Maha Hoteit Rania Mansour Hala Mohsen Other Authors and the regional food literacy group

Abstract

Food literacy is achieving attention worldwide and gaining traction in Arab countries. Strengthening food and nutrition literacy among Arab teenagers are important promising and empowering tools, which can protect them from malnutrition. This study aims to evaluate the nutrition literacy status of adolescents along with that of their parents in 10 Arab countries. This cross-sectional study involving a convenient sample of 5401 adolescent-parent dyads was launched between 29 April and 6 June 2022 in 10 Arab nations. The Adolescent Nutrition Literacy Scale (ANLS) and the Short Food Literacy Questionnaire (SFLQ) were used to meet the study aims. More than one-quarter (28%) of adolescents had poor nutrition literacy, with 60% of their parents being food illiterate. The top three countries with nutritionally less literate adolescents were Qatar (44%), Lebanon (37.4%), and Saudi Arabia (34.9%). Adolescents’ age, gender, education level, primary caregivers, employment status, and the inclusion of nutrition education in the schools’ curriculum predicted the nutrition literacy levels of Arab adolescents. Besides, parental weight status, health status, parent’s food literacy level, and the number of children per household were significant determinants too. Nutrition literacy inadequacy among Arab adolescents is a prioritized challenge to be tackled to achieve the sustainable developmental goals (SDGs) mainly SDG2 and SDG4.

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Keywords

Arab countries
Nutrition literacy
Food literacy
Adolescents
Parents

References
• Agence France-Presse (AFP). (2021). A third of people in 420m-strong Arab world do not have enough to eat. Arab News. Retrieved from https://www.arabnews.com/node/1988326/middle-east (Accessed June 17, 2022).
• Asakura, K., Mori, S., Sasaki, S., & Nishiwaki, Y. (2021). A school-based nutrition education program involving children and their guardians in Japan: Facilitation of Guardian-child communication and reduction of nutrition knowledge disparity. Nutrition Journal, 20(1). Retrieved from https://doi.org/10.1186/s12937-021-00751-z.
• Ashoori, M., Omidvar, N., Eini-Zinab, H., Shakibazadeh, E., Doustmohamadian, A., Abdar-Esfahani, B., & Mazandaranian, M. (2021). Food and nutrition literacy status and its correlates in Iranian senior high-school students. BMC Nutrition, 7(1), 19. Retrieved from https://doi.org/10.1186/s40795-021-00426-2.
• 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. Retrieved from https://doi.org/10.1017/s1368980021002366.
• Bari, N. N. (2012). Nutrition literacy status of adolescent students in Kampala district, Uganda (Master’s thesis), Oslo and Akershus University College of Applied Sciences, Lillestrøm, Norway. Retrieved from https://oda.hioa.no/en/nutrition-literacy-status-of-adolescent-students-in-kampala-district-uganda.
• Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., Viera, A., Crotty, K., … Viswanathan, M. (2011). Health literacy interventions and outcomes: an updated systematic review. Evidence Report/Technology Assessment, (199), 1–941. PubMed PMID: 23126607.
• Costarelli, V., Michou, M., Panagiotakos, D. B., & Lionis, C. (2021). Parental health literacy and nutrition literacy affect child feeding practices: A cross-sectional study. Nutrition and Health, 28(1), 59–68. Retrieved from https://doi.org/10.1177/02601060211001489.
• Doustmohammadian A, Omidvar N, Shakibazadeh E. School-based interventions for promoting food and nutrition literacy (FNLIT) in elementary school children: a systematic review protocol. Syst Rev. (2020) 9:87. doi: 10.1186/s13643-020-01339-0.
• Doustmohammadian, A., Omidvar, N., Keshavarz-Mohammadi, N., Eini-Zinab, H., Amini, M., Abdollahi, M., Amirhamidi, Z., & Haidari, H. (2020). Low Food and Nutrition Literacy (FNLIT): A barrier to dietary diversity and nutrient adequacy in school age children. BMC Research Notes, 13(1), 286. Retrieved from https://doi.org/10.1186/s13104-020-05123-0.
• Economic and Social Commission for Western Asia (ESCWA), & Food and Agricultural Organization (FAO). (2021). Arab food security: Vulnerabilities and pathways-Lebanon. ReliefWeb. Retrieved from https://reliefweb.int/report/lebanon/arab-food-security-vulnerabilities-and-pathways (Accessed June 2, 2022).
• Economic and Social Commission for Western Asia (ESCWA). (2019). Tracking food security in the Arab Region. Retrieved from https://www.unescwa.org/publications/tracking-food-security-arab-region (Accessed June 2, 2022).
• Food and Agricultural Organization (FAO), International Fund for Agricultural development (IFAD), United Nations International Children’s Emergency Fund (UNICEF), World Food Program (WFP), World Health Organization (WHO), & Economic, Social Commission for Western Asia (ESCWA). (2021). Near East and North Africa Regional Overview of Food Security and Nutrition 2020: Enhancing Resilience of Food Systems in the Arab States. ReliefWeb. Retrieved from https://reliefweb.int/report/world/near-east-and-north-africa-regional-overview-food-security-and-nutrition-2020-enhancing (Accessed June 17, 2022).
• Gibbs, H. D., Kennett, A. R., Kerling, E. H., Yu, Q., Gajewski, B., Ptomey, L. T., & Sullivan, D. K. (2016). Assessing the Nutrition Literacy of Parents and its Relationship with Child Diet Quality. Journal of Nutrition Education and Behavior, 48(7), 505-509.e1. Retrieved from https://doi.org/10.1016/j.jneb.2016.04.006.
• Gréa Krause, C., Beer-Borst, S., Sommerhalder, K., Hayoz, S., & Abel, T. (2018). A short food literacy questionnaire (SFLQ) for adults: Findings from a swiss validation study. Appetite, 120, 275–280. Retrieved from https://doi.org/10.1016/j.appet.2017.08.039.
• Hoteit, M., Mortada, H., Al-Jawaldeh, A., Yazbeck, B., AlKhalaf, M., Bookari, K., Tayyem, R., Al-Awwad, N. J., Al Sabbah, H., Cheikh Ismail, L., Qasrawi, R., Abu Seir, R., Kamel, I., Dashti, S., Allehdan, S., Al-Mannai, M., Bawadi, H., Waly, M., & Regional CORONA COOKING Survey Group. (2022). Dietary diversity in the Eastern Mediterranean region before and during the COVID-19 pandemic: Disparities, challenges, and mitigation measures. Frontiers in Nutrition, 9, 813154. Retrieved from https://doi.org/10.3389/fnut.2022.813154
• Indriasari, R., Nadjamuddin, U., Arsyad, D. S., & Iswarawanti, D. N. (2021). School-based nutrition education improves breakfast-related personal influences and behavior of Indonesian adolescents: A cluster randomized controlled study. Nutrition Research and Practice, 15(5), 639. Retrieved from https://doi.org/10.4162/nrp.2021.15.5.639.
• Koca, B., & Arkan, G. (2020). The relationship between adolescents’ nutrition literacy and food habits, and affecting factors. Public Health Nutrition, 24(4), 1–12. Retrieved from https://doi.org/10.1017/s1368980020001494.
• Li, C. P. (2017). Gender differences in nutrition knowledge, attitude, and practice among elderly people. International Journal of Management, Economics and Social Sciences (IJMESS), 6(Special Issue), 199–211. Retrieved from http://hdl.handle.net/10419/173237.
• Li, S., Zhu, Y., Zeng, M., Li, Z., Zeng, H., Shi, Z., & Zhao, Y. (2022). Association between nutrition literacy and overweight/obesity of adolescents: A cross-sectional study in Chongqing, China. Frontiers in Nutrition, 9, 893267. Retrieved from https://doi.org/10.3389/fnut.2022.893267.
• Mandeya, J., & Kridli, S. (2014). Childhood overweight and obesity in Qatar: A literature review. Avicenna, 2014(1), 2. Retrieved from https://doi.org/10.5339/avi.2014.2.
• Mangal, A., Raikar, K., Thakur, A., Vaghela, J. F., Banerjee, S., & Gupta, V. (2020). A study to assess the effectiveness of a nutrition education session using flipchart among school-going adolescent girls. Journal of Education and Health Promotion, 9(1), 183. Retrieved from https://doi.org/10.4103/jehp.jehp_258_18
• McIntosh, W. A., Kubena, K. S., Tolle, G., Dean, W. R., Jan, J.-sheng, & Anding, J. (2010). Mothers and meals. The effects of mothers’ meal planning and shopping motivations on children's participation in family meals. Appetite, 55(3), 623–628. Retrieved from https://doi.org/10.1016/j.appet.2010.09.016.
• Musaiger, A. O., Al-Mannai, M., Al-Lalla, O., Saghir, S., Halahleh, I., Benhamed, M. M., Kalam, F., & Ali, E. Y. A. (2013). Obesity among adolescents in five Arab countries; relative to gender and age. Nutricion Hospitalaria: Organo Oficial de La Sociedad Espanola de Nutricion Parenteral Y Enteral, 28(6), 1922–1925. Retrieved from https://pubmed.ncbi.nlm.nih.gov/24506370.
• Nasreddine, L., Ayoub, J. J., & Al Jawaldeh, A. (2018). Review of the nutrition situation in the Eastern Mediterranean region. Eastern Mediterranean Health Journal, 24(01), 77–91. Retrieved from https://doi.org/10.26719/2018.24.1.77.
• Nasreddine, L., Ayoub, J. J., Hachem, F., Tabbara, J., Sibai, A. M., Hwalla, N., & Naja, F. (2019). Differences in dietary intakes among Lebanese adults over a decade: Results from two national surveys 1997–2008/2009. Nutrients, 11(8), 1738. Retrieved from https://doi.org/10.3390/nu11081738.
• National Cancer Institute. (2020). Evidence-Based Cancer Control Programs. Teens eating for energy and Nutrition at school (Teens). Retrieved from https://ebccp.cancercontrol.cancer.gov/programDetails.do?programId=246210 (Accessed June 14, 2022).
• Natour, N., AL-Tell, M., & Ikhdour, O. (2021). Nutrition literacy is associated with income and place of residence but not with diet behavior and food security in the Palestinian Society. BMC Nutrition, 7, 78. Retrieved from https://doi.org/10.1186/s40795-021-00479-3.
• Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine (1982), 67(12), 2072–2078. Retrieved from https://doi.org/10.1016/j.socscimed.2008.09.050.
• Palumbo, R., Adinolfi, P., Annarumma, C., Catinello, G., Tonelli, M., Troiano, E., Vezzosi, S., & Manna, R. (2019). Unravelling the food literacy puzzle: Evidence from Italy. Food Policy, 83, 104–115. Retrieved from https://doi.org/10.1016/j.foodpol.2018.12.004.
• Silk, K. J., Sherry, J., Winn, B., Keesecker, N., Horodynski, M. A., & Sayir, A. (2008). Increasing nutrition literacy: Testing the effectiveness of print, web site, and Game modalities. Journal of Nutrition Education and Behavior, 40(1), 3–10. Retrieved from https://doi.org/10.1016/j.jneb.2007.08.012.
• Taleb, S., & Itani, L. (2021). Nutrition literacy among adolescents and its association with eating habits and BMI in Tripoli, Lebanon. Diseases, 9(2), 25. Retrieved from https://doi.org/10.3390/diseases9020025.
• Tell, M. A., Natour, N., Badrasawi, M., & Shawish, E. (2021). The relationship between nutrition literacy and nutrition information seeking attitudes and healthy eating patterns in the Palestinian society. Retrieved from Research Square: https://www.researchsquare.com/article/rs-923058/v1.
• United Nations Educational, Scientific and Cultural Organization (UNESCO). Health and Education Resource Centre. (2018). School Health and Nutrition. Retrieved from https://healtheducationresources.unesco.org/taxonomy/term/2602?pg=15 (Accessed June 2, 2022).
• United Nations International Children’s Emergency Fund (UNICEF). (2021). Hunger and malnutrition in the Arab region stand in the way of achieving Zero Hunger by 2030. Retrieved from https://www.unicef.org/mena/press-releases/hunger-and-malnutrition-arab-region-stand-way-achieving-zero-hunger-2030-un-report (Accessed June 2, 2022).
• United Nations Standing Committee on Nutrition (UNSCN). (2017). Schools as a System to Improve Nutrition. A new statement for school-based food and nutrition interventions. Retrieved from https://www.unscn.org/uploads/web/news/document/School-Paper-EN-WEB-nov2017.pdf (Accessed May 15, 2022).
• Vaitkeviciute, R., Ball, L. E., & Harris, N. (2014). The relationship between food literacy and dietary intake in adolescents: A systematic review. Public Health Nutrition, 18(4), 649–658. Retrieved from https://doi.org/10.1017/s1368980014000962.
• Wang, D., Stewart, D., Chang, C., & Shi, Y. (2015). Effect of a school-based nutrition education program on adolescents’ nutrition-related knowledge, attitudes and behavior in rural areas of China. Environmental Health and Preventive Medicine, 20(4), 271–278. Retrieved from https://doi.org/10.1007/s12199-015-0456-4.
• Wardle, J., Haase, A. M., & Steptoe, A. (2005). Body image and weight control in young adults: International comparisons in university students from 22 countries. International Journal of Obesity, 30(4), 644–651. Retrieved from https://doi.org/10.1038/sj.ijo.0803050.
• World Health Organization (WHO). (2022). Body mass index (BMI). Retrieved from https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index (Accessed June 17, 2022).
• World Health Organization. (2005). Nutrition in adolescence – issues and challenges for the Health Sector: Issues in adolescent health and development. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/43342/9241593660_eng.pdf;sequence=1 (Accessed June 15, 2022).
• World Health Organization. Regional Office for South-East Asia. (2007). Adolescent health at a glance in South-East Asia region, 2007: Fact sheet. WHO Regional Office for South-East Asia. Retrieved from https://apps.who.int/iris/handle/10665/204750 (Accessed January 24, 2022).
• Yilmazel, G., & Bozdogan, S. (2021). Nutrition literacy, dietary habits and food label use among Turkish adolescents. Progress in Nutrition, 23(1), e2021007–e2021007. Retrieved from https://doi.org/10.23751/pn.v23i1.8563.
• Zeng, M., Zhu, Y., Cai, Z., Xian, J., Li, S., Wang, T., Shi, Z., Sharma, M., & Zhao, Y. (2022). Nutrition literacy of middle school students and its influencing factors: A cross-sectional study in Chongqing, China. Frontiers in Public Health, 10, 807526. Retrieved from https://doi.org/10.3389/fpubh.2022.807526.
How to Cite
Hoteit, M. ., Mansour, R., Mohsen, H. ., & and the regional food literacy group, O. A. (2024). Are We Closer to Regional Consensus on Promoting Food Literacy and Integrating Nutrition Education in Arabic Schools?. Academic Network for Development Dialogue (ANDD) Paper Series, 1(1). https://doi.org/10.29117/andd.2022.016
Section
Articles in English