Environmental Health Literacy and Clean and Healthy Living Behavior Teaching Practices among Early Childhood Teachers: Mediating Role of Teaching Self-Efficacy

Authors

  • Edi Hasan Poltekkes Kemenkes Makassar
  • Muhammad Nasir Poltekkes Kemenkes Makassar
  • Muhammad Wajdi Universitas Muhammadiyah Makassar
  • Usman Usman STAI Al-Ghazali Bulukumba

DOI:

https://doi.org/10.59638/ihyaulum.v4i1.976

Keywords:

Environmental Health Literacy, Kindergarten Teachers, PLS-SEM, Teaching Self-Efficacy

Abstract

Implementing Clean and Healthy Living Behavior (CHLB) in early childhood education requires teachers with adequate Environmental Health Literacy (EHL) and strong Teaching Self-Efficacy (TSE). However, empirical evidence explaining how EHL translates into CHLB instructional practices remains limited. This study examined the effect of EHL on CHLB instructional practices, with TSE as a mediating variable. A quantitative explanatory research design was employed involving 150 kindergarten teachers from 53 kindergartens in Rappocini District, Makassar, Indonesia, selected through cluster sampling. Data were collected using a structured questionnaire measuring three latent constructs: Environmental Health Literacy, Teaching Self-Efficacy, and CHLB instructional practices. The data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS 4. The results showed that EHL had a positive and significant effect on TSE (? = 0.747, p < 0.001) and CHLB instructional practices (? = 0.456, p < 0.001). TSE also positively influenced CHLB instructional practices (? = 0.272, p = 0.024) and partially mediated the relationship between EHL and CHLB instructional practices (? = 0.203, p = 0.031). These findings demonstrate that EHL is the primary driver of effective CHLB instructional practices, while TSE functions as a complementary psychological mechanism that translates teachers' competencies into instructional practice. The study extends the Health Literacy Framework and Social Cognitive Theory by explaining how teachers' environmental health competencies shape sustainable health-oriented teaching practices in early childhood education.

References

Aiken, L. R. (1985). Three Coefficients for Analyzing the Reliability and Validity of Ratings. Educational and Psychological Measurement, 45(1), 131–142. https://doi.org/10.1177/0013164485451012

Aisyah, S., Novita, D., Prastati, T., Chandrawati, T., & Sagala, A. C. D. (2023). Digital Literacy Learning Module Improves Knowledge of Healthy Food in Indonesian PAUD Students. Jurnal Pendidikan Anak Usia Dini Undiksha, 11(1), 31–42. https://doi.org/10.23887/paud.v11i1.55120

Anatasya, A., Muthmainah, M., & Prayitno, P. (2025). Analisis Kebutuhan Pengembangan Perilaku Peduli Lingkungan Anak Usia Dini di Daerah Istimewa Yogyakarta. Jurnal Obsesi?: Jurnal Pendidikan Anak Usia Dini, 9(6), 2334–2346. https://doi.org/10.31004/obsesi.v9i6.7103

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191

Chen, H. L., Huang, W. H., & Liu, C. H. (2022). Exploring the factors affecting preschool educators’ health teaching capacity of life skills using the PRECEDE model: A study of preschool educators in northern Taiwan. BMC Public Health, 22(1), 587. https://doi.org/10.1186/s12889-022-13005-2

Chen, Q., Gong, K., Bao, Z., Yin, Y., Zhao, L., & Chen, Y.-Y. (2025). Pathways Linking ICT Use to Chronic Disease Self-Management Among Older Adults with Comorbidities in Shanghai, China. Healthcare, 13(13), 1626. https://doi.org/10.3390/healthcare13131626

Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (Sixth edition, international student edition). Sage.

Daboti, A., Wahyuni, S., Erika, R., Anggraeni, I., & Ramdani, A. (2025). Pembelajaran Ecoliteracy di PAUD: Sinergi Pendidikan Kesehatan dan Karakter. Jurnal Obsesi?: Jurnal Pendidikan Anak Usia Dini, 9(6), 2497–2506. https://doi.org/10.31004/obsesi.v9i6.7536

Etzel, R. A. (2024). The Global Dimension of Children’s Environmental Health. In R. A. Etzel & P. J. Landrigan (Eds.), Textbook of Children’s Environmental Health (2nd ed., pp. 156–172). Oxford University PressNew York. https://doi.org/10.1093/oso/9780197662526.003.0013

Febriawati, H., Angraini, W., Oktarianita, O., & Rizal, A. F. (2023). Edukasi Perilaku Hidup Bersih dan Sehat (PHBS) pada Siswa SMP Negeri 6 Kota Bengkulu. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(4), 1412–1426. https://doi.org/10.33024/jkpm.v6i4.8947

Firda, A., & Suharni, S. (2022). Tingkat Kemampuan Literasi Sains Guru Pendidikan Anak Usia Dini. Jurnal Obsesi?: Jurnal Pendidikan Anak Usia Dini, 6(5), 3868–3876. https://doi.org/10.31004/obsesi.v6i5.1928

Fitri, R. A., & Hadiyanto, H. (2022). Kepedulian Lingkungan melalui Literasi Lingkungan pada Anak Usia Dini. Jurnal Obsesi?: Jurnal Pendidikan Anak Usia Dini, 6(6), 6690–6700. https://doi.org/10.31004/obsesi.v6i6.3485

Fleary, S. A., Joseph, P. L., Dimaano, P. B., & Dougherty, A. (2022). It’s Just the Fact It’s Against Us: The Role of Social Determinants of Health in Young Children’s Caregivers’ Preventive Health Behaviors. Journal of Prevention and Health Promotion, 3(3), 300–326. https://doi.org/10.1177/26320770221095788

Gray, K. M., & Lindsey, M. (2019). Measuring Environmental Health Literacy. In S. Finn & L. R. O’Fallon (Eds.), Environmental Health Literacy (pp. 19–43). Springer International Publishing. https://doi.org/10.1007/978-3-319-94108-0_2

Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2022). A primer on partial least squares structural equation modeling (PLS-SEM) (Third edition). SAGE Publications, Incorporated.

Haryati, H. (2022). Efektivitas Penyuluhan Kesehatan dan Aksi Masyarakat dalam Upaya Penerapan Perilaku Hidup Bersih dan Sehat di Lingkungan Masyarakat Kelurahan Kambu Kota Kendari. Jurnal Pengabdian Meambo, 1(2), 74–82. https://doi.org/10.56742/jpm.v1i2.14

Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8

Husna, D. R. (2025). Perilaku Hidup Bersih Dan Sehat di Ra At Thoyyibah Singogalih Tarik Sidoarjo. Jurnal Pengabdian Kepada Masyarakat, 6–11. https://doi.org/10.59971/jpkm.v2i1.176

Ilham, Muh., & Rahman, N. (2024). Education and Local Wisdom: Improving Quranic Reading Skills of Early Childhood Using Buginese Spelling in Bone Regency, Indonesia. International Journal of Religion, 5(4), 384–394. https://doi.org/10.61707/88m7sy77

Junaiddin, J., R, A., A, A., Etnis, B. R., Arianto, M. F., Lerebulan, E. F., & Marasabessy, H. (2024). Penerapan Perilaku Hidup Bersih Dan Sehat (PHBS) Dalam Upaya Pencegahan Kecacingan Pada Anak-Anak di SD YPK Elim Malanu Kota Sorong. Idea Pengabdian Masyarakat, 4(02), 100–104. https://doi.org/10.53690/ipm.v2i02.242

Kata, M., Usman, U., Wulandari, R., Arifuddin, H., Basma, & Lukman. (2024). The Effect of Learning Facilities on Learning Outcomes and Religiosity as a Moderator in Students STAI Al-Ghazali Bulukumba. 189–201. https://doi.org/10.2991/978-2-38476-210-1_16

Lazarides, R., & Warner, L. M. (2020). Teacher Self-Efficacy. In R. Lazarides & L. M. Warner, Oxford Research Encyclopedia of Education. Oxford University Press. https://doi.org/10.1093/acrefore/9780190264093.013.890

Lu, H., Li, X., & Li, K. (2025). Adaptation and Validation of the Scale for Chinese Preschool Teachers’ Self-Efficacy (SCPTSE): Based on Classical Test Theory and Item Response Theory. Behavioral Sciences, 15(6), 741. https://doi.org/10.3390/bs15060741

Mardjani Aliyah, M. A., AldiFebrianto, A., & Rusnah, R. (2023). SOSIALISASI POSTER DAN PRAKTEK PHBS DI SEKOLAH LUAR BIASA NEGERI MAPILLI. SIPISSANGNGI: Jurnal Pengabdian Kepada Masyarakat, 3(1), 81. https://doi.org/10.35329/sipissangngi.v3i1.3897

Mediyana, M., Rifatul Hasanah, & Dewi Pusparini. (2025). Habituation of Clean and Healthy Living Behavior in Developing Children’s Life Skills at Paud Pahlawan. ATTAQWA: Jurnal Pendidikan Islam Dan Anak Usia Dini, 4(3), 168–177. https://doi.org/10.58355/attaqwa.v4i3.171

Nugroho, S. A., Tholib, A., & Sholehah, B. (2025). Pendampingan Guru Paud melalui Media Edukasi Interaktif Robot Sandwich dalam Edukasi Perilaku Hidup Bersih dan Sehat di Kabupaten Probolinggo. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 8(11), 5718–5730. https://doi.org/10.33024/jkpm.v8i11.22728

Nurhidayati, S. Z., Maulana, F. A., Saraswati, P. B. A., Hikmaturrohmi, Handayani, E., Ramadhan, Moch. F., & Prasedya, E. S. (2024). SOSIALISASI WAWASAN KESEHATAN DASAR OLEH TIM KKN INTERNASIONAL UNIVERSITAS MATARAM INDONESIA DAN FUKUSHIMA MEDICAL UNIVERSITY JEPANG DI WILAYAH SENGKOL, KECAMATAN PUJUT, LOMBOK TENGAH. Jurnal Abdi Insani, 11(2), 1345–1353. https://doi.org/10.29303/abdiinsani.v11i2.1473

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259

Putri, A. A. P. P., Budi Rahardjo, & Nur Amalia Olby. (2023). Project-Based Learning Model Improves Ability to Understand Environmental Cleanliness in Early Childhood. Jurnal Pendidikan Anak Usia Dini Undiksha, 11(1), 43–51. https://doi.org/10.23887/paud.v11i1.54589

Rahmaddiansyah, R., Nurmiati, N., & Rusti, S. (2023). PENINGKATAN PROGRAM KESEHATAN SEKOLAH MELALUI PEMBINAAN DOKTER KECIL PADA SISWA DI SDN 21 LIMAU SUNDAI KABUPATEN PESISIR SELATAN. BULETIN ILMIAH NAGARI MEMBANGUN, 6(1), 26–34. https://doi.org/10.25077/bina.v6i1.422

Rahman, H., Rahman, H., Burhan, Z., & Kurnia, S. D. (2022). PEMANFAATAN DONGENG LET’S READ UNTUK SISWA SEKOLAH DASAR DALAM MENINGKATKAN PEMAHAMAN PERILAKU HIDUP SEHAT. Jurnal Penelitian Kebijakan Pendidikan, 15(1), 19–26. https://doi.org/10.24832/jpkp.v15i1.590

Rivas, A., Mooss, A., Pontier, C. H., Romillo, J., & Muñoz, E. (2023). The effect of Universal Teacher–Child Interaction Training on Hispanic teachers’ sense of self-efficacy in early childhood education and care settings. International Journal of Child Care and Education Policy, 17(1), 12. https://doi.org/10.1186/s40723-023-00115-6

Romadona, N. F., & Rudiyanto, R. (2022). Pembelajaran Kesehatan dan Gizi bagi Guru Taman Kanak-Kanak: Sebuah Penelitian Gabungan. Jurnal Obsesi?: Jurnal Pendidikan Anak Usia Dini, 6(6), 6417–6428. https://doi.org/10.31004/obsesi.v6i6.3314

Rumpoko, A. U. T., & Diana, D. (2022). Kesiapan Kompetensi Guru PAUD dalam Menyongsong Pendidikan AUD di Era Society 5.0. Jurnal Obsesi?: Jurnal Pendidikan Anak Usia Dini, 6(6), 6641–6650. https://doi.org/10.31004/obsesi.v6i6.3023

Sagitarini, P. N. (2022). Increasing The Knowledge About Clean Healthy Lifestyle In School Order Among Teachers At SDN 18 Padang Sambian: Peningkatan Pengetahuan Tentang Perilaku Hidup Bersih Dan Sehat Di Tatanan Sekolah Pada Guru SDN 18 Padang Sambian. Jurnal Pengabdian Masyarakat Kesehatan, 8(2), 155–160. https://doi.org/10.33023/jpm.v8i2.996

Said, M., Arismunandar, A., Suardi, S., Syamsuardi, S., & Usman, U. (2026). Global health insights, social media literacy, and physical activity: A hybrid PLS-SEM-NCA analysis. Retos, 81, 593–610. https://doi.org/10.47197/retos.v81.119513

Sari, D. A. P., Suraijiah, S., & Hidayati, S. (2024). Improving the Quality of Early Childhood Education with the Role of Parents in the Digital Era. Journal of Educational Research and Practice, 2(3), 301–315. https://doi.org/10.70376/jerp.v2i3.158

Sastradiharja, E. J. (2024). Implementasi Pendidikan Lingkungan Hidup untuk Meningkatkan Kebiasaan Hidup Bersih dan Sehat pada Anak Usia Dini. Jurnal Obsesi?: Jurnal Pendidikan Anak Usia Dini, 8(5), 945–956. https://doi.org/10.31004/obsesi.v8i5.6107

Shafajar, N., & Rohmah, N. (2025). Systematic Literature Review Systematic Literature Review: Self-efficacy Pendidik PAUD dalam Praktik Mengajar. Cokroaminoto Journal of Primary Education, 8(3), 1162–1174. https://doi.org/10.30605/cjpe.8.3.2025.6562

Sheffield, P. E., Schultz, L., & Ebi, K. L. (2024). The Changing Global Environment and Children’s Health. In R. A. Etzel & P. J. Landrigan (Eds.), Textbook of Children’s Environmental Health (2nd ed., pp. 48–59). Oxford University PressNew York. https://doi.org/10.1093/oso/9780197662526.003.0004

Sollerhed, A.-C. (2023). Factors associated with implemented teacher-led movement and physical activity in early childhood education and care. Frontiers in Psychology, 14, 1221566. https://doi.org/10.3389/fpsyg.2023.1221566

Sumantri, A., Raharyanti, F., Jalaludin, J., Jauharoh, S. N. A., Azizah, R., & Khairunnisa, M. (2024). Pemberdayaan Dakwah Sanitasi Pesantren di Pesantren Jagat Arsy, Tangerang Selatan. Jurnal Kesehatan Lingkungan Indonesia, 23(1), 120–128. https://doi.org/10.14710/jkli.23.1.120-128

Usman, U., Arismunandar, A., Rusmayadi, R., Saodi, S., Musi, M. A., & Hasan, H. (2026). Pathways to social competence: Motor skills and the mediating role of independence in early childhood education: Pathways to social competence: motor skills and the mediating role of independence in early childhood education. Retos, 78, 382–393. https://doi.org/10.47197/retos.v78.118679

Wharf Higgins, J., Begoray, D., & MacDonald, M. (2009). A Social Ecological Conceptual Framework for Understanding Adolescent Health Literacy in the Health Education Classroom. American Journal of Community Psychology, 44(3–4), 350–362. https://doi.org/10.1007/s10464-009-9270-8

Wu, J., Li, C., Wu, X., & Su, D. (2026). Self?Efficacy and e?Health Literacy Among Caregivers of Patients With Lung Cancer: The Chain?Mediating Roles of Negative Emotions and Caregiver Readiness. Journal of Clinical Nursing, 35(1), 121–132. https://doi.org/10.1111/jocn.17807

Xavierees Tungka, E., David, D., Suriyani, S., Pakpahan, A., Steward Castellano, J., & Sisca, S. (2025). Penyuluhan dan Pelatihan Perilaku Hidup Bersih Sehat (PHBS): Mengajarkan Anak TK Hidup Sehat dan Bersih Sejak Dini. Jurnal Dharma Bhakti Ekuitas, 10(1), 24–34. https://doi.org/10.52250/dbe.v10i1.1011

Yan, L., Lin, Y., Li, W., & Hu, C. (2025). Exploring the interplay of mindfulness, self-efficacy, and burnout among Chinese preschool teachers: A network approach. Frontiers in Psychology, 16, 1483099. https://doi.org/10.3389/fpsyg.2025.1483099

Yani Suryani & Rivo Panji Yudha. (2023). Analisis Faktor-Faktor Layanan Kesehatan dan Gizi Pada Penyelenggaraan PAUD Hi dalam Pencegahan Stunting. Jurnal Pelita PAUD, 8(1), 264–272. https://doi.org/10.33222/pelitapaud.v8i1.3644

Zhao, N., Huo, M., & Van Den Noortgate, W. (2023). Exploring burnout among preschool teachers in rural China: A job demands-resources model perspective. Frontiers in Psychology, 14, 1253774. https://doi.org/10.3389/fpsyg.2023.1253774

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Published

2026-03-30

How to Cite

Hasan, E., Nasir, M., Wajdi, M., & Usman, U. (2026). Environmental Health Literacy and Clean and Healthy Living Behavior Teaching Practices among Early Childhood Teachers: Mediating Role of Teaching Self-Efficacy. Ihya Ulum: Early Childhood Education Journal, 4(1), 723–743. https://doi.org/10.59638/ihyaulum.v4i1.976