Objective:To identify correlates and underlying beliefs regarding the adolescents’ intention to abstain from consuming sugar-sweetened beverages (SSB) and the consumption of ≤1 daily portion of SSB.Design:Correlational study.Setting:Region of Chaudière-Appalaches in the province of Quebec, Canada.Participants:311 adolescents aged 13–18 years completed a self-administrated online questionnaire based on the Reasoned Action Approach. Frequency and quantity of different types of SSB within the past month were measured.Results:Total mean SSB intake was 882·6 ml/d (654·0 kJ/d ). Only 11·3 % abstained from SSB within the last month. Intention to abstain from SSB was explained by identification as SSB abstainers (β = 0·47), perceived norm (β = 0·32), attitude (β = 0·30), age 13–14 years (β = –0·27) and perception of the school environment (β = 0·14), which explained 66 % of the variance. Consumption of ≤1 daily portion of SSB was explained by the intention to abstain (OR = 1·55; 95 % CI 1·14, 2·11), perceived behavioural control to abstain (OR = 1·80; 95 % CI 1·29, 2·52), sex (girls v. boys: OR = 2·34; 95 % CI 1·37, 3·98) and socio-economic status (advantaged v. disadvantaged school: OR = 2·08; 95 % CI 1·21, 3·56). Underlying beliefs (i.e. more energy, decreased risk of addiction and friends’ approval) associated with intention as well as perceived barriers (e.g. access to SSB, after an activity that makes you thirsty), and facilitating factors (e.g. access to water) linked to SSB consumption were identified.Conclusions:The results can inform public health interventions to decrease SSB consumption and their associated health problems among adolescents.
Introduction: Sugar-sweetened beverage (SSB) consumption is associated with many health problems, such as obesity and cardiovascular diseases. Objectives: To identify adolescents' beliefs concerning SSB abstinence. Methods: Based on the Reasoned Action Approach, thirty semi-structured interviews were conducted with adolescents (12-17 years). They were selected based on age, sex and setting in order to ensure a broad representation of adolescents from two French-speaking regions of the province of Quebec in Canada (Eastern Canada). Adolescents were invited to answer eight open-ended questions regarding SSB abstinence in the next month. A qualitative content analysis was performed independently by two experts to identify the most important beliefs. Result: According to adolescents, the main advantage of abstaining from SSB was that it would be good for their health and the main disadvantage was that they would have to give up products they liked drinking for the taste. Parents and friends seemed to be the most important social influences regarding abstaining from SSB. Adolescents mentioned many barriers to SSB abstinence, such as contextual barriers (e.g., special occasions, eating out, following sports activities), the presence of SSB drinkers, advertisements promoting SSB, and the urge to drink SSB. Facilitating factors included absence of SSB at home/school, having easy access to water and pure fruit juices, and receiving information about the negative health effects of SSB. Discussion and conclusions: The results of this preliminary study can be used to guide the development of interventions to promote SSB abstinence among adolescents. Mots-clés adolescents; boissons sucrées; croyances; Approche de l'action raisonnée; abstinence Résumé Introduction : La consommation de boissons sucrées (BS) est associée à de nombreux problèmes de santé tels que l'obésité et les maladies cardiovasculaires. Objectif : Identifier les croyances des adolescents concernant l'abstinence de consommer des boissons sucrées (ACBS). Méthodes : Fondées sur l'Approche de l'action raisonnée, trente entrevues semi-structurées ont été réalisées avec des adolescents (12-17 ans). La sélection selon l'âge, le sexe et le milieu a permis d'assurer une large représentation d'adolescents de deux régions francophones du Québec (Est du Canada). Suivant la définition des BS, les adolescents ont répondu à huit questions ouvertes au sujet de l'ACBS au cours du mois à venir. Une analyse qualitative de contenu réalisée indépendamment par deux experts a permis d'identifier les croyances les plus importantes. Résultats : Le principal avantage de l'ACBS est le bénéfice pour la santé et le principal désavantage est de ne pas pouvoir boire des produits dont ils aiment le goût. Les parents et les amis semblent les personnes les plus influentes concernant l'ACBS. De nombreux obstacles à l'ACBS ont été identifiés, tels que le contexte (occasions spéciales, au restaurant, après les activités sportives), la présence de personnes qui boivent des BS, les publicités sur ...
Cooking at home is associated with health benefits, and 10- and 11-year-old children are capable of participating in meal preparation. However, opportunities for children to cook at home have declined. This study aimed to identify determinants of the frequency and the intention to cook at home in fifth graders using the Theory of Planned Behavior as a framework with quantitative methodology. A total of 241 participants across five elementary schools of the Chaudière-Appalaches region (Quebec, Canada) took part in this correlational study. Data were collected via a self-administered questionnaire based on the Theory of Planned Behavior. Regression analyses led to the identification of determinants of frequency and intention to cook at home. More than two-thirds of participants (69%) declared having cooked at home in the past 7 days. Intention was the only significant variable explaining 18% of the variance for frequency. Intention was determined by perceived behavioral control, attitude, descriptive norms, subjective norms, perceived barriers, being a girl, and normative beliefs, which explain 74% of the variance. Whereas other studies aiming at better understanding children’s involvement in meal preparation at home focused on self-efficacy for cooking, this study highlights other behavioral determinants. For example, support from parents appears to be crucial to promote this behavior in this age group. Future research and interventions should be oriented toward determinants such as subjective norms and normative beliefs, and focus on children’s autonomy.
Introduction : Les impacts psychosociaux de la pandémie liée au coronavirus (COVID-19), dont ceux sur la santé mentale, sont désormais reconnus. L’expérience de cette pandémie diffère toutefois d’un individu, d’un groupe ou d’un contexte à l’autre et les solutions pour y faire face se doivent d’être adaptées et contextualisées. But de l’étude : Cette étude vise à identifier les facteurs de vulnérabilités psychosociales dans les populations rurales du Québec. Méthode : La démarche est adaptée de travaux antérieurs sur la prévention et la réduction des impacts psychosociaux des changements climatiques en milieu non métropolitain. Elle s’inscrit dans un devis qualitatif descriptif reposant sur plusieurs sources de données : une revue de presse, une revue des écrits scientifiques, des entrevues semi-dirigées auprès d’acteurs clés des domaines communautaire et municipal. Résultats : La triangulation des données et la validation par des équipes en organisation communautaire ont permis d’identifier quarante et un ( n = 41) facteurs (ex. cohésion sociale, littératie numérique) susceptibles d’accroître ou de diminuer la vulnérabilité psychosociale des populations rurales en contexte de pandémie. Ceux-ci sont regroupés sous six catégories de déterminants : 1) les connaissances et les attitudes de la population face à la pandémie, 2) l’expérience antérieure d’événements difficiles, 3) le dynamisme des communautés, la cohésion et la solidarité sociale, 4) l’implication citoyenne et des instances municipales et gouvernementales, 5) les services de santé et de services sociaux et ceux de leurs partenaires intersectoriels et 6) l’aménagement du territoire. Conclusion : Ces résultats peuvent guider les équipes locales et régionales des directions de santé publique dans la réalisation de portraits des vulnérabilités psychosociales, à l’échelle locale, pour soutenir des plans de renforcement de la résilience communautaire et de réductions des inégalités sociales de santé accentuées par la pandémie.
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