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September 10, 2026BMC NutritionOpen Access

Academic and institutional determinants of artificial sweetener use among undergraduates in Southeast Nigeria: a structural equation modeling study

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Authors

PUPatricia O. UkegbuBOBeulah F. OrtutuAAAugusta C. Amaeze

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Overview

Cross-sectional study reveals that institutional environment and knowledge directly drive artificial sweetener use in undergraduates, indicating that campus context outweighs personal attitudes.

Key Points

  • To examine the academic and institutional determinants and structural pathways governing artificial sweetener consumption among university undergraduates.
  • Conducted a cross-sectional survey of 1,473 undergraduate students across two public universities (one federal and one state) in Southeast Nigeria.
  • Assessed knowledge, attitudes, and practices (KAP) using structured and food frequency questionnaires.
  • Analyzed predictors and behavioral pathways using multivariable logistic regression, structural equation modeling, and mediation analysis with 5,000 bias-corrected bootstrap resamples.
  • Federal university students exhibited significantly higher odds of good knowledge (AOR = 1.86, 95% CI: 1.39–2.49, p < 0.001) and higher consumption practice scores (AOR = 5.15, 95% CI: 3.75–7.07, p < 0.001) compared to state university students.
  • Structural equation modeling showed that knowledge directly predicted both attitude (β = 0.783, p < 0.001) and consumption practice (β = 0.685, p < 0.001), whereas the direct path from attitude to practice was not statistically significant.
  • Attitude partially mediated the relationship between knowledge and practice (indirect effect β = 0.097, 95% CI: 0.050–0.167).

Cite This Study

Ukegbu et al. (2026) studied this question.

synapsesocial.com/papers/6aa27ba958559d80afc74fe5https://doi.org/10.1186/s40795-026-01465-3
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