Factors Influencing the Intention to Use Malaysian Dietary Guidelines Among University Students

Authors

  • Ghazari Amri Sanusi International Islamic University Malaysia, Malaysia

DOI:

https://doi.org/10.31436/ijema.v28i2.798

Keywords:

Malaysian Dietary Guidelines, Theory of Planned Behaviour, Obesity, Attitute

Abstract

The prevalence of obesity, partly due to poor diet and eating behaviors among the population in Malaysia, is on the rise. Not much has been written currently on using the Malaysian Dietary Guidelines (MDG) as a tool for Malaysians to plan an appropriate and balanced diet and to help reduce the risks of obesity and lifestyle-related diseases. Thus, this article seeks to identify the factors influencing intention to use the MDG as a reference for healthy eating among university students in Malaysia. This study is primarily motivated by the fact that university students are known to be in the “at-risk†population due to their low-quality diet and poor eating behaviors. Data for this study were collected from a total of 218 university students who participated in a questionnaire survey. To examine a set of hypotheses drawn from the Theory of Planned Behavior, a multiple linear regression method was applied in this study. The results show that attitude (β = 0.35; p < 0.01) and subjective norm (β = 0.31; p < 0.01) have a direct, positive and significant relationship with intention to use MDG. Contrary to expectations, perceived behavioral control (β = -0.08; p > 0.05) was not supported in this study. On closer examination, attitude toward behavior was found to be the more influential predictor of intention to use MDG. The findings from this study provide vital information on factors influencing intention to use MDG, and could serve as a basis by stakeholders, such as policymakers and health professionals, to formulate better and more targeted communication and engagement strategies in dealing with obesity among the university students in Malaysia.

References

Abdul Khalek, A., and S.I. Sharifah Hayaati. “Why Are We Eating Halal: Using the Theory of Planned Behavior in Predicting Halal Food Consumption among Generation Y in Malaysia.†International Journal of Social Science and Humanity 5, no. 7 (2015): 608-12.

Ajzen, I. “The Theory of Planned Behavior.†Organizational Behavior and Human Decision 50 (1991): 179-211.

______. “Consumer Attitudes and Behavior: The Theory of Planned Behavior Applied to Food Consumption Decisions.†Rivista Di Economia Agraria 70, no. 2 (2015): 121-38.

Al-Khamees, N.A. “Food Habits of University Nutrition Students: Pilot Study.†Nutrition and Food Science 39, no. 5 (2009): 499-502.

Al-Swidi, A., S.M.R. Huque, M.G. Hafeed and M.S. Mohd Noor. “The Role Subjective Norms in Theory of Planned Behavior in the Context of Organic Food Consumption.†British Food Journal 116, no. 10 (2014): 1561-80.

Andrade, J., and J. Andrade. Food-based Dietary Guidelines: An Overview. US Aid, 2016.

Ang, M.C.H., T. Ramayah, and H. Amin. “A Theory of Planned Behavior Perspective on Hiring Malaysians with Disabilities.†Equality, Diversity and Inclusion: An International Journal 34, no. 3 (2015): 186-200.

Armitage, C. J., and M. Conner. “Efficacy of the Theory of Planned Behaviour: A Meta-analytic Review.†British Journal of Social Psychology 40, no. 4 (2001): 471-99.

Babicz-zielińska, E. “Role of Psychological Factors in Food Choice: A Review.†Agris 15, no. 4 (2006): 379-84.

Backman, D.R., E.H. Haddad, J.W. Lee, P.K. Johnston, and G.E. Hogdkin. “Psychosocial Predictors of Healthful Dietary Behavior in Adolescents.†Journal of Nutritional Education Behavior 34 (2002): 184-93.

Barzegari, A., M. Ebrahimi, M. Azizi, and K. Ranjbar. “A Study of Nutrition Knowledge, Attitude and Food Habits of College Students.†World Applied Sciences Journal 15, no. 7, (2011): 1012-7.

Batchelder, A., and J. Matusitz. “'Let’s Move' Campaign: Applying the Extended Parallel Process Model.†Social Work and Public Health 29, no. 5 (2014): 462-72.

Bonaccio, M., A. Di Castelnuovo, A. Bonanni, S. Costanzo, F. De Lucia, G. Pounis, F. Zito, M.B. Donati, G. de Gaetano, and L. Iacoviello. “Adherence to a Mediterranean Diet is Associated with a Better Health-Related Quality of Life: A Possible Role of High Dietary Antioxidant Content.†BMJ Open 3, no. 8 (2013): 1-11.

Booth, R., M. Hernandez, E.L. Baker, T. Grajales, and P. Pribis. “Food Safety Attitudes in College Students: A Structural Equation Modeling Analysis of a Conceptual Model.†Nutrients 5, no. 2, (2013): 328-39.

Cefai, C., and Camilleri, L. “The Dietary Habits of Maltese University Students.†Malta Medical Journal 23, no. 2 (2011): 7-12.

Chan, K., G. Prendergast, and Y.L. Ng. “Using an Expanded Theory of Planned Behavior to Predict Adolescents’ Intention to Engage in Healthy Eating.†Journal of International Consumer Marketing 28, no. 1 (2016): 16-27.

Creswell, J.W., and D.L. Miller. “Determining Validity in Qualitative Inquiry.†Theory into Practice 39, no. 3 (2000): 124-30.

Cunningham, J.B., and E. McCrum-Gardner. “Power, Effect and Sample Size using G*Power: Practical Issues for Researchers and Members of Research Ethics Committees.†Evidence Based Midwifery 5, no. 4 (2007): 132-6.

de Lorenzo, A., L. Romano, L. di Renzo, N. di Lorenzo, G. Cenname, and P. Gualtieri. “Obesity: A Preventable, Treatable, but Relapsing Disease.†Nutrition 71 (2020).

Deliens, T., P. Clarys, I. De Bourdeaudhuij, B. Deforche, I. De. Bourdeaudhuij, and B. Deforche. “Determinants of Eating Behaviour in University Students: A Qualitative Study Using Focus Group Discussions.†BMC Public Health 14, no. 1 (2014). 1-12.

Du, T., E. Zhu, and S. Jiao. “Poor Physical Performance is Associated with Obesity among University Students in China.†Medical Science Monitor Basic Research 23 (2017): 173-8.

Ellison, B. “'I’ll have What He’s Having': Group Ordering Behavior in Food Choice Decisions.†Food Quality and Preference 37 (2014): 79-86.

Emma Mirza Wati, M., H. Mohammad Rezal, and A. Mohd Yusof. “Health Literacy among Malaysian University Students.†Persidangan Antarabangsa Dwitahun Media Dan Komunikasi, 2015.

Erdfelder, E., F. Faul, and A. Buchner. “GPOWER: A General Power Analysis Program.†Behavior Research Methods, Instruments and Computer 28 (1996): 1-11.

Field, A. Discovering Statistics using SPSS. UK: SAGE Publications, Inc. 2009.

Fila, S.A., and C. Smith. “Applying the Theory of Planned Behavior to Healthy Eating Behaviors in Urban Native American Youth.†International Journal of Behavioral Nutrition and Physical Activity 10, no. 11 (2006): 1–10.

Fishbein, M., and I. Ajzen. Belief, Attitudes, Intention and Behavior: An Introduction to Theory and Research. New York: Addisson Wesley Publishing Co. 1975.

Gerson, A., K. Goto, C. Wolff, and M. Giovanni. “Food, Health and Values: The Effects of Attitudes and Behaviors Regarding Sustainable Food Practices on Overall Diet Quality among College Students.†Californian Journal of Health Promotion 11, no. 2 (2013): 53-60.

Glanz, K., B.L. Rimer, and F.M. Lewis. Health Behavior and Health Education. San Francisco, USA: Jossey-Bass, 2002.

Gomber, A.O. Dietary Guide. Nova Science Publishers, Inc. 2007.

Gronhoj, A., T. Bech-Larsen, K. Chan, and L. Tsang. “Using Theory of Planned Behavior to Predict Healthy Eating among Danish Adolescents.†Health Education 113, no. 1 (2012): 4-17.

Ham, M., Jeger, and A.F. Ivkovic. “The Role of Subjective Norms in Forming Intention to Purchase Green Food.†Economic Research, 28, no. 1 (2015): 738-48.

Hassan, M.R., H.F. Ghazi, N.S. Umar, N. Masri, S.M. Jamil, Z.M. Isa, N. Safian, H. Faisal, and G. Management. “Knowledge, Attitude and Practice of Healthy Eating and Associated Factors among University Students in Selangor, Malaysia.†Pakistan Journal of Nutrition 14, no. 12 (2015): 892-7.

Holben, D.H., J.T. Hassel, and J.P. Holcomb. “College Freshmen Do Not Eat within Food Pyramid Guidelines.†Journal of the American Dietetic Association 98, no. 9 (1998): A51.

Hornstrom, G.R., C.A. Friesen, J.E. Ellery, and K. Pike. “Nutrition Knowledge, Practices, Attitudes, and Information Sources of Mid-American Conference College Softball Players.†Food and Nutrition Sciences 2 (2011): 109-17.

Ilham, S., and N.M. Nik Kamariah. “Examining a Theory of Planned Behavior (TPB) and Technology Acceptance Model (TAM) in Internet Purchasing Using Structural Equation Modeling.†Journal of Arts, Science and Commerce 2, no. 2 (2012): 62-77.

Institute for Public Health Malaysia. National Health and Morbidity Survey 2015: Non-communicable Disease, Risk Factors and Other Health Problems. (2015).

Ismail, M.N., S.S. Chee, H. Nawawi, K. Yusoff, T.O. Lim, and W.P.T.T. James. “Obesity in Malaysia.†Obesity Reviews 3, no. 3 (2002): 203-8.

Kabir, A., S. Miah, and A. Islam. “Factors Influencing Eating Behavior and Dietary Intake among Resident Students in A Public University in Bangladesh: A Qualitative Study.†PLoS ONE 13, no. 6 (2018) 1-17.

Kabir, S., M.S. Salmiah, and I. Suriani. “Prevalence and Factors Associated with Overweight and Obesity among Malaysian Post Graduate Students in a Public University.†International Journal of Public Health and Clinical Sciences 1, no. 1 (2014): 131-40.

Kandiah, J., and C. Jones. “Nutrition Knowledge and Food Choices of Elementary School Children.†Early Child Development and Care 172, no. 3 (2002): 269-73.

Khalid, N.L., S.Y. Jayasainan, and N. Hassim. “Social Media Influencers - Shaping Consumption Culture among Malaysian Youth.†SHS Web of Conferences 53 (2018): 1-12.

Kim, J., C. Shon, and S. Yi. “The Relationship Between Obesity and Urban Environment in Seoul.†International Journal of Environmental Research and Public Health 14, no. 8 (2017) 898-9.

Kolodinsky, J., J.R. Harvey-Berino, R.K. Johnson, and T.W. Reynolds. “Knowledge of Current Dietary Guidelines and Food Choice by College Students: Better Eaters Have Higher Knowledge of Dietary Guidance.†Journal of American Diet Association 107, no. 18 (2007): 1409-13.

Korttesito, T., M., Kaila, J. Komulainen, T. Mytyranta, and O. Rissanen. “Healthcare Professionals’ Intention to Use Clinical Guidelines: A Survey Using the Theory of Planned Behavior.†Implementation Science 5, no. 51 (2010): 1-10.

Lee, Y.Y., D. Tan, J. Siri, B. Newell, Y. Gong, K. Proust, and T. Marsden. “The Role of Public Health Dietary Messages and Guidelines in Tackling Overweight and Obesity Issues.†Malaysian Journal of Nutrition 26, no. 1 (2020): 31-50.

Liu, P., and J. Kwon. “Perceived Availability of and Attitudes Toward Health Food Choices in Assisted-Living Facilities in Kansas.†Journal of Foodservice Business Research 16, no. 2 (2013): 183-97.

Lupi, S., D. Bagordo, A. Stefani, T. Grassi, M. Bergamini, and A. Donno. “Assessment of Lifestyle and Eating Habits Among Undergraduate Students in Northern Italy.†Annali dell’Istituto Superiore Di Sanità 51, no. 2 (2015): 154-61.

Ministry of Health Malaysia. Healthy Lifestyle Campaign (2003).

Ministry of Health Malaysia. Malaysian Dietary Guidelines (2010).

Ministry of Health Malaysia. National Strategic Plan for Non-Communicable Disease (NSP-NCD): Medium Term Strategic Plan to Further Strengthen the NCD Prevention and Control Program in Malaysia (2016-2025) 2016.

Ministry of Health Malaysia. Malaysian Health at a Glance 2018. (2019).

Norimah, A.K., C.S. Hwong, W.C. Liew, A.T. Ruzita, H.N. Sitti Sa’adiah, and M.N. Ismail. “Messages of the Newly Proposed Malaysian Dietary Guidelines (MDG): Do Adults in Kuala Lumpur Understand Them?†Malaysian Journal of Nutrition 16, no. 1 (2010): 113-23.

Nunnally, J. Psymoteric theory. McGraw-Hill. 1978.

Omar, N.H., T.P. Ping, L.S. Joe, and K. Ramaya. “Dietary Intake and Physical Lifestyle of Residential College Students in Universiti Kebangsaan Malaysia.†Jurnal Personalia Pelajar 18, no. 2 (2015): 75-85.

Pallant, J. SPSS Survival Manual (6th ed.). Open University Press, 2016.

Pelletier, J.E., D.J. Graham, and M.N. Laska. “Social Norms and Dietary Behaviors among Young Adults.†American Journal of Health Behavior 38, no. 1 (2014): 144-52.

Peltzer, K., S. Pengpid, T. Alafia Samuels, N.K. Özcan, C. Mantilla, O.H. Rahamefy, M.L. Wong, and A. Gasparishvili. “Prevalence of Overweight/Obesity and its Associated Factors among University Students from 22 Countries.†International Journal of Environmental Research and Public Health 11, no. 7 (2014): 7425-41.

Psouni, S., Hassandra, M., and Theodorakis, Y. “Exercise and Healthy Eating Intentions and Behaviors among Normal Weight and Overweight/Obese Adults.†Psychology 7, no. 4 (2016): 598-611.

Rush, E. C., and M.R. Yan. “Evolution Not Revolution: Nutrition and Obesity.†Nutrients 9, no. 5 (2017): 519-26.

Sadati, S. A., and Y. Mohammadi. “Key Values Influence Consumer Intention towards Organic Food in Iran.†Research Journal of Applied Sciences, Engineering and Technology 4, no. 14 (2012): 2055-60.

Sia, B. T., S.Y. Low, W.C. Foong, M. Pramasivah, C.Z. Khor, and Y.H. Say. “Demographic Differences of Preference, Intake Frequency and Craving Hedonic Ratings of Sweet Foods among Malaysian Subjects in Kuala Lumpur.†Malaysian Journal of Medicine and Health Sciences 9, no. 1 (2013): 55-64.

Simsekoglu, O., and T. Lajunen. “Social Psychology of Seat Belt Use: A Comparison of Theory of Planned Behavior and Health Belief Model.†Traffic Psychology and Behavior 11, no. 3 (2008):181-91.

Sjoberg, S., K. Kim, and M. Reicks. “Applying the Theory of Planned Behavior to Fruit and Vegetable Consumption by Older Adults.†Journal of Nutrition for the Elderly 23, no. 4 (2004): 35-46.

Sniehotta, F. R., J. Presseau, and V. Araujo-Soares. “Time to Retire the Theory of Planned Behavior.†Health Psychology Review 8, no. 1 (2014): 1-7.

So, H., L. McLaren, and G.C. Currie. “The Relationship between Health Eating and Overweight/Obesity in Canada: Cross-Sectional Study Using the CCHS.†Obesity Science and Practice 2 (2017): 1-8.

Sogari, G., C. Velez-Argumedo, M.I. Gómez, and C. Mora. “College Students and Eating Habits: A Study Using an Ecological Model for Healthy Behavior.†Nutrients 10, no. 12 (2018): 1-16.

Sprake, E.F., J.M. Russell, J.E. Cecil, R.J. Cooper, P. Grabowski, L.K. Pourshahidi, and M.E. Barker. “Dietary Patterns of University Students in the UK: A Cross-sectional Study.†Nutrition Journal 17, no. 1 (2018): 1-17.

Straub, D.W. “Validating Instruments in MIS Research.†MIS Quarterly 13, no. 2 (1989): 147-69.

Sugathan, S., and D.S. Bagh. “Prevalence and Correlates of Overweight and Obesity among Medical Students in Ipoh.†Academic Medical Journal of India 12, no. 1 (2014): 22-4.

Sundaram, D., H.F. Ghazi, and M. Elnajeh. “Breakfast, Food Consumption Pattern and Nutritional Status among Private University Students in Shah Alam, Malaysia.†International Journal of Advanced Community Medicine 1, no. 1 (2018): 19-22.

Tabachnick, B.G., and L.S. Fidell. Using Multivariate Statistics (6th ed.). New York: Pearson Education Limited, 2013.

Tanton, J., L.J. Dodd, L. Woodfield, M. and Mabhala. “Eating Behaviours of British University Students: A Cluster Analysis on a Neglected Issue.†Advances in Preventive Medicine 1 (2015): 1–8.

Tarkianinen, A., and S. Sundqvist. “Subjective Norms, Attitudes and Intentions of Finnish Consumers in Buying Organic Food.†British Food Journal 107, no. 10/11 (2005): 808-19.

Tee, E. “Development and Promotion of Malaysian Dietary Guidelines.†Asia Pacific Journal of Clinical Nutrition 20, no. 3 (2011): 455-61.

Thu, Y. H., B.N. Mohd Yusof, C.Y. Siew, E. Kiung, R. Abdul Ghani, A. Mottablib, and O. Hamdy. “Nutrition-related Factors and Binge Eating Behaviour in a Sample of Malaysian University Students.†Jurnal Sains Kesihatan Malaysia 17, no. 1 (2019): 57-65.

Ting, S.K.T., and Y.Y. Cheah. “Cultural Dimensions Comparison: A Study of Malaysia and South Korea.†Review of Integrative Business and Economics 2, no. 1 (2013): 535-45.

Usfar, A.A., and U. Fahmida. “Do Indonesians Follow its Dietary Guidelines? Evidence Related to Food Consumption, Healthy Lifestyle, and Nutritional Status within the Period 2000-2010.†Asia Pacific Journal of Clinical Nutrition 20, no. 13 (2011): 484-94.

Van Den Berg, V.L., A.P. Okeyo, A. Dannhauser, M. Nel, C. Oriental, and A. Sud. “Body Weight, Eating Practices and Nutritional Knowledge amongst University Nursing Students, Eastern Cape, South Africa.†African Journal of Primary Health Care and Family Medicine 4, no. 1 (2012): 1-9.

Voortman, T., J.C. Kiefte-de Jong, M.A. Ikram, B.H. Stricker, F.J.A. van Rooij, L. Lahousse, H. Tiemeier, G.G. Brusselle, O.H. Franco, and J.D. Schoufour. “Adherence to the 2015 Dutch Dietary Guidelines and Risk of Non-Communicable Diseases and Mortality in the Rotterdam Study.†European Journal of Epidemiology 32, no. 11 (2017): 993-1005.

Walley, A.J., A.I.F. Blakemore, and P. Froguel. “Genetics of Obesity and the Predict of Risk for Health.†Human Molecular Genetics 15, no. 2 (2006): 124-30.

Wan Mohamed Radzi, C.W.J., H.S. Jenatabadi, A.R.A. Alanzi, M.I. Mokhtar, M.Z. Mamat, and N.A. Abdullah. “Analysis of Obesity Among Malaysian University Students: A Combination Study with the Application of Bayesian Structural Equation Modelling and Pearson Correlation.†International Journal of Environmental Research and Public Health 16, no. 3 (2019): 1-17.

Webb, M.C., and S. Beckford. “Nutritional Knowledge and Attitudes of Adolescent Swimmers in Trinidad and Tobago.†Journal of Nutrition and Metabolism 7 (2014): 25–31.

White, K.M., D.J. Terry, C. Troup, L.A. Rempel, P. Norman, K. Mummery, M. Riley, N. Posner, and J. Kenardy. “An Extended Theory of Planned Behavior Intervention for Older Adults with Type 2 Diabetes and Cardiovascular Disease.†Journal of Aging and Physical Activity 20 (2012): 281-99.

Zalilah, M.S., G.L. Khor, S. Sarina, and M. Maznorila. “The Relationship Between Household Income and Dietary Intakes of 1-10-Year-Old Urban Malaysian.†Nutrition Research and Practice 9, no. 3 (2015): 278-7.

Zarei, M., M.N. Mohd Taib, F. Zarei, and H. Abu Saad. “Factors Associated with Body Weight Status of Iranian Postgraduate Students in Universiti Putra Malaysia.†Nursing and Midwifery Studies 2, no. 2 (2013): 97-102.

Zikmund, W.G., B.J. Babin, J.C. Carr, and M. Griffin. Business Research Methods (8th Edition). USA: Cengage Learning, 2010.

Downloads

Published

2020-12-22

How to Cite

Sanusi, G. A. (2020). Factors Influencing the Intention to Use Malaysian Dietary Guidelines Among University Students. International Journal of Economics, Management and Accounting, 28(2), 517–543. https://doi.org/10.31436/ijema.v28i2.798

Issue

Section

Articles