Malaysian adolescents’ perceptions of healthy eating: a qualitative study

Ishak, Sharifah Intan Zainun Sharif; Chin, Yit Siew; Taib, Mohd Nasir Mohd; Shariff, Zalilah Mohd

doi:10.1017/s1368980019003677

Cited by 14 publications

(17 citation statements)

References 65 publications

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“…51,53,56,63 -68 Meanwhile, limited break time and an abundance of attractive and cheap unhealthy foods compared to healthy foods create barriers to healthy eating at school. 69 -72 Thus, our findings support previous research that identified the importance of removing unhealthy options from school canteens. 12,52,53…”

Section: Discussionsupporting

confidence: 88%

School Canteens in Selected Areas in Indonesia: A Situation Analysis

Rachmadewi¹,

Soekarjo²,

Maehara³

et al. 2021

Food Nutr Bull

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Background: The school canteen has a massive impact on the dietary intake and nutritional status of school-age children and adolescents. This study aimed at assessing the current situation of school canteens in selected areas in Indonesia and relevant knowledge, attitudes, and behaviors of school-going children and adolescents. Methods: A qualitative study was implemented in a purposive sample of 18 schools in Klaten and West Lombok districts with 2 comparison schools in Jakarta and Klaten. Focus group discussions and in-depth interviews were conducted with a wide range of stakeholders to collect information on nutrition knowledge, food preferences, related policies and governance, and opinions toward school canteens. Data were analyzed using thematic synthesis and narrative analysis. Results: Specific government guidelines on healthy foods and beverages to be sold in canteens are not yet in place. Many canteens had inadequate infrastructure and were managed informally, with limited rules, monitoring, and supervision. Although healthy options including vegetables and fruits were available in most canteens, unhealthy foods and beverages were abundant and cheap. Lack of awareness of the importance of nutrition of school-age children and adolescents was pervasive among all stakeholders. Personal preference and availability were main drivers of the students’ food choices. Conclusions: Concerted multisectoral and multistakeholders’ efforts are warranted to improve the quality of school canteens in Indonesia by developing a comprehensive relevant guideline, improving the capacity of related stakeholders and service providers, enhancing the implementation and monitoring, and generating demand for healthy canteens.

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Section: Discussionsupporting

confidence: 88%

School Canteens in Selected Areas in Indonesia: A Situation Analysis

Rachmadewi¹,

Soekarjo²,

Maehara³

et al. 2021

Food Nutr Bull

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“…Family modeling of healthy eating habits [35,37,43,44,47,[55][56][57]59,66,68,70,77,80] Encouragement and praise [35,38,44,49,51,66,68,69,71,75,77,80] Parental concern on adolescent's health [38,56,57,66,78] Adolescent acting as a role model in the family [77,78] Family modeling of unhealthy eating habits [39,40,[46][47][48][49][50]54,59,68,69,[72][73][74]79] Lack of parental concern on adolescent dietary issues (e.g., body weight is not important for the young) [42,…”

Section: Cultivation Of Preferencementioning

confidence: 99%

“…Provision of healthy home meals [33][34][35][36]38,[42][43][44]48,50,[61][62][63]66,70,71,75,77,78,80] Home availability of healthy food/ unavailability of unhealthy foods [36,37,39,40,[42][43][44][45][47][48][49][50]52,[55][56][57]60,61,[64][65][66][67][68][69][70]73,74,77,79,80] Unhealthy home meals [39,…”

Section: Food Preparation and Availabilitymentioning

confidence: 99%

“…Rules and monitoring of mealtimes [37,44,49,52,53,61,63,77] and snacking [33,37,42,43,47,50,52,56,59,64,67,68,77,80] Authoritative practices (e.g., reasoning, regular meal schedule) [35,37,43,44,48,49,52,55,57,59,60,64,66,[69][70][71]74,75,80] Child involvement with limited/ guided choices [37,44,59,64,80] Grocery shopping without adolescents to avoid their request on unhealthy foods [44] Unstructured practices (e.g., accommodating family taste preference, lack of monitoring at mealtimes [37,42,…”

Section: Parenting Stylementioning

confidence: 99%

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How Does the Family Influence Adolescent Eating Habits in Terms of Knowledge, Attitudes and Practices? A Global Systematic Review of Qualitative Studies

Liu

Chen

et al. 2021

Nutrients

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Promoting healthy eating habits can prevent adolescent obesity in which family may play a significant role. This review synthesized findings from qualitative studies to identify family barriers and facilitators of adolescent healthy eating in terms of knowledge, attitudes, and practices (KAP). A literature search of four databases was completed on 31 July 2020; qualitative studies that explored family factors of adolescent (aged 10 to 19 years) eating habits were included. A total of 48 studies were identified, with the majority being from North America and sampled from a single source. Ten themes on how family influences adolescent dietary KAP were found: Knowledge—(1) parental education, (2) parenting style, and (3) family illness experience; Attitudes—(4) family health, (5) cultivation of preference, and (6) family motivation; Practices—(7) home meals and food availability, (8) time and cost, (9) parenting style, and (10) parental practical knowledge and attitudes. This review highlights five parental characteristics underlying food parenting practices which affect adolescents’ KAP on healthy eating. Adolescents with working parents and who are living in low-income families are more vulnerable to unhealthy eating. There is a need to explore cultural-specific family influences on adolescents’ KAP, especially regarding attitudes and food choices in Asian families.

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“…Besides providing option for healthy prepaid meals that parents can choose for their children in school, it shows that involving parents in cultivating a healthy food environment in the school is very important [ 39 ]. Including parents in nutrition education in school, whether direct or indirectly might encourage their children to practice healthy eating behaviour, even outside of school [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Facilitators and Barriers to Implementing Healthy School Canteen Intervention among Malaysian Adolescents: A Qualitative Study

Azizan

Papadaki

et al. 2021

Nutrients

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This study evaluated implementing a school-based intervention to promote healthier dietary habits in the school environment among Malaysian adolescents using qualitative methods. This qualitative study was conducted in four secondary schools in Perak and Selangor (two urban and two rural schools) that received the intervention (either training or training and food subsidy). A total of eight focus groups (68 students aged 15 years old) and 16 in-depth interviews were conducted with canteen operators, school convenience shop operators, school teachers and school principals in each school. Thematic analysis was used to analyse the qualitative data to identify suitable themes. We found several initiatives and changes by the schools’ stakeholders to change to a healthy school canteen programme. The stakeholders also noticed the students’ food preferences that influence healthy food intake in canteens and convenience shops. The food vendors and school administrators also found that subsidising healthy meals might encourage healthy eating. Among barriers to implementing healthy school initiatives were the student’s perception of healthy food and their eating habits, which also affect the food vendors’ profit if they want to implement a healthy canteen. The school-based intervention has the potential to promotes healthier eating among school adolescents. Continuous training and monitoring of canteen operators and convenience shops are needed, including building partnerships and educating the students on healthy eating to cultivate healthy eating habits.

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Malaysian adolescents’ perceptions of healthy eating: a qualitative study

Cited by 14 publications

References 65 publications

School Canteens in Selected Areas in Indonesia: A Situation Analysis

School Canteens in Selected Areas in Indonesia: A Situation Analysis

How Does the Family Influence Adolescent Eating Habits in Terms of Knowledge, Attitudes and Practices? A Global Systematic Review of Qualitative Studies

Facilitators and Barriers to Implementing Healthy School Canteen Intervention among Malaysian Adolescents: A Qualitative Study

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