Search Results (10)

Background/Objectives: This study aimed to examine the association between Mediterranean diet adherence and adaptive eating behaviors, specifically intuitive eating and mindful eating, among Turkish young adults. Methods: This cross-sectional study included 2293 young adults aged 18–34 years who completed an online survey between December 2023 and March 2024. Data were collected using the Mediterranean Diet Adherence Scale (MEDAS), Intuitive Eating Scale-2 (IES-2), and Mindful Eating Questionnaire (MEQ-30). One-way ANOVA compared eating behavior scores across adherence groups. Hierarchical multiple regression analyses examined the unique contribution of MEDAS scores after controlling for demographic, socioeconomic, health, lifestyle, and nutritional factors. Results: Among the participants, 64.5% demonstrated low, 27.0% moderate, and 8.4% high Mediterranean diet adherence. ANOVA revealed significant differences in both IES-2 and MEQ-30 scores across groups. In hierarchical regression, MEDAS significantly predicted intuitive eating (B = 0.023, p = 0.004, contributing 10.72% to explained variance) and mindful eating (B = 0.776, p = 0.001, contributing 13.61%) after controlling for all covariates. BMI emerged as the strongest predictor for both outcomes, with divergent associations: negative for intuitive eating and positive for mindful eating. Final models explained 5.8% and 6.2% of variance in IES-2 and MEQ-30, respectively. Conclusions: Mediterranean diet adherence demonstrated significant positive associations with both intuitive and mindful eating behaviors, independent of multiple confounders. Although effect sizes were modest, these findings suggest that promoting Mediterranean dietary patterns may complement interventions aimed at fostering adaptive eating behaviors. The divergent BMI associations warrant further investigation. Full article

Background/Objectives: Adherence to the Mediterranean Diet (MedDiet) has declined even within Mediterranean regions, while its adoption has become more common in non-Mediterranean contexts. This study compares Germany and Türkiye, two culturally contrasting contexts traditionally classified as non-Mediterranean and Mediterranean, respectively, to examine cross-cultural differences and patterns in MedDiet adherence and related lifestyle behaviors. Specifically, it aims to compare adherence to the Mediterranean lifestyle (MedLife), physical activity, and social participation, and to analyze their associations within each country. Methods: Using data from the MEDIET4ALL survey, 1184 valid responses (609 from Germany and 575 from Türkiye) were analyzed for dietary behaviors, perceived barriers to MedDiet adherence, physical activity, and social engagement, with adherence assessed via the MEDLIFE index. Results: The majority of respondents were healthy (79%), employed (67%), young adults (56%), of normal weight (51%), living in urban environments (72%), and showed a gender balance (52.5% female). Most were classified as medium MedDiet adherent in both Germany (45%) and Türkiye (56%), with no significant difference in total MedLife scores. However, block- and item-level analyses revealed that Turkish participants showed higher adherence to Mediterranean food consumption (p < 0.001), particularly in limiting processed meat and consuming legumes, dairy, nuts/olives, and olive oil. In contrast, German participants adhered more closely to recommendations for red meat and cereal intake. German participants also scored higher on lifestyle-related behaviors (e.g., regular napping and recommended sleep duration), while no significant differences were found in the dietary habits block. Awareness of the MedDiet was significantly higher among German participants (p < 0.001), with country-specific differences in perceived barriers (i.e., higher total score among Germans with p = 0.03). Germans reported more barriers related to social norms and health conditions, while Turkish respondents more often cited attitudes, cost, and individual beliefs. Physical activity levels were significantly higher in Germany, whereas Turkish respondents reported greater social participation (p < 0.001). Weak to moderate correlations (r = 0.09 to 0.035) were found between MedLife adherence and both physical activity and social participation, with stronger associations observed among German participants. Conclusions: These findings highlight the culturally embedded nature of lifestyle behaviors related to MedDiet adherence. Despite similar overall adherence levels, Germans and Turks differ in specific dietary patterns, lifestyle practices, and perceived barriers, underscoring the need for culturally tailored interventions to improve adherence. Full article

This study investigates how perceptual and emotional factors—perceived naturalness, aesthetic pleasure, environmental concern, and disgust—shape consumer acceptance of a human-hair-derived bio-fabricated textile product (a unisex cardholder). In a scenario-based online survey, participants viewed an AI-generated image accompanied by a short vignette. A purposive sample of young adults in Istanbul with prior experience purchasing sustainable textile products was recruited and screened. All constructs were measured with standard Likert-type scales and translated into Turkish using a two-way back-translation procedure. Data were analyzed with PLS-SEM. Model fit was acceptable, and the model accounted for a substantial share of the variance in adoption intention. Aesthetic pleasure showed a clear positive influence on adoption intention, whereas perceived naturalness did not display a direct effect. Environmental concern modestly strengthened the link between naturalness and adoption. Disgust emerged as the dominant moderator, fully conditioning the naturalness pathway and reducing—but not eliminating—the effect of aesthetic pleasure. Together, these findings indicate that perceived naturalness, aesthetic pleasure, environmental concern, and disgust jointly shape adoption intention and that practical emphasis should be placed on reducing feelings of disgust while enhancing aesthetic appeal. Full article

Background/Objectives: The Physical Activity and Social Support Scale (PASSS) is used to evaluate the physical activity and social support in a multidimensional way, but it has not yet been translated or culturally adapted for Turkish-speaking individuals. The aim of this study is to evaluate the validity and reliability of the Turkish version of the PASSS, which evaluates social support for physically active, healthy young adults. Methods: Two hundred and two individuals (98 females, 104 males; mean ± SD age, 26.5 ± 6.1 years; BMI, 23.3 ± 3.2 kg/m²) participated in the study. The PASSS was translated into Turkish using the Beaton guidelines. Multidimensional Scale of Perceived Social Support (MSPSS), International Physical Activity Questionnaire-Short Form (IPAQ-SF), and Short Form-12 Health Survey (SF-12) were used for construct, convergent, and divergent validity. Results: The PASSS demonstrated good internal consistency (Cronbach’s α = 0.84) and excellent reliability (ICC = 0.90; 95% CI = 0.86–0.93). The PASSS showed good correlation with the MSPSS (r = 0.378, p = 0.001), fair correlation with the IPAQ-SF (r = 0.271, p = 0.001), and poor correlation with the SF-12 physical component score (PCS-12) (r = 0.15, p = 0.03); it was not correlated with the SF-12 mental component score (MCS-12) (r = 0.102 p = 0.15). We observed no ceiling and floor effects. Conclusions: The results show that the PASSS Turkish version is reliable and valid and can be utilized for physically active, healthy young Turkish adults. Full article

Orthorexia nervosa (ON), an eating disorder marked by an obsession with healthy eating, is influenced by social and psychological factors, particularly among university students during a formative period. This study investigated the effects of eating motivations, defined by factors such as health, pleasure, social influences, and environmental concerns, on orthorexic tendencies. Using the Turkish-validated versions of ORTO-11 and The Eating Motivation Survey (TEMS—Brief version), data were collected from 416 students who meet the study participation criteria (mean age: 22.3 ± 4.41 years, 84.4% female, and mean BMI: 22.74 ± 4.54 kg/m²). The results showed that ORTO-11 scores increased significantly with BMI, indicating lower orthorexic tendencies. TEMS sub-dimensions revealed that the health sub-dimension decreased orthorexic tendencies (p = 0.044), whereas the traditional eating sub-dimension significantly increased them (p = 0.000). These findings suggest a complex interaction where prioritizing health may conflict with cultural eating norms. Interventions should address this balance by promoting a holistic approach to nutrition, integrating stress management techniques, and raising awareness of ON through targeted workshops and educational programs for students and health professionals. A long-term evaluation of these programs is essential to ensure their effectiveness in fostering healthier relationships with food and mitigating ON risk among young adults. Full article

Background: Young adulthood is a critical developmental period in which individuals establish life-long health behaviors and take responsibility for their own health care. Health promotion strategies tailored to young adults, leveraging digital tools, and addressing challenges exacerbated by events like the COVID-19 pandemic are needed. The aim of this study was to adapt the post-pandemic health promotion behavior of young adults in the digital age (PS-SGD) scale to the Turkish population in order to assess and compare the health behavior of young adults after the pandemic. Methods: A total of 312 participants, aged between 19 and 29 years, were included in the study via non-probabilistic criterion sampling, while the Turkish adaptation process started with translation and back translation methods performed with three language and two health science experts. For statistical analysis, EFA and CFA were conducted to evaluate internal consistency and structural validity. Confirmatory factor analysis was utilized to confirm the structure of the six sub-dimensions. Additionally, measurement invariance was examined regarding participants’ gender to determine if the scale accurately captured similar traits across diverse groups. The relationship between the test–retest data was tested by Pearson correlation to measure consistency and its invariance over time. Results: The gender distribution of the sample was found to be 61.3% female and 38.7% male. According to the results of EFA, items 8 and 18 were removed from the Turkish-adapted version. As a result of the reliability analysis conducted with the Turkish version of the scale, the Cronbach alpha coefficient was obtained as 0.851 for the post-pandemic health promotion behavior. Additionally, the scale was rated as reliable with the following Cronbach alpha values: 0.79 for the “personal hygiene”, 0.78 for “dietary habits”, 0.72 for “using mobile devices”, 0.70 for “emotional health”, 0.68 for “health care and physical activity”, and 0.51 for “social health” sub-dimensions. To examine the six sub-dimension factor structures of the scale, fit indices were calculated as χ²/df (1.722), GFI (0.894), IFI (0.908), TLI (0.892), CFI (0.907), RMSEA (0.048), and SRMR (0.057) and were within acceptable limits. Findings of the multi-group confirmatory factor analysis for measurement invariance were less than or equal to 0.01 for the ∆CFI and ∆RMSEA values across all indices. Consequently, it was observed that the item–factor structure, factor loadings, variances, covariances, and error variances of the scale were equivalent for both male and female young adults, while test–retest results showed a high positive correlation. Conclusions: The Turkish version of the post-pandemic health promotion behavior scale of young adults in the digital age scale, consisting of 25 items and six subscales, was proven to be a valid and reliable tool to measure health promotion behavior in young adults aged 19–29 years. Full article

This study addresses the pervasive human experience of loneliness, shifting from a traditional unidimensional perspective to a more nuanced, multidimensional understanding. The Social and Emotional Loneliness Scale for Adults (SELSA) was developed based on this conceptual shift, and this study focuses on adapting the scale to Turkish culture. Data from 197 Turkish adults (Mean age = 23 years, SD = 5.12) were analyzed using exploratory factor analysis, revealing a three-factor structure consistent with the original scale. The factors, namely social loneliness, romantic loneliness, and family loneliness, explained 23.7%, 17.5%, and 10.4% of the variance, respectively. One item was excluded from the scale due to the lack of contribution to any factor. Clear factor analysis results and high Cronbach’s alpha reliability coefficients (0.92, 0.93, and 0.90 for social, romantic, and family loneliness, respectively, and 0.90 for the total scale) indicate strong internal consistency. The findings not only affirm the applicability of SELSA in the Turkish context but also contribute to a nuanced understanding of loneliness. The multidimensional approach, supported by robust psychometric properties, offers a valuable tool for comprehensively assessing and addressing diverse facets of loneliness in Turkish young adults. Full article

Background: This study aimed to explore the effect of knowledge, COVID-19-related perceptions, and public trust on protective behaviors in Turkish people. Methods: Data were collected from an online survey (Turkish COVID-19 Snapshot Monitoring) conducted between July 2020 and January 2021. The recommended protective behaviors (hand cleaning, wearing a face mask, and physical distancing) to prevent COVID-19 were examined. The impacts of the following variables on protective behaviors were investigated using logistic regression analysis: knowledge, cognitive and affective risk perception, pandemic-related worry content, public trust, conspiracy thinking, and COVID-19 vaccine willingness. Results: Out of a total of 4210 adult respondents, 13.8% reported nonadherence to protection behavior, and 86.2% reported full adherence. Males and young (aged 18–30 years) people tend to show less adherence. Perceived self-efficacy, susceptibility, and correct knowledge were positively related to more adherence to protective behavior. Perceptual and emotional factors explaining protective behavior were perceived proximity, stress level, and worrying about the relatives who depended on them. Trust in health professionals and vaccine willingness were positive predictors, while conspiracy thinking and acquiring less information (<2, daily) were negative predictors. Unexpectedly, trust in the Ministry of Health showed a weak but negative association with protection behavior. Conclusions: Perceived stress, altruistic worries, and public trust seem to shape protection behaviors in addition to individuals’ knowledge and cognitive risk perception in respondents. Males and young people may have a greater risk for nonadherence. Reliable, transparent, and culture-specific health communication that considers these issues is required. Full article

Bulgaria’s educational and economic landscapes are marked by substantial regional disparities that are interlaced with ethnic inequalities in school-to-work transitions. Young adults from Roma and Turkish origins particularly suffer from disadvantages with respect to education and labour market participation. We ask how ethnicity affects labour market entry in Bulgaria once educational resources of different ethnic groups are accounted for, and how regional contexts impact ethnic disparities in employment insecurities. Building on comparative school-to-work transition (STWT) concepts and on the labour queueing approach, we assume that ethnic disparities in the STWTs of youths in Bulgaria depend on the degree of urbanisation and the strength and structure of the regional economy. The study draws on data from the Bulgarian School Leaver Survey 2014 of 2103 young adults who had left education in the five years preceding the survey. Descriptive analysis and multilevel logistic regression models were applied to analyse STWT patterns with a special focus on education, regional contexts, and ethnicity. The results highlight that STWT risks differ considerably across the Bulgarian regions. The strength of the local economy thereby moderates ethnic disparities. Young people from Roma and Turkish origins are much less disadvantaged to transition towards employment compared to ethnic Bulgarians the stronger the local economy gets. Our study has several policy implications. In addition to the development of public and private employment opportunities for disadvantaged young people, special attention should also be paid to the development of quality vocational education at the national and regional level. Full article

Polytobacco use has become increasingly popular among young adults, particularly males, and can be defined as the concurrent use of regular cigarettes and other tobacco products (e.g., e-cigarettes). The present study investigated the use of legal smoking products (cigarettes, waterpipe and electronic cigarettes) among young adults (n = 355) in Spain and Turkey. The survey measured demographics, lifetime and past month tobacco use, waterpipe and e-cigarette use, whether waterpipes and e-cigarettes contained nicotine and reasons for using these substances. The majority of the Turkish (men = 80% and women = 63.9%) and Spanish sample (men = 61.4% and women = 69.3%) were polytobacco users. The most common reason for using e-cigarettes was “to experiment, to see what is like” (Turkish sample: men 66.7% and women 57.1; Spanish sample: men 72.7% and women 93.8%). The most common reason to use regular cigarettes was “to relax and relieve tension” (Turkish sample: men 88.9% and women 77.6%; Spanish sample: men 78.1% and women 76%), while for waterpipe users, the most common reason was “to experiment, to see what it is like” (Turkish sample: men 93.3% and women 80%; Spanish sample: men 78.9% and women 93.8%). The implications for prevention and future research are discussed. Full article