ArticleInternational journal of health policy and management2017
Factors Associated With Unhealthy Snacks Consumption Among Adolescents in Iran's Schools.
Article in International journal of health policy and management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- School-Based Nutrition Programs in the Eastern Mediterranean Region: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: a systematic review.BMJ global health · 2021Pooled it
- Food Is Always Close By: An Assessment of the Healthiness of the Adolescent Home and School Food Environments in Northern Vietnam.Current developments in nutrition · 2026Article
- Associated Factors Influencing Snack Consumption Among Female Adolescents in Saveh, Iran: An Application of the BASNEF Model.International journal of school health · 2025Article
- Temporal trends in cardiovascular disease risk factors attributed burden in Iran, 1990-2021.Scientific reports · 2025Article
- Stunting and Underweight among Adolescent Girls of Indigenous Communities in Telangana, India: A Cross-Sectional Study.Nutrients · 2024Article
- Do Food and Meal Organization Systems in Polish Primary Schools Reflect Students' Preferences and Healthy and Sustainable Dietary Guidelines? The Results of Qualitative Research for the Junior-Edu-Żywienie (JEŻ) Project.Foods (Basel, Switzerland) · 2023Article
- Prevalence of Obesity and the Factors Associated with Low Obesity Awareness among Urban Adolescents in Harare, Zimbabwe.Nutrients · 2023Article
- Snacking behaviour and nutrients intake among 11-16 years-old students from two different boarding system schools.Heliyon · 2023Article
- Prioritizing population-based nutrition-related interventions to prevent and control hypertension in Iran: a multi-criteria decision-making approach.BMC medical research methodology · 2022Review
- Socioeconomic, intrapersonal and food environmental correlates of unhealthy snack consumption in school-going adolescents in Mumbai.BMC public health · 2022Article
- Compliance with Dietary Recommendations and Sociodemographic Factors in a Cross-Sectional Study of Natives and Immigrants in Spain.Journal of immigrant and minority health · 2022Article
- Exploration of the definition and components of food and nutrition literacy among junior secondary school students: a qualitative study.BMC nutrition · 2022Article
- Olfactory and Gustatory Supra-Threshold Sensitivities Are Linked toFoods (Basel, Switzerland) · 2022Article
- Scrutinize of healthy school canteen policy in Iran's primary schools: a mixed method study.BMC public health · 2021Article
- Enabling Food Environment in Kindergartens and Schools in Iran for Promoting Healthy Diet: Is It on the Right Track?International journal of environmental research and public health · 2021Review
- Non-communicable diseases' risk factors in Iran; a review of the present status and action plans.Journal of diabetes and metabolic disorders · 2021Review
- Socio-economic inequality in unhealthy snacks consumption among adolescent students in Iran: a concentration index decomposition analysis.Public health nutrition · 2019Article
- A study on school health policies and programs in the southeast of Iran: a regression analysis.Electronic physician · 2018Article
- Children Food and Nutrition Literacy - a New Challenge in Daily Health and Life, the New Solution: Using Intervention Mapping Model Through a Mixed Methods Protocol.Journal of medicine and lifeArticle
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6 authors.
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Abstract
backgroundWell-informed interventions are needed if school-based health promotion is to be effective. Among other aims, the Iranian Health Promoting School (IHPS) program that was launched in 2011, has an important aim of promoting dietary behaviors of adolescents. The present study, therefore, aimed to investigate the factors affecting unhealthy snacking of adolescents and provide evidence for a more effective IHPS program.
methodsIn a cross-sectional study design, 1320 students from 40 schools in Kerman city were selected using a proportional stratified random sampling method. A modified qualitative Food Frequency Questionnaire (FFQ) was used to gather data about unhealthy snacking behavior. Data about intrapersonal and environmental factors were obtained using a validated and reliable questionnaire. A mixed-effects negative-binomial regression model was used to analyze the data.
resultsTaste and sensory perception (prevalence rate ratio [PRR]=1.18; 95% CI: 1.09-1.27), being a male (PRR=1.20; 95% CI: 1.05-1.38) and lower nutritional knowledge (PRR=0.96; 95% CI: 0.91-0.99) were associated with higher weekly unhealthy snaking. Perceived self-efficacy (PRR=0.95; 95% CI: 0.91-1.00) negatively influenced the frequency of unhealthy snaking, with this approaching significance (P<.06). In case of environmental factors, high socio-economic status (SES) level (PRR=1.45; 95% CI: 1.26-1.67), single-parent family (PRR=1.14; 95% CI: 1.01-1.30), more social norms pressure (PRR=1.08; 95% CI: 1.01-1.17), pocket money allowance (PRR=1.21; 95% CI: 1.09-1.34), easy accessibility (PRR=1.06; 95% CI:1.01-1.11), and less perceived parental control (PRR=0.96; 95% CI: 0.92-0.99) all had a role in higher consumption of unhealthy snacks. Interestingly, larger school size was associated with less unhealthy snacking (PRR=0.79; 95% CI: 0.68-0.92).
conclusionUnhealthy snacking behavior is influenced by individual, socio-cultural and physical-environmental influences, namely by factors relating to poor parenting practices, high SES level, family characteristics, improper social norms pressure, and less knowledge and self-efficacy of students. This evidence can be used to inform a more evidencebased IHPS program through focusing on supportive strategies at the home, school, and local community levels.
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