Microorganism knowledge and hygiene behavior among senior high school students

Authors

  • M. Rafi Dhiaulhaq Biology Education, Faculty of Teacher Training and Education, Universitas PGRI Ronggolawe, Indonesia
  • Ali Mustofa Biology Education, Faculty of Teacher Training and Education, Universitas PGRI Ronggolawe, Indonesia

DOI:

https://doi.org/10.21009/biosferjpb.65737

Keywords:

Health behavior, KAP survey, Microbial misconceptions, Microbiology literacy

Abstract

Public understanding of microorganisms is a critical component of scientific literacy, particularly in the context of infectious disease prevention. However, research consistently documents persistent misconceptions and fragmented knowledge among secondary school students, underscoring the need for evidence-based evaluation of microbiology literacy in formal education settings. This study aimed to evaluate the levels of knowledge, attitudes, perceptions, and behaviors of senior high school students regarding microorganism-related issues within a biology education context. A cross-sectional survey design was employed involving 188 eleventh- and twelfth-grade students from senior high schools in Tuban Regency, East Java, Indonesia. Data were collected using a structured questionnaire encompassing four dimensions: knowledge (6 Likert-scale items), attitudes (6 Likert-scale items), perceptions (7 multiple-choice items), and behaviors (7 multiple-choice items), and were analyzed descriptively. Results revealed that students' knowledge was categorized as high (mean = 3.15). However, conceptual understanding remained fragmented, with students predominantly perceiving microorganisms as harmful agents. Perceptions fell within the moderate category, reflecting a gap between factual knowledge and integrated scientific understanding. Attitudes were very high overall (mean = 3.48), though inconsistencies were evident in food safety decision-making. Hygiene-related behaviors were generally high; however, discrepancies were observed in food storage practices and disinfectant use. These findings indicate that strong basic knowledge and positive attitudes do not automatically translate into consistent and appropriate health behaviors. Biology education programs must therefore adopt integrative instructional approaches that explicitly connect microbiological concepts with real-world applications to bridge knowledge-attitude-behavior gaps and promote health-literate graduates.

References

Abu-Humaidan, A. H. A., Alrawabdeh, J. A., Theeb, L. S., Hamadneh, Y. I., & Omari, M. B. (2021). Evaluating knowledge of human microbiota among university students in Jordan, an online cross-sectional survey. International Journal of Environmental Research and Public Health, 18(24). https://doi.org/10.3390/ijerph182413324

Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Azevedo, M. M., Gonçalves, A., Osório, N. S., & Baltazar, F. (2024). Antibiotic resistance: Assessing knowledge and misconceptions among Portuguese students and science teachers. Biochemistry and Molecular Biology Education, 52(6), 612–620. https://doi.org/10.1002/bmb.21849

Azkiya Tri Hapsari1*, S. J. (2025). Hubungan Pengetahuan , Sikap , dan Praktik ( KAP ) Masyarakat terhadap Pengelolaan Sampah Rumah Tangga Berbasis 3R. OBAT: Jurnal Riset Ilmu Farmasi Dan Kesehatan, 3(4). https://doi.org/10.61132/obat.v3i4.1490

Bhat, S. A., Sher, F., Zafar, A., & Lima, E. C. (2022). Environmental and health impacts of spraying COVID-19 disinfectants with associated challenges. Environmental Science and Pollution Research, 29, 85648–85657. https://doi.org/10.1007/s11356-021-16575-7

Bhave, S. Y., & Yadav, S. (2015). Normal adolescent development. Indian Journal of Practical Pediatrics, 17(2), 85–89. https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959132964&partnerID=40&md5=e4472f52d5f7200337ef1cbbe3cb4e9e

Byrne, J. (2011). Models of Micro‐Organisms: Children’s knowledge and understanding of micro‐organisms from 7 to 14 years old. International Journal of Science Education, 33(14), 1927–1961. https://doi.org/10.1080/09500693.2010.536999

Cañada, F. C., González-Gómez, D., Airado-Rodríguez, D., Niño, L. V. M., & Acedo, M. A. D. (2017). Change in elementary school students’ misconceptions on material systems after a theoretical-practical instruction. International Electronic Journal of Elementary Education, 9(3), 499–510. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85015331274&partnerID=40&md5=80160ccbb6ddd7cc32a662bb11eb0ec4

Creswell, J. W. (2011). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. In Sage Publications (3rd ed., Vol. 16, Issue 1). https://doi.org/10.1016/j.math.2010.09.003

Dardas, L. A., Khalaf, I., Nabolsi, M., Nassar, O., & Halasa, S. (2020). Developing an Understanding of Adolescents’ Knowledge, Attitudes, and Practices Toward COVID-19. Journal of School Nursing, 36(6), 430–441. https://doi.org/10.1177/1059840520957069

DeSalle, R., Wikins, J., & Kennett, R. (2022). A kiosk survey of perception, attitudes and knowledge (PAK) of Australians concerning microbes, antibiotics, probiotics and hygiene. Health Promotion Journal of Australia, 33(3), 838–851. https://doi.org/10.1002/hpja.530

Fatton, M., Schneiter, A., Allisiardi, M., Hänni, L., Hauser, G., Gonçalves-Fernandes, Y., Pessina, A., Pijnenburg, M.-L., Vaudroz, C., Bshary, A., Bindschedler, S., & Junier, P. (2021). Microbes Go to School: Using Microbiology and Service-Learning to Increase Science Awareness and Fostering the Relationship Between Universities and the General Public. Frontiers in Education, 6. https://doi.org/10.3389/feduc.2021.735297

Festinger, L. (1957). A theory of cognitive dissonance. Stanford University Press.

Fidiastuti, H. R., Lestari, S. R., & Prabaningtyas, S. (2024). Developing microbiology literacy in biology education college: future teacher candidates. Journal of Microbiology and Biology Education, 25(2). https://doi.org/10.1128/jmbe.00035-24

Fonseca de Fraga, F. B. F. (2019). Towards an evolutionary perspective in teaching and popularizing microbiology. Journal of Microbiology and Biology Education, 19(1). https://doi.org/10.1128/jmbe.v19i1.1531

George, D., & Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference 11.0 update (4th ed.).

Gund, M. P., Bucher, M., Hannig, M., Rohrer, T. R., & Rupf, S. (2022). Oral hygiene knowledge and behavior in children: A questionnaire-based, interview-style analysis and on-site assessment of toothbrushing practices. Oralprophylaxe Und Kinderzahnheilkunde, 44(4), 42–49. https://doi.org/10.1007/s44190-022-0631-4

Guzek, D., Skolmowska, D., & Głabska˛, D. (2020). Analysis of gender-dependent personal protective behaviors in a national sample: Polish adolescents’ covid-19 experience (place-19) study. International Journal of Environmental Research and Public Health, 17(16), 1–22. https://doi.org/10.3390/ijerph17165770

Hanke, U. (2010). Effects of the presentation of provocative problems on text comprehension. Proceedings of the IADIS International Conference E-Learning 2010, Part of the IADIS Multi Conference on Computer Science and Information Systems 2010, MCCSIS 2010, 2, 167–170. https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955164298&partnerID=40&md5=f0f1b485556698e02156c548850577fa

Herak, R., Mahanal, S., Zubaidah, S., & Novianti, V. (2025). Exploring Misconceptions in Biology Learning: A Systematic Literature Review. Salud, Ciencia y Tecnologia, 5. https://doi.org/10.56294/saludcyt20251743

Kahneman, D. (2011). Thinking, fast and slow. Farrar, Straus and Giroux.

Karadon, H. D., & Şahin, N. (2010). Primary school students’ basic knowledge, opinions and risk perceptions about microorganisms. Procedia - Social and Behavioral Sciences, 2(2), 4398–4401. https://doi.org/10.1016/j.sbspro.2010.03.700

Krause, S. J., Waters, C., Stuart, W. J., Judson, E., Ankeny, C. J., & Smith, B. B. (2016). Effect of contextualization of content and concepts on students’ course relevance and value in introductory materials classes. ASEE Annual Conference and Exposition, Conference Proceedings, 2016-June. https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983297332&partnerID=40&md5=adab80d3200ec31a6bb04b908063bc94

Lane, A. R., Momsen, J. L., & Wiltbank-Chau, L. B. (2025). Positive microbiology: addressing students’ knowledge gaps regarding the benefits of microorganisms. Journal of Microbiology and Biology Education, 26(2). https://doi.org/10.1128/jmbe.00045-25

Lubej, M., & Kirbiš, A. (2025). Why does health literacy matter, and for whom? Explaining the differentiating impact of health literacy on vaccine attitudes. Frontiers in Psychology, 16. https://doi.org/10.3389/fpsyg.2025.1470654

Lutfia, A. G., & Kholid, M. N. (2026). Fragmentation of Students’ Thinking in Solving Story Problems. AIP Conference Proceedings, 3412(1). https://doi.org/10.1063/5.0318290

Matney, G., Jackson, J. L., & Bostic, J. (2013). Effects of Minute Contextual Experience on Realistic Assessment of Proportional Reasoning. Investigations in Mathematics Learning, 6(1), 41–68. https://doi.org/10.1080/24727466.2013.11790329

Mustofa, A., Hastuti, U. S., & Susanto, H. (2025). Microbiology literacy and its influence on knowledge, perceptions and community attitudes. Biosfer, 18(1), 126–137. https://doi.org/10.21009/biosferjpb.49273

Mustofa, A., & Sueb, S. (2023). Analysis of environmental literacy and awareness to maintain environmental sustainability. Edubiotik : Jurnal Pendidikan, Biologi Dan Terapan, 8(01), 50–61. https://doi.org/10.33503/ebio.v8i01.2528

Mustofa, A., Zubaidah, S., & Kuswantoro, H. (2021). Pengembangan Modul Berbasis Proyek Berdasarkan Analisis Lintas Karakter Agronomi dan Morfologi Kedelai untuk Meningkatkan Keterampilan Proses Sains. Jurnal Pendidikan: Teori, Penelitian, Dan Pengembangan, 6(1), 24. https://doi.org/10.17977/jptpp.v6i1.14373

Nagashima, T. (2018). Contextualized instruction in data science and its effect on transfer of learning. CEUR Workshop Proceedings, 2294. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060097836&partnerID=40&md5=2f9af0a0cf1ddd96b71caabc62339cdc

Nuriyah, Z. T. S. A., & Kholid, M. N. (2024). Defragmenting reflective thinking in solving parabolic problems. AIP Conference Proceedings, 2926(1). https://doi.org/10.1063/5.0182796

Panahi, R., Ghorbanpour, Z., Moradi, B., Eidy, F., & Amjadian, M. (2024). The relationship between health literacy and the adoption of COVID-19 preventive behaviors: A cross-sectional study in Iran. PLOS ONE, 19(5), e0299007. https://doi.org/10.1371/journal.pone.0299007

Pickett, S. B., Nielson, C., Marshall, H., Tanner, K. D., & Coley, J. D. (2022). Effects of Reading Interventions on Student Understanding of and Misconceptions about Antibiotic Resistance. Journal of Microbiology and Biology Education, 23(1). https://doi.org/10.1128/jmbe.00220-21

Reiss, M. J. (2018). WORLDVIEWS IN BIOLOGY EDUCATION. In Teaching Biology in Schools: Global Research, Issues, and Trends (pp. 263–274). https://doi.org/10.4324/9781315110158-21

Righi, S., Bergami, E., Simonini, R., & Prevedelli, D. (2024). Level of Awareness and Attitudes towards Plastic Contamination by Students of an Italian University. Sustainability (Switzerland) , 16(11). https://doi.org/10.3390/su16114637

Robinson, J. M., Cameron, R., & Jorgensen, A. (2021). Germaphobia! Does Our Relationship With and Knowledge of Biodiversity Affect Our Attitudes Toward Microbes? Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.678752

Rosenstock, I. M. (1974). Historical origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403

Ruiz-Gallardo, J.-R., & Paños, E. (2018). Primary school students’ conceptions about microorganisms. Influence of theoretical and practical methodologies on learning. Research in Science and Technological Education, 36(2), 165–184. https://doi.org/10.1080/02635143.2017.1386646

Sagmeister, K. J., Schinagl, C. W., Kapelari, S., & Vrabl, P. (2021). Students’ Experiences of Working With a Socio-Scientific Issues-Based Curriculum Unit Using Role-Playing to Negotiate Antibiotic Resistance. Frontiers in Microbiology, 11. https://doi.org/10.3389/fmicb.2020.577501

Sarirete, A., Noble, E., & Chikh, A. (2009). Equilibrium pattern model for learning. International Journal of Knowledge and Learning, 5(2), 144–153. https://doi.org/10.1504/IJKL.2009.027899

Sarirete, A., Noble, E., & Chikh, A. (2010). Knowledge management throaugh the equilibrium pattern model for learning. Communications in Computer and Information Science, 111 CCIS(PART 1), 564–572. https://doi.org/10.1007/978-3-642-16318-0_72

Sawan, H. M., Shroukh, W., Abutaima, R., Al Omari, S. M., Abdel-Qader, D. H., & Binsuwaidan, R. (2024). Impact of Jordanian Pharmacists’ Knowledge of the Human Microbiome: Has the Practice of Antibiotics and Probiotics Dispensing Been Affected? A Cross-Sectional Study. Infection and Drug Resistance, 17(November), 5203–5214. https://doi.org/10.2147/IDR.S494714

Shan, H., Hassan, U., Zulfiqar, R., Nishat Jaffry, T., Shan, M., & Maqbool, S. (2023). Knowledge and Hand Hygiene Behavior During Covid-19 Pandemic in Adolescents of Rawalpindi, Pakistan: A Call for Policymaking in Health Literacy. Journal of Health Literacy, 8(1), 9–18. https://doi.org/10.22038/jhl.2022.68247.1359

Simard, C. (2023). Microorganism education: misconceptions and obstacles. Journal of Biological Education, 57(2), 308–316. https://doi.org/10.1080/00219266.2021.1909636

Simon, U. K., Enzinger, S. M., & Fink, A. (2017). The evil virus cell: Students’ knowledge and beliefs about viruses. PLoS ONE, 12(3). https://doi.org/10.1371/journal.pone.0174402

Timmis, K., Cavicchioli, R., Garcia, J. L., Nogales, B., Chavarría, M., Stein, L., Mcgenity, T. J., Webster, N., Singh, B. K., Handelsman, J., Lorenzo, V. De, Pruzzo, C., Timmis, J., Cenibiot, I. B., José, S., & Rica, C. (2019). Editorial The urgent need for microbiology literacy in society. 21, 1513–1528. https://doi.org/10.1111/1462-2920.14611

Zarei, F., Dehghani, A., Ratansiri, A., Ghaffari, M., Raina, S. K., Halimi, A., Rakhshanderou, S., Ismael, S. A., Amiri, P., Aminafshar, A., & Mosavi Jarrahi, A. (2024). ChecKAP: A Checklist for Reporting a Knowledge, Attitude, and Practice (KAP) Study. Asian Pacific Journal of Cancer Prevention, 25(7), 2573–2577. https://doi.org/10.31557/APJCP.2024.25.7.2573

Zhang, H., Chen, L., & Zhang, F. (2022). Revisit the Effects of Health Literacy on Health Behaviors in the Context of COVID-19: The Mediation Pathways Based on the Health Belief Model. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.917022

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Published

2026-08-03

How to Cite

Dhiaulhaq, M. R., & Mustofa, A. (2026). Microorganism knowledge and hygiene behavior among senior high school students. Biosfer: Jurnal Pendidikan Biologi, 19(2), 525–536. https://doi.org/10.21009/biosferjpb.65737