Evaluation of the nutrition literacy assessment questionnaire for college students and identification of the influencing factors of their nutrition literacy

BACKGROUND

Nutrition health has become a major public health issue in both high and middle-income countries. Nutrition literacy is an important indicator to evaluate the effect of public health intervention and one of the important concepts in health promotion. Thus, this study aimed to verify the reliability and validity of a nutrition literacy assessment questionnaire (NLAQ) and investigate the associated factors of nutrition literacy among college students.

METHODS

We conducted a cross-sectional online survey of college students from April to November 2022 in Wuhan (N = 774). We employed the Cronbach's alpha coefficient, exploratory and confirmatory factor analysis to evaluate the reliability and validity. We used latent profile analysis to classify the nutrition literacy. We conducted Chi-square test and binary logistic regression to identify the influencing factors.

RESULTS

The Cronbach's alpha coefficient of the NLAQ and its dimension was ranging from 0.837 to 0.909. The common factors were consistent with the original dimensions. All indicators met the requirements (χ2/df = 6.16 < 8, GFI = 0.929, NFI = 0.939, CFI = 0.948, RMSEA = 0.082 < 0.1). College students' disciplines (χ2 = 7.769, P = 0.021), mothers' education level (χ2 = 26.599, P < 0.001), and fathers' occupation type (χ2 = 11.218, P = 0.024) had impacts on nutrition literacy.

CONCLUSION

The NLAQ has good reliability and validity, and could be used as a measurement tool to evaluate college students' nutrition literacy. Schools and families should take targeted measures to improve the college students' nutrition literacy.

Water and nonpoint source pollution estimation in the watershed with limited data availability based on hydrological simulation and regression model

Nonpoint source (NPS) pollution is considered as the main reason for water quality deterioration; thus, to quantify the NPS loads reliably is the key to implement watershed management practices. In this study, water quality and NPS loads from a watershed with limited data availability were studied in a mountainous area in China. Instantaneous water discharge was measured through the velocity-area method, and samples were taken for water quality analysis in both flood and nonflood days in 2010. The streamflow simulated by Hydrological Simulation Program-Fortran (HSPF) from 1995 to 2013 and a regression model were used to estimate total annual loads of various water quality parameters. The concentrations of total phosphorus (TP) and total nitrogen (TN) were much higher during the flood seasons, but the concentrations of ammonia nitrogen (NH3-N) and nitrate nitrogen (NO3-N) were lower during the flood seasons. Nevertheless, only TP concentration was positively correlated with the flow rate. The fluctuation of annual load from this watershed was significant. Statistical results indicated the significant contribution of pollutant fluxes during flood seasons to annual fluxes. The loads of TP, TN, NH3-N, and NO3-N in the flood seasons were accounted for 58-85, 60-82, 63-88, 64-81% of the total annual loads, respectively. This study presented a new method for estimation of the water and NPS loads in the watershed with limited data availability, which simplified data collection to watershed model and overcame the scale problem of field experiment method.