scholarly journals Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia

Foods ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 2037
Author(s):  
Mohammad Halim Bin Jeinie ◽  
Rhanye Mac Guad ◽  
Marion M. Hetherington ◽  
Siew Hua Gan ◽  
Yin Nwe Aung ◽  
...  

Nutritional knowledge, attitudes and practice (KAP) may guide healthy meal choices. Here, nutritional KAP was compared across school students in Sabah based on locality and gender. A cross-sectional survey of students aged 15–19 years was conducted using multistage sampling. Nutritional KAP was measured via questionnaire. Anthropometric measures of weight and height were taken in person to calculate body mass index (BMI). Among the 994 participants, 80% were urban and 60% were female (mean age 16.5 ± 0.6 yr). Most were of Kadazan-Dusun (23%) ethnicity. Measured height for age Z score (HAZ) and BMI for age Z score (BAZ) differed between urban and rural students (−1.2 ± 0.8 versus −1.5 ± 0.7 for HAZ; p < 0.001; 0.2 ± 1.4 versus −0.1 ± 1.3; p = 0.02, respectively). No difference in nutritional knowledge was found, although urban students prioritized having a healthy/balanced diet (59.55% versus 48.50%, p = 0.03) and ate daily breakfast (57.4% versus 10.2%, p < 0.001) compared to rural. Females scored higher on nutritional knowledge than males (18.9 ± 2.8 vs. 18.1 ± 3.4, respectively, p = 0.0001), yet males selected more healthy/balanced foods (63.3% versus 53.3%, p = 0.041). The gap remains between nutritional KAP and translating this to healthy eating among adolescents, related to locality and gender.

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 460
Author(s):  
Chih-Yu Hsu ◽  
Liang-Sien Chen ◽  
I-Jen Chang ◽  
Wei-Ching Fang ◽  
Sun-Weng Huang ◽  
...  

Physical fitness (PF) is closely related to various health outcomes and quality of life among children. However, the associations between anthropometry, body composition (BC), and PF are not fully elucidated. This cross-sectional study aimed to investigate the associations between demographic metrics (age, sex), anthropometric measures (body mass index z-score (BMI z-score) waist/height ratio (WHtR)), BC parameters (body-fat percentage (BF%), muscle weight), and PF levels (800-m run, sit-and-reach, 1-min sit-ups, standing long jump) in school-aged children. Continuous variables were dichotomized by median splits. The results of 180 girls and 180 boys (mean age: 10.0 ± 0.7 years; mean BMI z-score: 0.366 ± 1.216) were analyzed. Multivariable linear regressions revealed that BF% (regression coefficient (B) = 3.4, 95% confidence interval (CI) = 2.5–4.3) was independently correlated with the 800-m run. Sex (B = 4.6, 95% CI = 3.0–6.3), age (B = 3.1, 95% CI = 1.9–4.3), and BMI z-score (B = −0.7, 95% CI = −1.4–−0.1) were independently related to sit-and-reach. Age (B = 3.3, 95% CI = 2.0–4.7), BF% (B = −0.3, 95% CI = −0.4–−0.2), and muscle weight (B = 0.7, 95% CI = 0.2–1.2) were independently associated with 1-min sit-ups. In addition to demography, anthropometry and BC provided additional information concerning some PF levels in school-aged children. Weight management and PF promotion should be addressed simultaneously in terms of preventive medicine and health promotion for children.


2020 ◽  
Vol 105 (11) ◽  
pp. 1079-1085 ◽  
Author(s):  
Naomi Priest ◽  
Shiau Chong ◽  
Mandy Truong ◽  
Oishee Alam ◽  
Kevin Dunn ◽  
...  

ObjectiveTo determine the prevalence of direct and vicarious racial discrimination experiences from peer, school and societal sources, and examine associations between these experiences and socioemotional and sleep outcomes.MethodsData were analysed from a population representative cross-sectional study of n=4664 school students in years 5–9 (10–15 years of age) in Australia. Students reported direct experiences of racial discrimination from peers, school and societal sources; vicarious discrimination was measured according to the frequency of witnessing other students experiences of racial discrimination. Students self-reported on the Strengths and Difficulties Questionnaire, with the total difficulties, conduct, emotional and prosocial behaviour subscales examined. Sleep problems included duration, latency, and disruption.Results41.56% (95% CI 36.18 to 47.15) of students reported experiences of direct racial discrimination; Indigenous and ethnic minority students reported the highest levels. 70.15% (95% CI 63.83 to 75.78) of students reported vicarious racial discrimination. Direct and vicarious experiences of racial discrimination were associated with socioemotional adjustment (eg, for total difficulties, total direct racism: beta=3.77, 95% CI 3.11 to 4.44; vicarious racism: beta=2.51, 95% CI 2.00 to 3.03). Strong evidence was also found for an effect of direct and vicarious discrimination on sleep (eg, for sleep duration, total direct: beta=−21.04, 95% CI −37.67 to −4.40; vicarious: beta=−9.82, 95% CI −13.78 to −5.86).ConclusionsExperiences of direct and vicarious racial discrimination are common for students from Indigenous and ethnic minority backgrounds, and are associated with socioemotional and sleep problems in adolescence. Racism and racial discrimination are critically important to tackle as social determinants of health for children and adolescents.


Author(s):  
Fitrah Ernawati ◽  
Pusparini Pusparini ◽  
Aya Yuriestia Arifin ◽  
Mutiara Prihatini

ABSTRACT Indonesia still faces a double burden of malnutrition where malnutrition problems still exist, and the prevalence of obesity continues to increase. The study was intended to evaluate the association between fat intake adequacy and nutritional status in children aged 6 months to 12 years with a middle to upper socioeconomic level. The study design was cross-sectional study using secondary data from the Basic Health Research in 2013 and  Indonesian Food Consumption Survey in 2014. The results of the study concluded that more than 50 percent of children aged 6 months to 9 years and 38 percent of children aged 10-12 years old consumed  fat  more than 100 percent of Recommended Dietary Allowances (RDA). The study revealed a signidficant association between  fat intake and body mass index for age Z-score (BAZ)  (p <0.05) and fat intake with height for age Z-score (HAZ)  (p <0.05). Fat intake of children live in urban was higher than at rural areas (p <0.05) and fat intake of boys was slightly  higher than girls. The results of this study suggest  the importance of providing nutrition education started from elementary school students on balanced nutrient intake and reduce fat intake, because obesity in early age contribute to obesity in adulthood. Keywords: children aged 6 month to12 years old, fat intake, nutritional status   ABSTRAK Indonesia menghadapi masalah gizi ganda yaitu masalah gizi kurang masih ada, dan  persentase masalah kegemukan terus meningkat. Tujuan dari analisis ini untuk melihat kecukupan asupan lemak anak usia 6 bulan sampai 12 tahun dengan tingkat sosial ekonomi menengah keatas dan hubungannya dengan status gizi. Desain penelitian adalah potong lintang, jenis data yang digunakan data sekunder dari Riskesdas 2013 dan Survey Konsumsi Makanan Indonesia (SKMI) 2014.  Hasil penelitian disimpulkan bahwa lebih dari 50 persen anak usia 6 bulan-9 tahun dan 38 persen anak usia 10-12 tahun mengonsumsi lemak ≥ 100 persen AKG. Terdapat hubungan yang signifikan antara tingkat asupan lemak dengan status gizi menurut indikator IMT/U (p<0,05) dan asupan lemak dengan status gizi TB/U (p<0,05). Asupan lemak anak yang tinggal di kota lebih tinggi dari pada di perdesaan (p<0,05) dan asupan lemak anak laki-laki lebih tinggi dari anak perempuan (p<0,05). Hasil penelitian ini memberikan bukti tentang pentingnya  memberikan edukasi kepada siswa sekolah dasar tentang makanan gizi seimbang dan mengurangi asupan lemak, karena kegemukan pada usia dini akan terbawa hingga usia dewasa. [Penel Gizi Makan 2019, 42(1):41-47] Kata kunci: anak usia 6 bulan-12 tahun, asupan lemak, status gizi


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Munthir M. Almoslem ◽  
Talal A. Alshehri ◽  
Arwa A. Althumairi ◽  
Mohammed T. Aljassim ◽  
Mohamed E. Hassan ◽  
...  

Background. Lack of knowledge about appropriate handwashing practices has caused great concerns for human health, especially in the risk of many communicable diseases. The objective of the current study is to determine the level of handwashing knowledge, attitudes, and practices among school students in Eastern Province Schools, Saudi Arabia. A cross-sectional survey was recruited from November 2019 to March 2020 to assess the level of the students’ handwashing knowledge. A reliable questionnaire was prepared (Cronbach’s alpha = 0.608) and conducted using a two-stage sampling technique. A total of 271 students participated in the study from primary, middle, and high schools; 80% were boys, most of whom displayed an acceptable level of knowledge on hand hygiene. Nearly 75% and 74% of boys and girls, respectively, gained knowledge about hand hygiene practices from their parents. Only 46% of the students thought that handwashing is a potential protective measure against diseases, whereas 34% thought it only removes dirt. Prevalence of handwashing with soap after using the toilet was recognized among 52% of the students. Additionally, 93% of the students used water and soap to wash their hands ( p value < 0.001) and 97% suggested that soap and water are the best methods to wash their hands ( p value < 0.001). There was a positive correlation between the mother’s education and hand hygiene practices ( p value = 0.044). Results collectively indicated that handwashing knowledge and practices among school students in the Eastern Province are acceptable interventions in preventing the transmission of infectious diseases such as COVID-19. Indeed, further improvement conducted through specific health education programs to emphasize the role of handwashing in health hygiene is highly recommended.


2005 ◽  
Vol 21 (2) ◽  
pp. 589-597 ◽  
Author(s):  
Margarita Díaz ◽  
Maeve Brito de Mello ◽  
Maria Helena de Sousa ◽  
Francisco Cabral ◽  
Ricardo de Castro e Silva ◽  
...  

Three different school-based sex education and citizenship programs in public schools in Rio de Janeiro, Belo Horizonte, and Salvador, Brazil, were evaluated in a cross-sectional study comparing knowledge, attitudes, and practices in sexuality, citizenship, and gender issues among adolescents participating in the programs' activities as compared to adolescents enrolled in schools without such programs (controls). Results showed that Salvador's program achieved good results, with significant changes in knowledge on sexuality and reproductive physiology, attitudes regarding citizenship, and current use of modern contraceptives; Rio de Janeiro's program succeeded in improving students' knowledge of reproductive physiology and attitudes towards sexuality; Belo Horizonte's participants showed greater knowledge of reproductive physiology and STI/HIV prevention but had less positive attitudes towards gender issues, while reporting greater sexual activity. The main difference between Salvador's program and the others was the focus on creative and cultural activities; Belo Horizonte's main difference was its lack of interaction with health services and professionals. However, after the evaluation Belo Horizonte reframed its educational strategies and launched a scaling-up process in a joint effort with the health and school systems.


2013 ◽  
Vol 17 (10) ◽  
pp. 2207-2215 ◽  
Author(s):  
Giacomo Lazzeri ◽  
Stefania Rossi ◽  
Colette Kelly ◽  
Carine Vereecken ◽  
Namanjeet Ahluwalia ◽  
...  

AbstractObjectiveTo describe the prevalence of ‘graded thinness’ in children aged 11, 13 and 15 years in eleven developed countries and to identify trends in the prevalence of ‘thinness’ (BMI < 17 kg/m2 at age 18 years) by age and gender.DesignCross-sectional study using data collected through self-reported questionnaires.SettingData were taken from the 1997/1998, 2001/2002 and 2005/2006 surveys of the Health Behaviours in School-aged Children (HBSC) Study.SubjectsChildren and adolescents from ten European countries and the USA (n 158 000).ResultsPrevalence of grades 1, 2 and 3 of thinness was higher among 11-year-old students compared with the 13- and 15-year-olds in all countries. A higher prevalence of thinness was observed in girls than in boys. Since 1998 the prevalence of thinness decreased steadily in Czech boys and girls, while it increased for French girls. In the total European sample of females, thinness decreased from 1998 to 2006 (χ2 for trend, P < 0·01). Age-adjusted logistic regression analysis showed that Czech boys and girls, and Flemish and American girls were less likely to be thin in 2006 than in 1998; while a noteworthy increment, even if borderline significant, was observed for French girls with a 41 % increase in the likelihood to be thin.ConclusionsOur findings suggest that thinness is an important overlooked phenomenon with wide variation in prevalence and trends across developed countries. It deserves further longitudinal studies in a multinational context that could increase the understanding of the factors associated with thinness and contribute to developing preventive and nutritional programmes targeted at controlling obesity and chronic diseases, while monitoring thinness.


Author(s):  
Alfredo Bravo-Sánchez ◽  
Javier Morán-García ◽  
Pablo Abián ◽  
Javier Abián-Vicén

The aim of this study was to analyse the association of the use of the mobile phone with physical fitness (PF) and academic performance in secondary school students and its gender-related differences. A total of 501 high school students participated in the study (236 girls and 265 boys; 12–18 years). Use of the mobile phone and sample distributions were done with the Mobile-Related Experience Questionnaire (CERM): low use of mobile phone (LMP = 10–15 points), medium use of mobile phone (MMP = 16–23 points) and high use of mobile phone (HMP = 24–40 points). PF via Eurofit test battery and academic performance were recorded, and gender was used as a differentiating factor. The HMP group registered lower values than the LMP group for academic performance (Spanish: 4.78 ± 2.26 vs. 3.90 ± 1.96 points; p = 0.007, Mathematics: 4.91 ± 2.23 vs. 4.00 ± 1.84 points; p = 0.007) and PF (Abdominals: 6.83 ± 2.40 vs. 5.41 ± 2.46 points; p < 0.001, Broad jump: 6.24 ± 3.02 vs. 4.94 ± 2.28 points; p = 0.013). The boy students showed greater values than girl students for PF in the LMP (medicine-ball-throw: 6.34 ± 2.24 vs. 5.28 ± 1.86 points, p = 0.007) and MMP (medicine-ball-throw: 6.49 ± 2.52 vs. 5.02 ± 1.68 points; p < 0.001) groups, but no gender-related differences were found in the HMP group. In conclusion, high use of the mobile phone was related to worse results in the PF tests and academic performance. Gender-related differences were found for academic performance regardless of the use of the mobile, but for physical fitness no gender differences were found in HMP group.


2021 ◽  
Vol 5 (8) ◽  
pp. OR1-OR6
Author(s):  
Swati Pathak ◽  
Shivalingesh KK ◽  
Henna Mir ◽  
Divya Srivastava ◽  
Adeeba Saleem ◽  
...  

INTRODUCTION: In India, the percentage of deaths caused by tobacco smoking is anticipated to rise from 1.4 percent in 1990 to 13.3 percent by 2020.Health care experts have done their best to persuade and counsel users to quit the habit through their collaborative efforts. AIM AND OBJECTIVES: Assessment of dentistry students' attitudes and practices concerning tobacco cessation strategies, as well as the role of information in their promotion. MATERIALS AND METHODS: This cross-sectional survey was carried out at the Institute of Dental Sciences, Bareilly among the dental professionals, i.e. final year, interns, postgraduates students. The questionnaire was designed to test the knowledge, attitude, and practice of dental students regarding tobacco use. The self-administered survey included a set of questions. Descriptive statistics and Chi-square test had been used to test associations between their responses among age, qualification, and academic year using statistical package for social sciences (SPSS) version 22. RESULTS: A total of 300 surveys were sent out, with a 96.39 percent response rate. There were 54 percent females and 46 percent males among the 250 participants. Approximately 68 percent of people were between the ages of 20 and 23. In the current study, 32.4 percent were seeking MDS and 67.6 percent were pursuing BDS. Nearly half of those prefer to prescribe nicotine replacement therapy (NRT) as a cigarette cessation recommendation to patients, followed by self-quitting at 48% and pharmaceutical approaches at 1.2 percent. DISCUSSION: More than half of the respondents had an average level of awareness of smoking cessation therapies, and the majority of them had a favorable attitude toward their provision. As a result, it is important to persuade students to develop an interest in learning about tobacco quitting strategies.


2021 ◽  
Vol 17 (11) ◽  
pp. 77
Author(s):  
Mona Desrianty ◽  
Norlizah C. Hassan ◽  
Noor Syamilah Zakaria ◽  
Zeinab Zaremohzzabieh

The present study examined the relationship between family functioning and resilience on the psychological well-being (PWB) in high school students. A cross-sectional study was conducted using multiple linear regression for prediction and descriptive statistical analysis in five Indonesian high school students. A total of 341 high school students participated in the study, completing three validated self-administered questionnaires. Statistical analysis revealed that greater family functioning was associated with higher PWB. A significant relationship between resilience and PWB was found in this cohort. This study showed that to maintain healthy mental well-being, developing resilience and family functioning is vital for high school students. More emphasis may be placed on the possible role of resilience training and other kinds of family functioning and coping strategies in dealing with the unavoidable causes of stress in public high schoolers.


Author(s):  
Fatemeh Azizi-Soleiman ◽  
Mehri Khoshhali ◽  
Motahar Heidari-Beni ◽  
Mostafa Qorbani ◽  
Mohammad Ali Pourmirzaei ◽  
...  

Abstract. Objectives: The present study aimed to determine the association of total dietary phytochemical intake with generalized and abdominal obesity in children and adolescents. Material and methods: This nationwide cross-sectional study was conducted in 4296 students aged 6–18 years. Dietary phytochemical index (DPI) was calculated as a percentage of daily energy derived from phytochemical-rich foods divided by total daily energy intake. Results: The mean ± standard error of DPIs in the first, second, third and fourth quartiles were 12.70 ± 3.28, 20.36 ± 1.84, 27.52 ± 0.08 and 41.10 ± 0.26, respectively. Anthropometric measures including weight Z-score (−0.04 vs. 0.05, P = 0.023), body mass index (BMI) Z-score (−0.05 vs. 0.06, P = 0.013), waist circumference (WC) (65.80 cm vs. 66.95 cm P = 0.022), hip circumference (HC) (80.20 cm vs. 81.37 cm, P = 0.046), and neck circumference (NC) (30.06 cm vs. 30.45 cm, P = 0.031) were significantly lower among participants in the upper DPI quartile compared to those in the lower quartiles. In overweight and obese children, higher adjusted DPI scores had inverse correlation with BMI, WC, HC, wrist circumference, and NC (βs = −0.077, −0.10, −0.119, −0.01, and −0.032, respectively; P < 0.05). Comparison of the fourth quartile with the first quartile of DPI revealed beneficial effects of higher phytochemical intake on reducing the risk of obesity/overweight and abdominal obesity. However, these results were not statistically significant (P = 0.073). Conclusion: Higher DPI score was associated with lower risk of generalized and abdominal obesity in children and adolescents. However, the results were not statistically significant. Consuming phytochemical-rich foods can be encouraged to prevent childhood obesity.


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