Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Comparison of dietary behavior and consumption of processed beverage depend on food insecurity status of adolescents in vientiane, Lao PDR

라오스 비엔티안 지역 청소년의 식품 불안정 상태에 따른 식행동 및 가공 음료 섭취 비교 연구

  • Lee, Yena (Department of Clinical Health, The Graduate School of Converging Clinical & Public Health, Ewha Womans University) ;
  • Kim, Ji-Myung (Food and Nutrition Major, Division of Food Science and Culinary Arts, Shinhan University) ;
  • Yi, Kyungock (Division of Kinesiology & Sports Studies, College of Science and Industry Convergence, Ewha Womans University) ;
  • Hansana, Visanou (Faculty of Post Graduate Studies, University of Health Sciences) ;
  • Kim, Yuri (Department of Clinical Health, The Graduate School of Converging Clinical & Public Health, Ewha Womans University)
  • 이예나 (이화여자대학교 임상보건융합대학원 임상보건학과) ;
  • 김지명 (신한대학교 식품조리학부 식품영양전공) ;
  • 이경옥 (이화여자대학교 신산업융합대학 체육과학부) ;
  • ;
  • 김유리 (이화여자대학교 임상보건융합대학원 임상보건학과)
  • Received : 2018.10.08
  • Accepted : 2018.11.09
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of this study was to evaluate the food insecurity status and dietary behavior and examine the association between the food insecurity status and consumption of processed beverage for secondary school students in Vientiane, capital city of Lao PDR. Methods: The study subjects are 714 students (boys = 307 and girls = 407) in four secondary schools (Chao_Anouvong, Phiavat, Saysetha, and Chansavang) of Vientiane, Lao PDR. Data on study subject's demographic characteristics, dietary behavior, food insecurity, and Mini Dietary Assessment (MDA) index were collected. A "Self-Administered Food Security Survey Module for Children Aged 12 Years and Older" developed by the United States Department of Agriculture (USDA) was used for the food insecurity assessment. Results: As a result, 72.7% of the subjects were in a state of food insecurity, and food security was associated with higher socioeconomic status (higher life satisfaction, higher parent's education attainment, higher item ownership, fewer number of siblings, and having more lunches at the school restaurant than at home). Compared to the food insecurity group, the frequency of breakfast, self-rated diet, and the total score of MDA index were higher in the food security group. On the other hand, multiple logistic regression analysis showed that 'food security' was also associated with a higher consumption of processed beverages (OR 1.544; 95% CI 1.078-2.213; p = 0.018). Conclusion: Improving the quality of the diet is essential for adolescents in both the food insecurity and food security groups in Lao PDR. Therefore, it is necessary to provide well organized nutrition education and establish adequate nutrition policy for adolescents in Lao PDR.

본 연구는 라오스 비엔티안 지역 일부 청소년을 대상으로 식품 불안정 상태를 파악하고, 이에 따른 식행동 및 가공 음료 섭취를 비교하고자 진행되었다. 미국 농무부에서 개발한 식품 안정 조사 모듈을 통해 조사한 결과, 전체 714명의 대상자 중 519명, 즉 72.7%가 식품 불안정 상태로 나타났다. 식품 안정군 (Food Security, FS)이 식품 불안정군 (Food Insecurity, FI)에 비해 '삶에 대한 만족도', '부모의 교육 수준', '가정 내 소유하고 있는 물품의 수'가 더 높았고 '형제자매 수'는 더 적었던 것을 통해 식품 불안정이 낮은 사회 경제적 상태 (socioeconomic status, SES)와 유의한 관계가 있음을 확인할 수 있었다. FI군보다 FS군의 가공 음료 섭취 및 점심 식사를 밖에서 사 먹는 비율이 유의적으로 더 높게 나타난 것 역시 FI군의 낮은 SES가 반영된 결과라고 생각할 수 있다. 본 연구에서 가장 주목할 만한 결과는 FS군이 FI군에 비해 '아침 식사 섭취 빈도' 및 '스스로 평가한 식사의 질', '간이 식생활 진단'을 통해 평가한 결과의 총점이 더 높게 나타났으나, '식품 안정'에서 높은 수준의 가공 음료 섭취 가능성 또한 1.544배 증가하였다는 것이다. 이는 낮은 식사의 질이 단지 식품 불안정에 따른 문제가 아님을 의미하므로, 라오스 청소년을 대상으로 한 체계적인 영양 교육 및 정책 마련은 추후 빠르게 진행되어야 할 것으로 사료된다.

Keywords

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