Üniversite Öğrencilerinin Beslenme Okuryazarlığı ve İlişkili Faktörler

Öz

Amaç: Bu çalışmanın amacı, üniversite öğrencilerinin beslenme okuryazarlığı ve ilişkili faktörleri belirlemektir. Yöntem: Tanımlayıcı kesitsel tipteki araştırmanın örneklemini bir üniversitenin sağlık ve sağlık dışı bölümlerinde öğrenim gören 1306 üniversite öğrencisi oluşturmuştur. Veri toplama aracı olarak Adölesan Beslenme Okuryazarlığı Ölçeği ve sosyodemografik form kullanılmıştır. Verilerin analizinde Mann-Whitney U testi ve Kruskal Wallis testi kullanılmıştır. Bulgular: Çalışmada Adölesan Beslenme Okuryazarlığı Ölçeğinin (ABOÖ) genel ortalama puanının 66.35±7.5 (min=34, max=107) olduğu bulundu. Alt ölçekler arasında Fonksiyonel Beslenme Okuryazarlığı Ölçeği (FNL) ortalaması 18.16±5.26, Etkileşimli Beslenme Okuryazarlığı Ölçeği (EBOÖ) puan ortalaması 18.77±4.53 ve Kritik Beslenme Okuryazarlığı Ölçeği (KBOÖ) puan ortalaması 29.40±3.87 olarak bulundu. Alt ölçeklerde en düşük puan EBOÖ alt ölçeğindeydi. Ölçek puanları ile cinsiyet (EBOÖ için p<.01), bölüm (ABOÖ için p<.01) ve gıda etiketi okuma (tüm alt ölçekler için p<.01 göre istatistiksel olarak anlamlı farklılıklar bulundu. Sonuç: Bu bulgular, üniversitelerdeki müfredatın gözden geçirilmesi ve beslenme okuryazarlığını geliştirmek için tüm öğrencilere yönelik kapsamlı beslenme eğitimi programlarının uygulanması gerektiğini göstermektedir.

Anahtar Kelimeler

• beslenme
• okuryazarlık
• öğrenci
• Türkiye
• üniversite

University Students’ Nutritional Literacy and Associated Factors

Öz

Objective: The aim of this study is to examine the nutritional literacy of university students and identify associated factors. Methods: The sample of the descriptive cross-sectional study consisted of 1306 university students from health and non-health departments of a university. The Adolescent Nutrition Literacy Scale and sociodemographic form were used as data collection tools. Mann-Whitney U test and Kruskal Wallis test were used to analyze the data. Results: The study revealed that the overall mean score of the Adolescent Nutrition Literacy Scale (ANLS) was 66.35±7.5 (range: 34–107). Among the subscales, the Functional Nutrition Literacy (FNL) mean was 18.16±5.26, Interactive Nutrition Literacy (INL) was 18.77±4.53, and Critical Nutrition Literacy (CNL) was 29.40±3.87. The lowest score was observed in the INL subscale. Statistically significant differences were found based on gender (p<.05) for INL), academic department (p<.05 for ANLS), and food label reading (p<.05 for all subscales). Conclusion: These findings suggest that curricula in universities should be reviewed, and comprehensive nutrition education programs should be implemented for all students to improve nutrition literacy.

Anahtar Kelimeler

• literacy
• nutrition
• students
• Turkey
• university

Kaynakça

1. Aslan Ceylan, J., & Bayindir Gümüş, A. (2024). Nutrition literacy and quality of life of university students: Evidence from a cross sectional survey. Journal of Health Literacy, 9(1), 66–77. https://doi.org/10.22038/jhl.2023.76111.1497
2. Ayer, Ç., & Ergin, A. (2021). Status of nutritional literacy in adolescents in the semi‐rural area in Turkey and related factors. Public Health Nutrition, 24(12), 3870–3878. https://doi.org/10.1017/S1368980021002366
3. AlJaber, M. I., Alwehaibi, A. I., Algaeed, H. A., Arafah, A. M., & Binsebayel, O. A. (2019). Effect of academic stressors on eating habits among medical students in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(2), 390-400. https://doi.org/10.4103/jfmpc.jfmpc_455_18
4. Baş, D., Tontaş, E., Kavuşan, K.A., Seçkiner, S., Schoinas, E., & Kayak, S. (2024). Relationship between nutritional literacy and quality of life in Turkish adults: A cross sectional survey. Journal of Health Literacy, 8(4), 89-103. https://doi.org/10.22038/jhl.2023.72377.1421
5. Bojang, K. P., & Manchana, V. (2023). Nutrition and healthy aging: A review. Current Nutrition Reports, 12(3), 369-375. https://doi.org/10.1007/s13668-023-00473-0
6. Chen, W., Ren, H., Wang, N., Xiong, Y., & Xu, F. (2021). The relationship between socioeconomic position and health literacy among urban and rural adults in regional China. BMC Public Health, 21(527), 1–10. https://doi.org/10.1186/s12889-021-10600-7
7. Chung, L. M. (2017). Food literacy of young adults as a predictor of their healthy eating and dietary quality. Journal of Child and Adolescent Behavior, 5(3), 1-2. https://doi.org/10.4172/2375-4494.1000e117
8. Dandin, E., Karaboga, P., Uzun, A., Taylor, K. P., & Kristo, A. S. (2023). Nutrition knowledge and diet in female college students in Turkey: Youth education in nutrition initiative/nutrition education works (YENI/NEW). A cross‐sectional pilot study. Dietetics, 2(4), 344-355. https://doi.org/10.3390/dietetics2040025

9. Demirer, B., & Yardımcı, H. (2023). Nutritional literacy levels of university academic and administrative staff: A cross‐sectional study from Turkey. Nutrition and Health, 31(1), 147-154. https://doi.org/10.1177/02601060231163922
10. Gao, T., Duan, Y., Qi, Q., Mo, G., Han, S., Liu, H., & Zhang, M. (2023). Nutrition literacy differs based on demographics among university students in Bengbu, China. Frontiers in Public Health, 11, 1-11. https://doi.org/10.3389/fpubh.2023.1113211
11. Graca, P., Gregório, M. J., & Freitas, M. D. G. (2021). A decade of food and nutrition policy in Portugal (2010–2020). Portuguese Journal of Public Health, 38(2), 94-118. https://doi.org/10.1159/000510566
12. Groufh Jacobsen, S., Larsson, C., Van Daele, W., Margerison, C., Mulkerrins, I., Aasland, L. M., & Medin, A. C. (2023). Food literacy and diet quality in young vegans, lacto ovo vegetarians, pescatarians, flexitarians, and omnivores. Public Health Nutrition, 26(12), 3051-3061. https://doi.org/10.1017/S1368980023002124
13. Hillier Brown, F. C., Summerbell, C. D., Moore, H. J., Routen, A., Lake, A. A., Adams, J., White, M., Araujo-Soares, V., Abraham, C., Adamson, A. J., & Brown, T. J. (2017). The impact of interventions to promote healthier ready-to-eat meals sold by specific food outlets open to the general public: A systematic review. Obesity Reviews, 18(2), 227-246. https://doi.org/10.1111/obr.12479
14. Kalkan, I. (2019). The impact of nutrition literacy on the food habits among young adults in Turkey. Nutrition Research and Practice, 13(4), 352-357. https://doi.org/10.4162/nrp.2019.13.4.352
15. Kaur, P., Saxena, N., & Zhu, Z. (2018). Effect of Asian BMI on risk of chronic disease progression: A Singapore perspective. Proceedings of Singapore Health, 27(4), 270-276. https://doi.org/10.1177/2010105818779400
16. Koch, F., Hoffmann, I., & Claupein, E. (2021). Types of nutrition knowledge, their socio-demographic determinants and their association with food consumption: Results of the NEMONIT study. Frontiers in Nutrition, 8, 1-11. https://doi.org/10.3389/fnut.2021.630014
17. Krause, C., Sommerhalder, K., Beer Borst, S., & Abel, T. (2018). Just a subtle difference? Findings from a systematic review on definitions of nutrition literacy and food literacy. Health Promotion International, 33(3), 378-389. https://doi.org/10.1093/heapro/dax020
18. Larson, N., Laska, M. N., & Neumark Sztainer, D. (2020). Food insecurity, diet quality, home food availability, and health risk behaviors among emerging adults: Findings from the EAT 2010–2018 study. American Journal of Public Health, 110(9), 1422-1428.
19. Ludwig, D. S., Hu, F. B., Lichtenstein, A. H., & Willett, W. C. (2023). Low fat diet Redux at WHO. The American Journal of Clinical Nutrition, 118(5), 849-851. https://doi.org/10.1016/j.ajcnut.2023.09.006
20. Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259
21. Nutbeam, D., & Muscat, D. M. (2021). Health promotion glossary 2021. Health Promotion International, 36(6), 1578–1598. https://doi.org/10.1093/heapro/daaa157
22. Norris, S. A., Frongillo, E. A., Black, M. M., Dong, Y., Fall, C., Lampl, M., Liese, A. D., Naguib, M., Prentice, A., Rochat, T., Stephensen, C. B., Tinago, C. B., Ward, K. A., Wrottesley, S. V., & Patton, G. C. (2022). Nutrition in adolescent growth and development. The Lancet, 399(10320), 172-184. https://doi.org/10.1016/S0140 6736(21)01590 7
23. Oral, E. A., & Kiziltan, G. (2024). Factors affecting nutrition literacy: A pilot study among Turkish adults. Revista de Nutrição, 37 (e230074), 1-10. https://doi.org/10.1590/1678-9865202437e230074
24. Pourhoseingholi, M. A., Vahedi, M., & Rahimzadeh, M. (2013). Sample size calculation in medical studies. Gastroenterology and Hepatology from Bed to Bench, 6(1), 14–17.
25. Rani, R., Dharaiya, C. N., & Singh, B. (2021). Importance of not skipping breakfast: A review. International Journal of Food Science & Technology, 56(1), 28–38. https://doi.org/10.1111/ijfs.14742
26. Savkin, R., Guven, I., & Buker, N. (2022). Health literacy and cyberchondria levels in healthcare workers and their relationship with body awareness and physical activity. Medical Bulletin of Haseki, 60(4), 351-357. https://doi.org/10.4274/haseki.galenos.2022.8258
27. Scalvedi, M. L., Gennaro, L., Saba, A., & Rossi, L. (2021). Relationship between nutrition knowledge and dietary intake: An assessment among a sample of Italian adults. Frontiers in Nutrition, 8, 1-13. https://doi.org/10.3389/fnut.2021.714493
28. Slater, J., Falkenberg, T., Rutherford, J., & Colatruglio, S. (2018). Food literacy competencies: A conceptual framework for youth transitioning to adulthood. International Journal of Consumer Studies, 42(5), 547–556. https://doi.org/10.1111/ijcs.12471
29. Sørensen, K., Levin Zamir, D., Duong, T. V., Okan, O., Brasil, V. V., & Nutbeam, D. (2021). Building health literacy system capacity: A framework for health literate systems. Health Promotion International, 36 (Supplement 1), 13-23 https://doi.org/10.1093/heapro/daab153
30. Spiteri Cornish, L. S., & Moraes, C. (2015). The impact of consumer confusion on nutrition literacy and subsequent dietary behavior. Psychology & Marketing, 32(6), 558-574.
31. Silva, D., & Figueira, R., Lomba, V. (2023). University students’ food literacy and environment: A qualitative analysis. Public Health Nutrition, 26(5), 961–970.
32. Truman, E., Bischoff, M., & Elliott, C. (2020). Which literacy for health promotion: Health, food, nutrition or media? Health Promotion International, 35(2), 432-444. https://doi.org/10.1093/heapro/daz065
33. Turkmen, A. S., Kalkan, I., & Filiz, E. (2017). Adaptation of adolescent nutrition literacy scale into Turkish: A validity and reliability study. International Peer Reviewed Journal of Nutritional Research, 10, 1–16. https://doi.org/10.17362/DBHAD.2017.2.01
34. Wickham, S. R., Amarasekara, N. A., Bartonicek, A., & Conner, T. S. (2020). The big three health behaviors and mental health and well being among young adults: A cross sectional investigation of sleep, exercise, and diet. Frontiers in Psychology, 11, Article 579205. https://doi.org/10.3389/fpsyg.2020.579205
35. World Health Organization. (2024). Body mass index (BMI). https://www.who.int/data/gho/data/themes/topics/topic details/GHO/body mass index
36. Yilmazel, G., & Bozdogan, S. (2021). Nutrition literacy, dietary habits and food label use among Turkish adolescents. Progress in Nutrition, 23(1), 1-9. https://doi.org/10.23751/pn.v%vi%i.8846