@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(4):285-291
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(4):285-291
Predictors of Fruits and Vegetable Consumption in Adolescent Girls Based on Social Cognitive Theory
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Zeinivanmoghadam L. (1)Jalilian M. (1)
Mirzaei A. (*1)
(1) Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran
Correspondence
Article History
Received: May 17, 2020Accepted: July 6, 2020
ePublished: December 20, 2020
ABSTRACT
Aims
Adequate intake of fruits and vegetables has many positive effects on adolescent health. However, many adolescences do not intake the recommended amounts of fruits and vegetables. This study aimed to determine the predictors of fruit and vegetable intake in first-grade high school female students in Ilam city using Social Cognitive Theory (SCT).
Instrument & Methods The cross-sectional study was conducted with the participation of 332 high school female students in Ilam in 2018. The samples were selected from 5 public schools by multistage random sampling. Data were collected using a 42-item researcher-made questionnaire based on Social Cognitive Theory. The validity of the questionnaire was confirmed by the qualitative method and its reliability was calculated by Cronbach's alpha. Data were analyzed using descriptive statistics, Pearson correlation, and multiple linear regression by SPSS 19 software.
Findings The mean age of the subjects was 13.72±0.97 years with a range of 12 to 16 years. Students' fathers were often (45.2%) employees and their mothers were often (78%) housewives. Most fathers had a university degree (52.1%) and mothers had a diploma (36.4%). Overall, social cognitive structures predicted 20.9% of behavior variance. However, only self-regulation predicted behavior significantly (p=0.001), and other structures did not predict behavior significantly.
Conclusion The Social Cognitive Theory can be used as a suitable theoretical framework for predicting adolescent behaviors associated with fruit and vegetable intake.
Instrument & Methods The cross-sectional study was conducted with the participation of 332 high school female students in Ilam in 2018. The samples were selected from 5 public schools by multistage random sampling. Data were collected using a 42-item researcher-made questionnaire based on Social Cognitive Theory. The validity of the questionnaire was confirmed by the qualitative method and its reliability was calculated by Cronbach's alpha. Data were analyzed using descriptive statistics, Pearson correlation, and multiple linear regression by SPSS 19 software.
Findings The mean age of the subjects was 13.72±0.97 years with a range of 12 to 16 years. Students' fathers were often (45.2%) employees and their mothers were often (78%) housewives. Most fathers had a university degree (52.1%) and mothers had a diploma (36.4%). Overall, social cognitive structures predicted 20.9% of behavior variance. However, only self-regulation predicted behavior significantly (p=0.001), and other structures did not predict behavior significantly.
Conclusion The Social Cognitive Theory can be used as a suitable theoretical framework for predicting adolescent behaviors associated with fruit and vegetable intake.
CITATION LINKS
[1]Lytle LA, Varnell S, Murray DM, Story M, Perry C, Birnbaum AS, et al. Predicting adolescents' intake of fruits and vegetables. J Nutr Educ Behav. 2003;35(4):170-5.
[2]Reynolds KD, Hinton AW, Shewchuk RM, Hickey CA. Social cognitive model of fruit and vegetable consumption in elementary school children. J Nutr Educ. 1999;31(1):23-30.
[3]Neumark-Sztainer D, Wall M, Perry C, Story M. Correlates of fruit and vegetable intake among adolescents: Findings from Project EAT. Prev Med. 2003;37(3):198-208.
[4]Mc Aleese JD, Rankin LL. Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. J Am Diet Assoc. 2007;107(4):662-5.
[5]Moradi G, Rahimzadeh A, Amani S, Yousefi J, Rahmani K, Bagheri S. Barriers and strategies of fruit and vegetable consumption in high school students in Sanandaj. J Educ Community Health. 2018;5(2):18-25. [Persian]
[6]Wilson DK, Friend R, Teasley N, Green S, Reaves IL, Sica DA. Motivational versus social cognitive interventions for promoting fruit and vegetable intake and physical activity in African American adolescents. Ann Behav Med. 2002;24(4):310-9.
[7]Rinderknecht K, Smith C. Social cognitive theory in an after-school nutrition intervention for urban native American youth. J Nutr Educ Behav. 2004;36(6):298-304.
[8]Najimi A, Ghaffari M. Promoting fruit and vegetable consumption among students: A randomized controlled trial based on social cognitive theory. J Pak Med Assoc. 2013;63(10):1235-40.
[9]Bandura A. Social cognitive theory: An agentic perspective. Annu Rev Psychol. 2001;52:1-26.
[10]Mirzaei A, Ghofranipour F, Ghazanfari Z. Social cognitive predictors of breakfast consumption in primary school’s male students. Glob J Health Sci. 2015;8(1):124-32.
[11]Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Upper Saddle River: Prentice–Hall; 1980.
[12]Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: Application to addictive behaviors. Am Psychol. 1992;47(9):1102-14.
[13]Saeidi A, Mirzaei A, Mahaki B, Jalali A, Jalilian M. Physical activity stage of change and its related factors in secondary school students of Sarableh city: A perspective from Iran. Open Access Maced J Med Sci. 2018;6(8):1517-21.
[14]Janz NK, Becker MH. The health belief model: A decade later. Health Educ Q. 1984;11(1):1-47.
[15]Mirzaei A, Esmaeili F, Jalilian M. Predictors of complementary feeding in infants aged 6 to 18 months: An application of health belief model. Sri Lanka J Child Health. 2020;49(1):48-53.
[16]Lubans DR, Plotnikoff RC, Morgan PJ, Dewar D, Costigan S, Collins CE. Explaining dietary intake in adolescent girls from disadvantaged secondary schools: A test of social cognitive theory. Appetite. 2012;58(2):517-24.
[17]Mirzaei A, Ghofranipour F, Ghazanfar ZI. School children's breakfast consumption: An educational intervention based on social cognitive theory. Ann Trop Med Public Health. 2018;(1):36.
[18]Glanz K, Rimer BK, Viswanath K. Health behavior and health education: Theory, research, and practice. Hoboken: John Wiley & Sons; 2008.
[19]Anderson ES, Winett RA, Wojcik JR. Self-regulation, self-efficacy, outcome expectations, and social support: Social cognitive theory and nutrition behavior. Ann Behav Med. 2007;34(3):304-12.
[20]Annesi JJ, Tennant GA. Mediation of social cognitive theory variables in the relationship of exercise and improved eating in sedentary adults with severe obesity. Psychol Health Med. 2013;18(6):714-24.
[21]Hall E, Chai W, Koszewski W, Albrecht J. Development and validation of a social cognitive theory-based survey for elementary nutrition education program. Int J Behav Nutr Phys Act. 2015;12:47.
[22]Gaines A, Turner LW. Improving fruit and vegetable intake among children: A review of interventions utilizing the social cognitive theory. Calif J Health Promot. 2009;7(1):52-66.
[23]Mirkarimi SK, Ozoni Doji R, Honarvar M, Fazeli Aref L. Correlation between physical activities, consumption of fruits and vegetables and using social cognitive theory constructs in obese or overweight women referring to health centers in Gorgan. Jorjani Biomed J. 2017;5(1):42-52. [Persian]
[24]Salimi N, Karimi-Shahanjarini A, Roshanaei G. Regular breakfast consumption and its predictors based on the social cognitive theory in female students of Hamadan university of medical sciences. J Educ Community Health. 2014;1(3):20-7. [Persian]
[25]Baranowski T, Cullen KW, Baranowski J. Psychosocial correlates of dietary intake: Advancing dietary intervention. Annu Rev Nutr. 1999;19:17-40.
[26]Rasmussen M, Krolner R, Klepp KI, Lytle L, Brug J, Bere E, et al. Determinants of fruit and vegetable consumption among children and adolescents: A review of the literature, part I: Quantitative studies. Int J Behav Nutr Phys Act. 2006;3:22.
[27]Hanson NI, Neumark-Sztainer D, Eisenberg ME, Story M, Wall M. Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutr. 2005;8(1):77-85.
[28]De Jong CS, Van Lenthe FJ, Van Der Horst K, Oenema A. Environmental and cognitive correlates of adolescent breakfast consumption. Prev Med. 2009;48(4):372-7.
[29]Mirzaei A, Nourmoradi H, Abedzadeh Zavareh MS, Jalilian M, Mansourian M, Mazloomi S, et al. Food safety knowledge and practices of male adolescents in west of Iran. Open Access Maced J Med Sci. 2018;6(5):908-12.
[30]Ball K, Mac Farlane A, Crawford D, Savige G, Andrianopoulos N, Worsley A. Can social cognitive theory constructs explain socio-economic variations in adolescent eating behaviours?: A mediation analysis. Health Educ Res. 2009;24(3):496-506.
[31]Pearson N, Ball K, Crawford D. Predictors of changes in adolescents' consumption of fruits, vegetables and energy-dense snacks. Br J Nutr. 2011;105(5):795-803.
[2]Reynolds KD, Hinton AW, Shewchuk RM, Hickey CA. Social cognitive model of fruit and vegetable consumption in elementary school children. J Nutr Educ. 1999;31(1):23-30.
[3]Neumark-Sztainer D, Wall M, Perry C, Story M. Correlates of fruit and vegetable intake among adolescents: Findings from Project EAT. Prev Med. 2003;37(3):198-208.
[4]Mc Aleese JD, Rankin LL. Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. J Am Diet Assoc. 2007;107(4):662-5.
[5]Moradi G, Rahimzadeh A, Amani S, Yousefi J, Rahmani K, Bagheri S. Barriers and strategies of fruit and vegetable consumption in high school students in Sanandaj. J Educ Community Health. 2018;5(2):18-25. [Persian]
[6]Wilson DK, Friend R, Teasley N, Green S, Reaves IL, Sica DA. Motivational versus social cognitive interventions for promoting fruit and vegetable intake and physical activity in African American adolescents. Ann Behav Med. 2002;24(4):310-9.
[7]Rinderknecht K, Smith C. Social cognitive theory in an after-school nutrition intervention for urban native American youth. J Nutr Educ Behav. 2004;36(6):298-304.
[8]Najimi A, Ghaffari M. Promoting fruit and vegetable consumption among students: A randomized controlled trial based on social cognitive theory. J Pak Med Assoc. 2013;63(10):1235-40.
[9]Bandura A. Social cognitive theory: An agentic perspective. Annu Rev Psychol. 2001;52:1-26.
[10]Mirzaei A, Ghofranipour F, Ghazanfari Z. Social cognitive predictors of breakfast consumption in primary school’s male students. Glob J Health Sci. 2015;8(1):124-32.
[11]Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Upper Saddle River: Prentice–Hall; 1980.
[12]Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: Application to addictive behaviors. Am Psychol. 1992;47(9):1102-14.
[13]Saeidi A, Mirzaei A, Mahaki B, Jalali A, Jalilian M. Physical activity stage of change and its related factors in secondary school students of Sarableh city: A perspective from Iran. Open Access Maced J Med Sci. 2018;6(8):1517-21.
[14]Janz NK, Becker MH. The health belief model: A decade later. Health Educ Q. 1984;11(1):1-47.
[15]Mirzaei A, Esmaeili F, Jalilian M. Predictors of complementary feeding in infants aged 6 to 18 months: An application of health belief model. Sri Lanka J Child Health. 2020;49(1):48-53.
[16]Lubans DR, Plotnikoff RC, Morgan PJ, Dewar D, Costigan S, Collins CE. Explaining dietary intake in adolescent girls from disadvantaged secondary schools: A test of social cognitive theory. Appetite. 2012;58(2):517-24.
[17]Mirzaei A, Ghofranipour F, Ghazanfar ZI. School children's breakfast consumption: An educational intervention based on social cognitive theory. Ann Trop Med Public Health. 2018;(1):36.
[18]Glanz K, Rimer BK, Viswanath K. Health behavior and health education: Theory, research, and practice. Hoboken: John Wiley & Sons; 2008.
[19]Anderson ES, Winett RA, Wojcik JR. Self-regulation, self-efficacy, outcome expectations, and social support: Social cognitive theory and nutrition behavior. Ann Behav Med. 2007;34(3):304-12.
[20]Annesi JJ, Tennant GA. Mediation of social cognitive theory variables in the relationship of exercise and improved eating in sedentary adults with severe obesity. Psychol Health Med. 2013;18(6):714-24.
[21]Hall E, Chai W, Koszewski W, Albrecht J. Development and validation of a social cognitive theory-based survey for elementary nutrition education program. Int J Behav Nutr Phys Act. 2015;12:47.
[22]Gaines A, Turner LW. Improving fruit and vegetable intake among children: A review of interventions utilizing the social cognitive theory. Calif J Health Promot. 2009;7(1):52-66.
[23]Mirkarimi SK, Ozoni Doji R, Honarvar M, Fazeli Aref L. Correlation between physical activities, consumption of fruits and vegetables and using social cognitive theory constructs in obese or overweight women referring to health centers in Gorgan. Jorjani Biomed J. 2017;5(1):42-52. [Persian]
[24]Salimi N, Karimi-Shahanjarini A, Roshanaei G. Regular breakfast consumption and its predictors based on the social cognitive theory in female students of Hamadan university of medical sciences. J Educ Community Health. 2014;1(3):20-7. [Persian]
[25]Baranowski T, Cullen KW, Baranowski J. Psychosocial correlates of dietary intake: Advancing dietary intervention. Annu Rev Nutr. 1999;19:17-40.
[26]Rasmussen M, Krolner R, Klepp KI, Lytle L, Brug J, Bere E, et al. Determinants of fruit and vegetable consumption among children and adolescents: A review of the literature, part I: Quantitative studies. Int J Behav Nutr Phys Act. 2006;3:22.
[27]Hanson NI, Neumark-Sztainer D, Eisenberg ME, Story M, Wall M. Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutr. 2005;8(1):77-85.
[28]De Jong CS, Van Lenthe FJ, Van Der Horst K, Oenema A. Environmental and cognitive correlates of adolescent breakfast consumption. Prev Med. 2009;48(4):372-7.
[29]Mirzaei A, Nourmoradi H, Abedzadeh Zavareh MS, Jalilian M, Mansourian M, Mazloomi S, et al. Food safety knowledge and practices of male adolescents in west of Iran. Open Access Maced J Med Sci. 2018;6(5):908-12.
[30]Ball K, Mac Farlane A, Crawford D, Savige G, Andrianopoulos N, Worsley A. Can social cognitive theory constructs explain socio-economic variations in adolescent eating behaviours?: A mediation analysis. Health Educ Res. 2009;24(3):496-506.
[31]Pearson N, Ball K, Crawford D. Predictors of changes in adolescents' consumption of fruits, vegetables and energy-dense snacks. Br J Nutr. 2011;105(5):795-803.