Background: Planning food and nutrition literacy (FNL) promoting interventions require a better understanding of the FNL status of the target group and its correlates.
Aims: This study aimed to examine the FNL status and its determinants in Iranian senior high-school students.
Methods: In this cross-sectional study, socioeconomic, demographic, anthropometric measures, as well as academic performance of 626 senior high-school students were assessed. Besides, FNL and its six components (food and nutrition knowledge, functional skills, interactive skills, advocacy, critical analysis of information, and food label reading skill) were evaluated by a locally designed and validated, self-administered questionnaire.
Results: The mean ± SD of the total FNL score was 52.1 ± 10.96, which is below the minimum adequate level of 60. The probability of high FNL knowledge score was significantly higher among students who majored in Natural Sciences (OR = 1.73, CI = 1.09-2.75), had better school performance (OR = 1.13, CI = 1.06-1.20) and higher SES score (OR = 1.20, CI = 1.01-1.44). The probability of higher score in food label reading skill was significantly lower in girls (OR=0.45, CI=0.31-0.67). Those who had a family member with the nutrition-related disease were more likely to have a higher score of food label reading skill (OR = 1.48, CI=1.01-1.64).
Conclusion: The level of FNL in senior high-school students in Tehran was relatively low. These findings have key messages for the education system and curriculum designers to have more consideration in promoting food and nutrition-related knowledge and skills in schools.

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Posted 22 Jan, 2021
On 23 Feb, 2021
Received 22 Feb, 2021
On 20 Feb, 2021
Received 19 Feb, 2021
Received 18 Feb, 2021
On 16 Feb, 2021
On 03 Feb, 2021
Invitations sent on 03 Feb, 2021
On 03 Feb, 2021
On 20 Jan, 2021
On 20 Jan, 2021
On 14 Jan, 2021
Posted 22 Jan, 2021
On 23 Feb, 2021
Received 22 Feb, 2021
On 20 Feb, 2021
Received 19 Feb, 2021
Received 18 Feb, 2021
On 16 Feb, 2021
On 03 Feb, 2021
Invitations sent on 03 Feb, 2021
On 03 Feb, 2021
On 20 Jan, 2021
On 20 Jan, 2021
On 14 Jan, 2021
Background: Planning food and nutrition literacy (FNL) promoting interventions require a better understanding of the FNL status of the target group and its correlates.
Aims: This study aimed to examine the FNL status and its determinants in Iranian senior high-school students.
Methods: In this cross-sectional study, socioeconomic, demographic, anthropometric measures, as well as academic performance of 626 senior high-school students were assessed. Besides, FNL and its six components (food and nutrition knowledge, functional skills, interactive skills, advocacy, critical analysis of information, and food label reading skill) were evaluated by a locally designed and validated, self-administered questionnaire.
Results: The mean ± SD of the total FNL score was 52.1 ± 10.96, which is below the minimum adequate level of 60. The probability of high FNL knowledge score was significantly higher among students who majored in Natural Sciences (OR = 1.73, CI = 1.09-2.75), had better school performance (OR = 1.13, CI = 1.06-1.20) and higher SES score (OR = 1.20, CI = 1.01-1.44). The probability of higher score in food label reading skill was significantly lower in girls (OR=0.45, CI=0.31-0.67). Those who had a family member with the nutrition-related disease were more likely to have a higher score of food label reading skill (OR = 1.48, CI=1.01-1.64).
Conclusion: The level of FNL in senior high-school students in Tehran was relatively low. These findings have key messages for the education system and curriculum designers to have more consideration in promoting food and nutrition-related knowledge and skills in schools.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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