{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T15:59:20Z","timestamp":1792425560850,"version":"4.5.0"},"reference-count":66,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T00:00:00Z","timestamp":1647302400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Nutrition literacy plays an important role in children's dietary habits and nutrition. This study aimed to analyse the status of nutrition literacy and its influencing factors amongst middle school students in Chongqing, China. \u201cNutrition literacy scale for middle school students in Chongqing\u201d was used in 29 districts of Chongqing in September 2020. The scores of nutrition literacy and its' three sub-domains (functional, interactive and critical nutrition literacy) were divided into low and high groups based on their median scores. Binary logistic regression was used to measure the influencing factors of nutrition literacy. A total of 18,660 middle school students were included in this study. The median of nutrition literacy of middle school students was 61.68 (IQR = 14.37). Interactive nutrition literacy had the highest score (median = 70.00, IQR = 20.00), followed by functional nutrition literacy (median = 68.69, IQR = 14.14) and critical nutrition literacy (median = 45.83, IQR = 25.00). Students who were the minority (OR = 0.71, 95% CI = 0.637\u20130.785), in senior high school (OR = 0.51, 95% CI = 0.477\u20130.548), in rural areas (OR = 0.85, 95% CI = 0.790\u20130.911), receiving school meal support from the government (OR = 0.63, 95% CI = 0.591\u20130.664), with other caregivers' parenting (OR = 0.86, 95% CI = 0.805\u20130.914), with parents having a low level of education and with an abnormal BMI [thin (OR = 0.91, 95% CI = 0.837\u20130.990), overweight (OR = 0.87, 95% CI = 0.785\u20130.968), and obese (OR = 0.83, 95% CI = 0.767\u20130.902)] presented less probability of being a high level of nutrition literacy. Our results could assist public health authorities in developing strategies of nutrition literacy promotion for references and theoretical foundations.<\/jats:p>","DOI":"10.3389\/fpubh.2022.807526","type":"journal-article","created":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T08:16:23Z","timestamp":1647332183000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":34,"title":["Nutrition Literacy of Middle School Students and Its Influencing Factors: A Cross-Sectional Study in Chongqing, China"],"prefix":"10.3389","volume":"10","author":[{"given":"Mao","family":"Zeng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzhao","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengjie","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinli","family":"Xian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengping","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiankun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zumin","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"352","DOI":"10.4162\/nrp.2019.13.4.352","article-title":"The impact of nutrition literacy on the food habits among young adults in Turkey","volume":"13","author":"Kalkan","year":"2019","journal-title":"Nutr Res Pract."},{"key":"B2","doi-asserted-by":"publisher","first-page":"147","DOI":"10.4103\/1735-9066.178235","article-title":"The relation between intra- and interpersonal factors and food consumption level among Iranian adolescent girls","volume":"21","author":"Kazemi","year":"2016","journal-title":"Iran J Nurs Midwifery Res."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1746-1561.2012.00740.x","article-title":"Associations of physical activity and dietary behaviors with children's health and academic problems","volume":"83","author":"Shi","year":"2013","journal-title":"J Sch Health."},{"key":"B4","unstructured":"2019"},{"key":"B5","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1016\/j.appet.2018.01.001","article-title":"Dietary patterns associated with overweight among Brazilian adolescents","volume":"123","author":"Borges","year":"2018","journal-title":"Appetite."},{"key":"B6","unstructured":"2017"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1382","DOI":"10.1002\/oby.22861","article-title":"Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study","volume":"28","author":"Pietrobelli","year":"2020","journal-title":"Obesity."},{"key":"B8","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1038\/s41574-020-0387-z","article-title":"Will the COVID-19 pandemic worsen the obesity epidemic?","volume":"16","author":"Clemmensen","year":"2020","journal-title":"Nat Rev Endocrinol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1007\/s13187-015-0851-y","article-title":"Measuring nutrition literacy in breast cancer patients: development of a novel instrument","volume":"31","author":"Gibbs","year":"2016","journal-title":"J Cancer Educ."},{"key":"B10","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.jneb.2007.08.012","article-title":"Increasing nutrition literacy: testing the effectiveness of print, web site, and game modalities","volume":"40","author":"Silk","year":"2008","journal-title":"J Nutr Educ Behav."},{"key":"B11","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1016\/j.jneb.2006.02.009","article-title":"Use of nutrition facts panels among adults who make household food purchasing decisions","volume":"38","author":"Blitstein","year":"2006","journal-title":"J Nutr Educ Behav."},{"key":"B12","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1017\/S1368980012000900","article-title":"How well do Australian shoppers understand energy terms on food labels?","volume":"16","author":"Watson","year":"2013","journal-title":"Public Health Nutr."},{"key":"B13","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1093\/heapro\/daw084","article-title":"Just a subtle difference? 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