Association of diet-related knowledge, attitudes, behaviors and self-rated health among Chinese adults: a population-based study
Abstract Background: Diet and nutrition play an important role in one’s health status. The objectives of this study were to (a) determine knowledge, attitudes, and behaviors (KAB) related to diet among a sample of Chinese adults, and (b) assess the association between diet-related KAB and self-rated health.Methods: We applied the 2015 China Health and Nutrition Survey (CHNS) with cross-sectional study design. Individuals aged 18 years and older were included as study subjects (n = 12,814).Six variables were selected to assess diet-related knowledge, attitudes, and behaviors, composed of two for each dimension. Comparison of diet-related KAB in urban and rural was conducted using chi-square test. Ordinal logistic regression was conducted to quantify the association between diet-related KAB and self-rated health.Results: The awareness rate for Chinese diet pagoda/DGCR was 27.1%, and only 34.3% of the subjects were assessed as having adequate dietary knowledge literacy. 24.3% and 21.4% reported positive attitudes towards healthy diet and being physically active, respectively. 27.6% and 65.9% reported the behavior of actively looking for nutrition knowledge and eating fruit & vegetables, respectively. Chi-square test indicated that rural residents experienced significant poorer diet-related knowledge, attitudes, and behaviors than urban (all p-values < 0.05). Adjusted ORs with 95% CI revealed significant association between diet-related KAB and self-rated health. Conclusions: Chinese adults experienced poor diet-related knowledge, attitudes, and behaviors, while rural residents were significantly worse than urban. Improving diet-related knowledge, attitudes, and behaviors was extremely beneficial to individual’s self-rated health.