1
|
Rahman N, Ishitsuka K, Piedvache A, Horikawa C, Murayama N, Morisaki N. Guardians' food literacy and breakfast skipping among Japanese school children. Appetite 2024; 194:107200. [PMID: 38176441 DOI: 10.1016/j.appet.2024.107200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 11/30/2023] [Accepted: 01/01/2024] [Indexed: 01/06/2024]
Abstract
Children and adolescents who regularly skip breakfast are at a greater risk of obesity than those who regularly eat breakfast. Guardian's food literacy, defined in this study as a collection of a guardian's knowledge, skill, and attitude towards healthy food practices, may directly influence their child's dietary habits. Thus, this study utilized a food literacy scale to assess the relationship between guardians' food literacy and breakfast skipping among school-attending Japanese children and adolescents and the most commonly reported reasons for skipping breakfast. This was a cross-sectional study using survey data collected from a nationally representative sample of households in Japan (n = 1520). Our results show that 13.0% of children self-reported skipping breakfast at least once a week. Children in households where guardians reported higher knowledge and attitude scores had significantly lower odds of skipping breakfast (odds ratios = 0.90 [95% confidence interval: 0.83-0.98] and 0.81 [0.74-0.90], respectively). These findings suggest that a guardian's attitude and knowledge towards healthy food practices influence the frequency at which their child eats breakfast. Moreover, lower parental attitude scores were associated with children skipping due to not having enough time for breakfast in the morning. Improving guardians' food literacy may provide an avenue by which to decrease the rate of breakfast skipping among children and adolescents, thereby decreasing the risk of obesity and other adverse health outcomes.
Collapse
Affiliation(s)
- Nihaal Rahman
- Department of Social Medicine, National Center for Child Health and Development, Okura-2-10-1, Setagayaku, Tokyo, Japan; Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, New York, NY, 10032, USA
| | - Kazue Ishitsuka
- Department of Social Medicine, National Center for Child Health and Development, Okura-2-10-1, Setagayaku, Tokyo, Japan.
| | - Aurélie Piedvache
- Department of Social Medicine, National Center for Child Health and Development, Okura-2-10-1, Setagayaku, Tokyo, Japan
| | - Chika Horikawa
- Department of Health and Nutrition, University of Niigata Prefecture Faculty of Human Life Studies, Ebise-471, Niigata, Japan
| | - Nobuko Murayama
- Department of Health and Nutrition, University of Niigata Prefecture Faculty of Human Life Studies, Ebise-471, Niigata, Japan
| | - Naho Morisaki
- Department of Social Medicine, National Center for Child Health and Development, Okura-2-10-1, Setagayaku, Tokyo, Japan
| |
Collapse
|
2
|
Chandrasekhar A, Xie L, Mathew MS, Fletcher JG, Craker K, Parayil M, Messiah SE. Academic and Attendance Outcomes after Participation in a School Breakfast Program. THE JOURNAL OF SCHOOL HEALTH 2023; 93:508-514. [PMID: 36941022 DOI: 10.1111/josh.13320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 02/07/2023] [Accepted: 02/12/2023] [Indexed: 05/10/2023]
Abstract
BACKGROUND Little is known about how school breakfast programs are associated with school attendance and academic performance. This study evaluated Dallas Independent School District's (DISD) breakfast after the bell (BATB) program that provides breakfast for both habitually tardy and non-tardy students on (1) academic performance and (2) student attendance over 2 school years. METHODS A pre-post study design evaluated the impact of the BATB program in elementary/middle/high schools on student attendance and academic outcomes. Paired t-tests evaluated changes in outcomes between 2017 to 2018 and 2018 to 2019 school years. RESULTS The analytical sample consisted of 30,493 students (70.32% BATB participants, 50.47% male, 68.78% Hispanic). BATB participants were over 2.5 times more likely to attend school versus non-BATB participants (aOR = 2.55; 95% confidence interval [CI]: 2.23-2.92; p < .001). Compared to pre-participation (2017-2018), unadjusted models showed 2018 to 2019 BATB participants' mean reading scores increased from 1502.72 to 1545.76 during the 2018 to 2019 academic year (p < .001). There were no significant changes in reading and math scores over the 2-year implementation after adjustment. CONCLUSIONS Results here showed that a school breakfast program that is housed in a large public school system that serves predominantly low resource, ethnically diverse students is associated with increased student attendance.
Collapse
Affiliation(s)
- Aparajita Chandrasekhar
- University of Texas Health Science Center at Houston School of Public Health, Dallas Campus, Dallas, TX; Center for Pediatric Population Health, University of Texas Health Science Center at Houston School of Public Health, Dallas, TX
| | - Luyu Xie
- Center for Pediatric Population Health, University of Texas Health Science Center at Houston School of Public Health, Dallas, TX
| | - Matthew S Mathew
- Center for Pediatric Population Health, University of Texas Health Science Center at Houston School of Public Health, Dallas, TX
| | - Julie G Fletcher
- University of Texas Health Science Center at Houston School of Public Health, Dallas Campus, Dallas, TX; Center for Pediatric Population Health, University of Texas Health Science Center at Houston School of Public Health, Dallas, TX; Dallas Independent School District, Dallas, TX
| | - Kelsey Craker
- University of Texas Health Science Center at Houston School of Public Health, Dallas Campus, Dallas, TX; Center for Pediatric Population Health, University of Texas Health Science Center at Houston School of Public Health, Dallas, TX
| | - Megin Parayil
- University of Texas Health Science Center at Houston School of Public Health, Dallas Campus, Dallas, TX; Center for Pediatric Population Health, University of Texas Health Science Center at Houston School of Public Health, Dallas, TX
| | - Sarah E Messiah
- University of Texas Health Science Center at Houston School of PublicHealth, Dallas Campus, Dallas, TX; Center for Pediatric Population Health, University of Texas Health Science Center at Houston School of Public Health, Dallas, TX; Department of Pediatrics, McGovern Medical School, Houston, TX
| |
Collapse
|
3
|
Associations between a Universal Free Breakfast Policy and School Breakfast Program Participation, School Attendance, and Weight Status: A District-Wide Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073749. [PMID: 35409433 PMCID: PMC8998064 DOI: 10.3390/ijerph19073749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 03/10/2022] [Accepted: 03/16/2022] [Indexed: 11/16/2022]
Abstract
Breakfast consumption among youth is associated with improved diet quality, weight, cognition, and behavior. However, not all youth in the United States consume breakfast. Participation in the School Breakfast Program (SBP) is also low relative to the lunch program. Universal free breakfast (UFB) policies have been implemented to increase breakfast participation by reducing cost and stigma associated with the SBP. This study examined whether a UFB policy implemented in a school district in the Southeast US was associated with changes in breakfast participation, school attendance, and student weight. A longitudinal study of secondary data was conducted, and a mixed modeling approach was used to assess patterns of change in SBP participation. General linear models were used to assess attendance and student weight change. On average, across schools in the district, there was an increase in breakfast participation of 4.1 percentage points following the implementation of the policy. The change in breakfast participation in schools differed by the percent of students in the school who received school meals for free or at a reduced price, the percent of students of color, and the grade level of the school. Increases in SBP participation were not associated with significant changes in attendance or weight. UFB policies may be effective in increasing participation in the SBP.
Collapse
|
4
|
Lanuza F, Morales G, Hidalgo-Rasmussen C, Balboa-Castillo T, Ortiz MS, Belmar C, Muñoz S. Association between eating habits and quality of life among Chilean university students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:280-286. [PMID: 32343200 DOI: 10.1080/07448481.2020.1741593] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 02/02/2020] [Indexed: 06/11/2023]
Abstract
Objective To estimate the association between eating habits and quality of life (QOL) in Chilean university students. Participants: 1,212 students from the Universidad de La Frontera, Chile (mean age 18.7 ± 2.15) were surveyed in January-March 2018. Methods: Participants completed a cross-sectional self-report survey to evaluate QOL using the WHOQOL-BREF scale and eating habits with a food habits survey. Results: Students reporting a better healthy eating habits score also presented a higher QOL. Eating breakfast and eating home-cooked meals is a protective factor for QOL in each domain. The consumption of sweet snacks was shown to be a risk factor for the physical health and environment domains. The consumption of fast food is shown as the greatest risk factor in the physical domain. Conclusion: Healthy and unhealthy eating habits are associated with different dimensions of QOL. University authorities should develop new policies to improve the QOL of the entire university community.
Collapse
Affiliation(s)
- Fabián Lanuza
- Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
- Biomarkers and Nutrimetabolomics Laboratory, Department of Nutrition, Food Sciences and Gastronomy, Faculty of Pharmacy and Food Sciences, CIBER Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, University of Barcelona, Barcelona, Spain
| | - Gladys Morales
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
- Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| | - Carlos Hidalgo-Rasmussen
- Centro de Investigación en Riesgos y Calidad de vida (CIRCAV), Universidad de Guadalajara, Jalisco, México
- Centro de Estudios Avanzados, Universidad de Playa Ancha, Viña del Mar, Chile
| | - Teresa Balboa-Castillo
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
- Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| | - Manuel S Ortiz
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
- Departamento de Psicología, Facultad de Educación, Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco, Chile
| | - Carlos Belmar
- Dirección de Desarrollo Estudiantil, Vicerrectoría Académica, Universidad de La Frontera, Temuco, Chile
| | - Sergio Muñoz
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
- Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| |
Collapse
|
5
|
Tugault-Lafleur CN, Black JL. Who Misses Lunch on School Days in Canada? JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2021. [DOI: 10.1080/19320248.2021.1984359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - Jennifer L Black
- Food, Nutrition and Health and Peter Wall Institute for Advanced Studies, The University of British Columbia, Vancouver BC, Canada
| |
Collapse
|
6
|
Elseifi OS, Abdelrahman DM, Mortada EM. Effect of a nutritional education intervention on breakfast consumption among preparatory school students in Egypt. Int J Public Health 2020; 65:893-903. [PMID: 32725393 DOI: 10.1007/s00038-020-01439-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 07/08/2020] [Accepted: 07/14/2020] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVES The current study evaluates the effect of nutritional education based on Pender's health promotion model on breakfast consumption behavior among Egyptian school students. METHODS A pre-posttest intervention study through a nutritional education message based on Pender's health promotion model was carried on 244 preparatory school students. Data were collected using questionnaires and measuring weight, height and blood pressure before and after educational intervention was conducted to the intervention group. RESULTS The educational intervention was having a significant positive effect on all components of the model in the intervention group, the mean breakfast consumption, frequency of non-skipping and healthy breakfast per week (p ≤ 0.05). Overweight and obesity and higher blood pressure were significantly present among breakfast skippers. CONCLUSIONS The nutritional educational intervention based on Pender's health promotion model was effective in increasing the frequency of healthy breakfast among the school students. There is a need to develop evidence-based policies, community, family, and school-based interventions to promote healthy lifestyle and nutritional behavior among adolescents for a better quality of life.
Collapse
Affiliation(s)
- Omnia S Elseifi
- Community, Environmental and Occupational Medicine Department, Faculty of Medicine, Zagazig University, Zagazig City, 44519, Egypt.
| | - Doaa M Abdelrahman
- Department of Pediatrics, Zagazig University, Zagazig City, 44519, Egypt
| | - Eman M Mortada
- Community, Environmental and Occupational Medicine Department, Faculty of Medicine, Zagazig University, Zagazig City, 44519, Egypt.,Health Sciences Department, Health and Rehabilitation Sciences College, Princess Nourah Bint Abdulrahman University, Riyadh, 11671, Saudi Arabia
| |
Collapse
|
7
|
The Role of District Wellness Policies in Encouraging Student Participation in the School Breakfast Program, United States. Nutrients 2020; 12:nu12082187. [PMID: 32717935 PMCID: PMC7469058 DOI: 10.3390/nu12082187] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/17/2020] [Accepted: 07/21/2020] [Indexed: 11/16/2022] Open
Abstract
Eating breakfast is associated with better academic performance and nutrition and lower risk of obesity, but skipping breakfast is common among children and adolescents, and participation in the U.S. Department of Agriculture's School Breakfast Program (SBP) is low. This study assessed the association between school district wellness policy provisions coded as part of the National Wellness Policy Study and student SBP participation and acceptance of the breakfasts provided using cross-sectional survey data from the School Nutrition and Meal Cost Study. Separate survey-adjusted multivariable logistic regressions were computed, linking students eating (N = 1575) and liking (N = 726) the school breakfast to corresponding district policy measures, controlling for school and student characteristics. Strong district policy, as opposed to no policy, was associated with significantly higher odds of students eating the school breakfast (odds ratio (OR): 1.86; 95% CI: 1.09, 3.16; p = 0.022), corresponding to an adjusted prevalence of 28.4% versus 19.2%, and liking the school breakfast (OR: 2.14; 95% CI: 1.26, 3.63; p = 0.005), corresponding to an adjusted prevalence of 69.0% versus 53.9%. District policy has the potential to play an important role in encouraging higher levels of SBP participation.
Collapse
|
8
|
Grannon KY, Nanney MS, Wang Q, Larson N, Hearst MO, Berge J, Caspi CE. Do High School Students Participate in Second Chance Breakfast Programs? THE JOURNAL OF SCHOOL HEALTH 2020; 90:119-126. [PMID: 31828805 PMCID: PMC7788574 DOI: 10.1111/josh.12857] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 01/02/2019] [Accepted: 01/12/2019] [Indexed: 05/27/2023]
Abstract
BACKGROUND Breakfast consumption often decreases as youth get older. The School Breakfast Program (SBP) provides an opportunity to intervene and increase breakfast consumption, especially among high school students. METHODS Project breakFAST implemented an expanded breakfast service at 12 high schools. In this longitudinal evaluation, school administrators provided SBP participation and demographic data on all ninth and 10th graders for two full consecutive school years. Students screened for eating breakfast <3 times/week were randomly selected to participate in the cohort study. The cohort completed a survey on perceived barriers, benefits, and breakfast habits. RESULTS At baseline, all 12 schools had only traditional before school cafeteria SBP service. Mean participation was 16.3% and ranged from 7.9 to 38.1%. After the intervention, there was an increase in participation to 25.7% (p = .004) ranging from 14.1 to 47.5%. There was no change in breakfast participation before school (13.3%, p = .06). Students who traveled to school by car, bike, or walking at baseline were 4.5% less likely to participate in second chance breakfast at follow-up than those who took the bus to school (p = .006). CONCLUSION Second chance breakfast is an option for increasing high school breakfast participation, especially for those riding the bus.
Collapse
Affiliation(s)
- Katherine Y Grannon
- University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware Ave, Minneapolis, MN, 55454
| | - Marilyn S Nanney
- University of Minnesota, Department of Family Medicine and Community Health, Program in Health Disparities Research, 717 Delaware Ave, Minneapolis, MN, 55454
| | - Qi Wang
- University of Minnesota, Biostatistical Design and Analysis Center, Clinical and Translational Science Institute717 Delaware Street S.E., Minneapolis, MN, 55414
| | - Nicole Larson
- University of Minnesota, Division of Epidemiology and Community Health, Suite 300, 1300 South 2nd St., Minneapolis, MN, 55454
| | - Mary O Hearst
- St. Catherine University, Henrietta Schmoll School of Health, 2004 Randolph Ave, St. Paul, MN, 55105
| | - Jerica Berge
- University of Minnesota, Department of Family Medicine & Community Health, 717 Delaware Street SE
| | - Caitlin E Caspi
- University of Minnesota, Department of Family Medicine and Community Health, 717 Delaware St. SE, Minneapolis, MN, 55414
| |
Collapse
|
9
|
Ali RA, Abdel Razeq NM, Al-Kloub MI, Alzoubi FA. Predictors of breakfast skipping among 14 to 16 years old adolescents in Jordan: The influential role of mothers. Int J Nurs Pract 2019; 25:e12778. [PMID: 31512338 DOI: 10.1111/ijn.12778] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Revised: 05/21/2019] [Accepted: 08/08/2019] [Indexed: 01/24/2023]
Abstract
AIM To assess the prevalence and identify the predictors of breakfast skipping among 14- to 16-year-old adolescents in Jordan, focusing on mother-related variables. BACKGROUND Breakfast is an essential meal across one's entire lifespan and especially important during the adolescent years. The practice of skipping breakfast has become so prevalent among adolescents that it is now a well-documented nutritional problem. DESIGN A descriptive cross-sectional correlational design. METHODS A proportional cluster stratified sampling protocol was used to select 1896 adolescents and their mothers (1013) during the period of March to June 2016. A self-reported questionnaire was used to collect data on breakfast-skipping rates, the perceived reasons for this behavior, the perceived importance of consuming breakfast, and maternal encouragement of breakfast consumption. RESULTS The prevalence of breakfast skipping was 34.3% among adolescents and 21.5% among their mothers. A significant association was found between breakfast skipping among adolescents and their mothers (χ2 [1, n = 998] = 37.90, P = .001). Maternal encouragement of breakfast consumption, gender, and adolescent perception of the importance of this meal were found to be significant predictors of adolescent breakfast skipping. CONCLUSION The findings highlight the importance of involving mothers in developing nutritional health plans aimed at promoting regular breakfast consumption among adolescents.
Collapse
Affiliation(s)
- Reem A Ali
- Department of Maternal and Child Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Nadin M Abdel Razeq
- Department of Maternal and Child Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan
| | - Manal I Al-Kloub
- Maternal Child and Family Health Department, Faculty of Nursing, Hashemite University, Zarqa, Jordan
| | - Fatmeh A Alzoubi
- Department of Community Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| |
Collapse
|
10
|
Ali RA, Abdel Razeq NM, Alzoubi FA, Alnuaimi KM. The Association Between Maternal Factors and Preadolescent Breakfast Skipping: The Mediating Role of Preadolescent Attitudes Toward Breakfast. Worldviews Evid Based Nurs 2018; 15:471-479. [PMID: 30320972 DOI: 10.1111/wvn.12332] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2018] [Indexed: 12/26/2022]
Abstract
BACKGROUND Although skipping breakfast is common among children and adolescents, daily breakfast consumption is a healthy habit that is particularly important in childhood. There is a link between children's attitudes toward breakfast, breakfast-skipping behaviors, and maternal factors. Evidence demonstrating a clear relationship between maternal factors and preadolescent attitudes and behaviors toward breakfast skipping is scarce. AIMS This study aims to examine the mediation effect of preadolescent attitudes toward breakfast on the associations between maternal involvement (encouragement and control of breakfast eating) and preadolescent breakfast skipping. METHODS A cross-sectional descriptive study was conducted across Jordan in public and private primary schools in 2015. A sample of 1,915 preadolescent students (10-11 years) and their mothers (N = 1,299) was generated through proportional cluster stratification sampling. The interrelationships were examined among the participants' demographics, the number of preadolescent skipped breakfasts during a given week, self-reported attitudes toward breakfast, and perceived maternal encouragement and control of breakfast-eating variables. RESULTS Analysis revealed that preadolescent attitudes toward breakfast and mothers' involvement in preadolescent breakfast were negatively correlated with preadolescent breakfast skipping. Linear regressions revealed that maternal involvement (i.e., encouragement and control of breakfast eating, and educational attainment levels) was predictive of preadolescent attitudes toward breakfast consumption. Multiple regressions using bootstrapping analysis showed that preadolescent attitudes partially mediated the effect of mothers' control and encouragement of breakfast consumption over preadolescent breakfast-skipping behavior. LINKING EVIDENCE TO ACTION Results suggest that preadolescent attitudes, maternal encouragement, and control of breakfast eating influenced preadolescent breakfast skipping. These findings emphasize the importance of carefully assessing preadolescent attitudes toward breakfast, maternal encouragement, and control of breakfast consumption when developing interventions aimed at reducing breakfast-skipping behavior.
Collapse
Affiliation(s)
- Reem A Ali
- Department of Maternal and Child Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Nadin M Abdel Razeq
- Department of Maternal and Child Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan
| | - Fatmeh A Alzoubi
- Department of Maternal and Child Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Karimeh M Alnuaimi
- Department of Maternal and Child Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| |
Collapse
|
11
|
Mehrabbeik A, Mahmoodabad SSM, Khosravi HM, Fallahzadeh H. Breakfast consumption determinants among female high school students of Yazd Province based on Pender's Health Promotion Model. Electron Physician 2017; 9:5061-5067. [PMID: 28979742 PMCID: PMC5614292 DOI: 10.19082/5061] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2017] [Accepted: 05/30/2017] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND AND AIM Despite the importance of breakfast, especially for students, unfortunately, this meal is usually ignored in daily routine. The aim of this study was to identify determinants among female high school students of Yazd province based on the Pender Health Promotion Model. METHODS This was a cross-sectional study conducted to examine 200 female high school students of Yazd, selected by cluster sampling method in 2016. A researcher-made questionnaire, based on Pender's Health Promotion Model, was used as a data collection tool. A panel of experts and Cronbach's alpha coefficient were used to confirm the questionnaire validity and reliability. In order to analyze descriptive data, SPSS version 22 was used. AMOS software (v.23) was employed for path analysis. RESULTS Direct impact of activity -related affect (0.300), interpersonal influences (0.276), and perceived barriers to eating breakfast (-0.223) were approved at significance level p<0.000. By influencing perceived barriers, perceived self-efficacy and previous related behavior indirectly affected breakfast consumption. These components determined 33% of breakfast consumption. CONCLUSION By planning to create a positive feeling in students to have breakfast, to involve family and friends to encourage students to eat breakfast, to reduce barriers to have breakfast by increasing students' self-efficacy, the behavior of having breakfast among students can be improved.
Collapse
Affiliation(s)
- Akram Mehrabbeik
- M.Sc. in Health Education, Department of Health Education & Promotion, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Seyed Saeed Mazloomy Mahmoodabad
- Ph.D. in Health Education, Professor, Department of Health Education & Promotion, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Hassan Mozaffari Khosravi
- Ph.D. in Nutritional Sciences, Professor, Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Hossein Fallahzadeh
- Ph.D. in Biostatistics, Professor, Department of Biostatistics, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| |
Collapse
|