Objective To understand the current situation of knowledge, attitude and practice (KAP) regarding milk consumption among primary school students in Hainan Province, in order to provide reference for promoting nutrition of students. Methods By stratified sampling, one urban and one rural survey sites were selected in Hainan Province, and then a cluster of 10 primary schools were randomly selected from two survey sites in November 3—5,2021. Totally 3 426 primary school students in the third, fourth and fifth grades in the selected sites were surveyed by KAP questionnaire. Results The average score of the respondents on milk drinking related knowledge was 3.44±0.95, and 51.9% had good cognition of milk consumption. The average score of attitude was 4.20±0.98, and 81.2% had a positive attitude towards milk consumption. The average behavior score was 2.55±1.30, and 22.5% had good milk consumption behavior. Significant differences existed in the good behaviors on milk consumption among children with different gender, ethnic groups,grades and children between urban and rural areas (χ2=15.409,4.770,47.892,4.442, P<0.05). There were correlations between milk consumption related knowledge and attitude (r=0.233), between knowledge and behavior (r=0.173), between attitude and behavior (r=0.336) (P<0.001). Binary Logistic analysis showed thatgender was the influencing factor of good milk consumption behavior(OR=1.286,95%CI:1.088 - 1.516,P<0.001).Compared with students in the third grade, students in the fourth and fifth grade were higher likely to have good milk consumption behavior (the fourth grade: OR=1.900, 95%CI:1.544 - 2.338, P<0.001; the fifth grade: OR=1.745, 95%CI:1.436 - 2.122, P<0.001). High cognition (OR=1.357, 95%CI: 1.146 - 1.608, P<0.001) and positive attitude on good milk consumption behavior (OR=3.925, 95%CI:2.877 - 5.355, P<0.001) may significantly promote good milk consumption behavior. Conclusions Knowledge about milk consumption among primary school students in Hainan Province is still inadequate and their milk consumption behavior is poor, but their overall attitude is good. It is important to strengthen the popularization of nutrition among children and adolescents, especially in the upper grades and boys, and to focus on cultivating good milk consumption behavior.
Key words
primary school students /
milk /
knowledge attitude practice
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