Association between psychosocial determinants with primary school students snacking behavior
-
摘要:
目的 探究自我效能、习惯强度、目标意向和结果预期与高年级小学生零食摄入行为的关系, 为以社会认知理论为主的社会心理决定因素在儿童营养教育中的应用提供参考。 方法 于2020年1月, 采用方便抽样的方式通过问卷调查方法评价北京市丰台区和西城区2所小学四至六年级1 353名学生的自我效能、习惯强度、目标意向、结果预期评分, 并调查零食摄入行为, 分析二者的关联。 结果 小学生每周零食摄入次数为5.0(3.0, 8.5)次, 每日摄入量为4.0(0.9, 22.9) g; 零食相关的结果预期评分为-1.0(-2.0, -1.0)分, 自我效能评分为(4.3±0.9)分, 习惯强度评分为1.0(1.0, 3.0)分, 目标意向评分为(4.2±1.2)分; 与零食摄入次数较低的学生相比, 零食摄入次数较高的小学生, 其结果预期、自我效能和目标意向评分均较低(t值分别为-9.0, 6.8, 5.2, P值均 < 0.01)。Logistic回归分析结果显示, 结果预期和自我效能与儿童零食摄入行为呈负相关(OR值分别为0.7, 0.8), 习惯强度与儿童零食摄入行为呈正相关(OR=1.3)(P值均 < 0.05)。 结论 自我效能、习惯强度、目标意向和结果预期与儿童零食摄入行为相关, 可以作为儿童营养干预的理论基础。 Abstract:Objective The association of self-efficacy, habit strength, goal intention and outcome expectation with the consumption of snack in senior primary school students were investigated, providing evidence for the application of psychosocial determinants based on Social Cognitive Theory in children's nutrition education. Methods A total of 1 353 students, 10-12 years old, participated in this study.Participants completed questionnaires for assessing self-efficacy, habit strength, goal intention, outcome expectation and snack consumption in January 2020. Results Average times of snack consumption among primary school students were 5.0(3.0, 8.5) times per week, and the snack intake were 4.0(0.9, 22.9) g/d.The outcome expectation score was-1.0(-2.0, -1.0) points, while the score of children's snack-related self-efficacy was (4.3±0.9) points, habit strength score 1.0(1.0, 3.0) points, and the goal intention (4.2±1.2) points.Students with higher snack intake showed lower scores in outcome expectation, self-efficacy and goal intention (t=-9.0, 6.8, 5.2, P < 0.01).Logistic regression showed negative association between outcome expectation and self-efficacy factors with snacking behavior (OR=0.7, 0.8, respectively), as well as positive association between habit strength and snacking behaviors (OR=1.3, P < 0.05). Conclusion The evidence indicated that self-efficacy, habit strength, goal intention and outcome expectation are associated with child's snack consumption, and can be used as theoretical foundation for child snack consumption education. -
Key words:
- Psychology, social /
- Food /
- Feeding behavior /
- Regression analysis /
- Mental health /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别小学生零食摄入及其相关社会心理决定因素得分比较[M(P25, P75)]
Table 1. Comparison of snack shots and their related psychosocial determinants scores among students in different groups[M(P25, P75)]
组别 选项 人数 统计值 零食 结果预期 自我效能* 习惯强度 目标意向* 次数/(次·周-1) 份量/(g·d-1) 年级 四 507 6.0(3.0,9.5) 21.6(10.0,36.0) -1.0(-2.0,-1.0) 4.4±0.8 1.0(1.0,3.0) 4.4±1.1 五 417 4.5(3.0,8.5) 1.4(0.6,4.0) -1.0(-2.0,-1.0) 4.2±1.0 1.0(1.0,3.0) 4.1±1.3 六 429 4.5(3.0,8.5) 2.0(0.7,7.8) -1.3(-2.1,-1.0) 4.2±1.0 2.0(1.0,3.0) 4.2±1.2 F/H值 9.41 328.23 5.04 9.69 18.99 4.94 P值 0.01 < 0.01 0.08 < 0.01 < 0.01 < 0.01 性别 男 694 5.0(3.0,9.5) 3.6(0.9,22.3) -1.3(-2.3,-1.0) 4.2±1.0 2.0(1.0,3.0) 4.1±1.3 女 655 5.0(3.0,8.5) 4.0(1.1,23.2) -1.0(-2.0,-1.0) 4.3±0.9 1.0(1.0,2.0) 4.4±1.1 t/Z值 -0.42 -0.85 -3.82 -2.40 3.02 -4.31 P值 0.67 0.39 < 0.01 0.02 < 0.01 < 0.01 体重分组a 消瘦 49 6.0(4.5,12.6) 6.4(1.1,25.6) -1.3(-2.7,-1.0) 4.1±1.0 2.0(1.0,3.0) 4.0±1.4 低体重 91 4.5(3.0,8.5) 5.4(1.1,25.0) -1.0(-1.7,-1.0) 4.6±0.8 1.0(1.0,2.0) 4.6±0.9 体重适中 862 5.0(3.0,8.5) 3.1(0.9,21.0) -1.0(-2,-1.0) 4.3±1.0 1.0(1.0,3.0) 4.2±1.2 超重 151 5.0(3.0,9.5) 6.3(0.9,23.6) -1.3(-2.3,-1.0) 4.2±1.0 2.0(1.0,3.0) 4.0±1.3 肥胖 196 4.5(3.0,8.0) 6.0(0.9,25.9) -1.0(-2.0,-1.0) 4.2±1.1 1.0(1.0,2.0) 4.2±1.3 F/H值 6.71 6.33 9.64 2.72 27.84 3.98 P值 0.15 0.18 < 0.05 0.03 < 0.01 < 0.01 合计 1 353 5.0(3.0,8.5) 4.0(0.9,22.9) -1.0(-2.0,-1.0) 4.3±0.9 1.0(1.0,3.0) 4.2±1.2 注:*x ±s,a表示数据有4项缺失。 表 2 不同零食摄入水平小学生社会心理决定因素评分比较(x ±s)
Table 2. Comparison of psychosocial determinants among students with different snack intake levels(x ±s)
摄入次数 人数 结果预期* 自我效能 习惯强度* 目标意向 低 659 -1.0(-1.7,-1.0) 4.5±0.8 1.0(1.0,2.0) 4.4±1.0 高 619 -1.5(-2.7,-1.0) 4.1±1.0 2.0(1.0,3.0) 4.1±1.3 t/Z值 -9.0 6.8 -9.6 5.2 P值 < 0.01 < 0.01 < 0.01 < 0.01 注:*为M(P25, P75)。 表 3 小学生社会心理决定因素与零食摄入行为关系的Logistic回归分析(n=1 353)
Table 3. Logistic regression analysis of the relationship between psychosocial determinants and snack intake behavior in primary school students(n=1 353)
自变量与常量 β值 p值 OR值(OR值95%CI) 结果预期 -0.3 < 0.01 0.7(0.6~0.9) 自我效能 -0.2 < 0.01 0.8(0.7~0.9) 习惯强度 0.3 < 0.01 1.3(1.2~1.5) 目标意向 -0.1 0.42 1.0(0.8~1.1) 常量 0.2 0.68 1.2 -
[1] 黄绯绯, 王惠君, 王志宏, 等. 《中国儿童青少年零食指南(2018)》简介[J]. 营养学报, 2018, 40(5): 417-418. doi: 10.3969/j.issn.0512-7955.2018.05.001HUANG F F, WANG H J, WANG Z H, et al. Snacking guide for children and teenagers in China(2018)[J]. Acta Nutr Sin, 2018, 40(5): 417-418. doi: 10.3969/j.issn.0512-7955.2018.05.001 [2] DEEPESH J, PREETI K, SHILPA H, et al. Evaluation of oral hygiene status among 12-14-year-old school children[J]. J Pharm Bioallied Sci, 2021, 13(Suppl 1): S112-S115. [3] LAVA S A, BIANCHETTI M G, SIMONETTI G D. Salt intake in children and its consequences on blood pressure[J]. Pediatr Nephrol, 2015, 30(9): 1389-1396. doi: 10.1007/s00467-014-2931-3 [4] 喻颖杰, 郭丹丹, 麻慧娟, 等. 北京市6~15岁学生零食饮料消费现状[J]. 中国健康教育, 2020, 36(10): 929-932.YU Y J, GUO D D, MA H J, et al. Consumption of beverages and snacks among schoolchildren aged 6-15 years in Beijing[J]. Chin J Health Educ, 2020, 36(10): 929-932. [5] PIERNAS C, POPKIN B M, Trends in snacking among U.S. children[J]. Health Affairs(Millwood), 2010, 29(3): 398-404. [6] KACHURAK A, BAILEY R L, DAVEY A, et al. Daily snacking occasions, snack size, and snack energy density as predictors of diet quality among US children aged 2 to 5 years[J]. Nutrients, 2019, 11(7): 1440. doi: 10.3390/nu11071440 [7] 谢凤珠, 熊静帆, 谢尉. 深圳市学龄儿童零食营养健康教育干预效果评价[J]. 中国学校卫生, 2020, 41(5): 772-774, 782. doi: 10.16835/j.cnki.1000-9817.2020.05.037XIE F Z, XIONG J F, XIE W. Evaluation of the intervention effect of snack nutrition and health education for school-aged children in Shenzhen[J]. Chin J Sch Health, 2020, 41(5): 772-774, 782. doi: 10.16835/j.cnki.1000-9817.2020.05.037 [8] BAGHERNIYA M, TAGHIPOUR A, SHARMA M, et al. Obesity intervention programs among adolescents using social cognitive theory: a systematic literature review[J]. Health Educ Res, 2018, 33(1): 26-39. doi: 10.1093/her/cyx079 [9] STACEY F G, JAMES E L, CHAPMAN K, et al. A systematic review and Meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors[J]. J Cancer Surviv, 2015, 9(2): 305-338. doi: 10.1007/s11764-014-0413-z [10] ANDERSON E S, WINETT R A, WOJCIK J R. Self-regulation, self-efficacy, outcome expectations, and social support: social cognitive theory and nutrition behavior[J]. Ann Behav Med, 2007, 34(3): 304-312. doi: 10.1007/BF02874555 [11] KOCH P A, CONTENTO I R, GRAY H L, et al. Food, health, choices: curriculum and wellness interventions to decrease childhood obesity in fifth-graders[J]. J Nutr Educ Behav, 2019, 51(4): 440-455. doi: 10.1016/j.jneb.2018.12.001 [12] 国家卫生健康委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01.National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01. [13] DE ONIS M, ONYANGO A W, BORGHI E, et al. Development of a WHO growth reference for school-aged children and adolescents[J]. Bull World Health Organ, 2007, 85(9): 660-667. doi: 10.2471/BLT.07.043497 [14] 徐梦茹, 王学明. 决策树几种分类算法的分析比较[J]. 电脑知识与技术, 2018, 14(20): 193-195.XU M R, WANG X M. Analysis and comparison of several classification algorithms in decision trees[J]. Comput Knowledge Technol, 2018, 14(20): 193-195. [15] WANG Z, ZHAI F, ZHANG B, et al. Trends in Chinese snacking behaviors and patterns and the social-demographic role between 1991 and 2009[J]. Asia Pacific J Clinicnutr, 2012, 21(2): 253-262. [16] 刘爱玲, 段一凡, 胡小琪, 等. 城市儿童零食消费行为10年变化分析[J]. 中国学校卫生, 2011, 32(12): 1415-1417.LIU A L, DUAN Y F, HU X Q, et al. Change in snacking behaviors of children in four cities of China over 10 years[J]. Chin J Sch Health, 2011, 32(12): 1415-1417. [17] TAN C C, HOLUB S C. The effects of happiness and sadness on Children's snack consumption[J]. Appetite, 2018, 123: 169-174. doi: 10.1016/j.appet.2017.12.021 [18] KELISHADI R, MOZAFARIAN N, QORBANI M, et al. Association between screen time and snack consumption in children and adolescents: the CASPIAN-IV study[J]. J Pediatr Endocrinol Metab, 2017, 30(2): 211-219. [19] 谢凤珠, 熊静帆, 刘鑫. 深圳市学龄儿童家长零食知识态度行为现况[J]. 中国学校卫生, 2021, 42(9): 1328-1331. doi: 10.16835/j.cnki.1000-9817.2021.09.012XIE F Z, XIONG J F, LIU X. Knowledge, attitude and behavior among parents of school-aged children towards snack in Shenzhen[J]. Chin J Sch Health, 2021, 42(9): 1328-1331. doi: 10.16835/j.cnki.1000-9817.2021.09.012 [20] SALVY S J, DE LA HAYE K, BOWKER J C, et al. Influence of peers and friends on children's and adolescents' eating and activity behaviors[J]. Physiol Behav, 2012, 106(3): 369-378. doi: 10.1016/j.physbeh.2012.03.022 [21] VAN ANSEM W J, SCHRIJVERS C T, RODENBURG G, et al. Children's snack consumption: role of parents, peers and child snack-purchasing behaviour. Results from the INPACT study[J]. Europ J Public Health, 2015, 25(6): 1006-1011. doi: 10.1093/eurpub/ckv098 [22] LIU P, YU Y, KING L, et al. Snack and beverage consumption and preferences in a sample of Chinese children-are they influenced by advertising?[J]. Asia Pacific J Clinicnutr, 2017, 26(6): 1125-1132. [23] STRECHER V J, DEVELLIS B M, BECKER M H, et al. The role of self-efficacy in achieving health behavior change[J]. Health Educ Quart, 1986, 13(1): 73-92. doi: 10.1177/109019818601300108 [24] SHEERAN P, MAKI A, MONTANARO E, et al. The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: a Meta-analysis[J]. Health Psychol, 2016, 35(11): 1178-1188. doi: 10.1037/hea0000387 [25] ROTHMAN A J, SHEERAN P, WOOD W. Reflective and automatic processes in the Initiation and maintenance of dietary change[J]. Annals Behav Med, 2009, 38(Suppl 1): S4-S17. [26] NEAL D T, WOOD W, QUINN J M. Habits: a repeat performance[J]. Eur Respir, 2006, 15(4): 198-202. [27] DE VET E, STOK F M, DE WIT J B F, et al. The habitual nature of unhealthy snacking: how powerful are habits in adolescence?[J]. Appetite, 2015(95): 182-187. [28] VERHOEVEN A A, ADRIAANSE M A, EVERS C, et al. The power of habits: unhealthy snacking behaviour is primarily predicted by habit strength[J]. Br J Health Psychol, 2012, 17(4): 758-770. doi: 10.1111/j.2044-8287.2012.02070.x [29] RIET J V T, SIJTSEMA S J, DAGEVOS H, et al. The importance of habits in eating behaviour: an overview and recommendations for future research[J]. Appetite, 2011, 57(3): 585-596. doi: 10.1016/j.appet.2011.07.010 -

计量
- 文章访问数: 452
- HTML全文浏览量: 184
- PDF下载量: 39
- 被引次数: 0