Fruit and vegetable rejection among obese boarding house students
Abstract
ABSTRAK
Latar Belakang: Buah dan sayur cenderung enggan dikonsumsi oleh mahasiswa obesitas penghuni indekos yang dapat memperparah obesitas dan konsekuensinya.
Tujuan: Penelitian ini mengeksplorasi determinan penolakan konsumsi buah dan sayur menggunakan Model Green dengan mengklasifikasikan ke dalam tiga kategori: faktor predisposisi (pengetahuan, sikap, dan nilai), faktor pemungkin (fasilitas dan akses), serta faktor penguat (dukungan sosial).
Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi. Sebanyak delapan partisipan direkrut: tiga mahasiswa obesitas yang menolak konsumsi buah dan sayur dipilih melalui purposive sampling, serta lima partisipan pendukung (orang tua, teman sebaya, dan tenaga kesehatan) yang direkrut menggunakan snowball sampling. Triangulasi sumber dan interpreter diterapkan untuk meningkatkan kredibilitas data. Data wawancara ditranskrip, dianalisis secara manual, dan ditematisasi ke dalam kerangka Model Green.
Hasil: Pada faktor predisposisi, penolakan didominasi oleh peran sensori, pengalaman masa lalu, dan rendahnya prioritas. Pada faktor pendukung, penolakan terutama dipengaruhi oleh keterbatasan penyimpanan dan penyajian. Faktor penguat cenderung berperan secara dinamis namun terbatas dalam mendorong konsumsi buah dan sayur. Sikap negatif menjadi faktor dominan yang memperkuat hambatan akses pada faktor pendukung dan melemahkan pengaruh sosial pada faktor penguat.
Kesimpulan: Temuan ini mengidentifikasi sensitivitas sensori sebagai hambatan utama dan titik fokus potensial untuk intervensi. Penelitian lebih lanjut diperlukan untuk mengatasi sensitivitas sensori melalui pelatihan atau strategi modifikasi makanan. Pemahaman terhadap pola penolakan ini penting untuk merancang intervensi yang kontekstual dan efektif dalam pencegahan obesitas di kalangan remaja dan dewasa awal.
ABSTRACT
Background: Fruits and vegetables tend to be under-consumed among obese students living in boarding houses which may exacerbate obesity and its associated consequences.
Objectives: To explores the determinants underlying fruit and vegetable rejection using the Green Model which classified the determinants into three factors: predisposing (knowledge, attitudes, and values), enabling (facilities and access), and reinforcing factors (social support).
Methods: A qualitative study with a phenomenological design was conducted to explore obese students’ lived experiences in a boarding house in Surabaya through in-depth interviews. A total of eight participants were recruited: three obese students who rejected fruits and vegetables, selected through purposive sampling, and five supporting participants (parents, peers, and a healthcare worker) recruited via snowball sampling. Source and interpreter triangulations were applied to enhance data credibility. All interviews were transcribed, manually coded, and thematically analyzed using the Green Model framework.
Results: In predisposing factors, rejection is dominated by sensory roles, past experiences, and negative priorities. In enabling factors, rejection is dominated by storage and serving constraints. Reinforcing factors tend to play a dynamic and limited role in fruit and vegetable consumption. A negative attitude dominates rejection, strengthens accessibility barriers of enabling factors, and weakens social influence of reinforcing factors.
Conclusions: These findings identify sensory sensitivities as a major barrier and potential focal point for intervention. Further research is needed to address sensory sensitivities through training or food modification strategies. Understanding these patterns of rejection is crucial to designing contextualized and effective interventions for obesity prevention among youth.
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