Original Article

http://mjiri.iums.ac.ir

Medical Journal of the Islamic Republic of Iran (MJIRI) Iran University of Medical Sciences

Economic inequality in nutritional knowledge, attitude and practice of Iranian households: The NUTRI-KAP study Ramin Heshmat1, Forouzan Salehi2, Mostafa Qorbani3, Mahsa Rostami4, Gita Shafiee5 Zeinab Ahadi6, Shayesteh Khosravi7, Vahab Rezvani8, Farzaneh Sadeghi Ghotbabadi9 Maryam Ghaderpanahi10, Zahra Abdollahi*11 Received: 10 October 2015

Accepted: 15 August 2016

Published: 16 October 2016

Abstract

Background: Improper nutritional knowledge is one of the most important causes of nutritional problems, which can affect practice and cause more complications. The aim of this study was to assess the association between nutritional knowledge, attitude and practice (KAP) of Iranian households with socioeconomic status (SES). Methods: The study population was 14,136 households (57 clusters of 8 individuals in each province) who lived in urban and rural regions of 31 provinces of Iran. The sample size of the study was selected using multistage cluster sampling technique. A structured questionnaire and interview with the qualified person in each family was used to collect data. The questionnaire included demographic, SES and nutritional KAP questions. Using principle component analysis, some variables including household assets, occupation and education level of the heads of the families and respondents and the number of family members were used to construct family SES. The SES was categorized as good, moderate and weak. Pearson’s Chi-square test was used to analyze categorical variables. Results: The percentage of knowledge about growing up, acquiring energy and being healthy as reasons for eating food was 24.1%, 44.8% and 54.7%, respectively. Only 69.7%, 60.5% and 52.5% of the participants had knowledge of identification of meat and legumes, grain and dairy group, respectively. More than 97% of the participants had a favorable attitude toward importance of nutrition in health. The nutritional knowledge linearly increased with increasing SES. Families with good SES significantly consumed more fruit, vegetable, dairy group, red meat, chicken and poultry, fish and egg while sugar consumption was significantly higher in families with weak SES (p

Economic inequality in nutritional knowledge, attitude and practice of Iranian households: The NUTRI-KAP study.

Background: Improper nutritional knowledge is one of the most important causes of nutritional problems, which can affect practice and cause more compl...
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