Journal of Nutrition Education and Behavior最新文献

{"title":"Characterizing the Consumer Food Environment of Dollar Stores and Exploring Differences by Neighborhood Racial Composition","authors":"Samantha M. Sundermeir PhD, MS, RDN ,&nbsp;Mika Matsuzaki PhD, MPH, MS ,&nbsp;Angela Zhang MPH ,&nbsp;Jane C. Obi MPH ,&nbsp;Joel Gittelsohn PhD, MS ,&nbsp;Megan R. Winkler PhD, RN","doi":"10.1016/j.jneb.2025.06.007","DOIUrl":"10.1016/j.jneb.2025.06.007","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize the overall availability, price, and promotional placement of food and beverage products at dollar stores and explore differences in the food environment by neighborhood racial composition in Atlanta, Georgia.</div></div><div><h3>Methods</h3><div>A cross-sectional assessment of the food environment was conducted at 25 dollar stores. Measures included availability, affordability, and promotion of fresh produce, salty snacks, sweet snacks, sugar-sweetened beverages (SSBs), and water. Store neighborhoods were categorized as majority-Black (MB) or non-majority-Black (NMB) neighborhoods using American Community Survey data. Kruskal Wallis and chi-square tests (test of independence) were used to test for differences across neighborhood racial composition.</div></div><div><h3>Results</h3><div>Only 2 stores sold fresh produce, whereas all offered and most promoted sweet snacks, salty snacks, and SSBs. Compared with NMB neighborhoods, prices for SSBs and salty snacks were significantly lower in MB neighborhoods (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions and Implications</h3><div>The dollar store food environment lacks fresh produce and comprises largely unhealthy food options. Findings suggest dollar stores in MB neighborhoods may provide lower prices for unhealthy food and beverages.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 972-979"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621028","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 Association Between Changes in Food Security and Core Aspects of EFNEP Programming: A Path Analysis","authors":"Victor O. Olayemi ,&nbsp;Rachel A. Liebe PhD, MPH ,&nbsp;Elena L. Serrano PhD ,&nbsp;Chanit’a Holmes PhD ,&nbsp;George Davis PhD ,&nbsp;Sarah A. Misyak PhD, MPH","doi":"10.1016/j.jneb.2025.06.016","DOIUrl":"10.1016/j.jneb.2025.06.016","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the impact of the <em>Eating Smart, Being Active</em> curriculum within the <em>Expanded Food and Nutrition Education Program</em> (EFNEP) on participants’ food security and identified the pathways influencing food security to enhance program effectiveness.</div></div><div><h3>Design</h3><div>Cross-sectional, quantitative secondary data.</div></div><div><h3>Participants</h3><div>Two hundred adult EFNEP participants who completed the required preprogram and postprogram surveys during fiscal years 2022 and 2023.</div></div><div><h3>Main Outcome Measure(s)</h3><div>Food security, food resource management, and food safety.</div></div><div><h3>Analysis</h3><div>Descriptive statistics summarized participants’ characteristics. Paired t tests evaluated preprogram and postprogram changes. Path analysis was conducted using structural equation modeling to test hypothesized relationships between improvements in EFNEP domains and participants’ food security.</div></div><div><h3>Results</h3><div>While all EFNEP domains (nutrition behaviors, physical activity behaviors, food safety, and food resource management) showed significant improvements, only 51.5% of participants reported improved food security after program participation. Improvements in food resource management and food safety contributed to improved food security (β = 0.33 and β = 0.28, respectively; <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions and Implications</h3><div>The findings suggest a need to integrate explicit food security strategies beyond these areas to further enhance postprogram food security improvements.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 923-931"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745861","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":"Impact of Deimplementing Universal Free School Meals: School Food Authority Perspectives","authors":"Juliana F.W. Cohen ScD, RD ,&nbsp;Monica D. Zuercher PhD ,&nbsp;Dania Orta-Aleman PhD ,&nbsp;Leah E. Chapman PhD ,&nbsp;Christina A. Hecht PhD ,&nbsp;Kenneth Hecht LLB ,&nbsp;Punam Ohri-Vachaspati PhD, RD ,&nbsp;Deborah A. Olarte PhD, RD ,&nbsp;Anisha I. Patel MD ,&nbsp;Michele Polacsek PhD ,&nbsp;Marlene B. Schwartz PhD ,&nbsp;Lorrene D. Ritchie PhD, RD ,&nbsp;Wendi Gosliner DrPH, RD","doi":"10.1016/j.jneb.2025.06.001","DOIUrl":"10.1016/j.jneb.2025.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the impact of deimplementing universal free school meal (UFSM) policies on school food authorities (SFAs) vs continuing UFSM with state-level policies.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Participants</h3><div>A total of 941 SFAs in 8 US states with and without UFSM policies completed a survey during the spring of 2023.</div></div><div><h3>Main Outcome Measures</h3><div>The SFA survey assessed school meal participation rates, foodservice revenues, staffing needs, administrative burdens, and student stigma and meal debt.</div></div><div><h3>Analyses</h3><div>Chi-square tests (Test of homogeneity) and generalized estimating equation regression models clustering by state were used to examine differences by UFSM status (deimplementing vs continuing), adjusting for school demographic characteristics.</div></div><div><h3>Results</h3><div>Compared with SFAs in states that continued UFSM, deimplementation of UFSM was associated with reported declines in school meal participation and foodservice revenues (73% reported declines with deimplementation vs 15% with UFSM policies; <em>P &lt;</em> 0.001), as well as increases in school meal debt (76% vs 5%; <em>P</em> &lt; 0.001) and stigma for students from low-income households (26% vs 5%; <em>P</em> &lt; 0.001). States that deimplemented UFSM reported lower foodservice staffing challenges, potentially because of the lower participation rates.</div></div><div><h3>Conclusions and Implications</h3><div>Overall, the results of this study suggest that deimplementing UFSM is adversely impacting SFAs and students. Policies to reimplement UFSM could help reduce stigma and meal debt, as well as provide more students access to healthy meals and better nutrition. Strategies to support states with UFSM—including more ways to address current staffing challenges/shortages—are needed.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 10","pages":"Pages 902-908"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823112","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":"Integrating ASA24 Into a Data-Driven Nutrition Education Intervention in Community Health Center Clinics.","authors":"Madalyn Rosenthal, Dagny Larson, Mariana Rendon Flores, Marissa Burgermaster","doi":"10.1016/j.jneb.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.08.003","url":null,"abstract":"<p><strong>Objective: </strong>To assess Automated Self-Administered 24-Hour (ASA24) completion rates and study staff assistance provided in our data-driven nutrition education intervention in community health center clinics.</p><p><strong>Methods: </strong>Compare sociodemographic characteristics of participants who were and were not able to complete ASA24 independently with t tests and chi-square tests (goodness of fit). Describe participant recall attempts and staff assistance provided.</p><p><strong>Results: </strong>Of 66 consented participants, 58 (88%) completed ASA24, with 61% completing independently. Fewer older adults completed ASA24 independently (mean ± SD, 45.7 ± 11.5 vs 52.3 ± 8.8 years, nonsignificant). We identified 5 types of staff assistance with varying amounts of staff time required.</p><p><strong>Conclusions and implications: </strong>We found no statistically significant differences in sociodemographic factors between participants who were and were not able to complete ASA24 independently. We attribute our participants' success to a training video, single sign-on, and on-demand staff assistance. Findings indicate potential for using ASA24 with technological supports and targeted assistance to collect diet data in clinics.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151710","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":"Exploring Facilitators and Barriers for Personalized Dietary Incentives Among Online Shoppers at Cardiovascular Risk and Key Informants to Inform an Automated Shopping Platform.","authors":"Maya K Vadiveloo, Alison Tovar, Emily G Elenio, Carsten Eickhoff, John San Soucie, Sarah Feldstein Ewing, Kim M Gans, Anne N Thorndike","doi":"10.1016/j.jneb.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.07.010","url":null,"abstract":"<p><strong>Objective: </strong>To identify preferences, facilitators, and barriers to healthy eating and using a personalized diet application (Smart Cart 2.0) for online grocery shopping.</p><p><strong>Methods: </strong>Convergent, parallel multimethods study among shoppers (aged > 18 years, grocery shopped online with obesity [body mass index, 30 kg/m²] or hypertension, n=20) and public health professional key informants (n = 11). Online surveys (shoppers only) and in-depth interviews using mock-up application images queried preferences, facilitators, and barriers. We synthesized quantitative and qualitative data for thematic analysis.</p><p><strong>Results: </strong>The most common barriers (25%) were money and time, while health motivated most food purchases (55%). Four themes emerged from interviews: (1) consuming healthy foods was hard, (2) healthy meal planning would be easier with a one-stop shopping tool, (3) the application addressed shoppers' needs, and (4) some additions could promote application sustainability.</p><p><strong>Conclusions and implications: </strong>Smart Cart 2.0 addressed healthy eating barriers. Integrating feedback will enhance application design for future evaluation.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058767","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":"Implementation Fidelity of a Digital Nutrition Education Intervention Program for Community-Dwelling Older Adults.","authors":"Vidya Sharma, M Marilu Martinez, Erica Sosa, Meizi He, Tianou Zhang, Zenong Yin, Sarah L Ullevig","doi":"10.1016/j.jneb.2025.07.013","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.07.013","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the fidelity of a digital nutrition education intervention program for community-dwelling older adults.</p><p><strong>Design: </strong>Cluster randomized controlled trial with 5 conditions, including attendance records, class observations, preassessment and postassessment of nutrition and technology knowledge, postprogram surveys, and qualitative analysis.</p><p><strong>Setting: </strong>Congregate Meal Program sites in San Antonio, Texas (n = 12).</p><p><strong>Participants: </strong>Older adults (n = 319) INTERVENTION: In-person technology training and support followed by online nutrition education.</p><p><strong>Measurable outcome/analysis: </strong>Fidelity was scored on an average percentage scale (benchmark > 75%). Qualitative analysis of focus groups.</p><p><strong>Results: </strong>A total of 319 participants completed the postprogram survey with responses indicative of high satisfaction rates with Google Classroom (96%), online nutrition sessions (96%), and weekly socials (72%). Attendance was 97% and 94%, respectively, for the technology and online nutrition classes, and the average fidelity was > 90%. Older adults (n = 49) participated in focus groups. Key themes included comfort with technology, motivation for the intervention, and the value of supplemental resources.</p><p><strong>Conclusions and implications: </strong>Providing technology access, training, and online nutrition education implemented with high fidelity increased participants' comfort and motivation to engage in online nutrition programs. These findings can inform future interventions and the development of digital nutrition education programs for older adults.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034518","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":"To Cook or Not to Cook: Correlates of Meal Preparation Enjoyment.","authors":"Danielle J Gartner, Paul L Hutchinson, Chelsea R Singleton","doi":"10.1016/j.jneb.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.08.001","url":null,"abstract":"<p><strong>Objective: </strong>Identify correlates of meal preparation enjoyment and test for a relationship between meal preparation enjoyment and self-rated diet quality.</p><p><strong>Methods: </strong>Data (n = 12,412) used in this study are from the 2022 American Time Use Survey. Ordinal logistic regression models were estimated for both aims.</p><p><strong>Results: </strong>Results indicated that 40.2% of participants reported enjoying meal preparation a lot, and 14.6% reported having excellent diet quality. Multivariable models indicated higher odds of reporting greater meal preparation enjoyment among individuals who were married and had sufficient home food availability. Individuals who enjoyed meal preparation a lot had 174% greater odds of reporting higher diet quality than those who did not enjoy meal preparation at all.</p><p><strong>Conclusions and implications: </strong>Individual and household-level factors are associated with meal preparation enjoyment. These findings may inform the development of interventions aimed at increasing meal preparation as a means to improve diet quality.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001803","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":"Differences in Types of Stigma Between Demographic Groups Among College Students With Food Insecurity.","authors":"Rachel L Vollmer, Teresa Drake, Sokonie Reed","doi":"10.1016/j.jneb.2025.08.004","DOIUrl":"10.1016/j.jneb.2025.08.004","url":null,"abstract":"<p><strong>Objective: </strong>Compare stigma constructs across demographic and student characteristics among food-insecure college students.</p><p><strong>Methods: </strong>This cross-sectional study recruited college students with food insecurity to complete an online survey to report food security status, food insecurity-related stigma (personalized stigma, disclosure concerns, negative self-image, and public attitudes), and demographic characteristics. One-way analysis of variance and independent t tests were used to assess differences in stigma.</p><p><strong>Results: </strong>Seventy-seven students with food insecurity completed the online survey. First-generation students with very low food security reported higher disclosure concerns than students with marginal/food security (F[2,73] = 3.16, P = 0.05) and non-first-generation students (t[74] = -1.99, P = 0.05), respectively. White students reported less personalized stigma than non-White students (t[72] = 2.01, P = 0.04).</p><p><strong>Conclusions and implications: </strong>This research identifies groups of students who may have higher disclosure stigma and past stigmatizing experiences.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976851","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":"Judgment for Infant Feeding Choices and Opinions of Infant Feeding Messages.","authors":"Kimberly N Doughty, Lliana Joe, Sarah N Taylor","doi":"10.1016/j.jneb.2025.07.014","DOIUrl":"10.1016/j.jneb.2025.07.014","url":null,"abstract":"<p><strong>Objective: </strong>To assess mothers' perceptions of judgment for infant feeding practices and opinions of the messages Breast is Best and Fed is Best, and investigate variation in these outcomes by sociodemographic characteristics and infant feeding practices.</p><p><strong>Design: </strong>Cross-sectional survey design.</p><p><strong>Participants: </strong>US women with children aged 1-4 years (n = 926) recruited from a national online opinion panel.</p><p><strong>Main outcome measures: </strong>Perceptions of judgment for breastfeeding and formula feeding by health care providers and community members; opinions of infant feeding messages.</p><p><strong>Analysis: </strong>We used multivariable logistic regression to identify predictors of each outcome measure.</p><p><strong>Results: </strong>Approximately 40% of participants who used infant formula felt judged for formula feeding by both health care providers and their community. Of those who ever breastfed, 17.0% and 26.3% felt judged for breastfeeding by providers and their community, respectively. More than half (56.1%) of respondents had a very positive opinion of Fed is Best, as compared with 33.3% for Breast is Best. Sociodemographic characteristics were significantly associated with perceived judgment and/or attitudes toward infant feeding messages.</p><p><strong>Conclusions and implications: </strong>Perceptions of judgment were common. Opinions of Breast is Best were more negative than opinions of Fed is Best, suggesting a need for more effective and nuanced breastfeeding promotion messages.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976854","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":"Dietary Patterns and Water Footprint Among University Students: A Comparative Analysis With Recommendations.","authors":"María Sol Telis, María Agustina Borgo","doi":"10.1016/j.jneb.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.06.010","url":null,"abstract":"<p><strong>Objective: </strong>(1) To evaluate the quality and perception of the diet, as well as the dietary diversity (DD) of the students of the bachelor's degree in nutrition in Argentina; (2) estimate the water footprint (WF) associated with their food consumption; (3) compare the total dietary WF of the participants with proposed recommendations, and (4) compare the scores of quality, DD, and dietary WF volume between students' groups according to their academic progress.</p><p><strong>Design: </strong>An observational and descriptive study with a cross-sectional quantitative design was conducted in June 2022.</p><p><strong>Participants: </strong>Five hundred and twenty-five students (207 entrants and 318 advanced).</p><p><strong>Variables measured: </strong>Quality and perception of the diet, DD, and total dietary WF.</p><p><strong>Analysis: </strong>Mann-Whitney U test.</p><p><strong>Results: </strong>Diet quality scored 63.20 ± 11.40 points, indicating room for improvement, whereas the DD scored 4.41 ± 1.26 points, reflecting a medium level of diversity. The total dietary WF was 3652.37 ± 1943.09 L/person/d, exceeding EAT-Lancet recommendations (2933.10 L/person/d) but aligning with Dietary Guidelines for the Argentinian Population (3485.21 L/person/d).</p><p><strong>Conclusions and implications: </strong>Future research is essential for enhancing diet quality, diversity, and sustainability while examining the influence of academic training on dietary behaviors and environmental awareness.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976925","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}