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

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 meas...

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Main Authors: Mohammad Halim Jeinie, Rhanye Mac Guad, Marion M. Hetherington, Gan, Siew Hua, Yin, Nwe Aung, Wu, Yuan Seng, Constance Liew Sat Lin, Ramlah George @ Mohd. Rosli, Waidah Sawatan, Norazmir Md Nor, Nang Kham Oo Leik, Mohd Nazri Mohd Daud, Shutie Fazila Guad
Format: Article
Language:English
English
Published: MDPI 2021
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Online Access:https://eprints.ums.edu.my/id/eprint/34502/1/Abstract.pdf
https://eprints.ums.edu.my/id/eprint/34502/2/Full%20text.pdf
https://eprints.ums.edu.my/id/eprint/34502/
https://www.mdpi.com/2304-8158/10/9/2037
https://doi.org/10.3390/foods10092037
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spelling my.ums.eprints.345022022-10-20T01:17:49Z https://eprints.ums.edu.my/id/eprint/34502/ Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia Mohammad Halim Jeinie Rhanye Mac Guad Marion M. Hetherington Gan, Siew Hua Yin, Nwe Aung Wu, Yuan Seng Constance Liew Sat Lin Ramlah George @ Mohd. Rosli Waidah Sawatan Norazmir Md Nor Nang Kham Oo Leik Mohd Nazri Mohd Daud Shutie Fazila Guad LB1603-1696.6 Secondary education. High schools TX341-641 Nutrition. Foods and food supply 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. MDPI 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/34502/1/Abstract.pdf text en https://eprints.ums.edu.my/id/eprint/34502/2/Full%20text.pdf Mohammad Halim Jeinie and Rhanye Mac Guad and Marion M. Hetherington and Gan, Siew Hua and Yin, Nwe Aung and Wu, Yuan Seng and Constance Liew Sat Lin and Ramlah George @ Mohd. Rosli and Waidah Sawatan and Norazmir Md Nor and Nang Kham Oo Leik and Mohd Nazri Mohd Daud and Shutie Fazila Guad (2021) Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia. Foods, 10 (2037). pp. 1-15. ISSN 2304-8158 https://www.mdpi.com/2304-8158/10/9/2037 https://doi.org/10.3390/foods10092037
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic LB1603-1696.6 Secondary education. High schools
TX341-641 Nutrition. Foods and food supply
spellingShingle LB1603-1696.6 Secondary education. High schools
TX341-641 Nutrition. Foods and food supply
Mohammad Halim Jeinie
Rhanye Mac Guad
Marion M. Hetherington
Gan, Siew Hua
Yin, Nwe Aung
Wu, Yuan Seng
Constance Liew Sat Lin
Ramlah George @ Mohd. Rosli
Waidah Sawatan
Norazmir Md Nor
Nang Kham Oo Leik
Mohd Nazri Mohd Daud
Shutie Fazila Guad
Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia
description 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.
format Article
author Mohammad Halim Jeinie
Rhanye Mac Guad
Marion M. Hetherington
Gan, Siew Hua
Yin, Nwe Aung
Wu, Yuan Seng
Constance Liew Sat Lin
Ramlah George @ Mohd. Rosli
Waidah Sawatan
Norazmir Md Nor
Nang Kham Oo Leik
Mohd Nazri Mohd Daud
Shutie Fazila Guad
author_facet Mohammad Halim Jeinie
Rhanye Mac Guad
Marion M. Hetherington
Gan, Siew Hua
Yin, Nwe Aung
Wu, Yuan Seng
Constance Liew Sat Lin
Ramlah George @ Mohd. Rosli
Waidah Sawatan
Norazmir Md Nor
Nang Kham Oo Leik
Mohd Nazri Mohd Daud
Shutie Fazila Guad
author_sort Mohammad Halim Jeinie
title Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia
title_short Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia
title_full Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia
title_fullStr Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia
title_full_unstemmed Comparison of Nutritional Knowledge, Attitudes and Practices between Urban and Rural Secondary School Students: A Cross-Sectional Study in Sabah, East Malaysia
title_sort comparison of nutritional knowledge, attitudes and practices between urban and rural secondary school students: a cross-sectional study in sabah, east malaysia
publisher MDPI
publishDate 2021
url https://eprints.ums.edu.my/id/eprint/34502/1/Abstract.pdf
https://eprints.ums.edu.my/id/eprint/34502/2/Full%20text.pdf
https://eprints.ums.edu.my/id/eprint/34502/
https://www.mdpi.com/2304-8158/10/9/2037
https://doi.org/10.3390/foods10092037
_version_ 1760231304016691200
score 13.211869