The Role of Healthy Social Life, Food Security, and Nutrition in Shaping a Healthy Island: An Analysis Using Structural Equation Modeling

Abstract

The Role of Healthy Social Life, Food Security, and Nutrition in Shaping a Healthy Island: An Analysis Using Structural Equation Modeling Sukri Palutturi 1 , Nurul Syahriani Salahuddin 2,3 , Agus Bintara Birawida 4 , Healthy Hidayanty 5 , Tri Joko 6 , Syamsiar S. Russeng 7 , Suriah 8 , Wahiduddin 9 , Jalaluddin Abdul Malek 10

1 Department of Health Policy and Administration, Faculty of Public Health, Hasanuddin University Makassar, Indonesia 2 Faculty of Public Health, Hasanuddin University, Makassar, Indonesia 3 Department of Public Health, Faculty of Sciences and Technology, Avicenna Institute of Technology and Health, Kendari, Indonesia 4 Department of Environmental Health, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia 5 Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia 6 Department of Environmental Health, Faculty of Public Health, Diponegoro University, Semarang, Indonesia 7 Department of Occupational Health and Safety, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia 8 Department of Health Promotion and Behavioral Sciences, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia 9 Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia 10 Development and Environment Studies, Universiti Kebangsaan Malaysia * Authors Correspondence: sukritanatoa72@gmail.com/0811-4453-033 ARTICLE INFO ABSTRACT Several important factors are associated with establishing a healthy island including a healthy social life, food security, and nutrition but in-depth information related to these dimensions is limited. The relationship dimensions include addressing poverty, managing natural and social disasters, handling disabilities, food availability, and food security. Therefore, this study aimed to identify the best model for establishing a healthy island in South Sulawesi. The experiment was carried out on five islands located in three municipalities/regencies in South Sulawesi, namely Tanakeke Island in Takalar Regency, Barrang Caddi Island and Lummu-Lumu Island in Makassar Municipality, as well as Saugi Island and Sapuli Island in Pangkep Regency. The sample consisted of 196 households, while data were analyzed using multivariate analysis through structural equation model tests. The results showed that addressing poverty (t value = 13.77; R2 = 0.75), managing natural and social disasters (t value = 12.15; R2 = 0.61), as well as handling disabilities (t value = 12,53; R2 = 0.64) significantly affected healthy social life. Additionally, food availability (t value = 6.25; R2 = 0.66), and security (t value = 2.72; R2 = 0.85) played key roles in the relationship between food security and nutrition affecting a healthy island. The best indicator of a healthy social life variable was addressing poverty (t value = 13.77; R2 = 0.75). Meanwhile, the best indicator of food security and nutrition variables was food availability (t value = 6.25; R2 = 0.66). Article History: Received Jul, 4

th , 2023 Accepted Sept, 7 th , 2023 Published online Sept, 29 th , 2023

Keywords: Food security; healthy island; structural equation model; social life;