Is an ecological school-based nutrition intervention effective to improve adolescents? nutrition-related knowledge, attitudes and behaviour in rural areas of China?
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Wang, Dongxu; Stewart, Donald; Chang, Chun
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Purpose: The purpose of this article is to examine the effect of a school-based nutrition intervention using an ecological approach to improve adolescents’ nutrition-related knowledge, attitudes and behaviour in rural China. Methods: A cluster-randomised intervention trial design was employed. Two middle schools were randomly selected and assigned to the school that was conducting a holistic school-based intervention using health-promoting school (HPS) framework, ‘HPS School’, or to the...[Show more]
dc.contributor.author | Wang, Dongxu | |
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dc.contributor.author | Stewart, Donald | |
dc.contributor.author | Chang, Chun | |
dc.date.accessioned | 2021-07-15T01:19:28Z | |
dc.identifier.issn | 1757-9759 | |
dc.identifier.uri | http://hdl.handle.net/1885/240598 | |
dc.description.abstract | Purpose: The purpose of this article is to examine the effect of a school-based nutrition intervention using an ecological approach to improve adolescents’ nutrition-related knowledge, attitudes and behaviour in rural China. Methods: A cluster-randomised intervention trial design was employed. Two middle schools were randomly selected and assigned to the school that was conducting a holistic school-based intervention using health-promoting school (HPS) framework, ‘HPS School’, or to the ‘Control School’ in Mi Yun County, Beijing. From each school we randomly selected 65 seventh-grade students to participate in the study. Their nutrition-related knowledge, attitudes and behaviour were measured by pre- and post-intervention surveys with the same instrument. The nutrition intervention lasted for six months. Results: Adolescents in the intervention school were more likely to know the nutrition knowledge items, with an odds ratio (OR) ranging from 1.86 (95% confidence interval (CI): 1.11–3.09) to 6.34 (95% CI: 3.83–10.47); more likely to think nutrition is very important to health, developing healthy dietary habits is very important, and that expired foods should be thrown away, with ORs of 3.03 (95% CI: 1.60–5.76), 2.76 (95% CI: 1.66–4.59) and 2.35 (95% CI: 1.33–4.17) respectively, and more likely to consume no soft drinks, desserts or fried food, and to eat vegetables every day of the last week, with ORs of 1.99 (95% CI: 1.31–3.04), 3.96 (95% CI: 2.43–6.46), 3.63 (95% CI: 2.26–5.85), and 2.51 (95% CI: 1.41–4.48) respectively, as compared with those in the control school after interventions. Conclusions: Our intervention using the HPS framework, an ecological approach, was an appropriate model to promote nutrition among adolescents in rural China and its use should be advocated in future school-based nutrition promotion programmes for adolescents. | |
dc.description.sponsorship | This work was supported by the Griffith University, School of Public Health (Grant for Higher Research Degree Students: AUS$3000). | |
dc.format.mimetype | application/pdf | |
dc.language.iso | en_AU | |
dc.publisher | SAGE Publications | |
dc.rights | © The Author(s) 2016 | |
dc.source | Global health promotion | |
dc.subject | adolescents | |
dc.subject | China | |
dc.subject | ecology | |
dc.subject | health-promoting school | |
dc.subject | health promotion | |
dc.subject | nutrition | |
dc.subject | nutrition programme | |
dc.subject | rural education | |
dc.subject | school programmes | |
dc.title | Is an ecological school-based nutrition intervention effective to improve adolescents? nutrition-related knowledge, attitudes and behaviour in rural areas of China? | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 24 | |
dc.date.issued | 2017 | |
local.identifier.absfor | 111104 - Public Nutrition Intervention | |
local.identifier.absfor | 111712 - Health Promotion | |
local.identifier.ariespublication | a383154xPUB8852 | |
local.publisher.url | http://www.uk.sagepub.com/journalsProdDesc.nav?prodId=Journal201894& | |
local.type.status | Published Version | |
local.contributor.affiliation | Wang, Dongxu, College of Health and Medicine, ANU | |
local.contributor.affiliation | Stewart, Donald, Griffith University | |
local.contributor.affiliation | Chang, Chun, Peking University | |
local.description.embargo | 2099-12-31 | |
local.bibliographicCitation.issue | 4 | |
local.bibliographicCitation.startpage | 81 | |
local.bibliographicCitation.lastpage | 89 | |
local.identifier.doi | 10.1177/1757975915626864 | |
dc.date.updated | 2020-11-23T10:42:43Z | |
local.identifier.scopusID | 2-s2.0-84978531118 | |
Collections | ANU Research Publications |
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