Determinants of Healthy Life Expectancy among the Population in Kutai Kartanegara Regency

Healthy Life Expectancy (HLE) is a key indicator for assessing population health quality. Kutai Kartanegara Regency faces major health challenges, including a high prevalence of non-communicable diseases (NCDs) and limited family health literacy. This descriptive-analytic study involved 410 respondents from 20 sub-districts using proportional stratified random sampling. Primary data were collected through interviews, surveys, and observations, while secondary data were obtained from Statistics Indonesia (BPS), the Health Office, and relevant literature. The findings indicate that most respondents reported adequate (53.2%) to good (34.1%) dietary behavior, moderate family healthy lifestyle literacy (65.9%), high individual preventive behavior (45.6%), and moderate family preventive behavior (47.1%). A supportive health environment was reported by the majority (84.1%), yet the prevalence of NCDs remained high, particularly hypertension (28.5%), hypercholesterolemia (20.0%), gout (15.6%), and diabetes (11.2%). These results highlight a gap between environmental support and the practice of healthy living. Therefore, integrated interventions are required, emphasizing sociocultural-based literacy, family engagement, improved dietary patterns, and strengthened trust in the healthcare system to sustainably enhance Healthy Life Expectancy (HLE) in the community.