Kuesioner Penelitian
PERILAKU MAKAN SIAP SAJI
(FAST FOOD)
DAN KEJADIAN
OBESITAS PADA REMAJA PUTRI DI SMAN 1 BARUMUN
KECAMATAN BARUMUN KABUPATEN PADANG LAWAS
TAHUN2014
I.
IDENTITAS RESPONDEN
1.
Tanggal wawancara dilaksanakan
: …………..
2.
Nama Responden
: ………
3.
Umur Responden
: ……… tahun
4.
Kelas
: ………
II.
PENGETAHUAN
1.
Apakah anda tahu makanan cepat saji ?
a.
Ya
b.
Tidak
2.
Apakah yang dimaksud dengan makanan cepat saji (
fast food
)?
a.
Makanan yang penyajiannya cepat, praktis, rendah serat dan tinggi
lemak.
b.
Makanan yang diolah secara alami
c.
Makanan yang dibeli di restoran
3.
Menurut Anda, yang termasuk jenis-jenis dari makanan cepat saji adalah
a.
Mie instant, bakso, gorengan, kentang goreng, mi ayam, mi goreng,
nugget
,
hamburger,sosis.
c.
Semua jawaban di atas benar
4.
Makanan siap saji pada umumya makanan yang mengandung zat gizi?
a.
Tinggi kalori, lemak, gula, garam dan rendah serat
b.
Mengandung kalori yang rendah
c.
Mengandung serat yang tinggi
5.
Menurut Anda, apakah makanan cepat saji baik untuk kesehatan ?
a.
Ya
b.
Tidak
6.
Menurut Anda, apakah dampak dari mengkonsumsi makanan cepat saji yang
secara terus-menerus?
a.
Menyebabkan kegemukan dan obesitas
b.
Tekanan darah tinggi dan diabetes
c.
Semua jawaban diatas benar
7.
Menurut Anda, bagaimana cara mengatasi dampak dari mengkonsumsi
makanan siap saji?
a.
Olahraga dan memperbanyak sayuran dan buah-buahan untuk
mengganti kadar serat yang minim
b.
Mengkonsumsi makanan siap saji setiap hari
c.
Mengurangi konsumsi sayuran dan buah-buahan
8.
Menurut Anda, makanan yang menyebabkan obesitas?
a.
Mi instan,
burger
, sosis, bakso.
b.
Sayuran dan buah-buahan
9.
Penyebab seseorang menjadi gemuk yaitu karena kelebihan?
a.
Serat
b.
Vitamin
c.
Karbohidrat dan lemak
10.
Konsumsi energi yang berlebihan akan disimpan dalam bentuk:
a.
Tenaga
b.
Lemak
III.
SIKAP
Keterangan :
SS : Sangat Setuju
S : Setuju
R : Ragu-ragu
TS: Tidak Setuju
STS : Sangat Tidak Setuju
Berilah tanda cheklist (
√
) pada jawaban yang anda pilih
NO Pernyataan
SS S
R
TS
STS
1.
Makanan siap saji baik untuk kesehatan
2.
makanan siap saji sebaiknya tidak terlalu
sering dikonsumsi
3.
Makanan siap saji apabila sering
dikonsumsi dapat menyebabkan obesitas
4.
jika mengkonsumsi makanan cepat saji
sebaiknya harus di imbangi dengan
sayuran dan buah
–
buahan
5.
Makanan siap saji lebih praktis dan
menghemat
waktu
dibandingkan
membawa makanan dari rumah
6.
Jika mengonsumsi makanan siap saji
sebaiknya dalam porsi kecil
Formulir Frekuensi Makan (
Food Frequency Quesionare
)
Tanggal wawancara dilaksanakan
: ………
Nama Responden
: ………
Umur Responden
: ……… tahun
Kelas
: ………
No
Jenis
Bahan
Makanan
Frekuensi
1.
Mi instan
2.
Bakso
3.
Sosis
4.
Hamburger
5.
Donat
6.
Gorengan
7.
Ayam tepung
8.
………..
Formulir Food Recall 24 Jam
Tanggal Wawancara dilaksanakan
: ………
Nama Responden
: ………
Umur Responden
: ……… tahun
Kelas
: ………
Waktu
Makan
Nama Masakan
Bahan Masakan
Jenis
Bahan
Makanan
Banyaknya
URT
Gram
Pagi
Selingan
Siang
Selingan
Malam
OBESITAS
Nama responden
: ………...
Umur responden
: ………... tahun
Kelas
:
………...
Berat Badan
: ………...
Tinggi Badan
: ………...
Tangga Lahir
: ………...
Klasifikasi IMT/U berdasarkan WHO 2007 :
a.
Sangat kurus : <-3 SD
b.
Kurus
: ≥
-3 SD s/d <-2
c.
Normal
: ≥
-2 SD s/d
≥
+1 SD
d.
Gemuk : >+1 SD s/d
≥
2 SD
Frequencies
Notes
Output Created 11-Jan-2010 09:44:05
Comments
Input Data C:\Users
oname\Documents\interval kelas.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Missing Value Handling Definition of Missing User-defined missing values are treated as
missing.
Cases Used Statistics are based on all cases with valid
data.
Syntax FREQUENCIES
VARIABLES=kontribusikarbohitrat
kontribusiprotein kontribusilemak
kontribusiserat
/FORMAT=NOTABLE
/STATISTICS=MINIMUM MAXIMUM MEAN
MEDIAN
/ORDER=ANALYSIS.
Resources Processor Time 00:00:00.000
Elapsed Time 00:00:00.000
Statistics
kontribusikarbohitr
at kontribusiprotein kontribusilemak kontribusiserat
N Valid 77 77 77 77
Missing 0 0 0 0
Mean 19.79 25.88 33.80 15.01
Median 13.50 15.00 19.00 5.60
Minimum 0 0 0 0
Frequencies
Notes
Output Created 22-Jan-2015 15:22:22
Comments
Input Data C:\Users
oname\Documents\fix\output FIX_1.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Missing Value Handling Definition of Missing User-defined missing values are treated as
missing.
Cases Used Statistics are based on all cases with valid
data.
Syntax FREQUENCIES VARIABLES=konsumsiKH
konsumsiP konsumsiL konsumsiS
/FORMAT=NOTABLE
/STATISTICS=MINIMUM MAXIMUM
MEAN MEDIAN
/ORDER=ANALYSIS.
Resources Processor Time 00:00:00.000
Elapsed Time 00:00:00.010
[DataSet1] C:\Users\noname\Documents\fix\output FIX_1.sav
Statistics
konsumsiKH konsumsiP konsumsiL konsumsiS
N Valid 77 77 77 77
Missing 0 0 0 0
Mean 163.2201 37.8244 24.1116 5.3608
Median 165.9500 34.1600 22.1000 4.8000
Minimum 64.48 6.30 .30 .00
Frequencies
NotesOutput Created Comments
Input Data C:\Users
oname\Documents\output FIX.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Missing Value Handling Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics are based on all cases with valid data.
Syntax FREQUENCIES VARIABLES=fastfoodKH
fastfoodP fastfoodL fastfoodS /FORMAT=NOTABLE
/STATISTICS=MINIMUM MAXIMUM
MEAN MEDIAN /ORDER=ANALYSIS.
Resources Processor Time 00:00:00.016
Elapsed Time 00:00:00.010
[DataSet1] C:\Users\noname\Documents\output FIX.sav
Statistics
fastfoodKH fastfoodP fastfoodL fastfoodS
Frequencies Notes
Output Created 10-Jan-2010 10:04:48
Comments
Input Data C:\Users
oname\Documents\output 1.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Missing Value Handling Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics are based on all cases with valid data.
Syntax FREQUENCIES VARIABLES=NO NAMA
UMUR UMURK KELAS KELASK /ORDER=ANALYSIS.
Resources Processor Time 00:00:00.000
Elapsed Time 00:00:00.010
Statistics
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative Percent
Valid 15-16 tahun 46 59.7 59.7 59.7
17-18 tahun 31 40.3 40.3 100.0
KELAS
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative
Output Created 10-Jan-2010 10:05:45
Comments
Input Data C:\Users
oname\Documents\output 1.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Missing Value Handling Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics are based on all cases with valid data.
Syntax FREQUENCIES
VARIABLES=makanansiapsaji artifastfood
jenisfastfood zatgizi
fastfoodbaikutkkesehatan dampak
caramengatasi makananpenyebabobesitas penyebabobesitas
bentukpenyimpananenergilebih PENGETAHUAN
/ORDER=ANALYSIS.
Resources Processor Time 00:00:00.031
Elapsed Time 00:00:00.010
Frequency Table
makanansiapsaji
Frequency Percent Valid Percent
Cumulative Percent
Valid ya 77 100.0 100.0 100.0
artifastfood
Frequency Percent Valid Percent
Cumulative Percent
Valid maknan yg disajikan
cepat,praktis,rendah serat dan tinggi lemak
Frequency Percent Valid Percent
Cumulative Percent
Valid mi instan,bakso,gorengan,mi
ayam,dll 69 89.6 89.6 89.6
sayuran dan buah 1 1.3 1.3 90.9
semua benar 7 9.1 9.1 100.0
Total 77 100.0 100.0
zatgizi
Frequency Percent Valid Percent
Cumulative Percent
Valid kalori,lemak,gula,garam dan
rendah serat 73 94.8 94.8 94.8
mengandung kalori rendah 2 2.6 2.6 97.4
mengandung serat yang tinggi 2 2.6 2.6 100.0
Total 77 100.0 100.0
fastfoodbaikutkkesehatan
Frequency Percent Valid Percent
dampak
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative Percent
Valid karbohidrat dan lemak 77 100.0 100.0 100.0
bentukpenyimpananenergilebih
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative Percent
Valid Baik (8-10 soal) 75 97.4 97.4 97.4
Sedang (6-7 soal) 1 1.3 1.3 98.7
PENGETAHUAN
Frequency Percent Valid Percent
Cumulative
FREQUENCIES VARIABLES=makanansiapsajibaikutkkesehatan makanansiapsajibaiknyatdkterlaludikonsumsi a pabilaseringdikonsumsimenyebabkano
besitas baiknyahrsdiimbangisayurdanbuah lbhpraktismenghematwaktudibandingmakanandrrumah sebaik nyadlmporsikecil
sebaiknyamembuatsendiridirumahmenggunakanbumbuaman SIKAP /ORDER=ANALYSIS.
Frequencies Notes
Output Created 10-Jan-2010 10:07:01
Comments
Input Data C:\Users
oname\Documents\output 1.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Missing Value Handling Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics are based on all cases with valid data.
Syntax FREQUENCIES
VARIABLES=makanansiapsajibaikutkkeseh atan
makanansiapsajibaiknyatdkterlaludikonsum si
apabilaseringdikonsumsimenyebabkanobesi tas baiknyahrsdiimbangisayurdanbuah lbhpraktismenghematwaktudibandingmakan andrrumah sebaiknyadlmporsikecil
sebaiknyamembuatsendiridirumahmenggun akanbumbuaman SIKAP
/ORDER=ANALYSIS.
Resources Processor Time 00:00:00.000
Elapsed Time 00:00:00.000
Frequency Table
makanansiapsajibaikutkkesehatan
Frequency Percent Valid Percent
Valid S 4 5.2 5.2 5.2
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
sebaiknyadlmporsikecil
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Cumulative Percent
Valid Baik ( nilai 27-35) 57 74.0 74.0 74.0
Sedang (nilai 20-26) 20 26.0 26.0 100.0
Total 77 100.0 100.0
FREQUENCIES VARIABLES=kontribusikarbohitrat KONTRIBUSIKARBOHIDRAT1 kontribusiprotein KONTRIBUSI PROTEIN1 kontribusilemak KONTRIBUSILE
MAK1 kontribusiserat KONTRIBUSISERAT1 /ORDER=ANALYSIS.
Frequencies
Notes
Output Created 19-Dec-2014 10:05:24
Comments
Input Data D:\skripsiku\output 1.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Cases Used Statistics are based on all cases with valid data.
Syntax FREQUENCIES
VARIABLES=kontribusikarbohitrat KONTRIBUSIKARBOHIDRAT1
kontribusiprotein KONTRIBUSIPROTEIN1
kontribusilemak KONTRIBUSILEMAK1
kontribusiserat KONTRIBUSISERAT1 /ORDER=ANALYSIS.
Resources Processor Time 00:00:00.000
Elapsed Time 00:00:00.007
Frequencies
Notes
Output Created 22-Jan-2015 15:27:24
Comments
Input Data C:\Users
oname\Documents\output FIX.sav
Active Dataset DataSet1
Filter <none>
Weight <none>
Split File <none>
N of Rows in Working Data File 77
Missing Value Handling Definition of Missing User-defined missing values are treated as missing.
Cases Used Statistics are based on all cases with valid data.
Syntax FREQUENCIES
VARIABLES=kontribusikarbohitrat
kontribusiprotein kontribusilemak kontribusiserat
/ORDER=ANALYSIS.
Resources Processor Time 00:00:00.000
Elapsed Time 00:00:00.000
Statistics
kontribusikarbohitr
at kontribusiprotein kontribusilemak kontribusiserat
N Valid 77 77 77 77
Missing 0 0 0 0
Frequency Table
kontribusikarbohitrat
Frequency Percent Valid Percent
Cumulative
Frequency Percent Valid Percent
Frequency Percent Valid Percent
Cumulative Percent
Valid diatas rata2 34 44.2 44.2 44.2
dibawah rata2 43 55.8 55.8 100.0
Total 77 100.0 100.0
kontribusiserat
Frequency Percent Valid Percent
Cumulative Percent
Valid diatas rata2 20 26.0 26.0 26.0
dibawah rata2 57 74.0 74.0 100.0
Frekuensi Makan
Active Dataset
DataSet1
Filter
<none>
Weight
<none>
Split File
<none>
N of Rows in Working Data
File
77
Missing Value Handling
Definition of Missing
User-defined missing values are treated
as missing.
Cases Used
Statistics are based on all cases with
valid data.
Syntax
FREQUENCIES
VARIABLES=miinstan bakso sosis
burger donat gorengan ayamtepung
snack
/ORDER=ANALYSIS.
Resources
Processor Time
00:00:00.046
Elapsed Time
00:00:00.009
[DataSet1] C:\Users\noname\Documents\interval kelas.sav
Statistics
miinstan
bakso
sosis
burger
donat
gorengan
ayamtepung
N
Valid
77
77
77
77
77
77
77
Missing
0
0
0
0
0
0
0
Frequency Table
miinstan
Frequency
Percent
Valid Percent
Cumulative
Percent
Valid
setiap hari
5
6.5
6.5
6.5
perminggu
54
70.1
70.1
76.6
tidak pernah
1
1.3
1.3
100.0
Total
77
100.0
100.0
bakso
Frequency
Percent
Valid Percent
Cumulative
Frequency
Percent
Valid Percent
Cumulative
Frequency
Percent
Valid Percent
Cumulative
Frequency
Percent
Valid Percent
gorengan
Frequency
Percent
Valid Percent
Cumulative
Frequency
Percent
Valid Percent
Cumulative
Frequency
Percent
Valid Percent
Crosstabs Pengetahuan dan Sikap
Case Processing Summary
Cases
Valid Missing Total
N Percent N Percent N Percent
PENGETAHUAN * SIKAP 77 100.0% 0 .0% 77 100.0%
PENGETAHUAN * SIKAP Crosstabulation
SIKAP
Total Baik ( nilai 27-35) Sedang (nilai 20-26)
Pearson Chi-Square 3.217a 2 .200
Likelihood Ratio 3.314 2 .191
Linear-by-Linear Association .051 1 .821
N of Valid Cases 77
a. 4 cells (66.7%) have expected count less than 5. The minimum expected count is .26.
Symmetric Measures
Value Asymp. Std. Errora Approx. Tb Approx. Sig.
Interval by Interval Pearson's R .026 .109 .225 .823c
Ordinal by Ordinal Spearman Correlation .087 .132 .757 .452c
N of Valid Cases 77
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
c. Based on normal approximation.
Crosstabs Kontribusi Karbohidrat dan Kejadian Obesitas
[DataSet1] C:\Users\noname\Documents\fix\output FIX_1.sav
Case Processing Summary
Cases
Valid Missing Total
N Percent N Percent N Percent
Chi-Square Tests
a. 2 cells (25.0%) have expected count less than 5. The minimum expected count
is .40.
Symmetric Measuresa
Value
N of Valid Cases 77
a. Correlation statistics are available for
numeric data only.
kontribusikarbohitrat * obesitas Crosstabulation
obesitas
Total GEMUK KURUS NORMAL OBESITAS
kontribusikarbohitrat diatas rata2 Count 5 1 16 9 31
% within kontribusikarbohitrat 16.1% 3.2% 51.6% 29.0% 100.0%
% within obesitas 27.8% 100.0% 43.2% 42.9% 40.3%
% within kontribusikarbohitrat 23.4% 1.3% 48.1% 27.3% 100.0%
% within obesitas 100.0% 100.0% 100.0% 100.0% 100.0%
Crosstabs
Kontribusi Protein dan Kejadian Obesitas
Case Processing Summary
Cases
Valid Missing Total
N Percent N Percent N Percent
kontribusiprotein * obesitas 77 100.0% 0 .0% 77 100.0%
kontribusiprotein * obesitas Crosstabulation
obesitas
Total GEMUK KURUS NORMAL OBESITAS
Chi-Square Tests
a. 2 cells (25.0%) have expected count less than 5. The minimum expected count
is .34.
Symmetric Measuresa
Value
N of Valid Cases 77
a. Correlation statistics are available for
numeric data only.
Crosstab
Kontribusi Lemak dan Kejadian Obesitas
Case Processing Summary
Cases
Valid Missing Total
N Percent N Percent N Percent
kontribusilemak * obesitas 77 100.0% 0 .0% 77 100.0%
kontribusilemak * obesitas Crosstabulation
% within obesitas 66.7% .0% 56.8% 47.6% 55.8%
a. 2 cells (25.0%) have expected count less than 5. The minimum expected count
is .44.
Symmetric Measuresa
Value
N of Valid Cases 77
a. Correlation statistics are available for
numeric data only.
Crosstabs
Kontribusi Serat dan Kejadian Obesitas
Case Processing Summary
Cases
Valid Missing Total
N Percent N Percent N Percent
kontribusiserat * obesitas 77 100.0% 0 .0% 77 100.0%
kontribusiserat * obesitas Crosstabulation
obesitas
Total GEMUK KURUS NORMAL OBESITAS
Chi-Square Tests
a. 3 cells (37.5%) have expected count less than 5. The minimum expected count
is .26.
Symmetric Measuresa
Value
N of Valid Cases 77
a. Correlation statistics are available for
numeric data only.