024). Feasibility of social-network-based eHealth intervention on the improvement of healthy habits among children and adolescents. International Journal of Environmental Research and Public Health, 21(4), 1–17.

Browne, D. T., Wade, M., Prime, H., & Jenkins, J. M. (2025). Student engagement and participation in school health promotion programs: A systematic review. Health Promotion International. https://doi.org/https://doi.org/10.1093/heapro/daaf012

Cini, K. I., et al. (2024). The Relationship Between Non-Communicable Disease Risk and Mental Wellbeing in Adolescence: A Cross-Sectional Study Utilising Objective Measures in Indonesia.

Claudia, Z., Kholifah, S. N., Hamid, I. N., & Suwito, J. (2025). Effect of Health Education Using Audiovisual Media on Increasing Adolescent Knowledge in Preventing Vape Use. DOI: https://doi.org/10.35882/ijahst.v5i3.462. https://doi.org/https://doi.org/10.35882/ijahst.v5i3.462

Costa, R. M., Lopes, M. V. V., et al. (2025). Effect of a school-based multicomponent intervention on time-segmented physical activity and sedentary behavior among adolescents: A cluster randomized control trial. BMC Public Health. https://doi.org/https://doi.org/10.1186/s12889-025-25314-3

D’Antonio, G., et al. (2024). Risky Behaviors for Non-Communicable Diseases: Italian Adolescents’ Food Habits and Physical Activity.

de Victo, E. R., Ferrari, G., Drenowatz, C., et al. (2024). Association of physical activity and sitting time with tobacco and alcohol use in 222,495 adolescents from 66 countries. BMC Pediatrics, 24(596), 1. https://doi.org/https://doi.org/10.1186/s12887-024-05079-1.

Hidayat, Z. F., et al. (2025). Diet Quality Index for Adolescents Scores Among 16–18 Years Old Adolescents.

Kisda, A. V., Ekayanti, I., & Sinaga, T. (2024). The Effect of Health Belief Model-Based Interventions to Increase Diet Quality of Adolescents. Media Gizi Indonesia. https://doi.org/https://doi.org/10.20473/mgi.v19i3.249-258

López-Gil, J. F., García-Hermoso, A., Tremblay, M. S., et al. (2024). School-based health promotion interventions and adolescent engagement: Implications for health outcomes. Children. https://doi.org/https://doi.org/10.3390/children11030312

Ma, S. M., Gao, Y. G., Zhao, L., et al. (2025). The impact of adolescent physical activity on quality of life: A moderated mediation model. Frontiers in Public Health. https://doi.org/https://doi.org/10.3389/fpubh.2025.1625066

Malm, D., Andersson, S., & Lindberg, M. (2024). Adolescent participation in school health interventions and health literacy development. BMC Public Health. https://doi.org/https://doi.org/10.1186/s12889-024-19684-2

Marques-Sánchez, P., Benítez-Andrades, J. A., Calvo Sánchez, M. D., & Arias, N. (2024). The socialisation of the adolescent who carries out team sports: A transversal study of centrality with a social network analysis. Children, 11(3), 1–15.

Martínez-Gómez, J., et al. (2025a). Trajectories of Adherence to an Obesogenic Dietary Pattern and Changes in Diet Quality, Food Intake, and Adiposity During Adolescence.

Martínez-Gómez, J., et al. (2025b). Trajectories of Adherence to an Obesogenic Dietary Pattern and Changes in Diet Quality, Food Intake, and Adiposity During Adolescence. https://doi.org/https://doi.org/10.1186/s12937-025-01102-y

Mekonen, S., & Abebe, Z. (2025a). Gender-Based Analysis of Adolescent Nutrition: Diet, Lifestyle Factors, and Socioeconomic Influences.

Mekonen, S., & Abebe, Z. (2025b). Gender-Based Analysis of Adolescent Nutrition: Diet, Lifestyle Factors, and Socioeconomic Influences. https://doi.org/https://doi.org/10.1186/s12937-025-01087-8

Morrison, J., Smith, L., & Harrison, K. (2025). Participatory approaches in school health promotion and adolescent behavioral outcomes. Health Education Journal. https://doi.org/https://doi.org/10.1177/00178969251345678

Muntaner-Mas, A., Vidal-Conti, J., Borràs, P. A., et al. (2025). Personalized feedback as a strategy to increase adolescent participation in health promotion interventions. International Journal of Environmental Research and Public Health. https://doi.org/https://doi.org/10.3390/ijerph22020567

Nørgaard, O., Rasmussen, M., & Pedersen, T. P. (2025). Participation and retention in adolescent health promotion initiatives: A longitudinal evaluation. BMC Public Health. https://doi.org/https://doi.org/10.1186/s12889-025-22376-1

Ramos, A., et al. (2025). Effectiveness of Play-Based Learning in Enhancing Knowledge of Modifiable Risk Factors of Hypertension Among Adolescent College Students. Progress in Pediatric Cardiology. https://doi.org/https://doi.org/10.1016/j.ppedcard.2025.101888

Rathi, N., et al. (2025). Perceived Influences of Fruit and Vegetable Consumption Among Indian Adolescents.

Santos Silva, D. A., et al. (2025). Association Between Physical Activity, Sleep, and Screen Time and Cardiometabolic Risk Factors Among Adolescents. https://doi.org/https://doi.org/10.1186/s12889-025-24886-4

Shrestha, R., et al. (2025). Effectiveness of Educational Interventions on Adolescent Knowledge and Practices for Preventing Noncommunicable Diseases in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Journal of Adolescent Health. https://doi.org/https://doi.org/10.1016/j.jadohealth.2024.12.014

Silva, D. A. S., Lima, T. R., & Vasconcelos, F. A. G. (2025). Association between physical activity, sleep, and screen time and cardiometabolic risk factors among Brazilian adolescents: A cross-sectional analysis of a nationally representative sample. BMC Public Health, 25.

Stavinski, N., Magalhães, J. P., Rosa, G. B., et al. (2025). Associations between the timing of device-measured physical activity and health-related physical fitness in children and adolescents. Journal of Science and Medicine in Sport, 28(9), 757. https://doi.org/https://doi.org/10.1016/j.jsams.2025.05.004

Tingyu Lu 1, Meng Li, Ruihang Zhang, Ruiqiang Li, Shaojun Shen , Qiuxia Chen, Rong Liu, Jiao Wang, Yabin Qu, andLin X. (2025). Associations of Academic Study- and Non-Study-Related Sedentary Behaviors with Incident Obesity in Children and Adolescents. Nutrients., 17. https://doi.org/https://doi.org/10.3390/nu17101633.

Wahidin, M., Riyadina, W., Aryastami, N. K., et al. (2025). Digital Education to Improve Knowledge of Sugar, Salt, and Fat Consumption Among Indonesian Adolescents: A Quasi-Experimental Study. Advances in Public Health. https://doi.org/https://doi.org/10.1155/adph/9969313

Wang, L., Chen, H., & Zhao, Y. (2024). Effectiveness of school-based anti-smoking interventions among adolescents: A systematic review. Health Education Research. https://doi.org/https://doi.org/10.1093/her/cyae021

Weimann, A., Vogel, M., Poulain, T., et al. (2025). Effects of weight status, sex, age, sedentary behavior, pubertal status and socioeconomic status on the physical activity of children and adolescents. BMC Public Health, 25.

WHO. (2024). Physical Activity Fact Sheet. Geneva: WHO. Menjelaskan bahwa sekitar 80% remaja di dunia belum memenuhi rekomendasi aktivitas fisik harian.

Zhang, X., Liu, Y., Wang, H., et al. (2025). Family smoking behavior and tobacco use among adolescents: Evidence from a national survey. BMC Public Health. https://doi.org/https://doi.org/10.1186/s12889-025-23142-z

Zhang, Y., Wang, Z., Zhang, R., et al. (2025a). Non-linear dose-response association between physical activity and mental health in adolescents: A prospective cohort study. International Journal of Behavioral Nutrition and Physical Activity. https://doi.org/https://doi.org/10.1186/s12966-025-01848-y

Zhang, Y., Wang, Z., Zhang, R., et al. (2025b). Non-linear Dose–Response Association Between Physical Activity and Mental Health in Adolescents: A Prospective Cohort Study. https://doi.org/https://doi.org/10.1186/s12966-025-01848-y

Published
2026-07-02
How to Cite
Nanjar, I. I., Rahmah, F., & Tanjung, W. N. (2026). Community-Based Screening and Health Education on Non-Communicable Disease Risk Factors Among High School Students. TAAWUN, 6(02), 355-370. https://doi.org/10.37850/taawun.v6i02.1365