Journal of Nutrition Education and Behavior最新文献

{"title":"Grown at Home Is Always Better: Exploring Latina Mothers’ Cultural Food Practices","authors":"","doi":"10.1016/j.jneb.2024.05.100","DOIUrl":"10.1016/j.jneb.2024.05.100","url":null,"abstract":"<div><h3>Background</h3><p>Oregon State University Extension Service implements the Federally funded SNAP-Ed and EFNEP programs throughout Oregon. For nearly 20 years these programs have been operationalized as, “Las Comidas Latinas” to provided cultural nutrition education for Latinx communities. Although food insecurity continues to be a systemic challenge for these families, our work centers the strengths of the Latinx families to maintain cultural food practices.</p></div><div><h3>Objective</h3><p>The present mixed methods study examined the types of foods that Latina mothers kept in their homes to promote healthy eating and their preference around growing food.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Participants were mothers aged 18 years and older, identified as Latina, and lived in two counties in Oregon. A total of 101 mothers participated in structured surveys, and 31 participated in follow-up interviews qualitative interviews to explore their food preferences and experiences with personal food production.</p></div><div><h3>Results</h3><p>Results indicate that when asked about they types of foods they kept in their homes, 84% of mothers indicated having fruits always or the majority of the time, 85% indicated having vegetables always or the majority, and only 25% indicated having unhealthy foods (eg, chips) always or the majority of the time in their home. Additionally, 41% of mothers indicated growing their own food. For those who indicated not growing their own food, the 59% indicated no access to land as the reason, followed by not enough knowledge (33%), and lack of resources (26%). Similarly, qualitative findings indicate strong preference for fresh and home-grown food. The practice of growing their own food was common in their home countries, but as mothers immigrated to the U.S, they were unable to do grow their own food, because of space, time, or were not allowed to grow their own foods in their current residence.</p></div><div><h3>Conclusions</h3><p>Maintaining cultural food practices such as grown food at home can help support Latina mothers’ efforts to promote health eating and reduce food insecurity.</p></div><div><h3>Funding</h3><p>Supplemental Nutrition Assistance Program – Education, Linn-Benton-Lincoln Health Equity Alliance</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953784","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 Impact of COVID-19 on Food Security Across Income Levels","authors":"","doi":"10.1016/j.jneb.2024.05.086","DOIUrl":"10.1016/j.jneb.2024.05.086","url":null,"abstract":"<div><h3>Background</h3><p>Food security, defined as the accessibility to sufficient, safe, and nutritious food that meets dietary needs for a healthy life, is a critical aspect of public health and socioeconomic stability that was influenced by the COVID-19 pandemic.</p></div><div><h3>Objective</h3><p>This study examines the relationship between income levels and food security among different households, with a specific focus on the changes induced by the COVID-19 pandemic.</p></div><div><h3>Study Design, Settings, Participants</h3><p>The study design is cross-sectional utilizing collected data from August 9 to September 15, 2020, through a Qualtrics survey of 10,035 Americans aged 40-100. Food security was examined using USDA's Six-Item Short form and categorized participants as food secure or food insecure. The analysis is structured around three annual household income categories: less than $50,000, between $50,000 and $100,000, and over $100,000.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Changes in the prevalence of food security across various income levels before and since the COVID-19 pandemic.</p></div><div><h3>Results</h3><p>The Chi-square analysis revealed significant changes in food security across income levels when comparing before and since the COVID-19 pandemic (p &lt; 0.001 for all observed changes). For households earning less than $50,000 per year, there was a slight decrease in the proportion experiencing food insecurity, from 28.1% before COVID-19 to 27.6% since COVID-19. In the $50,000-$100,000 income bracket, there was a minor increase in food insecurity, with the proportion of food insecurity from 11.1 to 12.2% since the pandemic. Among households with incomes of $100,000 and above, the rate of food insecurity slightly decreased from 16.2% before COVID to 15.5% since COVID-19.</p></div><div><h3>Conclusions</h3><p>This study highlights that the COVID-19 pandemic differentially affected food security across income levels, with a slight improvement for lowest earners and a marginal increase in insecurity for middle-income households. High-income groups exhibited resilience, suggesting that economic stability may buffer against food insecurity during crises. These patterns highlight the necessity for nuanced economic interventions in response to global crises.</p></div><div><h3>Funding</h3><p>NIFA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949827","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":"Process Evaluation of Enhanced SNAP Benefits on Virginia Fresh Match Outlets and Consumer Well-Being Amid the Pandemic","authors":"","doi":"10.1016/j.jneb.2024.05.078","DOIUrl":"10.1016/j.jneb.2024.05.078","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the implementation and process evaluation of Virginia Fresh Match (VFM) Supplemental Nutrition Assistance Program (SNAP) nutrition incentives during the COVID-19 pandemic years 2021 and 2022 and how VFM benefits helped families sustain during the pandemic.</p></div><div><h3>Use of Theory or Research</h3><p>During the pandemic, the federal government temporarily increased SNAP benefits. However, with strain on the food system, access to outlets that accept SNAP may be limited. Little is known about the efforts of SNAP nutrition incentive programs implementation and effectiveness during COVID-19.</p></div><div><h3>Target Audience</h3><p>Virginian SNAP recipients and VFM outlets offering nutrition incentives.</p></div><div><h3>Program Description</h3><p>VFM is a statewide network of community food outlets that offer nutrition incentives that double the value of Virginians’ SNAP benefits when used to purchase fruits and vegetables (FV).</p></div><div><h3>Evaluation Methods</h3><p>Outlet participation and SNAP incentive redemptions were tracked via Smartsheet. Paper versions of the Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Center (NTAE) core metrics survey, with additional VFM-specific questions, were used to collect data from SNAP participants (n=107).</p></div><div><h3>Results</h3><p>Between 2021 and 2022, VFM increased the number of participating outlets from 83 to 117 (41% increase) with a 26.5% increase in the number of participating farmers. There was a 30% increase in incentive redemptions between 2021 ($633,000) and 2022 ($823,000). Between 2021 and 2022, 69% of shoppers worried about having enough food. COVID-19 made it harder to make ends meet (59%) and eat fresh produce (47%). A total of 94% of shoppers bought more produce because of VFM, and 92% used all their VFM funds. A majority (96%) reported positive or very positive experiences with VFM and 97% would use more VFM funds if available.</p></div><div><h3>Conclusions</h3><p>The increase in incentive redemptions demonstrates VFM's success in meeting community needs during the pandemic. There was increased purchasing power of FV as nearly all shoppers used the funds allocated to them, indicating the successful implementation of VFM.</p></div><div><h3>Funding</h3><p>NIFA, Virginia Department of Agriculture and Consumer Services</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953534","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":"Changing Our Language","authors":"","doi":"10.1016/j.jneb.2024.05.038","DOIUrl":"10.1016/j.jneb.2024.05.038","url":null,"abstract":"<div><h3>Objective</h3><p>Demonstrate the impact versus intent of language and how to change our language to be more inclusive, reduce stigma, and address unconscious biases.</p></div><div><h3>Use of Theory or Research</h3><p>Discusses prior research conducted by Dickinson et al (2017) from \"The Use of Language in Diabetes.\"</p></div><div><h3>Target Audience</h3><p>SNAP educators</p></div><div><h3>Course/Curriculum Description</h3><p>Reviews impact versus intent when speaking to groups of people experiencing bias and stigma. Discusses how to address unconscious bias and change language to be inclusive.</p></div><div><h3>Evaluation Methods</h3><p>This is an informative session based on prior research conducted in the fields of diabetes, stigma, and unconscious bias and has been adapted to accommodate the needs of SNAP-related audiences. This is not original research conducted by the author. While this information has been previously presented in various forms to diverse groups of audiences, no evaluation has been conducted on audience participants.</p></div><div><h3>Conclusions</h3><p>The language we use when speaking or writing is powerful and can have significant impact on personal biases, behavior towards others, and our ability to communicate. Current research conducted on bias, stigma, and language confirm the necessity for changing language and developing more effective communication when speaking to low income populations. This session provides tips for language used by SNAP educators and thought-provoking questions to allow for addressing our own potential biases and analyzing the impact of our conversations.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949893","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":"Academic Breaks and Food Security Status at a Midwestern Private University","authors":"","doi":"10.1016/j.jneb.2024.05.089","DOIUrl":"10.1016/j.jneb.2024.05.089","url":null,"abstract":"<div><h3>Background</h3><p>The prevalence of food insecurity on college campuses is higher than U.S. households; however it is unknown how academic breaks affect the food security status.</p></div><div><h3>Objective</h3><p>Evaluate if breaks in the academic calendar change the food security status of undergraduate students at a Midwestern private university.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This study used a repeated cross-sectional design. Two online surveys were distributed in November 2023 (the semester) and January 2024 (academic break). Eligible participants were at least 18 years old and full-time undergraduate students at a Midwestern private university.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Participants completed the USDA Food Security Survey Short-Form (6-item) with a 2-item screener at both time points to measure food security. Based on a raw score, each participant was assigned a food security status (high or marginal food security, low food security, or very-low food security) during the semester and break. Differences in food security status between the semester and break were analyzed using the Wilcoxon Ranked Signs Test. Participants also answered demographic, housing, transportation, and food resource questions at each time point. Descriptive statistics were utilized to describe the study sample.</p></div><div><h3>Results</h3><p>A total of 57 participants completed both surveys. Most participants were female (75%), white (77%), and had financial aid to pay for tuition (98%). During the semester, 37% of the participants reported low or very-low food security in comparison to 30% during the break. There was no significant difference in students’ food security status between the semester and the break. Post hoc tests revealed a significant difference in food security status and housing during the break only [F(2,53) = 3.954, p=0.25]. Those living with a family member during the break had better food security than those living in off-campus housing.</p></div><div><h3>Conclusions</h3><p>Studies with larger sample sizes should be conducted. Investigation is also needed to understand the relationship between housing during academic breaks and food security status.</p></div><div><h3>Funding</h3><p>Bradley University Office of Sponsored Programs</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949830","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":"Examining the Association Between an Increase in the WIC Fruit and Vegetable Benefit and WIC Participant Food Purchases","authors":"","doi":"10.1016/j.jneb.2024.05.069","DOIUrl":"10.1016/j.jneb.2024.05.069","url":null,"abstract":"<div><h3>Background</h3><p>The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutritious foods to more than six million low-income families in the US. In June 2021, WIC substantially increased the amount of money provided for fruits and vegetables (FV), but studies have not investigated changes in WIC participant FV purchases after the increase using food purchase data.</p></div><div><h3>Objective</h3><p>Estimate the association between the FV funding increase and WIC shoppers’ FV purchases.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This study used longitudinal food purchase data from 496 stores in a grocery store chain in North Carolina between June 2020 and April 2022. A propensity score weighted difference-in-differences (DID) approach was used to estimate the effect of the FV benefit increase among WIC shoppers (n=536,349 shopper-month observations) relative to non-WIC comparison shoppers (n=1,894,056 shopper-month observations) matched on pre-benefit change shopping patterns.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Primary outcomes were monthly dollar expenditures and ounces purchased of WIC-eligible fruits, nutrient-dense vegetables, and starchy vegetables. Secondary outcomes included unique varieties of FV purchased and ounces purchased of processed foods and sugar-sweetened beverages. Propensity-score weighted two-part models and zero inflated negative binomial models were used to estimate the association between the FV funding increase and monthly food purchases.</p></div><div><h3>Results</h3><p>WIC shopper WIC-eligible FV purchases increased by $12.4 per shopper per month (Confidence Interval (CI), $12.0 to $12.9) after the CVB increase, which was $9.3 (CI, $8.7 to $10.0) more than non-WIC shoppers. The volume and unique varieties of FV purchased also increased more among WIC shoppers relative to non-WIC shoppers (DID 67.1 ounces (CI, 61.9 to 72.3) and DID 2.1 varieties (CI, 2.0 to 2.3)). There were also increases in the volume of processed foods (DID 22.0 ounces (CI, 17.2, 26.9)) and sugar-sweetened beverages (DID 49.1 ounces (CI, 33.4, 64.9)) purchased among WIC shoppers.</p></div><div><h3>Conclusions</h3><p>Increased WIC FV funding was associated with greater FV purchases among WIC shoppers. These results can inform permanent changes to the FV component of the WIC food packages.</p></div><div><h3>Funding</h3><p>NIH, Arnold Ventures</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953486","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":"Enhancing Nutrition Literacy and Eating Behaviors Among Drug-Using Street Youth: A Foodways Perspective","authors":"","doi":"10.1016/j.jneb.2024.05.020","DOIUrl":"10.1016/j.jneb.2024.05.020","url":null,"abstract":"<div><h3>Background</h3><p>Given the pronounced disparities in access to nutritious foods among urban street youth who use drugs, their dietary patterns starkly highlight the broader issue of food insecurity they face. These challenges, rooted in complex socio-economic and environmental factors, severely limit their nutritional choices and health outcomes.</p></div><div><h3>Objective</h3><p>This study, therefore, aims to explore the nutrition literacy of street youth and the specific impacts of addiction on their eating behaviors, viewed through the lens of foodways, to identify targeted interventions that can address these critical gaps.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Employing a mixed-methods approach, we quantitatively assessed the dietary intake of 12 drug-using street youth against 12 healthy age-matched controls, focusing on macronutrients and food group consumption.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Qualitative focus group interviews further explored participants' abilities to access, understand, and utilize nutritional information. The assessment highlighted food insecurity issues, with a detailed examination of missing food groups in participants' diets.</p></div><div><h3>Results</h3><p>The quantitative analysis revealed that drug-using youth diets significantly lacked variety, with most major food groups underrepresented or entirely missing due to severe food insecurity and extremely limited access to healthy foods. For instance, the intake of fruits, vegetables, whole grains, and protein sources was markedly lower compared to controls, reflecting a profound gap in essential nutrients. Qualitatively, participants demonstrated a critical lack of nutrition literacy, struggling with obtaining, processing, and applying nutritional information to make healthful dietary decisions within their constrained foodways.</p></div><div><h3>Conclusions</h3><p>The intersection of drug use, compromised nutrition literacy, and the adverse foodways experienced by street youth present a significant challenge to their health and well-being, necessitating focused interventions. The findings advocate for the development of contextually adapted nutrition education interventions that consider the complex foodways of drug-using street youth. Such programs should aim to improve nutrition literacy, facilitate access to nutritious foods, and encourage healthful eating behaviors, despite the constraints of food insecurity and limited resources.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953587","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":"Coping Strategies Among Food Insecure Households Above and Below SNAP Income Guidelines in a High Cost-of-Living Region","authors":"","doi":"10.1016/j.jneb.2024.05.066","DOIUrl":"10.1016/j.jneb.2024.05.066","url":null,"abstract":"<div><h3>Background</h3><p>Income requirements for the Supplemental Nutrition Assistance Program (SNAP) are largely the same across the US (at/below 130% federal poverty level or FPL), despite regional variations in cost-of-living. Households with income above 130% FPL may still experience food insecurity, especially in high cost-of-living regions. In 2022, 44% of food insecure households reported income above 130% FPL, leaving them ineligible for SNAP.</p></div><div><h3>Objective</h3><p>This project explores how households above and at/below 130% FPL living in the Parachute to Aspen Corridor, a high cost-of-living mountain resort-rural region in Colorado, cope with food insecurity.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Surveys were administered to 1,070 food-insecure adult residents above and at/below 130% FPL within this region (referred to as SNAP ineligible and SNAP ineligible, respectively).</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Outcome variables included use of community food assistance (ie, food pantries) and economic tradeoffs (forgoing basic needs like housing for food). Ordinal logistic regressions evaluated differences in use of community food assistance and economic tradeoffs between SNAP eligible and SNAP ineligible residents, adjusting for covariates.</p></div><div><h3>Results</h3><p>Approximately 59% reported income below 130% FPL and 41% reported income above 130% FPL. Low or very low food insecurity was reported by 91% of participants. The odds of obtaining food from food pantries (from ‘only a little’ to ‘all’ vs ‘none’) was lower in SNAP-eligible compared to SNAP-ineligible participants, adjusting for sociodemographics and barriers to food assistance (OR=0.630, p&lt;0.05). The odds of engaging in all evaluated economic tradeoffs (from ‘rarely’ to ‘always’ vs ‘none’) were lower in SNAP eligible participants compared to SNAP-ineligible participants (medicine, OR=0.625; housing, OR=0.696; utilities, OR=0.652; transportation, OR=0.548; childcare, OR=0.475; education, OR=.397, all p&lt;.05), adjusting for sociodemographics, financial literacy, and household resiliency.</p></div><div><h3>Conclusions</h3><p>These findings show that households above 130% FPL in a high-cost-of-living region cope with food insecurity through use of food assistance, like food pantries, and tradeoffs with other basic needs. This signals the need to address food insecurity among households who are unable to receive federal food assistance.</p></div><div><h3>Funding</h3><p>Colorado Agricultural Experiment Station (USDA Hatch funds)</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953776","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":"Fruit and Vegetable Preparation Styles in Family Child Care Homes Caring for 2–5-Year-Old Children Across Oklahoma in 2020","authors":"","doi":"10.1016/j.jneb.2024.05.025","DOIUrl":"10.1016/j.jneb.2024.05.025","url":null,"abstract":"<div><h3>Background</h3><p>Many US preschoolers receive two-thirds of their dietary requirements while at Family Child Care Homes (FCCH) that are critical settings to offer fruits and vegetables, but less is known if these are served fresh or processed, which may include excess added sugar and sodium.</p></div><div><h3>Objective</h3><p>This study explored the fruit and vegetable preparation styles, across one day in FCCHs catering to young children (aged 2 to 5 years).</p></div><div><h3>Study Design, Settings, Participants</h3><p>This descriptive study examined baseline measures of a virtual intervention study, delivered during the COVID-19 pandemic (2020). Sixty-three licensed FCCH providers across rural Oklahoma, participating in the Child and Adult Care Food Program were included. One day's meal photographs and detailed recipes for breakfast, lunch, and snack were collected. Fruit and vegetable preparation style by meal was calculated in SPSS.</p></div><div><h3>Results</h3><p>FCCH providers were 100% women, 43.1 ± 10.2 years old. For breakfast, canned fruits or vegetables was served 2.5 times greater than that of frozen fruits or vegetables (4.4% frozen and 11.1% canned) and canned fruits were served 6 times greater than that of fresh (73.3% fresh vs. 11.1% canned), and 6.8% served fruit juice. For lunch, approximately, half of the providers served fresh or frozen vegetables for lunch (35.6% fresh and 15.6% frozen), while more than one-third (44.4%) served canned vegetables, 0.0% dried vegetables, and 4.4% fruit juice. For snack, 11.1% served fresh and 0% frozen, canned, or dried vegetables; and 37.8% served fresh, 2.2% frozen, 13.3% canned, and 4.4% dried fruits and 13.3 % served fruit juice.</p></div><div><h3>Conclusions</h3><p>Since canned foods are served more than that of the frozen foods and high in sodium, reducing the use of canned fruits and vegetables and promoting fresh and frozen equivalents is important to improve the nutrient quality of foods served in FCCHs. Future research can explore strategies to promote healthier preparation styles, such as fresh or frozen foods, over canned options.</p></div><div><h3>Funding</h3><p>USDA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953592","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":"Health-Related Behaviors, Resiliency, and Loneliness in College Students With and Without Disabilities","authors":"","doi":"10.1016/j.jneb.2024.05.047","DOIUrl":"10.1016/j.jneb.2024.05.047","url":null,"abstract":"<div><h3>Background</h3><p>Approximately 25% of college students reported a disability that can be any condition of the body or mind that makes it more difficult for the person to do certain activities. This may have an additional impact on psychosocial factors and health-related behaviors.</p></div><div><h3>Objective</h3><p>Evaluate differences in loneliness, resiliency, and health-related behaviors in students with and without disabilities.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Data analysis was conducted from the National College Health Assessment from one university in Fall 2022. 829 of the 4,500 randomly sampled students completed the survey. Disability status was assessed through self-report and categorized into 4 groups; 1) individuals with no disability, 2) individuals with a cognitive disability, 3) individuals with a physical disability, and 4) individuals that have both a cognitive and physical disability.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Variables include resilience from the Connor Davidson Scale, loneliness using the UCLA scale, food intake, physical activity (PA), sleep, disability, and demographic characteristics (age, race, sex). To evaluate differences among students in health-related behaviors and resiliency Analysis of Covariance (ANCOVA) was used. To measure the likelihood of dietary intake and physical activity being less healthful with loneliness Adjusted Odds Ratio (AOR) was used.</p></div><div><h3>Results</h3><p>Majority of the sample were female (67.52%), full-time (85.38%), and had a GPA of “A” (55.30%). Mean age was 23 years (23.1±7.4). Significant differences were seen in loneliness (p=0.019) and well-being (p=0.016) among student groups. No significant differences were found in PA, resiliency, and food intake among student groups. There was no significant difference of the odds of having lower fruit (OR=2.53, 95% CI [0.46,13.76]), vegetable(OR=1.21, 95% CI [0.44,3.33]), meat/poultry (OR=1.78, 95% CI [0.76,4.16]), higher SSB intake (OR=1.01, 95% CI [0.98,1.04]), lower PA (OR=1.00, 95% CI [1.00,1.00]) with feeling lonely in student groups.</p></div><div><h3>Conclusions</h3><p>Students with disabilities showed higher loneliness but showed no differences in health-related behaviors. This analysis has provided insight for future interventions that can target increasing resiliency, reducing loneliness, and increasing healthful behaviors among students.</p></div><div><h3>Funding</h3><p>NIH</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953522","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}