Determinants of nutritional knowledge, attitude, and practice among southwestern Iranian households: A community-based study

Background: Malnutrition is generally due to a lack of nutritional information rather than food deficiency. Therefore, the current knowledge, attitudes, and practice (KAP) of the target audience should be evaluated to eliminate malnutrition. However, KAP varies across demographic status and socioeco...

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Published in:Nutrition and health (Berkhamsted) 2020-06, Vol.26 (2), p.93-102
Main Authors: Naghashpour, Mahshid, Mansouri, Samaneh, Vadizadeh, Ali, Cheraghian, Bahman, Fallahi, Reza, Vaziri, Fateme
Format: Article
Language:English
Subjects:
Adult
Aged
Cross-Sectional Studies
Diet - statistics & numerical data
Educational Status
Family Characteristics
Female
Health Knowledge, Attitudes, Practice
Humans
Iran
Logistic Models
Male
Middle Aged
Nutritional Physiological Phenomena
Nutritional Status
Residence Characteristics
Rural Population - statistics & numerical data
Socioeconomic Factors
Surveys and Questionnaires
Urban Population - statistics & numerical data
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Summary:Background: Malnutrition is generally due to a lack of nutritional information rather than food deficiency. Therefore, the current knowledge, attitudes, and practice (KAP) of the target audience should be evaluated to eliminate malnutrition. However, KAP varies across demographic status and socioeconomic status (SES). Aim: The associations of nutritional KAP with demographic and socioeconomic variables were evaluated among households living in urban and rural areas of southwestern Iran. Methods: A cross-sectional, population-based study was conducted on 842 household heads (492 urban and 350 rural) using a standardized NUTRIKAP Household Questionnaire. The data evaluating nutritional KAP as well as demographic and socioeconomic information were obtained using a multi-stage cluster sampling method. SES score was also computed. Results: Urban households had a higher level of nutritional knowledge (p < 0.05) but a lower level of nutritional attitude (p < 0.001) and practice (p < 0.001) compared with the rural ones. Rural households with the poorest quintiles of SES were 0.4 times less likely to have good nutritional knowledge (adjusted odds ratio = 0.4, confidence interval: 0.2, 0.9; p < 0.05), compared with higher quintiles. Households with an over-60-years-old household head had significantly higher nutritional attitude (p < 0.05) and practice (p
ISSN:0260-1060
2047-945X
DOI:10.1177/0260106020905419