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1.
Jessica N. Fish John E. Schulenberg Stephen T. Russell 《The Journal of adolescent health》2019,64(2):186-193
Purpose
To examine standard binge drinking (≥4 drinks for females, ≥5 drinks for males) and high-intensity binge drinking (≥8 drinks for females, ≥10 drinks for males) among heterosexual and sexual minority youth in the US and whether reports of school-based victimization mediate this association.Methods
Survey data are from the 2015 Youth Risk Behavior Survey (YRBS; n?=?10,839, Mage?=?16.07). Logistic regression adjusted for race/ethnicity and age compared rates of standard and high-intensity binge drinking among heterosexual and sexual minority youth and whether experiences of school-based victimization mediated this association. Effects were tested in full sample and sex-stratified models.Results
Lesbian and bisexual girls and girls with male and female partners were more likely than heterosexual girls to report standard rates of binge drinking. Lesbian girls and girls reporting male and female sexual partners were more likely than heterosexual girls to report high-intensity binge drinking in the past 30 days. Compared with heterosexual boys, gay boys were significantly less likely to participate in high-intensity binge drinking. School-based victimization mediated all significant associations between sexual minority status and standard and high-intensity binge drinking, with the exception of lesbian girls.Conclusion
Lesbian and behaviorally bisexual girls have elevated risk for high-intensity binge drinking relative to heterosexual girls. Findings point to the importance of policies that reduce school-based victimization as these experiences are associated with higher rates of standard and high-intensity binge drinking among sexual minority girls. 相似文献2.
Alyssa J. Moran Neha Khandpur Michele Polacsek Anne N. Thorndike Rebecca L. Franckle Rebecca Boulos Sally Sampson Julie C. Greene Dan G. Blue Eric B. Rimm 《Journal of nutrition education and behavior》2019,51(4):400-408
Objective
To evaluate the effects of a supermarket meal bundling and electronic reminder intervention on food choices of families with children.Design
Quasi-experimental (meal bundling) and randomized, controlled trial (electronic reminders).Setting
Large supermarket in Maine during 40-week baseline and 16-week intervention periods in 2015–2016.Participants
English-speaking adults living with at least 1 child aged ≤18 years (n?=?300) with 25% of households participating in the Supplemental Nutrition Assistance Program.Intervention(s)
(1) Four bundles of ingredients needed to make 8 low-cost healthful meals were promoted in the store through displays and point-of-purchase messaging for 4 weeks each; (2) weekly electronic messages based on principles from behavioral psychology were sent to study participants reminding them to look for meal bundles in the store.Main Outcome Measures
(1) Difference in storewide sales and individual purchases of bundled items (measured using supermarket loyalty card data) from baseline to intervention in intervention vs control groups.Analysis
Regressions controlling for total food spending and accounting for repeated measures.Results
There were no differences in spending on bundled items resulting from the meal bundling intervention or the electronic reminders.Conclusions and Implications
Overall, there was little impact of healthful meal bundles and electronic reminders on storewide sales or purchases of promoted items in a large supermarket. 相似文献3.
4.
Silvia Lepe Jennifer Goodwin Katie T. Mulligan Kate Balestracci Linda Sebelia Geoffrey Greene 《Journal of nutrition education and behavior》2019,51(3):307-317
Objective
To conduct a comprehensive process evaluation of a policy, systems, and environmental (PSE) change intervention.Design
Quasi-experimental, mixed methods.Setting
Low-income urban school district.Participants
Fifth-grade students in 4 schools assigned to 2 intervention and 2 comparison schools (intervention, n?=?142; comparison, n?=?170).Intervention
Both groups received a nutrition curriculum delivered by classroom teachers. Intervention schools also received 10 PSE lessons taught by paraprofessional educators.Main Outcome Measures
Quantitative data were obtained from fidelity and observation checklists, grading rubrics and self-reported student surveys. Focus group and interviews provided qualitative data. Quantitative measures included assessments of PSE and fruit and vegetable knowledge, as well as assessment of times fruits and vegetables (FV) were consumed yesterday.Analyses
Qualitative data were analyzed using inductive content analysis. Quantitative data were analyzed using repeated measures analysis of variance and analysis of co-variance.Results
Fidelity, dose, reach, and acceptance of PSE intervention were high; students felt more empowered, although PSE lessons were considered lengthy and complicated. Intervention PSE and FV knowledge scores were significantly higher than comparison scores (F37.56, P < .001; and F3.94, P < .05, respectively). However, issues in communication were identified between school staff and researchers.Conclusions and Implications
Policy, systems, and environmental classroom interventions commented on the differences between quantitative and qualitative assessments, and this suggests the need for more sensitive quantitative assessments. Future research should look at long-term outcomes as this study only looked at short-term outcomes. 相似文献5.
Nathalie Michels Karen Van den Bussche Johan Vande Walle Stefaan De Henauw 《Journal of nutrition education and behavior》2019,51(1):32-40
Objective
To investigate school policies and practices related to drinking fluids and toileting and test their association with children's hydration status and toilet behaviors.Design
Cross-sectional study in 2014.Setting
Seventeen Belgian primary schools.Participants
A total of 416 children (aged 7–13 years).Main Outcome Measures
Hydration was measured by urinary osmolality in a pooled school-day sample and by impedance-based body water percentage. Children reported how much they liked school toilets. School policy and practices were reported by schools on 59 items over 10 policy components.Analysis
Multilevel logistic regression analyses adjusted for age, sex, region and socioeconomic status.Results
School's weaknesses were the lack of policy participation by parents and children; official agreements (only in 11%); organizing education on drinking and toilet visits; and toilet infrastructure. Children's hydration was higher in schools that (1) made water available, (2) organized toilet and drinking related education, (3) had formal agreements on drinking and toilet visits, and (4) had good toilet maintenance. Children liked school toilets more in schools that (1) organized toilet and drinking related education, (2) had an official policy on drinking, (3) had good toilet infrastructure, and (4) allowed policy participation by parents and children.Conclusions and Implications
Specific action points for school management and government to improve children's hydration at school were detected by focusing on both drinking and toilet practices/infrastructure. 相似文献6.
The Role of Self-Identity in Predicting College Students’ Intention to Consume Fruits and Vegetables
Objective
To identify factors influencing intention to consume fruits and vegetables (F&V) among college students by applying the Theory of Planned Behavior with the inclusion of self-identity and past behavior.Design
Cross-sectional study conducted in 2017.Setting
Undergraduate classes at the University of Alabama.Participants
A total of 343 undergraduate students, mean age 20.3 years, participated in the study.Main Outcome Measure(s)
Participants completed validated instruments measuring Theory of Planned Behavior variables, past behavior, and self-identity.Analysis
Structural equation modeling was used to analyze the data. Overall chi-square goodness of fit, comparative fit index, root mean square error of approximation, and Tucker-Lewis Index were used to assess model fit.Results
Model fit indices showed that the hypothesized structural equation modeling model provided a good fit to the data (χ2?=?306.35; degrees of freedom?=?104, root mean square error of approximation?=?0.08; comparative fit index =0.95; Tucker-Lewis Index?=?0.94). Self-identity was the most significant predictor of intention to consume fruits and vegetables, followed by attitude, past behavior, perceived behavioral control, and subjective norm among college students.Conclusions and Implications
Nutrition education advocating the role of increased F&V consumption in positive self-identity, such as handouts incorporating images relatable to college students, may increase college students’ intention to consume F&V. 相似文献7.
Pamela Ann Koch Isobel R. Contento Heewon L. Gray Marissa Burgermaster Lorraine Bandelli Emily Abrams Jennifer Di Noia 《Journal of nutrition education and behavior》2019,51(4):440-455
Objective
To evaluate Food, Health, & Choices, two 10-month interventions.Design
Cluster-randomized, controlled study with 4 groups: curriculum, wellness, curriculum plus wellness, and control.Setting
Twenty elementary schools (5/group) in New York City.Participants
Fifth-grade students (n?=?1,159). At baseline, 44.6% were at the ≥85th body mass index (BMI) percentile for age and 86% qualified for free or reduced-price lunch.Intervention
Curriculum was 23 science lessons based on social cognitive and self-determination theories, replacing 2 mandated units. Wellness was classroom food policy and physical activity bouts of Dance Breaks.Main Outcome Measures
For obesity, age- and sex-specific BMI percentiles were used (anthropometric measures). The researchers also employed 6 energy balance-related behaviors and 8 theory-based determinants of behavior change (by questionnaire).Analysis
Pairwise adjusted odds in hierarchical logistic regression models were determined for >85th BMI percentile. Behaviors and theory-based determinants were examined in a 2-level hierarchical linear model with a 2?×?2 design for intervention effects and interactions.Results
Obesity showed no change. For behaviors, there was a negative curriculum intervention change in physical activity (P?=?.04). The wellness intervention resulted in positive changes for sweetened beverages frequency (P?=?.05) and size (P?=?.006); processed packaged snacks size (P?=?.01); candy frequency (P?=?.04); baked good frequency (P?=?.05); and fast food frequency (P?=?.003), size (P?=?.01), and combo meals (P?=?.002). Theory-based determinants demonstrated no change.Conclusions and Implications
The findings of the lack of a decrease in obesity, behavior changes only for the wellness intervention, and no changes in theory-based determinants warrant further research. 相似文献8.
Karla L. Hanson Jennifer Garner Leah M. Connor Stephanie B. Jilcott Pitts Jared McGuirt Raiven Harris Jane Kolodinsky Weiwei Wang Marilyn Sitaker Alice Ammerman Rebecca A. Seguin 《Journal of nutrition education and behavior》2019,51(1):57-67
Objective
Describe fruit and vegetable (FV) preferences and other factors that may influence participation in community-supported agriculture (CSA).Design
In-depth, semi-structured interviews.Setting
Eight rural/micropolitan communities in 4 US states.Participants
There were 41 caregivers and 20 children (8–12 years of age) from low-income, English-speaking households.Phenomena of Interest
Knowledge, attitudes, and behaviors regarding FVs; perceived barriers to CSA participation.Analysis
Transcribed verbatim and iteratively coded.Results
Caregivers and children believed FVs were important to health, yet FVs were not featured in dinners or snacks and consumption was challenged by limited preferences and neophobia. Few caregivers and children knew about the seasonality of FV. Most caregivers were unfamiliar with CSA and had concerns about CSA cost, accessibility, produce quality, and selection.Conclusions and Implications
These qualitative data support improvements in: 1) CSA distribution practices to offer flexible payment and pick-up options, more fruits, and self-selection of FV; 2) public awareness of produce seasonality and the CSA distribution model as necessary precursors to participation, and lower cost for low-income families who highlighted this barrier; and 3) capacity to prepare FV by enhancing skills and providing time-saving kitchen tools. Approaches to aligning CSA practices with the needs and preferences of low-income families warrant further research. 相似文献9.
10.
Tony K.C. Yung Jean H. Kim Sing-Fai Leung Rebecca M.W. Yeung Annette N.Y. Poon Edmond W.C. Au Joseph T.F. Lau 《Journal of nutrition education and behavior》2019,51(2):162-172
Objective
Restrictive food avoidance behavior among Chinese cancer patients is common. Yet, to the authors’ knowledge, no study has investigated factors associated with such behavior. This study attempted to validate a new measurement tool, the Cancer Patients Food Avoidance Behaviors Scale (CPFAB), that assessed cancer patients’ belief regarding 5 perceived benefits of practicing food avoidance, and to test its applicability.Design
Cross-sectional face-to-face interviews.Setting
Two outpatient oncology clinics in 2 different districts of Hong Kong.Participants
A total of 245 patients with nasopharyngeal and colorectal cancer.Main Outcome Measures
Assessment of psychometric properties of the CPFAB.Analysis
Principal components method with oblique (Promax) rotations was performed to investigate the factor structure of the CPFAB.Results
Psychometric properties, which included test-retest intraclass correlations (mean?=?0.72; SD?=?0.12), Cronbach α (.88–.94), floor (0.4% to 5.7%) and ceiling (0% to 7.3%) effects, and item-subscale (0.67–0.79) and subscale-total (0.68–0.89) correlations, were satisfactory.Conclusions and Implications
The CPFAB, a new instrument used to assess food avoidance, was developed and validated. It showed satisfactory psychometric properties and can be used to evaluate interventions that seek to modify food avoidance attitudes among cancer patients. 相似文献11.
12.
Amanda Walch Philip Loring Rhonda Johnson Melissa Tholl Andrea Bersamin 《Journal of nutrition education and behavior》2019,51(3):318-325
Objective
To identify practices, attitudes, and beliefs associated with intake of traditional foods among Alaska Native women.Design
Cross-sectional study that measured traditional food intake; participation in food-sharing networks; presence of a hunter or fisherman in the home; the preference, healthfulness, and economic value of traditional foods; and financial barriers to obtaining these foods.Participants
Purposive sample of 71 low-income Alaska Native women receiving Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) assistance in Anchorage, AK.Analysis
Bivariate and multivariate regression analyses.Results
Traditional foods contributed 4% of total daily calories. Given a choice, 63% of participants indicated that they would prefer half or more of the foods they ate to be traditional (ie, not store-bought). The majority of participants (64%) believed that traditional foods were healthier than store-bought foods. Of all participants, 72% relied on food-sharing networks for traditional foods; only 21% acquired traditional foods themselves. Participants who ate more traditional foods preferred traditional foods (B?=?.011 P?=?.02).Implications for Research and Practice
Traditional food intake was low and findings suggested that Alaska Native women living in an urban setting prefer to consume more but are unable to do so. Future research might examine the effect of enhancing social networks and implementing policies that support traditional food intake. 相似文献13.
Objectives
To validate the Healthy Youth Environment Survey, a pre-then-post survey completed by teachers to capture nutrition and physical activity-related changes in the classroom and school environment.Methods
Analysis included 679 pretest surveys. A factor analysis was conducted to establish construct validity and Cronbach α was established to assess internal consistency reliability.Results
The factor analysis extracted 10 main factors, with 97% of variables loading (≥ +0.30 factor loading) onto appropriate factors. After deleting one question, 6 of the 10 factors demonstrated acceptable internal reliability (Cronbach α ≥ 0.70).Conclusions and Implications
After revision and subsequent retesting of construct validity, internal reliability, along with cognitive testing, The Healthy Youth Environment Survey may be suitable for use by other SNAP-Ed agencies implementing multi-level policy, systems, and environmental (PSE) interventions within youth education settings. 相似文献14.
Qi Zhang Rajan Lamichhane Mia Wright Patrick W. McLaughlin Brian Stacy 《Journal of nutrition education and behavior》2019,51(2):182-189
Objective
To examine the trends in breastfeeding disparities across Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) eligibility and participation statuses in the last 2 decades.Design
Secondary analyses from multiple cross-sectional surveys.Setting
United States.Participants
The National Health and Nutrition Examination Survey 1999–2014 included 10,696 children younger than 60 months. Birth cohorts in 4-year increments were created from 1994 to 2014.Main Outcome Measures
Ever-breastfed status and breastfed-at-6-months status.Analysis
The prevalence rates of ever-breastfed and breastfed at 6 months were estimated between WIC-eligible vs non-eligible children and WIC-eligible participants vs eligible nonparticipants. Prevalence rates and their 95% confidence intervals were plotted across birth cohorts. Log-binomial regression was conducted to test the trends of breastfeeding in each subgroup.Results
Ever-breastfeeding rates increased from 52% (WIC participants) vs 57% (WIC-eligible nonparticipants) in the 1994–1997 birth cohort to 71% vs 77% in the 2010–2014 birth cohort—a 36% vs 34% relative increase for participants vs eligible nonparticipants, respectively (P < .001). Breastfeeding-at-6-month rates increased from 28% (participants) vs 30% (eligible nonparticipants) to 34% vs 49% in the same time period—a 21% vs 66% relative increase, respectively (P < .001).Conclusion and Implications
To meet the Healthy People 2020's goal for breastfeeding at 6 months, sustainable postpartum breastfeeding education and interventions may be needed among WIC participants. Future research focusing on identification of the causal relationship between WIC participation and breastfeeding outcomes is warranted. 相似文献15.
Ian Yi Han Ang Randi L. Wolf Pamela A. Koch Heewon L. Gray Raynika Trent Elizabeth Tipton Isobel R. Contento 《Journal of nutrition education and behavior》2019,51(1):68-79
Objective
Assess impact of school lunch environmental factors on fruit and vegetable (F&V) consumption in second and third grade students.Design
Cross-sectional observations in 1 school year.Participants
Students from 14 elementary schools in 4 New York City boroughs (n?=?877 student-tray observations).Main Outcome Measure(s)
Dependent variables were F&V consumption collected by visual observation. Independent variables included school lunch environmental factors, and individual-level and school-level demographics.Analysis
Hierarchical linear modeling was used with F&V consumption as the outcome variable, and relevant independent variables included in each model.Results
Slicing or precutting of fruits and having lunch after recess were positively associated (P < .05) with .163- and .080-cup higher fruit consumption across all students, respectively. Preplating of vegetables on lunch trays, having 2 or more vegetable options, and having lunch after recess were positively associated (P < .05) with .024-, .009-, and .007-cup higher vegetable consumption across all students, respectively.Conclusions and Implications
Although there was a small increase in intake, results of the study support that some school lunch environmental factors affect children's F&V consumption, with some factors leading to more impactful increases than others. Slicing of fruits seems most promising in leading to greater fruit consumption and should be further tested. 相似文献16.
José Azevedo Patrícia Padrão Maria J. Gregório Carla Almeida Nuno Moutinho Nanna Lien Renata Barros 《Journal of nutrition education and behavior》2019,51(3):326-334
Objective
Assess the impact of a web-based gamification program on nutrition literacy of families and explore differences in impact by socioeconomic status.Design
Quasi-experimental.Setting
Thirty-seven kindergartens from Portugal.Participants
Eight hundred seventy-seven families.Intervention
Web-based social network of participants' interactions, educational materials, apps and nutritional challenges, focused on fruit, vegetables, sugar, and salt.Main Outcome Measures
Parental nutrition literacy (self-reported survey – 4 dimensions: Nutrients, Food portions, Portuguese food wheel groups, Food labeling).Analysis
General linear model – Repeated measures was used to analyze the effect on the nutrition literacy score.Results
Families uploaded 1267 items (recipes, photographs of challenges) and educators uploaded 327 items (photographs, videos) onto the interactive platform. For the intervention group (n?=?106), the final mean (SD) score of nutrition literacy was significantly higher than the baseline: 78.8% (15.6) vs 72.7% (16.2); P < .001, regardless of parental education and perceived income status. No significant differences in the scores of the control group (n?=?83) were observed (final 67.8% [16.1] vs initial 66.4% [15.6]; P?=?.364).Conclusions and Implications
Gamified digital interactive platform seems to be a useful, easily adapted educational tool for the healthy eating learning process. Future implementations of the program will benefit from longer time intervention and assessment of the eating habits of families before and after intervention. 相似文献17.
Alexandra L. MacMillan Uribe Kaitland R. Woelky Beth H. Olson 《Journal of nutrition education and behavior》2019,51(4):409-418
Objective
Explore current maternal and infant nutrition education practices and family medicine primary care providers' views on a group care model to deliver nutrition education to mother–infant dyads.Design
In-depth interviews.Setting
Family medicine clinics in 1 Midwestern US hospital system.Participants
Family medicine primary care providers (n?=?17) who regularly see infants during well-baby visits.Phenomenon of Interest
Current maternal and infant nutrition education practices; views on ideal way to deliver nutrition education to mother–infant dyads; feedback on group care model to deliver nutrition education to mother–infant dyads.Analysis
Audio recordings transcribed verbatim and coded using conventional content analysis.Results
Family medicine primary care providers are limited in the ability to provide maternal and infant nutrition education and desire a different approach. Group care was the preferred method; it was shared most frequently as the ideal approach to nutrition education delivery and participants reacted favorably when presented with this model. However, there were many concerns with group care (eg, moderating difficult conversations, program implementation logistics, sufficient group volume, and interruption in patient–provider relationship).Conclusion and Implications
Family medicine primary care providers desire a different approach to deliver nutrition education to mother–infant dyads in clinic. A group care model may be well-accepted among family medicine primary care providers but issues must be resolved before implementation. These results could inform future group care implementation studies and influence provider buy-in. 相似文献18.
Rosanna P. Watowicz Randell K. Wexler Rick Weiss Sarah E. Anderson Amy R. Darragh Christopher A. Taylor 《Journal of nutrition education and behavior》2019,51(2):129-137.e1
Objective
To evaluate the effectiveness of nutrition counseling for patients with hypertension, provided in a grocery store setting.Design
Single-arm pretest–posttest design implementing a 12-week dietary intervention.Setting
Grocery store.Participants
Thirty adults with hypertension recruited from a primary care practice.Intervention
Registered dietitian nutritionists provided counseling based on the Dietary Approaches to Stop Hypertension diet.Main Outcome Measures
Dietary intake patterns and Healthy Eating Index-2010 (HEI-2010) scores measured via food-frequency questionnaire. Change in systolic blood pressure (SBP) was a secondary outcome.Analysis
Paired t tests were used to test for differences between HEI-2010 scores, intake of key food pattern components, and SBP at baseline compared with follow-up. Statistical significance was established at P ≤ .05.Results
Eight HEI-2010 component scores increased significantly from baseline to follow-up (a change toward a more desirable eating pattern): total fruit, whole fruit, greens and beans, whole grains, fatty acids, refined grains, and empty calories. Sodium (P < .001), saturated fat (P < .001), discretionary solid fat (P < .001), added sugars (P?=?.01), and total fat (P < .001) all decreased significantly. The change in SBP was not significant.Conclusions and Implications
Grocery store–based counseling for patients with hypertension may be an effective strategy to provide lifestyle counseling that is not typically available within primary care. 相似文献19.
Christine M. Olson Myla S. Strawderman Meredith L. Graham 《Journal of nutrition education and behavior》2019,51(4):391-399
Objectives
To describe (1) the use of a diet goal-setting tool in a self-directed online intervention aimed at promoting a healthy lifestyle, and (2) the association of tool use with gestational weight gain (GWG).Design
Cross-sectional analysis of data from the intervention group in a randomized effectiveness trial.Setting
An urban county in the northeastern US.Participants
A total of 898 healthy pregnant women aged 18–35 years with body mass indexes of (BMI) ≥18.5 and <35; 39.1% were low-income.Main Outcome Measures
Physical, sociodemographic, and psychosocial characteristics; use of tool features; and GWG.Analysis
Frequencies, chi-square tests of independence, and regression analysis.Results
Use of the online dietary tool was 45.1% completed the assessment, 35.3% set a goal, and 22.6% engaged in self-monitoring. Among women with normal BMI, setting ≥2 goals and engaging in self-monitoring were significantly (P < .05) associated with less GWG. Among women with higher BMI, setting ≥2 goals was significantly associated with greater GWG.Conclusions and Implications
Although online diet goal setting is a potentially effective weight management tool for pregnant women with normal BMI, findings suggest that it may not be for higher-BMI women. Additional research is needed to explain this finding. 相似文献20.
Emily Rogers Lucinda Bell Kaye Mehta 《Journal of nutrition education and behavior》2019,51(3):300-306