ArticlePublic health nutrition2020
Social-ecological influences on unhealthy dietary behaviours among Moroccan adolescents: a mixed-methods study.
Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- The health behaviors differences among male and female school-age adolescents in the Middle East and North Africa region countries: a meta-analysis of the Global School-based Student Health Survey data.Frontiers in public health · 2024Pooled it
- Consumption of fruits and vegetables among adolescents in Arab Countries: a systematic review.The international journal of behavioral nutrition and physical activity · 2023Pooled it
- Boys and girls differ in their rationale behind eating: a systematic review of intrinsic and extrinsic motivations in dietary habits across countries.Frontiers in nutrition · 2023Pooled it
- Exploring the Role of Dairy Consumption on the Growth and Development of Canadian Children: Protocol for a Longitudinal Mixed Method Research.JMIR research protocols · 2026Article
- Parents' needs and perceptions of dietary and nutrition education in early childhood education institutions in South Korea: a mixed methods study.Korean journal of community nutrition · 2025Article
- Article
- Promoting Physical Activity and Nutrition Through Health Education: Insights from a Study on Middle Eastern Adolescents in Malaysia.The Malaysian journal of medical sciences : MJMS · 2025Article
- Late eating and shortened fasting are associated with higher ultra-processed food intake across all age groups: a population-based study.European journal of nutrition · 2025Article
- A comparative study of healthy lifestyle behaviors and related factors among Iranian male and female adolescents: a cross-sectional study.BMC public health · 2025Article
- Article
- Exploring the effects of health behaviors and mental health on students' academic achievement: a cross-sectional study on lebanese university students.BMC public health · 2023Article
- Social Differences in Health Behaviours among Jordanian Adolescents.European journal of investigation in health, psychology and education · 2022Article
- Gaps and priorities in assessment of food environments for children and adolescents in low- and middle-income countries.Nature food · 2021Review
- Trends of 20 Health Risk Behaviours Among Adolescents in Morocco: Results of Three National Cross-Sectional School Surveys of 2006, 2010 and 2016.International journal of general medicine · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo identify the prevalence of unhealthy dietary behaviours and their social-ecological influences in adolescents.
designThe study used a sequential explanatory mixed-methods design, which begins with the collection of quantitative data, followed by the collection of qualitative data to explain and enrich the quantitative findings. Quantitative data were collected via a global school-based student health survey and were analysed using quantitative approaches. Qualitative data were obtained via focus group discussions and were analysed thematically.
settingMiddle and high secondary schools in Taza city, Morocco.
participantsOur quantitative analyses included 764 students (14-19 years). For the qualitative part, seventeen focus group discussions were conducted with 100 participants (fifty-six adolescents, twenty-six parents and eighteen teachers).
resultsOf total student participants, 46·1 % skipped breakfast, 60·6 % had inadequate intake of fruits and vegetables (F&V), 39·4 % consumed soft drinks and 28·0 % consumed fast foods. All of these dietary behaviours could coexist in the same person except for inadequate intake of F&V. Gender, academic performance, age, perceived family income and education level of mother were associated with unhealthy dietary behaviours. Qualitative findings identified seven themes regarding social-ecological influences on adolescents' dietary behaviours: cognitive, affective/biological, lifestyle, outcome expectation, social network, accessibility/availability and macro-level influences.
conclusionsThe prevalence of unhealthy dietary behaviours in our study group is a concern. Dietary behaviours are the result of inseparable interactions among social-ecological influences. Modifiable factors identified may be useful when designing a future intervention aimed at improving breakfast and F&V consumption and reducing fast/snack-food consumption among adolescents.
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