Table 5.
Regression analyses to determine factors associated with unhealthy snack consumptionain adolescents in Mumbai
| Variables | Public School Adolescents (n= 328) | Private School Adolescents (n= 384) | ||||
|---|---|---|---|---|---|---|
| OR | 95% CI | p-value | OR | 95% CI | p-value | |
| Socio-demographic characteristics | ||||||
| Sex- Boys (Ref: Girls) | 1.75 | 0.69 - 0.79 | 0.032* | 1.13 | 0.93 - 1.22 | 0.381 |
| Education of father ( Ref: < High school certificate) | 1.05 | 0.98 - 1.12 | 0.132 | 1.83 | 1.78 - 2.02 | 0.221 |
| Education of mother (Ref: < High school certificate) | 1.09 | 0.91 - 1.27 | 0.191 | 0.78 | 0.66 - 0.82 | <0.001** |
| Monthly family income (Ref: < 30000 INR) | 1.03 | 0.92 - 1.10 | 0.619 | 2.15 | 1.98 - 2.32 | <0.001** |
| Eating Habits | ||||||
| Breakfast before going to school (Ref: <3 d/ week) | 0.99 | 0.95 - 1.06 | 0.672 | 0.77 | 0.71 - 0.83 | <0.001** |
| Carry Snacks (Tiffin) to School (Ref: <3 d/ week) | 0.83 | 0.81 - 0.86 | 0.028* | 1.06 | 0.98 - 1.14 | 0.563 |
| School Food Environment | ||||||
| Availability of fruits (Ref: <3 d/ week) | 1.01 | 0.88 - 1.12 | 0.421 | 1.01 | 0.98 - 1.10 | 0.066 |
| Availability of healthy snacks (Ref: <3 d/ week) | 1.02 | 0.99 - 1.06 | 0.203 | 0.99 | 0.82 - 1.26 | 0.083 |
| Availability of unhealthy snacks (Ref: <3 d/ week) | 2.60 | 1.44 - 3.79 | <0.001** | 0.99 | 0.93 - 1.08 | 0.328 |
| Reasons for purchasing snacks – Taste (Ref: No) | 0.99 | 0.95 - 1.04 | 0.198 | 2.87 | 2.36 - 3.03 | < 0.001** |
| Reasons for purchasing snacks – Price (Ref: No) | 1.06 | 1.01 - 1.10 | 0.319 | 1.65 | 1.44 - 1.83 | < 0.001** |
| Home Food Environment | ||||||
| Availability of fruits at home (Ref: <3 d/ week) | 0.99 | 0.98 - 1.07 | 0.921 | 0.57 | 0.49 - 0.69 | < 0.001** |
| Availability of unhealthy snacks at home (Ref: <3 d/ week) | 1.23 | 0.98 - 1.41 | 0.332 | 2.98 | 1.36 - 3.46 | < 0.001** |
| Visibility of fruits in easy to reach places (Ref: <3 d/ week) | 1.08 | 0.95 - 1.16 | 0.712 | 0.88 | 0.72 - 1.01 | 0.089 |
| Visibility of unhealthy snacks in easy to reach places (Ref: <3 d/ week) | 1.07 | 0.96 - 1.18 | 0.441 | 1.17 | 0.98 - 1.28 | 0.331 |
| At least a meal at the dining table (Ref: <3 d/ week) | 0.89 | 0.76 - 0.95 | 0.023* | 1.06 | 1.01 - 1.12 | 0.448 |
| Evening meals together (Ref: <3 d/ week) | 1.02 | 0.94 - 1.13 | 0.782 | 0.71 | 0.63 - 0.81 | 0.031* |
| Eating out in restaurants (Ref: <3 d/ week) | 0.99 | 0.95 - 1.04 | 0.112 | 0.94 | 0.83 - 1.28 | 0.237 |
| Perceived parental control at mealtimes (Ref: strongly disagree, neutral, and disagree) | ||||||
| Pressure to eat veggies during meals | 1.03 | 0.99 - 1.06 | 0.313 | 1.12 | 1.04 - 1.20 | 0.444 |
| Parents choose time to have snacks | 1.14 | 0.98 - 1.28 | 0.271 | 1.01 | 0.97 - 1.15 | 0.521 |
| Allowed to eat fast foods only on weekends | 1.01 | 0.93 -1.04 | 0.289 | 0.67 | 0.62 - 0.72 | < 0.001** |
| Adolescents’ Perceptions (Ref: strongly disagree, neither agree nor disagree and disagree) | ||||||
| Perceived susceptibility (Unhealthy eating habits can increase risk of health problems) | 1.01 | 0.92 - 1.12 | 0.662 | 1.01 | 0.94 - 1.18 | 0.911 |
| Perceived benefits (Fruits can fight infections) | 0.99 | 0.98 - 1.08 | 0.344 | 1.16 | 0.97- 1.22 | 0.652 |
| Perceived benefits (Vegetables are good for…) | 0.91 | 0.88 - 1.12 | 0.218 | 0.99 | 0.89 - 1.19 | 0.0871 |
| Perceived barriers (Fruits are not available at school) | 1.98 | 1.67- 2.31 | 0.003* | 2.03 | 1.96 - 2.12 | < 0.001** |
| Perceived barriers (Homecooked foods are the same….) | 1.11 | 0.97 - 1.22 | 0.066 | 3.11 | 2.34 - 4.65 | < 0.001** |
| Perceived barriers (Healthy foods are expensive) | 4.97 | 2.98 - 5.19 | <0.001** | 1.78 | 1.32 - 2.22 | < 0.001** |
| Readiness to change (I try to eat fruits every day) | 0.79 | 0.62 - 0.92 | 0.009* | 1.11 | 0.99 - 1.24 | 0.512 |
| Self–efficacy (I can prepare a snack or have fruit….) | 0.99 | 0.93 - 1.08 | 0.123 | 0.88 | 0.76 - 0.99 | 0.043* |
OR odds ratio, CI confidence interval. * p ≤ 0.05, **p < 0.001
a Dependent variable- Highest tertile of unhealthy snack consumption compared with the low and moderate tertiles of consumption of unhealthy snacks and carbonated beverages/d in adolescents
OR values that show significant associations with higher consumption of unhealthy snacks are highlighted