Exploring the association between mental wellbeing, health-related quality of life, family affluence and food choice in adolescents

Jenny Davison, Barbara J. Stewart-Knox, Paul Connolly, Katrina Lloyd, Laura Dunne, B Bunting

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)
40 Downloads (Pure)


Young people choose energy-dense, nutrient-poor diets, yet understanding of potential determinants is limited. Associations between food choices, mental wellbeing, health-related quality of life (HRQoL) and family affluence were explored to identify targets for intervention to promote dietary health and wellbeing in young people. Adolescents were recruited via post-primary schools in the UK and surveyed at two time-points when aged 13-14 years and 15-16 years. The questionnaire enquired about mental wellbeing using the Short Warwick-Edinburgh Mental Wellbeing Scale, HRQoL using the KIDSCREEN-10, socio-economic status using the Family Affluence Scale and food choice by Food Frequency Questionnaire (FFQ). With missing and anomalous cases excluded, the sample comprised 1208 cases. Factor analysis on the FFQ indicated five food choice factors: 'Junk Food'; 'Meat'; 'Healthy Protein'; 'Fruit/Vegetables'; 'Bread/Dairy'. Multivariate regression analysis indicated that frequent consumption of Junk Food was associated with being male and lower mental wellbeing. Frequent Meat intake was associated with being male and with lower HRQoL. Frequent choice of Bread/Dairy foods was more common among males and associated with higher wellbeing and greater affluence. Those who consumed Fruit/Vegetables frequently were more likely to be female, have higher HRQoL, higher mental wellbeing, and greater family affluence. These direct associations endured between time points. The dietary factors were not mutually exclusive. Those who frequently chose Junk Food were less likely to choose Fruit/Vegetables. Frequent choice of Meat was associated with more frequent choice of Junk Food and Healthy Protein. Intervention to improve dietary and psychological health in young people should target males, those in less affluent households, seek to reduce consumption of 'junk' food, and increase fruit and vegetable intake. [Abstract copyright: Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.]
Original languageEnglish
Article number105020
Pages (from-to)1-12
Number of pages12
Issue number105020
Early online date7 Nov 2020
Publication statusPublished (in print/issue) - 1 Mar 2021

Bibliographical note

Funding Information:
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. This material is based upon work conducted as part of the Wellbeing in Schools (WiSe) study which was financially supported by the Centre of Excellence for Public Health (Northern Ireland), and the Centre of Evidence and Social Innovation, at Queens University Belfast. The authors would like to acknowledge the schools and their pupils, who gave their time to participate in this research.

Publisher Copyright:
© 2020 The Authors

Copyright 2020 Elsevier B.V., All rights reserved.


  • Food choice
  • health-related quality of life
  • mental wellbeing
  • family affluence
  • adolescents
  • survey
  • Family affluence
  • Health-related quality of life
  • Survey
  • Mental wellbeing
  • Adolescents
  • Food Preferences
  • Vegetables
  • Cross-Sectional Studies
  • Fruit
  • Humans
  • Feeding Behavior
  • Male
  • Socioeconomic Factors
  • Diet
  • Adolescent
  • Quality of Life
  • Female
  • Surveys and Questionnaires


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