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Prevalence and Sociodemographic Correlates of Nutritional Habits among Schoolchildren Aged 11–15 Years in Albania Cover

Prevalence and Sociodemographic Correlates of Nutritional Habits among Schoolchildren Aged 11–15 Years in Albania

Open Access
|Sep 2025

Figures & Tables

Table 1.

Distribution of selected nutritional habits by sociodemographic characteristics in a nationwide sample of Albanian schoolchildren, HBSC 2022.

Sociodemographic characteristicsDaily consumption
BreakfastFruitVegetablesSweetsSugary soft drinks
Total sample (n=5454)2461 (48.2)a3174 (58.8)2549 (47.3)1911 (35.5)1582 (29.4)
Gender:
Boys (n=2610)1265 (52.1)1434 (55.7)1072 (41.9)791 (30.9)766 (29.9)
Girls (n=2844)1196 (44.7)1740 (61.5)1477 (52.3)1120 (39.7)816 (28.9)
Age:
11 years (n=1784)1023 (62.2)1145 (64.7)946 (53.5)495 (28.1)409 (23.2)
13 years (n=1785)754 (45.6)1004 (57.0)759 (43.3)631 (35.9)524 (29.9)
15 years (n=1877)681 (37.9)1021 (54.8)841 (45.3)782 (42.1)647 (34.8)
Residence:
Urban areas (n=3648)1676 (48.8)2125 (58.7)1701 (47.2)1253 (34.8)1007 (27.9)
Rural areas (n=1806)785 (46.9)1049 (58.9)848 (47.6)658 (36.9)575 (32.3)
Father’s employment:
Yes (n=4928)2260 (49.0)2897 (59.3)2327 (47.8)1697 (34.8)1424 (29.2)
No (n=479)190 (42.0)248 (52.2)204 (43.3)193 (40.8)142 (30.1)
Mother’s employment:
Yes (n=3676)1701 (49.3)2164 (59.4)1710 (47.1)1259 (34.6)1033 (28.4)
No (n=1710)734 (45.9)975 (57.6)814 (48.3)623 (36.9)528 (31.3)
Family affluence:
Less affluent (n=2600)1113 (45.8)1434 (55.5)1179 (45.9)898 (34.9)747 (29.1)
More affluent (n=2715)1290 (50.4)1657 (61.7)1303 (48.6)962 (35.9)798 (29.8)

Legend:

a Absolute numbers and their respective percentages (in parentheses). For nutritional habits, there were the following missing values: breakfast consumption (n=349), fruit consumption (n=53), vegetable consumption (n=70), consumption of sweets (n=68), and consumption of sugary soft drinks (n=70). In addition, there were the following missing values for sociodemographic factors: age of schoolchildren (n=8), father’s employment status (n=47); mother’s employment status (n=68); and family affluence score (n=139).

Table 2.

Associations of nutritional habits with sociodemographic characteristics of schoolchildren; results from unadjusted binary logistic regression models.

Daily consumptionDemographic variables
MaleAge 11 bUrban areas
OR (95%CI)aPaOR (95%CI)POR (95%CI)P
Breakfast1.35 (1.21–1.51)<0.0012.70 (2.35–3.09)<0.0011.08 (0.96–1.21)0.199
Nagelkerke R20.010.05<0.01
Area under the curve (AUC)54%60%51%
Fruit0.79 (0.71–0.88)<0.0011.51 (1.32–1.73)<0.0010.99 (0.89–1.12)0.917
Nagelkerke R20.010.01<0.01
AUC47%54%50%
Vegetables0.66 (0.59–0.73)<0.0011.39 (1.22–1.59)<0.0010.98 (0.88–1.10)0.759
Nagelkerke R20.020.01<0.01
AUC45%55%50%
Sweets0.68 (0.61–0.76)<0.0010.54 (0.47–0.62)<0.0010.91 (0.81–1.02)0.114
Nagelkerke R20.010.02<0.01
AUC46%45%49%
Sugary soft drinks1.05 (0.93–1.18)<0.0010.57 (0.49–0.65)<0.0010.81 (0.72–0.92)<0.001
Nagelkerke R2<0.010.02<0.01
AUC51%45%48%
Daily consumptionSocioeconomic variables
Father employedMother employedMore affluent
OR (95%CI)aPaOR (95%CI)POR (95%CI)P
Breakfast1.32 (1.09–1.61)0.0051.15 (1.02–1.29)0.0241.21 (1.08–1.35)0.001
Nagelkerke R2<0.01<0.01<0.01
Area under the curve (AUC)54%52%52%
Fruit1.34 (1.11–1.61)0.0031.08 (0.96–1.21)0.2101.29 (1.16–1.44)<0.001
Nagelkerke R2<0.01<0.010.01
AUC54%51%53%
Vegetables1.20 (0.99–1.45)0.0640.95 (0.85–1.07)0.4161.12 (1.00–1.24)0.047
Nagelkerke R2<0.01<0.01<0.01
AUC52%49%51%
Sweets0.78 (0.64–0.94)0.0100.91 (0.80–1.02)0.1121.04 (0.93–1.17)0.463
Nagelkerke R2<0.01<0.01<0.01
AUC47%49%51%
Sugary soft drinks0.96 (0.78–1.18)0.7000.87 (0.77–0.99)0.0301.03 (0.92–1.17)0.578
Nagelkerke R2<0.01<0.01<0.01
AUC50%49%50%

Legend:

a Odds ratios and their respective 95% confidence intervals (in parentheses), as well as p-values from crude (unadjusted) binary logistic regression models. Reference groups for nutritional habits were as follows: “non-daily” (0–4 days) for breakfast consumption during weekdays, and “non-daily” (≤5–6/week) for the other dietary practices.

b Compared to age 15.

Table 3.

Independent associations of sociodemographic factors with nutritional habits; results from multivariable-adjusted binary logistic regression models.

Daily consumptionDemographic variables
MaleAge 11 bUrban areas
OR (95%CI)aPaOR (95%CI)POR (95%CI)P
Breakfast1.30 (1.16–1.46)<0.0012.73 (2.37–3.15)<0.0011.08 (0.95–1.22)0.229
Fruit0.76 (0.68–0.85)<0.0011.52 (1.33–1.75)<0.0010.99 (0.87–1.11)0.809
Vegetables0.65 (0.58–0.72)<0.0011.40 (1.22–1.60)<0.0010.99 (0.89–1.12)0.974
Sweets0.68 (0.61–0.77)<0.0010.54 (0.47–0.62)<0.0010.90 (0.79–1.02)0.086
Sugary soft drinks1.08 (0.95–1.22)0.2280.55 (0.48–0.64)<0.0010.79 (0.70–0.90)<0.001
Daily consumptionSocioeconomic variables
Father employedMother employedMore affluent
OR (95%CI)aPaOR (95%CI)POR (95%CI)P
Breakfast1.18 (0.96–1.45)0.1161.11 (0.98–1.25)0.1131.21 (1.08–1.36)0.002
Fruit1.21 (0.99–1.47)0.0621.06 (0.94–1.19)0.3791.33 (1.18–1.49)<0.001
Vegetables1.16 (0.95–1.42)0.1410.95 (0.85–1.08)0.4371.16 (1.04–1.30)0.009
Sweets0.82 (0.67–1.01)0.0560.93 (0.82–1.05)0.2371.07 (0.95–1.21)0.258
Sugary soft drinks1.02 (0.83–1.27)0.8340.89 (0.78–1.01)0.0781.03 (0.91–1.17)0.601

Legend:

a Odds ratios and their respective 95% confidence intervals (in parentheses), as well as p-values from crude (unadjusted) binary logistic regression models. Reference groups for nutritional habits were as follows: “non-daily” (0–4 days) for breakfast consumption during weekdays, and “non-daily” (≤5–6/week) for the other dietary practices.

b Compared to age 15.

DOI: https://doi.org/10.2478/sjph-2025-0017 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English, Slovenian
Page range: 133 - 142
Submitted on: Nov 27, 2024
Accepted on: Mar 24, 2025
Published on: Sep 1, 2025
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services

© 2025 Jonida Stefa, Migena Gega, Brizida Refatllari, Grejd Hyska, Gentiana Qirjako, Genc Burazeri, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.