Objective: The aim of the study was to investigate the relative importance of personal and social environmental predictors of the consumption of fruit, high-fat snacks and breakfast. Design: A school-based cross-sectional survey. Data were collected through written questionnaires. Setting: Students from eight schools in the southern part of The Netherlands. Subjects: Six hundred and one students from preparatory secondary vocational education schools. Results: About a quarter of the variation in actual behaviours and intentions to change the behaviours could be explained. Stepwise multiple regression analysis revealed that, for all three behaviours, higher intention to change was especially associated with a more positive attitude and subjective norm, and higher intentions to increase fruit intake with more positive self-efficacy expectations. With regard to actual consumption, a more positive attitude towards eating fruit was the only significant correlate of a higher consumption of fruit. A more positive attitude towards eating high-fat snacks, perceived lower intake of the mother, and higher food availability and accessibility were associated with consumption of high-fat snacks, and a more positive attitude to breakfast more frequently was associated with more frequent breakfast consumption. Conclusion:The results indicate that adolescents' attitudes are the most important determinants of different health-related eating behaviours and intentions to change. Interventions promoting a healthy diet for adolescents should include creative strategies to achieve positive associations with healthy dietary changes.
person-years per 3-month period. The decreases in the minimum prices of distilled spirits and intermediate products were also associated with increases in alcohol-related deaths in these same subpopulations whereas the decreases of the minimum prices of wine were not related to increases in any subpopulations. Conclusions These data suggest that higher minimum prices of distilled spirits and intermediate alcoholic products are associated with lower rates of alcohol-related mortality among men and women with a low level of education. Key messagesHigher minimum prices of certain alcoholic beverages are related to lower rates of alcohol-related mortality among those with a low level of education. This association was not found among those with a higher education and not for wine. BackgroundIn The Netherlands, adolescents aged 12-18 all receive the same education about alcohol, independently of their alcohol attitudes. We assume however that social marketing might help to develop targeted prevention interventions that will connect more closely to the alcohol attitudes of these adolescents. The goal of this presentation is to show the development of five segments of adolescents, based on a quantitative segmentation questionnaire and on qualitative focus groups. Furthermore, targeted alcohol interventions for two segments will be presented. Methods Quantitative segmenting questionnaire: A total of 3,230 12-18-year-olds completed the questionnaire (response rate 46%). Factor analysis was used to determine which factors made a difference. Latent class analysis was used for dividing the adolescents into five segments. Focus groups:In order to explore the values and norms towards alcohol, six focus groups with two segments (ordinaries and ordinary sobers) have been conducted, and analyzed with Atlas Ti. Results Based on the quantitative questionnaire five segments could be defined: ordinaries (42%), high spirits (22%), consciously sobers (17%), ordinary sobers (11%), and socials (8%). In an expert meeting with public health professionals, the ordinaries and ordinary sobers were chosen, based on theoretical and practical health gain. Focus groups reveal that the ordinaries are curious about the taste of alcohol, associate alcohol with coziness and relaxation, and think it is difficult to resist drinking peers. The ordinary sobers do not drink alcohol (yet). Peer pressure is still low. They imagine drinking alcohol is cozy. In spring 2013, we are developing targeted alcohol interventions for the ordinaries and ordinary sobers, based on the questionnaire and focus groups. The developed interventions will be presented at the EUPHA 2013. Conclusions 1. It is possible to segment adolescents 12 -18 years into five more homogeneous segments, based on alcohol attitudes. 2. Focus groups give deep insight into the alcohol values and norms of the ordinaries and ordinary sobers.
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