Self-Efficacy and Self-Reported Dietary Behaviors in Adolescents at an Urban School With No Competitive Foods

J Sch Nurs. 2015 Oct;31(5):345-52. doi: 10.1177/1059840515570641. Epub 2015 Mar 2.

Abstract

Over one third of U.S. adolescents are overweight. A descriptive, cross-sectional study examined the relationship between student dietary self-efficacy (SE), sugar-sweetened beverages, and low-nutrient energy-dense food consumption, and exposure to a healthy school food environment without competitive foods. The sample consisted of 292 urban, primarily African American students aged 11 to 16 years. Mantel-Haenszel χ(2) analyses revealed a significant but weak linear trend for girls between number of school meals and SE to drink less soda, χ(2)(1) = 6.882, p = .008, and between semesters attended with SE to eat more fruits and vegetables, χ(2)(1) = 5.908, p = .015. Obese students had significantly higher scores for two SE items than nonobese students, that is, plan better nutrition, χ(2)(1) = 3.998, p = .045, and eat healthy at a fast-food restaurant, χ(2)(1) = 4.078, p = .043. Further study of adolescent SE for healthy eating and school-based, food-focused obesity prevention interventions is needed.

Keywords: competitive foods; school nursing; school-based obesity prevention; self-efficacy.

MeSH terms

  • Adolescent
  • Adolescent Nutritional Physiological Phenomena / physiology
  • Black or African American / statistics & numerical data
  • Cross-Sectional Studies
  • Diet / ethnology
  • Diet / psychology*
  • Feeding Behavior / ethnology
  • Feeding Behavior / psychology*
  • Female
  • Humans
  • Male
  • Obesity / ethnology
  • Obesity / psychology*
  • School Health Services / organization & administration
  • Self Report
  • Socioeconomic Factors
  • Urban Population / statistics & numerical data*