Abstract
Background: The COVID-19 pandemic has prompted shifts in dietary habits among Indonesian teenagers, with some embracing healthier choices while others succumb to unhealthy options, especially during confinement. Identifying the factors influencing these dietary changes is essential for crafting effective interventions to promote better nutrition during this challenging time. This study aimed to determine the factors facilitating teenagers' shift to healthy, well-balanced diets.
Methods: A cross-sectional study enrolled 396 teenagers aged 15-17 in Surabaya and Sidoarjo, Indonesia was conducted in the second wave of COVID-19 pandemic. A self-administered questionnaire was distributed using an online survey platform. Nutrition literacy was assessed through health literacy measures related to adolescents' nutrition and diet. Predictors of the outcome were determined by logistic regression analysis.
Results: The results showed low economic status, comorbidities, and COVID-19 modules significantly predicted the shift to healthy diets. After adjusted analysis, only low economic levels (OR 0.30, 95% CI [0.13-0.70], p<0.05) and comorbidities (OR 0.33, 95% CI [0.12-0.93], p<0.05) were independent barriers against teenagers shifting to healthy diets, while choosing food without preservatives (OR 2.22, 95% CI [1.18-4.16], p<0.05) and maintaining body weight (OR 3.04, 95% CI [1.79-5.16], p<0.05) independently facilitated it.
Conclusion: The strategic actions aimed at improving dietary practices and nutrition literacy in teenagers should be designed to narrow the socioeconomic gap.
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References
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