Al-Sheyab Nihaya A, Alomari Mahmoud A, Hayajneh Audai A, Shah Smita
Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan,
Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan,
Adolesc Health Med Ther. 2019 Mar 28;10:39-47. doi: 10.2147/AHMT.S181001. eCollection 2019.
There is an urgent need to address the role of healthy diet and behaviors promoting health among school adolescents in order to tailor appropriate interventions in Jordanian schools. This study aims to evaluate the reliability and validity of the Arabic version of Students As LifeStyle Activists (SALSA) survey alongside Jordanian adolescents' attitudes and perceived barriers to healthy eating and physical activity.
This study uses baseline data from a randomized controlled trial recruiting school students from 29 male and 27 female public high schools that have grades 7 and 8. Cronbach's alpha and principal components analysis/factor analysis were used to check reliability and validity. Numbers, percentages, and chi square were used to explore healthy diet and physical activities preferences among Jordanian school students and determine gender differences for all evaluated items.
The Arabic version-SALSA survey has acceptable Cronbach's alpha values (>0.78) for most of its scales. Five scales were derived from the Arabic version-SALSA survey using principal components analysis/factor analysis (factors loading above 0.3). A higher proportion of female students agreed that "healthy food makes you more comfortable" compared to male students (44% vs 36%, <0.05). Few Jordanian high school students held positive attitudes toward healthy food. This study identified both social and personal barriers to exercise among Jordanian adolescents, including lack of skills for physical activity, easy access and low cost of fast food, scarce opportunities for physical activity, and lack of peers and friends.
Interventions should be tailored to health attitudes and beliefs of Jordanian school students in parallel with improving physical resources and enhancing peer and/or friend support.
迫切需要探讨健康饮食和行为在促进学校青少年健康方面的作用，以便在约旦的学校制定适当的干预措施。本研究旨在评估阿拉伯语版“学生作为生活方式倡导者”（SALSA）调查问卷的信效度，以及约旦青少年对健康饮食和体育活动的态度及感知到的障碍。
本研究使用了一项随机对照试验的基线数据，该试验招募了来自29所男校和27所女校的7、8年级学生。采用克朗巴哈系数和主成分分析/因子分析来检验信效度。使用数字、百分比和卡方检验来探索约旦在校学生对健康饮食和体育活动的偏好，并确定所有评估项目的性别差异。
阿拉伯语版SALSA调查问卷的大多数量表具有可接受的克朗巴哈系数值（>0.78）。通过主成分分析/因子分析从阿拉伯语版SALSA调查问卷中得出了五个量表（因子载荷高于0.3）。与男学生相比，更高比例的女学生认同“健康食品让你更舒适”（44%对36%，<0.05）。很少有约旦高中生对健康食品持积极态度。本研究确定了约旦青少年在锻炼方面的社会和个人障碍，包括缺乏体育活动技能、快餐容易获得且价格低廉、体育活动机会稀缺以及缺乏同伴和朋友。
干预措施应根据约旦在校学生的健康态度和信念进行调整，同时改善物质资源并加强同伴和/或朋友的支持。
