{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:10:35Z","timestamp":1790935835974,"version":"4.1.0"},"reference-count":36,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T00:00:00Z","timestamp":1714694400000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Deputyship for Research and Innovation, Ministry of Education in KSA","award":["ISP23-47"],"award-info":[{"award-number":["ISP23-47"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,4,1]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"\n Background<\/jats:title>\n Overweight and obesity are excessive fat accumulations linked with many health problems, including heart diseases, type 2 diabetes and cancer. Multiple studies have demonstrated that beliefs about overweight, obesity and self-efficacy play essential roles in the success of interventions for obesity management.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n This study aimed to identify the perceptions of university students of overweight and obesity using the health belief model (HBM) and to analyse their association with the body mass index (BMI) categories of the students.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A cross-sectional questionnaire-based study and a multistage sampling technique were used to ensure the recruitment of students from selected colleges of Jazan University\u2014Saudi Arabia.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Six colleges of Jazan University were randomly selected to ensure equal representation of health sciences, sciences and humanities colleges.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n A total of 579 students completed an online survey between January and April 2023.<\/jats:p>\n <\/jats:sec>\n \n Primary and secondary outcome measures<\/jats:title>\n The primary outcome measures were demographic characteristics and HBM constructs. Secondary outcome measures were behavioural intentions relating to obesity management.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n This study demonstrated that gender and self-reported family history of obesity were significantly correlated with the BMI categories of the students (p <0.001). Students in the underweight category showed the highest mean score for perceived severity (3.62 \u00b10.08). Perceived self-efficacy in exercise and diet was significantly associated with BMI categories, with adjusted ORs of 2.82 (2.10 to 3.79) and 1.51 (1.09 to 2.09), respectively. Perceived barriers to healthy eating and regular physical activity were significantly related to the behavioural intentions of obesity management. Multivariate logistic regression showed that perceived severity, perceived cues to action, perceived barriers and self-efficacy in dieting and exercise were significant predictors of behavioural intentions for the management of obesity.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study underscores the need for tailored health promotion strategies that consider the perceptions and beliefs of people about the management of obesity.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-079783","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T11:30:30Z","timestamp":1714735830000},"page":"e079783","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Utilisation of the health belief model to study the behavioural intentions relating to obesity management among university students: a cross-sectional study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5115-6182","authenticated-orcid":false,"given":"Osama","family":"Albasheer","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasser","family":"Hakami","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddig Ibrahim","family":"Abdelwahab","sequence":"additional","affiliation":[{"name":"Health Research Centre, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Y","family":"Alqassim","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Alharbi","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amani Osman","family":"Abdelmola","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdallah Ahmed","family":"Altraifi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecologicy, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isameldin E","family":"Medani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecologicy, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahlam Mohammed S","family":"Hakami","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecologicy, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mnar H","family":"Moafa","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana I","family":"Abuhadi","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhassan H","family":"Hobani","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,5,3]]},"reference":[{"key":"2025121514064927000_14.5.e079783.1","doi-asserted-by":"publisher","DOI":"10.1097\/NT.0000000000000092"},{"key":"2025121514064927000_14.5.e079783.2","unstructured":"Weir CB , Jan A . BMI classification Percentile and cut off points. 2019."},{"key":"2025121514064927000_14.5.e079783.3","doi-asserted-by":"crossref","unstructured":"Bhurosy T , Jeewon R . Overweight and obesity epidemic in developing countries: a problem with diet, physical activity, or socioeconomic status. Sci World J 2014. doi:10.1155\/2014\/964236","DOI":"10.1155\/2014\/964236"},{"key":"2025121514064927000_14.5.e079783.4","unstructured":"Hales CM , Carroll MD , Fryar CD , et al . Prevalence of obesity among adults and youth: United States, 2015\u20132016. NCHS Data Brief 2017;1\u20138."},{"key":"2025121514064927000_14.5.e079783.5","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1093\/eurpub\/ckx143","article-title":"Prevalence of adult overweight and obesity in 20 European countries, 2014","volume":"28","author":"Marques","year":"2018","journal-title":"Eur J Public Health"},{"key":"2025121514064927000_14.5.e079783.6","unstructured":"Puska P , Nishida C , Porter D , et al . 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