查看更多>>摘要:Institutions such as hospitals and schools waste approximately seven to eleven billion pounds of food annually in the US. Food composting can be utilized to divert food waste from entering landfills. This study explored behaviors and perceptions of staff and management involved in a composting intervention at a local hospital through the Diffusion of Innovation (DOI) theory. The importance of management involvement, organizational and institutional buy-in, proper education and training, and consistent follow-up were discussed. Different dimensions of compatibility, relative advantage, complexity, trialability, and observability of the composting intervention were identified by participants as contributing to the intervention implementation.
查看更多>>摘要:Community-based nutrition and health promotion programs play an important role in improving neighborhood health. This article presents findings from an exploratory qualitative evaluation of Eat Healthy, Live Life, a community-based nutrition and health promotion program in East Harlem, a low-income neighborhood of color in New York City. Focus group findings showed that participants adopted new healthy behavior changes and Health Bucks coupons helped increased affordability of fresh produce. This program may be an effective model for impacting health behavior through promotion of good nutrition, physical activity, and utilization of farmers' markets in low-income neighborhoods of color.
McElfish, Pearl A.Rowland, BrettScott, Aaron J.Niemeier, Jill...
14页
查看更多>>摘要:This study documents sugar-sweetened beverage (SSB) consumption among overweight and obese Marshallese adults and examines the association between SSB consumption and body mass index. Data from 378 participants enrolled in a Diabetes Prevention Program cluster-randomized controlled trial were analyzed. Associations were assessed using generalized estimating equations. More than half of participants reported consuming SSBs 1 or more times per day. Obese participants were twice as likely as overweight participants to consume SSBs 1 or more times per day (P= .005). These results will be immediately useful to researchers and practitioners working with the Marshallese community to improve nutrition and prevent diet-related chronic diseases.
查看更多>>摘要:This study compared rural vs urban eating and physical activity (PA) behaviors and perceived barriers. Analyses revealed rural adults cooked more at home, ate out less at restaurants (5.59 vs 4.91 days, P = .00; .71 days vs 1.08 days, P = .01, respectively), and snacked less than urban adults (1.69 vs 2.01 times per day, P = .03). Among rural adults, unaffordability was associated with not meeting fruit recommendations (P = .02) and safety and traffic concerns were negatively associated with daily PA (P = .03, P = .00, respectively). Among urban adults, inadequate selection (P = .03) was associated with not meeting fruit recommendations. Results revealed contextual issues for policymakers and practitioners.
查看更多>>摘要:The purpose of this qualitative study is to elucidate how food insecurity affects diabetes self-management among adults with type 2 diabetes mellitus (T2DM). Eleven persons with T2DM who screened as food insecure were recruited from a patient pool of a healthcare system in South Carolina. Interview recordings were transcribed, blinded, and imported into NVivo. Participant ages ranged from 36 to 66 years, and included nine women, and seven African American participants. Three major themes emerged: (1) coping with food insecurity; (2) strategies used to manage T2DM within the context of food insecurity; and (3) receiving unrealistic advice from providers.
McDougall, Jean A.Jaffe, Shoshana AdlerGuest, Dolores D.Sussman, Andrew L....
16页
查看更多>>摘要:Defined as an inability to acquire enough food because of insufficient money or other resources, the prevalence of food insecurity is markedly higher among cancer survivors than the general population. The objective of this qualitative study was to understand and characterize the experience of food insecurity from the perspective of cancer survivors' and their informal caregivers using qualitative interviews. Barriers to healthy eating, behaviors and strategies in times of food shortage, and unmet educational needs shaped the experience of food insecurity. These experiences and insights for addressing food insecurity in oncology practice have broad implications for future interventions.
查看更多>>摘要:Food environments are associated with diabetes, obesity and cardiovascular health, but associations to colorectal cancer incidence and mortality have not been reported. We analyzed associations between Food Environment Index (FEI) and national adjusted colorectal cancer incidence and mortality rates. Better FEI scores (i.e., environments with less food insecurity and better access to healthy food) were associated with lower colorectal cancer incidence (p < .004) and mortality (p < .0001). Stronger associations were observed in areas with higher percent Black populations. Results suggest that food environments may contribute to colorectal cancer risk, and point to areas for further research on prevention and cancer survivorship.
Long, Christopher R.Narcisse, Marie-RachelleRowland, BrettFaitak, Bonnie...
17页
查看更多>>摘要:Characterizing food pantry (FP) clients' FP usage patterns may provide opportunities to tailor health-related interventions. Respondents (n = 245) at seven FPs reported their frequency and reliance on FPs and their sociodemographics, health status, and health-related trade-offs. Clients were categorized via latent class analysis. Higher FP usage was associated with being older, having a household member with heart disease, and putting off buying medicine to buy food. Lower FP usage was associated with higher levels of education and having a household member with cancer. Findings highlight the potential importance of measuring FP clients' degree of FP use.
Kazembe, Lawrence N.Nickanor, NdeyapoCrush, Jonathan
20页
查看更多>>摘要:This paper investigates the relationship between dietary patterns and non-communicable diseases (NCDs) in Windhoek based on data from a cross-sectional random sample of 863 households. We identify three major dietary patterns: starch- sugar-oil, fruits-vegetables, and meat-fish, which explain more than 43% of the variation in food consumption. High uptake levels of starch-sugar-oil diets are associated with diabetes, and also increase heart problems. Females were at greater risk of cardio-vascular disease (CVD) and hypertension, while there is an increased risk of disease with age. Highly food insecure residents in informal settlements displayed lower than expected rates of NCDs.