Cross-cultural validity of the theory of planned behavior for predicting healthy food choice in secondary school students of Inner Mongolia

Takashi Shimazaki, Hugejiletu Bao, Geer Deli, Hiroaki Uechi, Ying Hua Lee, Kayo Miura, Koji Takenaka

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    Abstract

    Aims Unhealthy eating behavior is a serious health concern among secondary school students in Inner Mongolia. To predict their healthy food choices and devise methods of correcting unhealthy choices, we sought to confirm the cross-cultural validity of the theory of planned behavior among Inner Mongolian students. Materials and methods A cross-sectional study, conducted between November and December 2014. Overall, 3047 students were enrolled. We devised a questionnaire based on the theory of planned behavior to measure its components (intentions, attitudes, subjective norms, and perceived behavioral control) in relation to healthy food choices; we also assessed their current engagement in healthy food choices. Results A principal component analysis revealed high contribution rates for the components (69.32%–88.77%). A confirmatory factor analysis indicated that the components of the questionnaire had adequate model fit (goodness of fit index = 0.997, adjusted goodness of fit index = 0.984, comparative fit index = 0.998, and root mean square error of approximation = 0.049). Notably, data from participants within the suburbs did not support the theory of planned behavior construction. Several paths did not predict the hypothesis variables. However, attitudes toward healthy food choices strongly predicted behavioral intention (path coefficients 0.49–0.77, p < 0.01), regardless of demographic characteristics. Conclusion Our results support that the theory of planned behavior can apply to secondary school students in urban areas. Furthermore, attitudes towards healthy food choices were the best predictor of behavioral intentions to engage in such choices in Inner Mongolian students.

    Original languageEnglish
    Pages (from-to)S497-S501
    JournalDiabetes and Metabolic Syndrome: Clinical Research and Reviews
    Volume11
    DOIs
    Publication statusPublished - 2017 Nov 1

    Fingerprint

    China
    Students
    Food
    Feeding Behavior
    Principal Component Analysis
    Statistical Factor Analysis
    Cross-Sectional Studies
    Demography
    Health
    Surveys and Questionnaires

    Keywords

    • Health promotion
    • Healthy food choice
    • Inner Mongolia
    • Nutrition
    • Theory of planned behavior

    ASJC Scopus subject areas

    • Internal Medicine
    • Endocrinology, Diabetes and Metabolism

    Cite this

    Cross-cultural validity of the theory of planned behavior for predicting healthy food choice in secondary school students of Inner Mongolia. / Shimazaki, Takashi; Bao, Hugejiletu; Deli, Geer; Uechi, Hiroaki; Lee, Ying Hua; Miura, Kayo; Takenaka, Koji.

    In: Diabetes and Metabolic Syndrome: Clinical Research and Reviews, Vol. 11, 01.11.2017, p. S497-S501.

    Research output: Contribution to journalArticle

    @article{72ce3952fa1042a89259d6bf5025a569,
    title = "Cross-cultural validity of the theory of planned behavior for predicting healthy food choice in secondary school students of Inner Mongolia",
    abstract = "Aims Unhealthy eating behavior is a serious health concern among secondary school students in Inner Mongolia. To predict their healthy food choices and devise methods of correcting unhealthy choices, we sought to confirm the cross-cultural validity of the theory of planned behavior among Inner Mongolian students. Materials and methods A cross-sectional study, conducted between November and December 2014. Overall, 3047 students were enrolled. We devised a questionnaire based on the theory of planned behavior to measure its components (intentions, attitudes, subjective norms, and perceived behavioral control) in relation to healthy food choices; we also assessed their current engagement in healthy food choices. Results A principal component analysis revealed high contribution rates for the components (69.32{\%}–88.77{\%}). A confirmatory factor analysis indicated that the components of the questionnaire had adequate model fit (goodness of fit index = 0.997, adjusted goodness of fit index = 0.984, comparative fit index = 0.998, and root mean square error of approximation = 0.049). Notably, data from participants within the suburbs did not support the theory of planned behavior construction. Several paths did not predict the hypothesis variables. However, attitudes toward healthy food choices strongly predicted behavioral intention (path coefficients 0.49–0.77, p < 0.01), regardless of demographic characteristics. Conclusion Our results support that the theory of planned behavior can apply to secondary school students in urban areas. Furthermore, attitudes towards healthy food choices were the best predictor of behavioral intentions to engage in such choices in Inner Mongolian students.",
    keywords = "Health promotion, Healthy food choice, Inner Mongolia, Nutrition, Theory of planned behavior",
    author = "Takashi Shimazaki and Hugejiletu Bao and Geer Deli and Hiroaki Uechi and Lee, {Ying Hua} and Kayo Miura and Koji Takenaka",
    year = "2017",
    month = "11",
    day = "1",
    doi = "10.1016/j.dsx.2017.03.043",
    language = "English",
    volume = "11",
    pages = "S497--S501",
    journal = "Diabetes and Metabolic Syndrome: Clinical Research and Reviews",
    issn = "1871-4021",
    publisher = "Elsevier BV",

    }

    TY - JOUR

    T1 - Cross-cultural validity of the theory of planned behavior for predicting healthy food choice in secondary school students of Inner Mongolia

    AU - Shimazaki, Takashi

    AU - Bao, Hugejiletu

    AU - Deli, Geer

    AU - Uechi, Hiroaki

    AU - Lee, Ying Hua

    AU - Miura, Kayo

    AU - Takenaka, Koji

    PY - 2017/11/1

    Y1 - 2017/11/1

    N2 - Aims Unhealthy eating behavior is a serious health concern among secondary school students in Inner Mongolia. To predict their healthy food choices and devise methods of correcting unhealthy choices, we sought to confirm the cross-cultural validity of the theory of planned behavior among Inner Mongolian students. Materials and methods A cross-sectional study, conducted between November and December 2014. Overall, 3047 students were enrolled. We devised a questionnaire based on the theory of planned behavior to measure its components (intentions, attitudes, subjective norms, and perceived behavioral control) in relation to healthy food choices; we also assessed their current engagement in healthy food choices. Results A principal component analysis revealed high contribution rates for the components (69.32%–88.77%). A confirmatory factor analysis indicated that the components of the questionnaire had adequate model fit (goodness of fit index = 0.997, adjusted goodness of fit index = 0.984, comparative fit index = 0.998, and root mean square error of approximation = 0.049). Notably, data from participants within the suburbs did not support the theory of planned behavior construction. Several paths did not predict the hypothesis variables. However, attitudes toward healthy food choices strongly predicted behavioral intention (path coefficients 0.49–0.77, p < 0.01), regardless of demographic characteristics. Conclusion Our results support that the theory of planned behavior can apply to secondary school students in urban areas. Furthermore, attitudes towards healthy food choices were the best predictor of behavioral intentions to engage in such choices in Inner Mongolian students.

    AB - Aims Unhealthy eating behavior is a serious health concern among secondary school students in Inner Mongolia. To predict their healthy food choices and devise methods of correcting unhealthy choices, we sought to confirm the cross-cultural validity of the theory of planned behavior among Inner Mongolian students. Materials and methods A cross-sectional study, conducted between November and December 2014. Overall, 3047 students were enrolled. We devised a questionnaire based on the theory of planned behavior to measure its components (intentions, attitudes, subjective norms, and perceived behavioral control) in relation to healthy food choices; we also assessed their current engagement in healthy food choices. Results A principal component analysis revealed high contribution rates for the components (69.32%–88.77%). A confirmatory factor analysis indicated that the components of the questionnaire had adequate model fit (goodness of fit index = 0.997, adjusted goodness of fit index = 0.984, comparative fit index = 0.998, and root mean square error of approximation = 0.049). Notably, data from participants within the suburbs did not support the theory of planned behavior construction. Several paths did not predict the hypothesis variables. However, attitudes toward healthy food choices strongly predicted behavioral intention (path coefficients 0.49–0.77, p < 0.01), regardless of demographic characteristics. Conclusion Our results support that the theory of planned behavior can apply to secondary school students in urban areas. Furthermore, attitudes towards healthy food choices were the best predictor of behavioral intentions to engage in such choices in Inner Mongolian students.

    KW - Health promotion

    KW - Healthy food choice

    KW - Inner Mongolia

    KW - Nutrition

    KW - Theory of planned behavior

    UR - http://www.scopus.com/inward/record.url?scp=85017371012&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=85017371012&partnerID=8YFLogxK

    U2 - 10.1016/j.dsx.2017.03.043

    DO - 10.1016/j.dsx.2017.03.043

    M3 - Article

    VL - 11

    SP - S497-S501

    JO - Diabetes and Metabolic Syndrome: Clinical Research and Reviews

    JF - Diabetes and Metabolic Syndrome: Clinical Research and Reviews

    SN - 1871-4021

    ER -