Affiliation:
1. One Health Research Group Universidad de Las Américas Quito Ecuador
2. Cambridge Centre for Sport and Exercise Sciences Anglia Ruskin University Cambridge UK
3. School of Medicine Ulster University Londonderry UK
4. Cardiovascular Risk Unit, Hospital General Universitario University of Valencia Valencia Spain
5. CIBER Fisiopatología de la Obesidad y Nutrición (CIBER Obn), Instituto de Salud Carlos III Madrid Spain
6. Gasol Foundation Europe Barcelona Spain
7. CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III Madrid Spain
8. Cardiovascular Risk and Nutrition Research Group (CARIN) Hospital del Mar Research Institute Barcelona Spain
9. Nursing and Physiotherapy Department University of Lleida Lleida Spain
Abstract
AbstractPrevalence studies about family meals, including large and representative samples of children and adolescents on this topic, are scarce. Therefore, the aim of this study was twofold: first, to determine the prevalence of daily family meals in large and representative samples of school‐going children and adolescents from 43 countries, and second, to identify the sex, age, socioeconomic status (SES), family structure, immigrant status and parental labour market status inequalities associated with this prevalence. Using data from the 2017/2018 wave of the Health Behaviour in School‐aged Children study, a total of 179,991 participants from 43 countries were involved in this cross‐sectional study. Family meals were assessed by the following question: ‘How often do you and your family usually have meals together?’. Participants had five different response options: ‘every day’, ‘most days’, ‘about once a week’, ‘less often’, and ‘never’. The meta package was utilized for conducting a meta‐analysis of single proportions, specifically applying the metaprop function. The analysis involved pooling the data using a random‐effects model and presenting the outcomes through a forest plot generated using the inverse variance method. Moreover, we applied generalized linear mixed models to explore the relationships between the studied sociodemographic factors as fixed effects, country as a random effect and the status of daily family meals as an outcome. Overall, the prevalence of daily family meals was 49.12% (95% confidence interval [CI]: 45.00–53.25). A greater probability of having daily family meals was identified for children aged 10–12 years (61.55%; 95% CI: 57.44%–65.49%), boys (61.55%, 95% CI: 57.44%–65.49%), participants with high SES (64.66%, 95% CI: 60.65%–68.48%), participants with both parents at home (65.05%, 95% CI: 61.16%–68.74%) and those with both unemployed parents (61.55%, 95% CI: 57.44%–65.49%). In the present study, which included large representative samples of school‐going children and adolescents from 43 countries, more than half of the participants did not have daily family meals.