ArticlePublic health nutrition2019
Socio-economic inequality in unhealthy snacks consumption among adolescent students in Iran: a concentration index decomposition analysis.
Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- School-Based Nutrition Programs in the Eastern Mediterranean Region: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- How unequally is consumption of products harmful to health distributed between Iranian households?Journal of health, population, and nutrition · 2025Article
- Regional disparities in healthy eating and nutritional status in South Korea: Korea National Health and Nutrition Examination Survey 2017.Nutrition research and practice · 2020Article
- Tracking socio-economic inequalities in healthcare utilization in Iran: a repeated cross-sectional analysis.BMC public health · 2020Article
- The Influence of Socioeconomic Status on Snacking and Weight among Adolescents: A Scoping Review.Nutrients · 2020Article
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Authors and funding
3 authors.
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Abstract
objectiveThe present study aimed to assess and decompose the socio-economic inequality in unhealthy snacks consumption among adolescent students in Kerman, Iran.
designThe data were obtained from a cross-sectional study. Principal component analysis was done to measure the socio-economic status (SES) of the adolescents' families and the normalized concentration index (NCI) was used to measure the inequality in unhealthy snacks consumption among adolescent students of different SES. The contributions of environmental and individual explanatory variables to inequality were assessed by decomposing the concentration index.
settingForty secondary schools of Kerman Province in Iran in 2015.
participantsEighth-grade adolescent students (n 1320).
resultsThe data of 1242 adolescent students were completed for the current study. Unhealthy snacks consumption was unequally distributed among adolescent students and was concentrated mainly among the high-SES adolescents (NCI = 0·179; 95 % CI 0·056, 0·119). The decomposition showed that higher SES (62 %) and receiving pocket money allowance (31 %), as environmental variables, had the highest positive contributions to the measured inequality in unhealthy snacks consumption. Taste and sensory perception (7 %) as well as cost sensitivity (5 %), as individual variables, followed them in terms of their contribution importance.
conclusionsIt is highly suggested that both environmental and individual factors should be addressed at different settings including schools, families and suppliers of unhealthy snacks. These findings can help future health promotion strategies in Iran to tackle the observed inequality in unhealthy snacks consumption.
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