Determinants of Household Clean and Healthy Living Behaviour (PHBS) in Kelurahan X, Sidoarjo, East Java
DOI:
https://doi.org/10.22437/jkmj.v10i2.54906Keywords:
Clean and Healthy Living Behaviour (PHBS), Determinants, Environmental, Individual, MultivariateAbstract
Clean and Healthy Living Behaviour (PHBS) is an important indicator for improving public health; however, its implementation at the household level remains suboptimal and is influenced by individual and environmental factors. This study aimed to identify the determinants of PHBS among communities in Kelurahan X, Sidoarjo, East Java in 2025. A quantitative cross-sectional study was conducted among 449 respondents selected using stratified random sampling. Data were collected using a structured questionnaire and analyzed using binary logistic regression. The proportion of households with good PHBS was 85.1%. Productive age (OR = 5.70; 95% CI: 2.36 to 13.75), higher economic status (OR = 72.74; 95% CI: 6.23 to 849.96), ownership of wastewater disposal systems (SPAL) (OR = 35.55; 95% CI: 9.07 to 139.33), household latrine ownership (OR = 15.25; 95% CI: 6.32 to 36.78), and septic tank ownership (OR = 28.16; 95% CI: 2.03 to 89.89) were identified as significant determinants of PHBS. The condition of the wastewater disposal system was the dominant factor of PHBS after adjustment for other variables. Therefore, strengthening household sanitation, particularly by improving wastewater disposal systems, expanding access to sanitary latrines and septic tanks, and enhancing community-based health promotion programs, should be prioritized to improve PHBS implementation.
References
1. Republic of Indonesia. Law of the Republic of Indonesia Number 36 of 2009 concerning Health. Government of the Republic of Indonesia [Internet]. 2009. Available from: https://peraturan.bpk.go.id/Details/38778/uu-no-36-tahun-2009
2. Ministry of Health of the Republic of Indonesia. Indonesia Health Survey (Survei Kesehatan Indonesia [SKI]) 2023 [Internet]. Jakarta; 2023 [cited 2026 Apr 26]. Available from: https://kemkes.go.id/app_asset/file_content_download/17169067256655eae5553985.98376730.pdf
3. Health Research and Development Agency. National Report of Basic Health Research (RISKESDAS) 2018 [Internet]. Jakarta; 2019 [cited 2026 Apr 25]. Available from: https://repository.kemkes.go.id/book/1323
4. Health Research and Development Agency (Balitbangkes). National Report of Basic Health Research (RISKESDAS) 2013 [Internet]. Jakarta; 2013 [cited 2026 Apr 25]. Available from: https://kupdf.net/download/riskesdas-2013pdf_59df771e08bbc59c72e65534_pdf
5. Dinas Kesehatan Provinsi Jawa Timur. Profil Kesehatan Provinsi Jawa Timur Tahun 2018. Surabaya; 2019.
6. Adlina NNA, Budhi S, Aviana GL. Evaluation of the implementation of household clean and healthy living behaviour (PHBS): A study in the Jagir Community Health Center working area. Jurnal Promotif Preventif. 2023 Jun;6(3):500–5. Available from: https://journal.unpacti.ac.id/index.php/JPP/article/view/831
7. Mubasyiroh R, Dharmayanti I, Indrawati L. A Decade of Transformation in Clean and Healthy Living Behaviour (PHBS) among Indonesian Communities [Internet]. Izwardy D, Cadrana BP, editors. Jakarta: Health Research and Development Agency, Ministry of Health of the Republic of Indonesia; 2021 [cited 2026 Apr 24]. 185. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/4215/
8. Mutiah I, Perdana A, Andriyani, Nabil AF, Marito A, Agustina A, et al. Education on clean and healthy living behaviour (PHBS) in the household setting in Pintu Padang Village, South Angkola District. Aufa Journal of Community Service [Internet]. 2024 Aug [cited 2026 Apr 26];6(2). Available from: https://jurnal.unar.ac.id/index.php/jamunar/article/view/1493/966
9. Adam SR, Putri DAN, Nur RS, Fauzi LA, Rosfiani HO. Implementation of clean and healthy living behaviour to promote community well-being. In: Proceedings of the National Seminar on Community Service, Institute for Research and Community Service, Muhammadiyah University of Jakarta [Internet]. 2022 [cited 2026 Apr 26]. p. 1–4. Available from: https://jurnal.umj.ac.id/index.php/semnaskat/article/view/15592/8215
10. Novika, Sayati D, Sari Murni N. Factors associated with clean and healthy living behaviour (PHBS). Citra Delima Scientific Journal of Citra International Institute. 2024;7(2):70–6. doi:https://doi.org/10.33862/citradelima.v7i2.370
11. Fauziyah SF, Rahayuwati L, Rosidin U. Relationship between sociodemographic characteristics and household clean and healthy living behaviour (PHBS) in Sukamulya Village. Malahayati Health Student Journal. 2025 Sep 1;5(9):3929–38. doi: https://doi.org/10.33024/mahesa.v5i9.19255
12. Febryani D, Rosalina E, Susilo HW. Relationship between knowledge, age, educational level, and family head’s income and clean and healthy living behaviour in household settings in Kalideres District, West Jakarta. Carolus Journal of Nursing. 2021;3(1):170–80. Available from: https://api.semanticscholar.org/CorpusID:251001782
13. Kurniawan A, Rupiwardani I, Cahyani SD. Determinants of Clean and Healthy Living Behaviour (PHBS) Among Housewives in Tumbang Masukih Village, Gunung Mas District, Central Kalimantan Province. Jurnal Sanitasi Profesional Indonesia [Internet]. 2025 [cited 2026 Apr 24];6(2):185–94. Available from: https://ojs.poltekkesbengkulu.ac.id/index.php/sanpro/article/view/1186
14. Wulandani AD, Wijayanti K, Fajrin R. Relationship between Environmental Sanitation and PHBS and the Incidence of Stunting among Toddlers Aged 12–59 Months. Jurnal Ilmiah Kebidanan (The Journal Of Midwifery). 2025 Oct 31;13(2):174–80. doi: https://doi.org/10.33992/jik.v13i2.4835
15. Susilawati, Harahap RH, Mulya MB, Andayani LS. Behaviour model of community-based sanitation management in coastal areas: confirmatory factor analysis. Heliyon. 2022 Nov;8(11):e11756. doi: https://doi.org/10.1016/j.heliyon.2022.e11756
16. Fadila RA, Rachmayanti RD. The Pattern of Clean and Healthy Living Behaviour in Household Settings in Surabaya City, Indonesia. Journal of Community Nutrition and Public Health. 2021 Nov 20;10(2):213. doi: https://doi.org/10.20473/mgk.v10i2.2021.213-221
17. Candra E, Suryani L, Suryanti D. Analysis of clean and healthy behaviour of household arrangements in the working area of Tanjung Agung Health Center. ournal of Saelmakers PERDANA Health. 2023;6(1):172–8. Available from: https://journal.ukmc.ac.id/index.php/joh/article/view/824
18. Fitriani I, Nislawaty N, Mayasari E. Factors associated with clean and healthy living behaviour (PHBS) in Pulau Rambai Village, the working area of Kampar Timur Community Health Center. Journal of Health Sciences. 2022 Dec 22;1(1):62–73. doi: https://doi.org/10.31004/jiik.v1i1.10910
19. Brigita DM, Matilda BR, Atalia B. Relationship between social economic status and family’s clean and healthy behaviour (PHBS) in Tesa Village, Laenmanen District, 2020. Indonesian Journal of Nursing and Midwifery. 2021 Mar 30;9(1):39–45. doi:https://doi.org/10.21927/jnki.2021.9(1).39-45
20. Kubangun NA, Mulat TC. Relationship between socioeconomic status and clean and healthy living behaviour in urban communities. Barongko: Journal of Health Sciences. 2025 Sep 18;4(1):117–28. doi: https://doi.org/10.59585/bajik.v4i1.847
21. Utami B. Factors associated with clean and healthy living behaviour (PHBS) among the community of Hamlet I in the working area of Kenten Laut Community Health Center, Banyuasin Regency, 2023. Bina Husada Health Journal. 2024 Jun 28;16(02):54–9. doi: https://doi.org/10.58231/jkbh.v16i02.246
22. Tri A, Ika P. Factors associated with clean and healthy living behaviour. Bina Cipta Husada Journal of Health and Science [Internet]. 2020 Jul 2 [cited 2026 May 4];16(2):40–50. Available from: https://www.jurnal.stikesbch.ac.id/index.php/jurnal/article/view/13
23. Tucunan A. Relationship between predisposing, enabling, and reinforcing factors and clean and healthy living behaviour in household settings in Siau Tengah District, Sitaro Regency, North Sulawesi Province. Public Health Journal [Internet]. 2018 [cited 2026 Apr 26];7(1):62–8. Available from: https://ejournal.unsrat.ac.id/v2/index.php/kesmas/article/view/22933
24. Sukanty NMW, Yunita L, Rahmiati BF, Astawan WJ, Septian D. Education on clean and healthy living behaviour (PHBS) as an effort to improve community health status in household settings. ADMA: Journal of Community Service and Community Empowerment. 2023 Jan 20;3(2):253–60. doi: https://doi.org/10.30812/adma.v3i2.2498
25. Pansilia P, Muslimah RH. Determinants of clean and healthy household living behaviour in the Margamulya Health Center area, Bekasi City. KESANS: International Journal of Health and Science. 2026 Jul 7;5(9):1845–58. doi: https://doi.org/10.54543/kesans.v5i9.662
26. Wa Indhillah PA, Raksanagara AS, Gondodiputro S. Relationship between clean, healthy living behaviour, and COVID-19 infection at the Parigi Public Health Center, West Java, Indonesia. Althea Medical Journal. 2023;10(2):69–74. doi: https://doi.org/10.15850/amj.v10n2.2715
27. Purwanti Y, Dhuha ANS, Fauriah N. Building a prosperous and healthy family: the role of clean and healthy living behaviours in disease prevention. Journal of Social Community Services (JSCS). 2024 Sep;1(3):244–8. doi: https://doi.org/10.61796/jscs.v1i3.182
28. Simangunsong L, Sitorus RS, Sinaga MH. Role of health promotion in achieving household clean and healthy living behaviour (PHBS) with postpartum mothers at UPT Puskesmas Balige. Jurnal Kesmas dan Gizi (JKG). 2025 Apr;7(2):383–92. doi: https://doi.org/10.35451/jkg.v7i2.2265
29. Mashita A, Maria L, Bahtiyar AR. Factors associated with clean and healthy living behaviour in household settings. Jurnal Profesi Kesehatan Masyarakat (JPKM). 2024;5(2):155–62. doi: https://doi.org/10.47575/jpkm.v5i2.662
30. Wahyuni S, Erna E, Nurhaliza N. Relationship between community knowledge level and clean and healthy living behaviour in Lambaro Neujid Village, Peukan Bada Sub-district, Aceh Besar Regency. NASUWAKES: Jurnal Kesehatan Ilmiah. 2024;17(1):59–63. doi: https://doi.org/10.30867/nasuwakes.v17i1.558
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