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Factors associated with the salt intake behaviors in women in a high-salt intake setting

Roghayeh Chenary (Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran)
Akram Karimi-Shahanjarini (Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran and Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran)
Saeid Bashirian (Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran and Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran)
Ghodratollah Roshanaei (Department of Biostatistics, School of Public Health, Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran)
Ali Akbar Fazaeli (Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran)
Mohsen Jalilian (Department of Public Health, School of Public Health, Ilam University of Medical Sciences, Ilam, Iran)

Nutrition & Food Science

ISSN: 0034-6659

Article publication date: 16 July 2021

Issue publication date: 3 January 2022

117

Abstract

Purpose

The high prevalence of hypertension is a significant concern worldwide. A decrease in salt intake is a well-known strategy to control hypertension and reduce the risk of cardiovascular diseases. Little is known about the factors influencing salt intake behaviors in settings such as Iran where consumption of salt is higher than the recommended amount. The purpose of this study was to find out what factors affect three salt intake behaviors among women: adding salt when cooking, adding salt to prepared food at the table and purchasing salty foods.

Design/methodology/approach

A community-wide cross-sectional survey of 516 women was conducted in Ilam, Iran. Participants were recruited using the cluster random sampling method. The survey included behaviors and variables of an expanded theory of planned behavior. The hypothesized relationships were investigated using structural equation modeling.

Findings

Perceived behavioral control (PBC) (p < 0.001) and habit (p = 0.01) appeared to be significant factors of adding salt when cooking. Determinants of adding salt to food at the table were intention (p < 0.001), PBC (p < 0.001), habit (p < 0.001). Also, PBC (p < 0.001), intention (p < 0.001), habit (p < 0.001) were identified as predictors of the purchase of salty foods. The results did not support the moderating role of Hedonic feeling to salt on the relation between intention and behaviors.

Originality/value

This study would be applicable to develop salt reduction interventions. Because altering the hedonic response to food is difficult, the lack of its moderating role could be a promising finding for developing salt reduction interventions.

Keywords

Acknowledgements

The authors thank all participants in this study. This work was supported financially by Vice Chancellery Research and Technology Affairs of Hamadan University of Medical Sciences from study design to submission under Grant No. 9712218019.

Funding: This research was supported by the Research and Technology Deputy of Hamadan University of Medical Sciences, Iran ( No. 9712218019).

Citation

Chenary, R., Karimi-Shahanjarini, A., Bashirian, S., Roshanaei, G., Fazaeli, A.A. and Jalilian, M. (2022), "Factors associated with the salt intake behaviors in women in a high-salt intake setting", Nutrition & Food Science, Vol. 52 No. 1, pp. 140-150. https://doi.org/10.1108/NFS-02-2021-0048

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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