Journal of Nutrition Education and Behavior最新文献

{"title":"Associations of Housing, Food, and Dual Insecurity With the Social Determinants of Health Among Older Americans","authors":"","doi":"10.1016/j.jneb.2024.05.061","DOIUrl":"10.1016/j.jneb.2024.05.061","url":null,"abstract":"<div><h3>Background</h3><p>Basic needs such as housing and food security are essential in health and wellbeing among older adults. Adverse social determinants of health (SDOH) increase unmet social needs and barriers to optimal health. The adverse SDOH associated with housing, food, and dual housing-food insecurity are less understood for older adults.</p></div><div><h3>Objective</h3><p>Using an SDOH framework, this study examined any association between housing, food, and dual insecurity, and the SDOH among older US adults.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This cross-sectional study used nationally representative data from the 2022 National Health Interview Survey for adults aged 65 and older (N=8,835).</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Outcome measures were housing insecurity (receipt of housing assistance), food insecurity (based on the USDA Adult Food Security Module), and dual insecurity. Controlling for individual heterogeneity, stratified logistic regression models were used to evaluate associations between food, housing, and dual insecurity, and the SDOH.</p></div><div><h3>Results</h3><p>Regression analyses showed significantly higher likelihoods of housing insecurity among Blacks (OR=3.36, CI=2.42, 4.68), individuals with less than a high school education background (OR= 2.02, CI=1.20, 3.41), and low-income earners (OR= 29.49, CI=12.94, 67.21) relative to their counterparts, but a relatively lower likelihood of housing insecurity among those in larger households (OR= 0.28, CI=0.18, 0.44). Individuals with only a high school education background (OR= 1.92, CI=1.29, 2.87), Blacks (OR=1.88, CI=1.30, 2.72), low-income earners (OR=10.38, CI=5.76, 18.69), and those without reliable transportation (OR= 2.99, CI=2.06, 4.34) were more likely to experience food insecurity. Dual insecurity was a more likely challenge among individuals without reliable transportation (OR=6.57, CI=2.82, 15.31), Blacks (OR=2.28, CI=1.07, 4.85), and low-income earners (OR=16.59, CI=2.30, 119.71), but less likely among those in larger households (OR=0.17, CI=0.05, 0.62).</p></div><div><h3>Conclusions</h3><p>Income, race, and limited availability of material resources are associated with housing, food, and dual insecurity. Our findings highlight the need to address unmet basic needs, specifically, housing and food insecurity challenges among low-income and racially minoritized older adults. Additional research is needed to inform the best course of mitigation.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S24"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child and Adult Care Food Program Meal Reimbursement Rates and Program Participation by Family Child Care Homes in California","authors":"Susana Matias PhD,&nbsp;Danielle Lee MPH, RDN,&nbsp;Kassandra Bacon MPH,&nbsp;Samantha Kay-Daleiden Marshall MA,&nbsp;Elyse Homel Vitale MPH,&nbsp;Celeste Felix MPH,&nbsp;Lorrene Ritchie PhD, RD","doi":"10.1016/j.jneb.2024.05.064","DOIUrl":"10.1016/j.jneb.2024.05.064","url":null,"abstract":"<div><h3>Background</h3><p>The Child and Adult Care Food Program (CACFP) provides tiered reimbursements (I/II) to family childcare homes (FCCH) to serve healthy foods to a large proportion of children from households with low-income. Due to COVID-19, federal waivers allowed all FCCH on CACFP to temporarily receive the higher Tier-I reimbursement rate from Jul. 1 2021-Jun. 30, 2023.</p></div><div><h3>Objective</h3><p>The study objective was to evaluate the impact of the increase in reimbursement on CACFP participation rates among FCCH in California.</p></div><div><h3>Study Design, Settings, Participants</h3><p>We conducted a secondary analysis of program data collected by the relevant state agency between Oct. 2018-Dec. 2023. The sample included all licensed FCCH in California (∼28,000).</p></div><div><h3>Measurable Outcome/Analysis</h3><p>We analyzed trends using Joinpoint regression (segmented regression) to detect monthly percent changes (MPC) and identify significant shifts in CACFP participation (p 90% of CACFP FCCH).</p></div><div><h3>Results</h3><p>Monthly percent changes (MPC) were detected and significant shifts in CACFP participation (p 90% of CACFP FCCH) identified. A different pattern was observed among Tier-II FCCH, which received a substantial increase in meal reimbursement during the waiver period. CACFP participation in this group increased from Oct. 2018-Sep. 2020 (MCP=0.12), followed by monthly decreases (MCP=-0.51), but only through May 2021, the month following the announcement of the waiver. No significant trend was detected from May 2021–Jun. 2022 (MCP=0.08). Newly analyzed results on trends from Jun. 2022-Dec. 2023 will also be presented.</p></div><div><h3>Conclusions</h3><p>Among Tier-II FCCH, the temporary increase in meal reimbursement appears to have stopped the decreasing CACFP participation rates that were likely due to the pandemic. This suggests that higher reimbursements could increase CACFP participation among this FCCH group, which currently serves more than 200,000 meals/month to young children in California.</p></div><div><h3>Funding</h3><p>Robert Wood Johnson Foundation UC San Francisco California Collaborative for Pandemic Recovery and Readiness Research (CPR³), funded by the California Department of Public Health (CDPH)</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S25-S26"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Measures of Psychological Resilience Vary With Self-Perceived Body Weight Status?","authors":"Jason Alme BS,&nbsp;Jesse Stabile Morrell PhD","doi":"10.1016/j.jneb.2024.05.019","DOIUrl":"10.1016/j.jneb.2024.05.019","url":null,"abstract":"<div><h3>Background</h3><p>Research suggests underestimation of body weight may be associated with beneficial psychological resilience against consequences of obesity, compared with accurate perception. Less is known about the comparison between those who underestimate versus those who overestimate their body weight.</p></div><div><h3>Objective</h3><p>To investigate differences in life satisfaction, social/emotional support, and weight change intentions between those who underestimate vs overestimate vs accurately perceive their body weight.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Data were collected between 2008-2023 from the College Health and Nutrition Assessment Survey, a cross-sectional study of undergraduates, ages 18-24 years. After exclusions for missing data, the final sample (n=8203) was 93.9% white, 69.3% female, and had a mean age of 18.9±1.1.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Weight self-perception, weight change intent, life satisfaction, and social/emotional support, were measured via online survey. BMI (kg/m2) was calculated via height and weight measured by technicians, then compared with weight self-perception to determine self-perception accuracy. Chi-square analysis was used to evaluate differences between self-perception accuracy categories.</p></div><div><h3>Results</h3><p>About two-thirds (68.9%) perceived their weight category accurately, while one-third (31.1%) misperceived, with 19.5% underestimating and 11.6% overestimating. Women were more likely to overestimate (14.7% vs. 4.6%, p&lt;.001), while men were more likely to underestimate their weight (37.5% vs. 11.6%, p&lt;.001). Underestimaters were more likely to report weight maintenance intent or no weight change intent vs. overestimaters (33.2% vs. 14.2%, p&lt;.001). Overestimaters were less likely to report high life satisfaction compared with underestimators and accurate perceivers (19.9% vs. 35.8% vs. 33.4%, p&lt;.001). No differences in self-reported social support between groups were observed.</p></div><div><h3>Conclusions</h3><p>In young adults, data suggest underestimation of weight was associated with less intentional weight change behavior and higher life satisfaction. These results may help guide practitioners working with young adults by revealing differing patterns in weight misperception.</p></div><div><h3>Funding</h3><p>NIFA, New Hampshire Agriculture Experiment Station, USDA National Institute of Food and Agriculture Project 1010738, and the State of New Hampshire</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S7"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Greater Pulse Consumption in Children is Associated With a Higher Diet Quality and Improved Shortfall Nutrient Intakes","authors":"Yanni Papanikolaou MPH, BA, BS,&nbsp;Sofia Papanikolaou,&nbsp;Joanne Slavin PhD, RD,&nbsp;Victor Fulgoni PhD","doi":"10.1016/j.jneb.2024.05.073","DOIUrl":"10.1016/j.jneb.2024.05.073","url":null,"abstract":"<div><h3>Background</h3><p>Data examining pulse consumption patterns in children and associations to diet quality and nutrient intakes remains limited.</p></div><div><h3>Objective</h3><p>To identify commonly consumed pulse dietary patterns in American children and assess shortfall nutrient intakes and diet quality relative to children whose typical dietary pattern avoids pulses.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A secondary analysis using data from the National Health and Nutrition Examination Survey, 2001-2018 was completed in children (N=9,578; 2-18 years-old). Cluster analysis identified pulse patterns of consumption, while the USDA food coding system defined daily pulses consumed. Five pulse dietary patterns of consumption were identified, of which four patterns included both canned beans and dried beans, while one pattern had no pulse consumption. Pulse consumption was defined as those consuming kidney beans, black beans, chickpeas, and/or pinto beans.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Least square means for nutrient intakes and diet quality outcomes (as measured by USDA's Healthy Eating Index-2015) were examined. Completed and reliable 24-hour recall data were considered in the analyses.</p></div><div><h3>Results</h3><p>Greater consumption of pulses, concurrent to lower consumption of foods from USDA's mixed dishes and sweet snacks categories, was associated with significant greater shortfall nutrient intakes relative to the no pulse dietary pattern. A dietary pattern comprised of 13% of total daily energy from pulses (∼2 servings of beans daily) was associated with significantly higher total diet quality scores compared to the no pulse dietary pattern (58.0±0.8 vs. 46.5±0.2, p&lt;0.0001). When considering shortfall nutrient intakes, children consuming approximately 2 servings of beans daily had significantly higher dietary fiber (20.0±0.8 g vs. 12.9±0.1 g, p&lt;0.0001), potassium ((2643±84 mg vs. 2155±13 mg, p&lt;0.0001) and choline intake (345±11 mg vs. 248±2.2 mg, p&lt;0.0001) relative to non-consumers of beans.</p></div><div><h3>Conclusions</h3><p>Dietary patterns that include pulses were associated with greater diet quality scores and higher intakes of shortfall nutrients in American children.</p></div><div><h3>Funding</h3><p>Cannedbeans.org on behalf of Bush's Brothers &amp; Company and the Coalition for the Advancement of Pulses</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S30"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Happy Kitchen/La Cocina Alegre®: Improving Nutrition Outcomes Through a Culturally Sustaining, Interactive Cooking Class","authors":"J. Lauren Butler PhD, RDN,&nbsp;Vanessa Beltran MPH, RDN, LD,&nbsp;Cassandra M. Johnson PhD, MSPH,&nbsp;Gloria Adriana Botello de Prioleau BS,&nbsp;Hannah Thornton RD, MS","doi":"10.1016/j.jneb.2024.05.053","DOIUrl":"10.1016/j.jneb.2024.05.053","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the efficacy of The Happy Kitchen/La Cocina Alegre® (THK/LCA) program to improve nutrition outcomes of low-income Texans.</p></div><div><h3>Use of Theory or Research</h3><p>The THK/LCA program draws from established health promotion and nutrition education models, including the Social-Ecological Model, the Health Belief Model, and Social Cognitive Theory. Additionally, this culturally sustaining education program incorporates insights from scholars like Drs. Gloria Ladson-Billings, Django Paris, and H. Samy Alim. Central to the curriculum is the Hispanic tradition of sobremesa, emphasizing connections and information sharing around the table after a meal.</p></div><div><h3>Target Audience</h3><p>THK/LCA primarily aims to serve low-income Texans facing systemic barriers to food access. THK/LCA classes are held in community spaces like libraries, health clinics, and schools, and recruitment is conducted in collaboration with community organizations. The service population is defined as individuals or families with income less than 185% of the poverty line or who live in an area designated as low-income/low-access by USDA's Food Access Research Atlas.</p></div><div><h3>Program Description</h3><p>THK/LCA is a community-engaged, peer-facilitated, interactive 6-week cooking and nutrition class series that emphasizes the selection and preparation of fresh, nutritious, and economical foods in alignment with traditional foodways.</p></div><div><h3>Evaluation Methods</h3><p>Pre-, post-, and 3-month follow-up surveys were administered to obtain information on program completion, meals provided, changes in fruit and vegetable intake, nutrition knowledge, cooking skills, and home-cooked meal preparation. Counts and percentages were determined using Tableau data analysis software.</p></div><div><h3>Results</h3><p>Three hundred and sixty-five Texans participated in THK/LCA classes, with 196 participants completing all 6 classes in a series. The equivalent of 4,851 meals were provided to participants. Most participants reported increases in fruit and vegetable consumption (80%), nutrition knowledge (89%), cooking skills (86%), and cooking more meals at home (80%).</p></div><div><h3>Conclusions</h3><p>THK/LCA has demonstrated success in improving access to fresh and nutritious foods among low-income people living in Texas. Next steps will include an evaluation of program expansion efforts.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S21-S22"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Withdrawn","authors":"","doi":"10.1016/j.jneb.2024.05.056","DOIUrl":"10.1016/j.jneb.2024.05.056","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S23"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting the Use of Storytelling as a Tool for Nutrition Educators","authors":"Jamie Zeldman MS, RD, CHES®,&nbsp;Amy R. Mobley PhD, RD, FAND","doi":"10.1016/j.jneb.2024.06.007","DOIUrl":"10.1016/j.jneb.2024.06.007","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page 508"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review on the Use of Parent-Child Joint Recalls Among School-Aged Children (6–11 Years)","authors":"Yu-Chen Lin BS,&nbsp;Sina Gallo RDN, PhD, MS,&nbsp;Suzanne Baxter PhD, LD, RD,&nbsp;Staci Belcher MS, RD,&nbsp;Emmaline Peterson BS, RD,&nbsp;Casey Roberson,&nbsp;Tiolulope Popoola","doi":"10.1016/j.jneb.2024.05.088","DOIUrl":"10.1016/j.jneb.2024.05.088","url":null,"abstract":"<div><h3>Background</h3><p>Dietary-intake assessment among children is challenging due to developmental and cognitive immaturity hence, dietary recall is the preferred tool for use with school-aged children. National surveys usually use consensus or parent-child “joint recalls” among school-aged children. To advance the field of dietary assessment, and evaluate the effectiveness of nutrition education, there is a need to understand how joint recalls are reported in the literature.</p></div><div><h3>Objective</h3><p>To conduct a scoping review concerning the use of parent-child joint dietary recalls among children and the justifications/rationales provided to support their use.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Review checklist was used.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Five databases were searched (PubMed, Embase, CINAHL, Web of Science, and Dietary Assessment Calibration/Validation Register) to identify articles on dietary intake assessment among children aged 6–11. All peer-reviewed studies published in English were eligible except for reviews, meta-analyses, conference abstracts, letters, guidelines, comments, editorials, and case studies/reports.</p></div><div><h3>Results</h3><p>Of the 5,868 articles identified, 3,652 were excluded based on title and abstract. Of the 2,216 articles that underwent full-text review, 1,415 were excluded (mean age outside &gt;6 and ≤12, no joint recall, no diet recall, not English, duplicate publication, not research study, non-human study, other). Of the 801 articles remaining, 306 were unclear (lacked diet recall details), and 495 met inclusion criteria (with 210 national surveys, 225 cross-sectional studies, 36 cohort studies, 15 randomized controlled trials, and 9 case-control studies). Of these 495, 388 used joint recalls. Preliminary results showed that most (74%) did not cite a validation study to support using joint recalls.</p></div><div><h3>Conclusions</h3><p>Overall, 38% of 801 articles lacked diet recall details, and 74% of 801 articles failed to cite a reference to support using joint recalls. Results highlight a crucial gap in how the literature describes dietary recalls with school-aged children. Author guidelines to provide details concerning dietary recalls among school-aged children are needed to ensure consistency and improve diet-related nutrition research.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S37"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Detectives Workshop: Promoting Life Skills and Food Literacy in 4th-Grade Classrooms","authors":"Kelly Lake MS, BA,&nbsp;Jonathan Saturay BA,&nbsp;Rebecca Salo BA","doi":"10.1016/j.jneb.2024.05.023","DOIUrl":"10.1016/j.jneb.2024.05.023","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the implementation of a free nutrition education resource for 4th-grade students.</p></div><div><h3>Use of Theory or Research</h3><p>Our curriculum increases students' knowledge of label reading and affects students' attitudes regarding food marketing (Cognitive Factors). Students gain and practice real-life skills throughout our workshop (Behavioral Factors). Because our program is administered to an entire classroom, teachers report changes in classroom norms around how students discuss food choices, and anecdotally report that students are taking their learning home to impact their family's shopping behaviors (Environmental Factors).</p></div><div><h3>Target Audience</h3><p>4th graders</p></div><div><h3>Program Description</h3><p>Our website uses a series of live-action videos, animations, and “Briefings” (A.K.A. instructions) to help keep classrooms engaged and on track. The content, 3 hours in total, is divided into six modules that can be facilitated any time during the workshop week.</p></div><div><h3>Evaluation Methods</h3><p>Before workshop and after workshop nutrition knowledge surveys.</p></div><div><h3>Results</h3><p>Our workshop results in proven learning gains. On average, students score 32% higher on our nutrition knowledge survey after they complete the workshop.</p></div><div><h3>Conclusions</h3><p>Even though our workshop is a little silly and tons of fun, we are serious about our mission. Equipped with the life skills of food literacy, we believe today's kids have the power to change our food system for good, and we fastidiously track results to ensure our programming leads to real behavior change.</p></div><div><h3>Funding</h3><p>Private</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S9"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Access to Healthy Food and Healthy Behaviors in a University Food Pantry","authors":"Kelli Williams PhD, LD, RDN,&nbsp;Mallory Mount RDN, LD, EdD,&nbsp;Mary Kathryn Gould EdD, RDN, LD,&nbsp;Eva Rhodes,&nbsp;Sarah McGlumphy MPH,&nbsp;Lauryn Poole","doi":"10.1016/j.jneb.2024.05.027","DOIUrl":"10.1016/j.jneb.2024.05.027","url":null,"abstract":"<div><h3>Background</h3><p>Food insecurity is a major concern in rural Appalachia and on college campuses. To combat the problem, Marshall University Department of Dietetics operates a campus food pantry serving students and the community by providing nutrient dense foods and education in an effort to improve access to healthy food and encourage healthy behaviors.</p></div><div><h3>Objective</h3><p>To better understand the background and needs of pantry clients to provide the most appropriate and needed services/education.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A 24 item pilot survey was administered over two weeks via pen/paper or electronically to clients during a pantry visit. It utilized open ended, multiple choice, and Likert scale responses to gather data related to demographics, food and nutrition attitudes and behaviors, and suggestions/concerns.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Qualtrics was utilized to input and analyze survey data. Descriptive statistics were calculated related to client background, pantry use, hunger and food availability issues, current nutrition knowledge and behaviors, and potential for nutrition related behavior change.</p></div><div><h3>Results</h3><p>Twenty-six surveys were collected and analyzed and determined the majority of users (85%) were community members, not students, and half used the pantry weekly. Major grocery distributors were the other primary source of food procurement with only one client using a local farmers’ market. Seventy-three percent reported skipping meals in the past month due to lack of food at home. Nearly all (96.0%) had access to basic cooking tools and equipment, and half had prepared recipes at home that they received from the pantry. Overall, most “agreed” or “strongly agreed” that the pantry allows them to try a wide variety of healthy foods, is accessible, and improves self-efficacy related to preparing and consuming nutrient dense foods.</p></div><div><h3>Conclusions</h3><p>The pantry is meeting the primary objectives of improving access to healthy foods and encouraging healthy behaviors. Additionally, survey construction provides appropriate information to collect required data for making informed decisions regarding food procurement and nutrition education programming. The pilot survey was successful and ready for further distribution.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S10-S11"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}