KNOWLEDGE, ATTITUDE AND PRACTICES OF SUGAR AND SUGAR CONTAINING PRODUCTS: CROSS-SECTIONAL STUDY AMONG MIDDLE SCHOOL STUDENTS
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Abstract
Background:
Urbanization, while improving living standards globally, has also contributed to unhealthy dietary patterns that increase the risk of non-communicable diseases (NCDs). In Mongolia, middle school students begin making independent food choices, often selecting sugar-rich products with low nutritional value. Excessive sugar intake at this stage can negatively impact long-term health. This study aimed to assess students’ knowledge, attitudes, and practices (KAP) regarding sugar consumption and explore associations with urban, suburban, and rural residency.
Methods:
A total of 561 students from grades 6 to 9 in six public schools across urban, suburban, and rural areas in Mongolia participated. A 23-item self-administered questionnaire was used to collect data on sugar-related KAP and sociodemographic factors. Statistical analysis was performed using T-test, Pearson correlation and Chi-square test methods in SPSS 24.0 software and statistical significance were evaluated at p<0.05.
Results:
The study included 561 students aged 12 to 15, with 357 (63.6%) females and 204 (36.4%) males. Based on BMI, 51.2% (n=287) were underweight, 44.6% (n=250) had normal weight, 4.1% (n=23) were overweight, and 0.2% (n=1) were obese. Regarding sugar practices, 47.8% (n=268) had low, 49.6% (n=278) had moderate, and 2.7% (n=15) had high levels. A high level of knowledge was observed in 79.5% (n=446). Urban residency was significantly associated with increased sugar intake (p<0.05), while rural residency showed a significant positive association with healthier BMI scores (p<0.05).
Conclusion:
Urban residency was associated with a good level of attitude and high level of knowledge but poor lifestyle choice towards sugar, highlighting the influence of urban environments on dietary behavior. The interventions associated with increasing knowledge and awareness towards the consequences of sugar intake should be carried out.
Article Details
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