Prevalence of Overweight and Obesity and Its Association with Nutrition-related Knowledge, Attitudes and Practices (KAP) Among Malaysian Deaf Adults
Abstract
This study examines the prevalence of overweight and obesity and determines the association between nutrition-related Knowledge, Attitudes, and Practices (KAP) and obesity among deaf adults from low-income households in Klang Valley, Malaysia. Using purposive sampling, 120 deaf adults from three community centres participated in this cross-sectional study. Anthropometric measurements and sociodemographic data were taken along with information on nutritionrelated KAP were collected via a validated questionnaire with assistance from a certified Malaysian sign language interpreter. The average age of participants was 43.1±10.5 years, with a majority being female, Malay, and educated at the secondary level. Overweight and obesity prevalence reached 58.3%. Mean scores for nutrition-related KAP were 53.1±17.5, 4.2±1.7, and 7.4±2.2, respectively. Lower scores in healthy eating practices were significantly associated with higher odds of obesity after adjusting for age, ethnicity, education years, waist-to-hip ratio and body fat percentage (OR=0.73; 95% CI: 0.55‒0.97; p<0.05). Poor eating practices are associated with obesity among deaf adults. A targeted nutrition education initiative addressing the specific needs of this population is essential to reduce obesity risks.
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References
Alnefaie M, Sampali S. 2017. Social and communication apps for the deaf and hearing impaired. 2017. Int Conf Comput Appl 120‒126. https://doi.org/ 10.1109/COMAPP.2017.8079756
Birinci FG, Sarıcoban A. 2021. The effectiveness of visual materials in teaching vocabulary to deaf students of EFL. J Lang Linguist Stud 17(1):628‒645. https://doi.org/10.52462/jlls.43
Choi GW, Chang SJ, Kim HJ, Jeong HN. 2023. Understanding health literacy of deaf persons with hypertension in South Korea: A cross-sectional study. Plos One 18(11): e0294765. https://doi.org/10.1371/journal.pone.0294765
Daniel WW. 1999. Biostatistics: A Foundation for Analysis in the Health Sciences. New York (USA): John Wiley & Sons.
Emond A, Ridd M, Sutherland H, Allsop L, Alexander A, Kyle J. 2015. The current health of the signing deaf community in the UK compared with the general population: A cross-sectional study. BMJ Open 5(1):e006668. https://doi.org/10.1136/bmjopen-2014-006668
Eng CW, Lim SC, Ngongo C, Sham ZH, Kataria I, Chandran A, Mustapha FI. 2022. Dietary practices, food purchasing, and perceptions about healthy food availability and affordability: A cross-sectional study of low-income Malaysian adults. BMC Pub Health 22(1):192. https://doi.org/10.1186/s12889-022-12598-y
Hassan MR, Ghazi HF, Umar NS, Nasri N, Jamil SM, Isa ZM, Safian N. 2015. Knowledge, attitude and practice of healthy eating and associated factors among university students in Selangor, Malaysia. Pak J Nutr 14(12): 892‒897. https://doi.org/ 10.3923/pjn.2015.892.897
Kuenburg A, Fellinger P, Fellinger J. 2016. Health care access among deaf people. J Deaf Stud Deaf Educ 21(1):1‒10. https://doi.org/10.1093/deafed/env042
Kushalnagar P, Paludneviciene R, Kushalnagar R. 2019. Video remote interpreting technology in health care: Cross-Sectional study of deaf patients’ experiences. JMIR Rehabil Assist Technol 6(1):e13233. https://doi.org/10.2196/13233
Malik VS, Willet WC, Hu FB. 2020. Nearly a decade on — trends, risk factors and policy implications in global obesity. Nat Rev Endocrinol 16(11): 615‒616. https://doi.org/10.1038/nrendo.2012.199
Marfell-Jones M, Olds T, Stewart A, Carter L. 2006. International Standards For Anthropometric Assessment. Potchefsroom (ZA): The International Society for the Advancement of Kinanthropometry (ISAK).
McKee MM, McKee K, Winters P, Sutter E, Pearson T. 2014. Higher educational attainment but not higher income is protective for cardiovascular risk in Deaf American Sign Language (ASL) users. Disabil Health J 7(1):49‒55. https://doi.org/10.1016/j.dhjo.2013.07.001
McKee MM, Paasche-Orlow MK, Winters PC, Fiscella K, Zazove P, Sen A, Pearson T. 2015. Assessing health literacy in deaf American sign language users. J Health Commun 20(sup2):92‒100. https://doi.org/10.1080/10810730.2015.1066468
McKee MM, Hauser PC, Champlin S, Paasche-Orlow M, Wyse K, Cuculick J, Buis LR, Plegue M, Sen A, Fetters MD. 2019. Deaf Adults' health literacy and access to health information: Protocol for a multicenter mixed methods study. JMIR Res Protoc 8(10):e14889. https://doi.org/10.2196/14889
Meek D. 2020. Dinner table syndrome: A phenomenological study of deaf individuals' experiences with inaccessible communication. Qual Rep 25(6):1676A‒1694. https://doi.org/10.46743/2160-3715/2020.4203
Meeze S, Mohd Rashid S, Hanafi M, Mohd Yasin MH, Ashaari NS. 2020. Special education undergraduate students perspective towards the importance of Malaysia sign language learning. Int J Psychosoc Rehabil 24(6):2269‒2277. https://doi.org/10.61841/v6ads454
Miles S, Khairuddin KF, McCracken W. 2018. Deaf learners’ experiences in Malaysian schools: Access, equality and communication. Soc Incl 6(2):46‒55. https://doi.org/ 10.17645/si.v6i2.1345
Ministry of Health Malaysia. 2019. National Health and Morbidity Survey 2019. https://iku.gov.my/nhms-2019 [Accessed 1st March 2023].
Ministry of Health Malaysia. 2023a. National Health and Morbidity Survey 2023. https://iku.gov.my/nhms-2023 [Accessed 1st August 2024].
Ministry of Health Malaysia. 2023b. Clinical Practice Guidelines: Management of Obesity. Putrajaya (KL): Ministry of Health Malaysia.
Mohd-Sidik S, Lekhraj R, Foo CN. 2021. Prevalence, associated factors and psychological determinants of obesity among adults in Selangor, Malaysia. Int J Environ Res Public Health 18(3):868. https://doi.org/10.3390/ijerph18030868
Morisod K, Malebranche M, Marti J, Spycher J, Grazioli VS, Bodenmann P. 2022. Interventions aimed at improving healthcare and health education equity for adult d/Deaf patients: A systematic review. Eur J Public Health 32(4):548‒556. https://doi.org/10.1093/eurpub/ckac056
Naseribooriabadi T, Sadoughi F, Sheikhtaheri A. 2017. Barriers and facilitators of health literacy among deaf individuals: A review article. Iran J Public Health 46(11):1465‒1474.
Nor NM, Rusli SFM, Asmawi UMM. 2023. Awareness, knowledge, and practices towards reading snack food labels among Malaysian adolescents. J Gizi Pangan 18(1):61‒70. https://doi.org/10.25182/jgp.2023.18.1.61-70
Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. 1996. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol 49(12):1373‒1379. https://doi.org/10.1016/S0895-4356(96)00236-3
Rogers KD, Ferguson-Coleman E, Young A. 2018 Challenges of realising patient-centred outcomes for deaf patients. Patient 11(1):9‒16. https://doi.org/10.1007/s40271-017-0260-x
Saintila J, Ruiz Mamani PG, Ramos-Vera C, Serpa-Barrientos A, Oblitas-Guerrero SM, Lizarraga-De-Maguiña IG, Calizaya-Milla YE. 2024. Intake of foods high in saturated fats, vegetarian dietary pattern, and sociodemographic characteristics associated with body weight in Peruvian university students. Front Nutr 11:1361091. https://doi.org/10.3389/fnut.2024.1361091
Sharif R, Lim S, Rajikan R. 2016 Nutritional and physical activity status among adults living in low-cost housing area in Selangor. JSKM 14(2):79‒88. https://doi.org/10.17576/jskm-2016-1402-10
Tsimpida D, Kaitelidou D, Galanis P. 2018. Determinants of Health- Related Quality of Life (HRQoL) among deaf and hard of hearing adults in Greece: A cross-sectional study. Arch Public Health 76(1):1‒11. https://doi.org/10.1186/s13690-018-0304-2
[WHO] World Health Organization. 2011. Waist Circumference and Waist–Hip Ratio: Report of a WHO Expert Consultation, Geneva, 8‒11 December 2008. Geneve (CH): WHO.
[WHO] World Health Organization. 2021. Deafness and hearing loss. https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss#:~:text=People%20who%20are%20hard%20of,use%20sign%20language%20for%20communication [Accessed 1st March 2024].
Yasin MHM, Tahar MM, Bari S, Manaf FN. 2017. The sign language learning in deaf student and special education teacher in integration program of hearing problem. Journal of ICSAR 1(2):166‒174. https://doi.org/10.17977/um005v1i22017p166
Young A, Ferguson-Coleman E, Keady J. 2016. Understanding dementia: Effective information access from the deaf community's perspective. Health Soc Care Community 24(1):39‒47. https://doi.org/10.1111/hsc.12181
Young A, Napier J, Oram R. 2019. The translated deaf self, ontological (in) security and deaf culture. Transl 25(4):349‒368. https://doi.org/10.1080/13556509.2020.1734165
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