Determinants of Health Promoting Lifestyle Among Undergraduate Nursing Students in Indonesia: A Post-Pandemic Analysis

Background: Maintaining a health-promoting lifestyle is essential for nursing students, as it supports their well-being and prepares them to serve as role models in clinical practice. Objective: Study aimed to identify determinants of health-promoting lifestyle profiles among undergraduate nursing students. Methods: A cross-sectional design, 132 nursing students from a private university in North Sulawesi Province, convenience sampling. Instrument was HPLP-II. Analyzed using independent t-tests, one-way ANOVA, Pearson correlation, hierarchical linear regression. Results: Highest mean score was in spiritual growth with a mean of 2.89 (SD=0.47), while health responsibility had lowest score of 1.95 (SD=0.46). Overall lifestyle score was 2.41 (SD=0.33). Regression analysis revealed that variables exercise (ß=0.251; p=0.004), religiosity (ß=0.245; p=0.005), history of COVID-19 infection (ß=0.169; p=0.043), COVID-19 vaccination status (ß=0.179; p=0.032) significantly predicted healthpromoting lifestyle behaviors, with an explanatory power of 18.4%. Conclusion: Targeted interventions should focus on enhancing spiritual growth, promoting regular physical activity, providing ongoing health education tailored to both pandemic, post-pandemic contexts to support development of healthier lifestyles among nursing students