Social-ecological influences on unhealthy dietary behaviours among Moroccan adolescents
A mixed-methods study
Bibliographic Data
| ID | 15090445 |
|---|---|
| Authors | Abdelghaffar El-Ammari (0000-0003-0441-3884, Sidi Mohamed Ben Abdellah University, corresponding author), Hicham El Kazdouh (0000-0002-1710-782X, Sidi Mohamed Ben Abdellah University), Siham Bouftini (0000-0002-2541-8142, Sidi Mohamed Ben Abdellah University), Samira El Fakir (Sidi Mohamed Ben Abdellah University), Youness El Achhab (0000-0002-2527-2518, Sidi Mohamed Ben Abdellah University) |
| Year | 2020 |
| Volume | 23 |
| Issue | 6 |
| Pages | 996-1008 |
| Publication date | 2020-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980019003641 |
| PMID | 31896381 |
| OpenAlex | W2997216740 |
| Language | EN |
| Citations received | 7 |
| References cited | 47 |
Objective: To identify the prevalence of unhealthy dietary behaviours and their social-ecological influences in adolescents. Design: The 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. Setting: Middle and high secondary schools in Taza city, Morocco. Participants: Our 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). Results: Of 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. Conclusions: The 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
Cognition · Data collection · Developmental psychology · Environmental health · Focus group · Intervention (counseling · Qualitative property · Qualitative research · Social cognitive theory · Sociology · Health and Lifestyle Studies · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Psychology
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| Unique citing works | 7 |
|---|---|
| Citations per year | 1.4 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 7 |