Skip to main content
Top
Published in: BMC Public Health 1/2009

Open Access 01-12-2009 | Research article

Sociodemographic correlates of food habits among school adolescents (12–15 year) in north Gaza Strip

Authors: Abdallah H Abudayya, Hein Stigum, Zumin Shi, Yehia Abed, Gerd Holmboe-Ottesen

Published in: BMC Public Health | Issue 1/2009

Login to get access

Abstract

Background

There is little information about meal patterns and food consumption of adolescents in Palestine. The objective of this study was to describe the association between sociodemographic factors and food intake, and meal patterns among Palestinian school adolescents (12–15 year) in North Gaza Strip.

Methods

A cross-sectional study was conducted in 2002 comprising 944 subjects in 10 schools in Gaza city, Jabalia village and Jabalia refugee camp. Self-administered questionnaires were filled in by students and parents to obtain data on frequency of meals, food intake and sociodemographic characteristics.

Results

High household socioeconomic status (SES) was associated with the increased number of meals and the increased intakes of many nutritious foods such as; animal food items, fruits and vegetables and dairy foods. The percentage of adolescents having breakfast daily of high and low SES was 74.5% vs 55% in boys and 65.6% vs 45% in girls. The percentage of girls with refugee status who had lunch was higher (90.2%) compared to the local citizen girls (83.9%), (p = 0.03). Girls were less likely to skip daily lunch (OR = 0.55, 95% CI = 0.36–0.87, p = 0.01) compared to boys. Risk of skipping lunch was three times higher among adolescents living in the village compared to Gaza well-off area (OR = 3.3, 95% CI = 1.72–6.31, p < 0.001). Adolescents who were having lunch daily were less likely to skip breakfast or dinner. Only 11.6% of boys and 16.2% of girls consumed fruits daily. In multivariate analysis, SES was positively associated with food frequency intake scores in both genders. Boys from the refugee camp and the village had a significant higher consumption of fruits and vegetables than boys from high and low income area in Gaza City, while it was the opposite in girls.

Conclusion

Meal skipping is common, particularly among those of low SES and the intakes of many nutritious foods such as animal food items, fruits and vegetables and dairy foods seem to be low among adolescents of low SES. The results of this study could be used as an important base-line for future monitoring of the nutritional situation of adolescents.
Literature
1.
go back to reference Gabhainn SN, Nolan G, Kelleher C, Friel S: Dieting patterns and related lifestyles of school-aged children in the Republic of Ireland. Public Health Nutr. 2002, 5: 457-462. 10.1079/PHN2001273.CrossRefPubMed Gabhainn SN, Nolan G, Kelleher C, Friel S: Dieting patterns and related lifestyles of school-aged children in the Republic of Ireland. Public Health Nutr. 2002, 5: 457-462. 10.1079/PHN2001273.CrossRefPubMed
2.
go back to reference Gaziano JM, Manson JE, Branch LG, Colditz GA, Willett WC, Buring JE: A prospective study of consumption of carotenoids in fruits and vegetables and decreased cardiovascular mortality in the elderly. Ann Epidemiol. 1995, 5: 255-260. 10.1016/1047-2797(94)00090-G.CrossRefPubMed Gaziano JM, Manson JE, Branch LG, Colditz GA, Willett WC, Buring JE: A prospective study of consumption of carotenoids in fruits and vegetables and decreased cardiovascular mortality in the elderly. Ann Epidemiol. 1995, 5: 255-260. 10.1016/1047-2797(94)00090-G.CrossRefPubMed
3.
go back to reference Hung HC, Joshipura KJ, Jiang R, Hu FB, Hunter D, Smith-Warner SA, Colditz GA, Rosner B, Spiegelman D, Willett WC: Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst. 2004, 96: 1577-1584.CrossRefPubMed Hung HC, Joshipura KJ, Jiang R, Hu FB, Hunter D, Smith-Warner SA, Colditz GA, Rosner B, Spiegelman D, Willett WC: Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst. 2004, 96: 1577-1584.CrossRefPubMed
4.
go back to reference Liu S, Lee IM, Ajani U, Cole SR, Buring JE, Manson JE: Intake of vegetables rich in carotenoids and risk of coronary heart disease in men: The Physicians' Health Study. Int J Epidemiol. 2001, 30: 130-135. 10.1093/ije/30.1.130.CrossRefPubMed Liu S, Lee IM, Ajani U, Cole SR, Buring JE, Manson JE: Intake of vegetables rich in carotenoids and risk of coronary heart disease in men: The Physicians' Health Study. Int J Epidemiol. 2001, 30: 130-135. 10.1093/ije/30.1.130.CrossRefPubMed
5.
go back to reference Liu S, Manson JE, Lee IM, Cole SR, Hennekens CH, Willett WC, Buring JE: Fruit and vegetable intake and risk of cardiovascular disease: the Women's Health Study. Am J Clin Nutr. 2000, 72: 922-928.PubMed Liu S, Manson JE, Lee IM, Cole SR, Hennekens CH, Willett WC, Buring JE: Fruit and vegetable intake and risk of cardiovascular disease: the Women's Health Study. Am J Clin Nutr. 2000, 72: 922-928.PubMed
6.
go back to reference Bazzano LA, He J, Ogden LG, Loria CM, Vupputuri S, Myers L, Whelton PK: Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr. 2002, 76: 93-99.PubMed Bazzano LA, He J, Ogden LG, Loria CM, Vupputuri S, Myers L, Whelton PK: Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr. 2002, 76: 93-99.PubMed
7.
go back to reference Gaziano JM, Manson JE, Branch LG, Colditz GA, Willett WC, Buring JE: A prospective study of consumption of carotenoids in fruits and vegetables and decreased cardiovascular mortality in the elderly. Ann Epidemiol. 1995, 5: 255-260. 10.1016/1047-2797(94)00090-G.CrossRefPubMed Gaziano JM, Manson JE, Branch LG, Colditz GA, Willett WC, Buring JE: A prospective study of consumption of carotenoids in fruits and vegetables and decreased cardiovascular mortality in the elderly. Ann Epidemiol. 1995, 5: 255-260. 10.1016/1047-2797(94)00090-G.CrossRefPubMed
8.
go back to reference Hung HC, Merchant A, Willett W, Ascherio A, Rosner BA, Rimm E, Joshipura KJ: The association between fruit and vegetable consumption and peripheral arterial disease. Epidemiology. 2003, 14: 659-665. 10.1097/01.ede.0000086882.59112.9d.CrossRefPubMed Hung HC, Merchant A, Willett W, Ascherio A, Rosner BA, Rimm E, Joshipura KJ: The association between fruit and vegetable consumption and peripheral arterial disease. Epidemiology. 2003, 14: 659-665. 10.1097/01.ede.0000086882.59112.9d.CrossRefPubMed
9.
go back to reference Yannakoulia M, Karayiannis D, Terzidou M, Kokkevi A, Sidossis LS: Nutrition-related habits of Greek adolescents. Eur J Clin Nutr. 2004, 58: 580-586. 10.1038/sj.ejcn.1601849.CrossRefPubMed Yannakoulia M, Karayiannis D, Terzidou M, Kokkevi A, Sidossis LS: Nutrition-related habits of Greek adolescents. Eur J Clin Nutr. 2004, 58: 580-586. 10.1038/sj.ejcn.1601849.CrossRefPubMed
10.
go back to reference Kelder SH, Perry CL, Klepp KI, Lytle LL: Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health. 1994, 84: 1121-1126. 10.2105/AJPH.84.7.1121.CrossRefPubMedPubMedCentral Kelder SH, Perry CL, Klepp KI, Lytle LL: Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health. 1994, 84: 1121-1126. 10.2105/AJPH.84.7.1121.CrossRefPubMedPubMedCentral
11.
go back to reference Lien N, Lytle LA, Klepp KI: Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med. 2001, 33: 217-226. 10.1006/pmed.2001.0874.CrossRefPubMed Lien N, Lytle LA, Klepp KI: Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med. 2001, 33: 217-226. 10.1006/pmed.2001.0874.CrossRefPubMed
12.
go back to reference Lytle LA, Seifert S, Greenstein J, McGovern P: How do children's eating patterns and food choices change over time? Results from a cohort study. Am J Health Promot. 2000, 14: 222-228.CrossRefPubMed Lytle LA, Seifert S, Greenstein J, McGovern P: How do children's eating patterns and food choices change over time? Results from a cohort study. Am J Health Promot. 2000, 14: 222-228.CrossRefPubMed
14.
go back to reference Musaiger AO: Diet and prevention of coronary heart disease in the Arab Middle East countries. Med Princ Pract. 2002, 11 (Suppl 2): 9-16. 10.1159/000066415.CrossRefPubMed Musaiger AO: Diet and prevention of coronary heart disease in the Arab Middle East countries. Med Princ Pract. 2002, 11 (Suppl 2): 9-16. 10.1159/000066415.CrossRefPubMed
15.
go back to reference Stene LC, Giacaman R, bdul-Rahim H, Husseini A, Norum KR, Holmboe-Ottesen G: Food consumption patterns in a Palestinian West Bank population. Eur J Clin Nutr. 1999, 53: 953-958. 10.1038/sj.ejcn.1600878.CrossRefPubMed Stene LC, Giacaman R, bdul-Rahim H, Husseini A, Norum KR, Holmboe-Ottesen G: Food consumption patterns in a Palestinian West Bank population. Eur J Clin Nutr. 1999, 53: 953-958. 10.1038/sj.ejcn.1600878.CrossRefPubMed
16.
go back to reference MOH: The Overall Food and Nutrition Plan for the Palestinian People. 2000, Gaza: Ministry of Health, Palestinan National Authority-PA MOH: The Overall Food and Nutrition Plan for the Palestinian People. 2000, Gaza: Ministry of Health, Palestinan National Authority-PA
17.
go back to reference Abdeen Z, Greenough G, Shahin M, Tayback M: Nutritional Assessment of the West Bank and Gaza Strip 2003. 2003, Jerusalem: Ministry of Health, Al Quds University, U.S. Agency for International Development and Care International Abdeen Z, Greenough G, Shahin M, Tayback M: Nutritional Assessment of the West Bank and Gaza Strip 2003. 2003, Jerusalem: Ministry of Health, Al Quds University, U.S. Agency for International Development and Care International
18.
go back to reference Abudayya A, Thoresen M, Abed Y, Holmboe-Ottesen G: Overweight, stunting, and anemia are public health problems among low socioeconomic groups in school adolescents (12–15 years) in the North Gaza Strip. Nutr Res. 2007, 27: 762-771. 10.1016/j.nutres.2007.09.017.CrossRef Abudayya A, Thoresen M, Abed Y, Holmboe-Ottesen G: Overweight, stunting, and anemia are public health problems among low socioeconomic groups in school adolescents (12–15 years) in the North Gaza Strip. Nutr Res. 2007, 27: 762-771. 10.1016/j.nutres.2007.09.017.CrossRef
19.
go back to reference Sabbah H, Vereecken C, Kolsteren P, Abdeen Z, Maes L: Food habits and physical activity patterns among Palestinian adolescents: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). Public Health Nutr. 2007, 10: 739-746.CrossRefPubMed Sabbah H, Vereecken C, Kolsteren P, Abdeen Z, Maes L: Food habits and physical activity patterns among Palestinian adolescents: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). Public Health Nutr. 2007, 10: 739-746.CrossRefPubMed
20.
go back to reference Shorafa T: Preparatory school records. 2002, Ministry of Education, (personal communications), Gaza city, palestine Shorafa T: Preparatory school records. 2002, Ministry of Education, (personal communications), Gaza city, palestine
21.
go back to reference Whitney EN, Hamilton EMN, Rolf SR: Understanding Nutrition. 1990, New York: West Publishing Company, 5 Whitney EN, Hamilton EMN, Rolf SR: Understanding Nutrition. 1990, New York: West Publishing Company, 5
22.
go back to reference Burgess-Champoux TL, Larson N, Neumark-Sztainer D, Hannan PJ, Story M: Are family meal patterns associated with overall diet quality during the transition from early to middle adolescence?. J Nutr Educ Behav. 2009, 41: 79-86. 10.1016/j.jneb.2008.03.113.CrossRefPubMed Burgess-Champoux TL, Larson N, Neumark-Sztainer D, Hannan PJ, Story M: Are family meal patterns associated with overall diet quality during the transition from early to middle adolescence?. J Nutr Educ Behav. 2009, 41: 79-86. 10.1016/j.jneb.2008.03.113.CrossRefPubMed
23.
go back to reference Nicklas TA, Bao W, Webber LS, Berenson GS: Breakfast consumption affects adequacy of total daily intake in children. J Am Diet Assoc. 1993, 93: 886-891. 10.1016/0002-8223(93)91527-W.CrossRefPubMed Nicklas TA, Bao W, Webber LS, Berenson GS: Breakfast consumption affects adequacy of total daily intake in children. J Am Diet Assoc. 1993, 93: 886-891. 10.1016/0002-8223(93)91527-W.CrossRefPubMed
24.
go back to reference Samuelson G: Dietary habits and nutritional status in adolescents over Europe. An overview of current studies in the Nordic countries. Eur J Clin Nutr. 2000, 54 (Suppl 1): S21-S28.CrossRefPubMed Samuelson G: Dietary habits and nutritional status in adolescents over Europe. An overview of current studies in the Nordic countries. Eur J Clin Nutr. 2000, 54 (Suppl 1): S21-S28.CrossRefPubMed
25.
go back to reference Shaw ME: Adolescent breakfast skipping: an Australian study. Adolescence. 1998, 33: 851-861.PubMed Shaw ME: Adolescent breakfast skipping: an Australian study. Adolescence. 1998, 33: 851-861.PubMed
26.
go back to reference O'Dea JA, Caputi P: Association between socioeconomic status, weight, age and gender, and the body image and weight control practices of 6- to 19-year-old children and adolescents. Health Educ Res. 2001, 16: 521-532. 10.1093/her/16.5.521.CrossRefPubMed O'Dea JA, Caputi P: Association between socioeconomic status, weight, age and gender, and the body image and weight control practices of 6- to 19-year-old children and adolescents. Health Educ Res. 2001, 16: 521-532. 10.1093/her/16.5.521.CrossRefPubMed
27.
go back to reference Hoglund D, Samuelson G, Mark A: Food habits in Swedish adolescents in relation to socioeconomic conditions. Eur J Clin Nutr. 1998, 52: 784-789. 10.1038/sj.ejcn.1600644.CrossRefPubMed Hoglund D, Samuelson G, Mark A: Food habits in Swedish adolescents in relation to socioeconomic conditions. Eur J Clin Nutr. 1998, 52: 784-789. 10.1038/sj.ejcn.1600644.CrossRefPubMed
28.
go back to reference Sjoberg A, Hallberg L, Hoglund D, Hulthen L: Meal pattern, food choice, nutrient intake and lifestyle factors in The Goteborg Adolescence Study. Eur J Clin Nutr. 2003, 57: 1569-1578. 10.1038/sj.ejcn.1601726.CrossRefPubMed Sjoberg A, Hallberg L, Hoglund D, Hulthen L: Meal pattern, food choice, nutrient intake and lifestyle factors in The Goteborg Adolescence Study. Eur J Clin Nutr. 2003, 57: 1569-1578. 10.1038/sj.ejcn.1601726.CrossRefPubMed
29.
go back to reference Savige G, Macfarlane A, Ball K, Worsley A, Crawford D: Snacking behaviours of adolescents and their association with skipping meals. Int J Behav Nutr Phys Act. 2007, 4: 36-10.1186/1479-5868-4-36.CrossRefPubMedPubMedCentral Savige G, Macfarlane A, Ball K, Worsley A, Crawford D: Snacking behaviours of adolescents and their association with skipping meals. Int J Behav Nutr Phys Act. 2007, 4: 36-10.1186/1479-5868-4-36.CrossRefPubMedPubMedCentral
30.
go back to reference Sudairy A, Howard K: Dietary habits of technical and vocational students in Riyadh, Saudi Arabia – I. Meal skipping. J R Soc Health. 1992, 112: 217-218. 10.1177/146642409211200503.CrossRef Sudairy A, Howard K: Dietary habits of technical and vocational students in Riyadh, Saudi Arabia – I. Meal skipping. J R Soc Health. 1992, 112: 217-218. 10.1177/146642409211200503.CrossRef
31.
go back to reference Resnicow K: The relationship between breakfast habits and plasma cholesterol levels in schoolchildren. J Sch Health. 1991, 61: 81-85.CrossRefPubMed Resnicow K: The relationship between breakfast habits and plasma cholesterol levels in schoolchildren. J Sch Health. 1991, 61: 81-85.CrossRefPubMed
32.
go back to reference Ness AR, Powles JW: Fruit and vegetables, and cardiovascular disease: a review. Int J Epidemiol. 1997, 26: 1-13. 10.1093/ije/26.1.1.CrossRefPubMed Ness AR, Powles JW: Fruit and vegetables, and cardiovascular disease: a review. Int J Epidemiol. 1997, 26: 1-13. 10.1093/ije/26.1.1.CrossRefPubMed
33.
go back to reference WHO/FAO: Diet, Nutrition and the Prevention of Chronic Diseases. 2003, Geneva, Switzerland: World Health Organization, 23-38. 916 WHO/FAO: Diet, Nutrition and the Prevention of Chronic Diseases. 2003, Geneva, Switzerland: World Health Organization, 23-38. 916
34.
go back to reference Dietary Guidelines for Americans. 2005, Washington, DC: US Department of Agriculture and Department of Health and Human Services, 6 Dietary Guidelines for Americans. 2005, Washington, DC: US Department of Agriculture and Department of Health and Human Services, 6
35.
go back to reference MOH: The state of Nutrition: A comprehensive review of Nutrition Situation of West Bank and Gaza Strip. 2005, Ministry of Health, Palestinian National Authority: Nutrition Department, Primary Health Care and Public Health, First MOH: The state of Nutrition: A comprehensive review of Nutrition Situation of West Bank and Gaza Strip. 2005, Ministry of Health, Palestinian National Authority: Nutrition Department, Primary Health Care and Public Health, First
36.
go back to reference Fu ML, Cheng L, Tu SH, Pan WH: Association between unhealthful eating patterns and unfavorable overall school performance in children. J Am Diet Assoc. 2007, 107: 1935-1943. 10.1016/j.jada.2007.08.010.CrossRefPubMed Fu ML, Cheng L, Tu SH, Pan WH: Association between unhealthful eating patterns and unfavorable overall school performance in children. J Am Diet Assoc. 2007, 107: 1935-1943. 10.1016/j.jada.2007.08.010.CrossRefPubMed
37.
go back to reference Bailey DA, Wedge JH, McCulloch RG, Martin AD, Bernhardson SC: Epidemiology of fractures of the distal end of the radius in children as associated with growth. J Bone Joint Surg Am. 1989, 71: 1225-1231.PubMed Bailey DA, Wedge JH, McCulloch RG, Martin AD, Bernhardson SC: Epidemiology of fractures of the distal end of the radius in children as associated with growth. J Bone Joint Surg Am. 1989, 71: 1225-1231.PubMed
38.
go back to reference Baker SS, Cochran WJ, Flores CA, Georgieff MK, Jacobson MS, Jaksic T, Krebs NF: American Academy of Pediatrics. Committee on Nutrition. Calcium requirements of infants, children, and adolescents. Pediatrics. 1999, 104: 1152-1157. 10.1542/peds.104.1.107.CrossRefPubMed Baker SS, Cochran WJ, Flores CA, Georgieff MK, Jacobson MS, Jaksic T, Krebs NF: American Academy of Pediatrics. Committee on Nutrition. Calcium requirements of infants, children, and adolescents. Pediatrics. 1999, 104: 1152-1157. 10.1542/peds.104.1.107.CrossRefPubMed
39.
go back to reference Temme EH, Van Hoydonck PG: Tea consumption and iron status. Eur J Clin Nutr. 2002, 56: 379-386. 10.1038/sj.ejcn.1601309.CrossRefPubMed Temme EH, Van Hoydonck PG: Tea consumption and iron status. Eur J Clin Nutr. 2002, 56: 379-386. 10.1038/sj.ejcn.1601309.CrossRefPubMed
40.
go back to reference FAO, WFP: Comprehensive Food Security and Vulnerability Analysis (CFSVA): West Bank and Gaza Strip. 2007, Jerusalem: Food and Agriculture Organization of the United Nations (FAO), United Nations World Food Programme (WFP) FAO, WFP: Comprehensive Food Security and Vulnerability Analysis (CFSVA): West Bank and Gaza Strip. 2007, Jerusalem: Food and Agriculture Organization of the United Nations (FAO), United Nations World Food Programme (WFP)
41.
go back to reference Halileh S, Gordon NH: Determinants of anemia in pre-school children in the occupied Palestinian territory. J Trop Pediatr. 2006, 52: 12-18. 10.1093/tropej/fmi045.CrossRefPubMed Halileh S, Gordon NH: Determinants of anemia in pre-school children in the occupied Palestinian territory. J Trop Pediatr. 2006, 52: 12-18. 10.1093/tropej/fmi045.CrossRefPubMed
42.
go back to reference Tjonneland A, Haraldsdottir J, Overvad K, Stripp C, Ewertz M, Jensen OM: Influence of individually estimated portion size data on the validity of a semiquantitative food frequency questionnaire. Int J Epidemiol. 1992, 21: 770-777. 10.1093/ije/21.4.770.CrossRefPubMed Tjonneland A, Haraldsdottir J, Overvad K, Stripp C, Ewertz M, Jensen OM: Influence of individually estimated portion size data on the validity of a semiquantitative food frequency questionnaire. Int J Epidemiol. 1992, 21: 770-777. 10.1093/ije/21.4.770.CrossRefPubMed
43.
go back to reference Xinying PX, Noakes M, Keogh J: Can a food frequency questionnaire be used to capture dietary intake data in a 4 week clinical intervention trial?. Asia Pac J Clin Nutr. 2004, 13: 318-323.PubMed Xinying PX, Noakes M, Keogh J: Can a food frequency questionnaire be used to capture dietary intake data in a 4 week clinical intervention trial?. Asia Pac J Clin Nutr. 2004, 13: 318-323.PubMed
44.
go back to reference Robinson S, Skelton R, Barker M, Wilman C: Assessing the diet of adolescent girls in the UK. Public Health Nutr. 1999, 2: 571-577. 10.1017/S1368980099000762.CrossRefPubMed Robinson S, Skelton R, Barker M, Wilman C: Assessing the diet of adolescent girls in the UK. Public Health Nutr. 1999, 2: 571-577. 10.1017/S1368980099000762.CrossRefPubMed
45.
go back to reference Livingstone MB, Robson PJ: Measurement of dietary intake in children. Proc Nutr Soc. 2000, 59: 279-293.CrossRefPubMed Livingstone MB, Robson PJ: Measurement of dietary intake in children. Proc Nutr Soc. 2000, 59: 279-293.CrossRefPubMed
46.
go back to reference Livingstone MB, Robson PJ, Wallace JM: Issues in dietary intake assessment of children and adolescents. Br J Nutr. 2004, 92 (Suppl 2): S213-S222. 10.1079/BJN20041169.CrossRefPubMed Livingstone MB, Robson PJ, Wallace JM: Issues in dietary intake assessment of children and adolescents. Br J Nutr. 2004, 92 (Suppl 2): S213-S222. 10.1079/BJN20041169.CrossRefPubMed
Metadata
Title
Sociodemographic correlates of food habits among school adolescents (12–15 year) in north Gaza Strip
Authors
Abdallah H Abudayya
Hein Stigum
Zumin Shi
Yehia Abed
Gerd Holmboe-Ottesen
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-9-185

Other articles of this Issue 1/2009

BMC Public Health 1/2009 Go to the issue