scholarly journals Healthy food purchasing among African American youth: associations with child gender, adult caregiver characteristics and the home food environment

2010 ◽  
Vol 14 (4) ◽  
pp. 670-677 ◽  
Author(s):  
Pamela J Surkan ◽  
Anastasia J Coutinho ◽  
Karina Christiansen ◽  
Lauren A Dennisuk ◽  
Sonali Suratkar ◽  
...  

AbstractObjectiveTo examine how factors related to the home food environment and individual characteristics are associated with healthy food purchasing among low-income African American (AA) youth.SubjectsA total of 206 AA youth (ninety-one boys and 115 girls), aged 10–14 years, and their primary adult caregivers.SettingFourteen Baltimore recreation centres in low-income neighbourhoods.DesignCross-sectional study. We collected information about food purchasing, the home food environment, sociodemographic and psychosocial factors drawn from social cognitive theory. Multivariable logistic regression was used to examine the factors associated with the frequency and proportion of healthy food purchases in all youth and stratified by gender. Low-fat or low-sugar foods were defined as healthy.ResultsYouth purchased an average of 1·5 healthy foods (range = 0–15) in the week before the interview, comprising an average of 11·6 % (range = 0–80 %) of total food purchases. The most commonly purchased healthy foods included water and sunflower seeds/nuts. Healthier food-related behavioural intentions were associated with a higher frequency of healthy foods purchased (OR = 1·4, P < 0·05), which was stronger in girls (OR = 1·9, P < 0·01). Greater caregiver self-efficacy for healthy food purchasing/preparation was associated with increased frequency of healthy purchasing among girls (OR = 1·3, P < 0·05). Among girls, more frequent food preparation by a family member (OR = 6·6, P < 0·01) was associated with purchasing a higher proportion of healthy foods. No significant associations were observed for boys.ConclusionsInterventions focused on AA girls should emphasize increasing food-related behavioural intentions. For girls, associations between caregiver self-efficacy and home food preparation suggest the importance of the caregiver in healthy food purchasing.

2018 ◽  
Vol 50 (7) ◽  
pp. S76-S77
Author(s):  
Savannah Hobbs ◽  
Morgan McCloskey ◽  
Susan L. Johnson ◽  
Richard E. Boles ◽  
Laura L. Bellows

2012 ◽  
Vol 14 (6) ◽  
pp. 1014-1022 ◽  
Author(s):  
Katherine Skala ◽  
Ru-Jye Chuang ◽  
Alexandra Evans ◽  
Ann-Marie Hedberg ◽  
Jayna Dave ◽  
...  

2014 ◽  
Vol 18 (12) ◽  
pp. 2220-2230 ◽  
Author(s):  
Tamara Dubowitz ◽  
Shannon N Zenk ◽  
Bonnie Ghosh-Dastidar ◽  
Deborah A Cohen ◽  
Robin Beckman ◽  
...  

AbstractObjectiveTo provide a richer understanding of food access and purchasing practices among US urban food desert residents and their association with diet and BMI.DesignData on food purchasing practices, dietary intake, height and weight from the primary food shopper in randomly selected households (n 1372) were collected. Audits of all neighbourhood food stores (n 24) and the most-frequented stores outside the neighbourhood (n 16) were conducted. Aspects of food access and purchasing practices and relationships among them were examined and tests of their associations with dietary quality and BMI were conducted.SettingTwo low-income, predominantly African-American neighbourhoods with limited access to healthy food in Pittsburgh, PA, USA.SubjectsHousehold food shoppers.ResultsOnly one neighbourhood outlet sold fresh produce; nearly all respondents did major food shopping outside the neighbourhood. Although the nearest full-service supermarket was an average of 2·6 km from their home, respondents shopped an average of 6·0 km from home. The average trip was by car, took approximately 2 h for the round trip, and occurred two to four times per month. Respondents spent approximately $US 37 per person per week on food. Those who made longer trips had access to cars, shopped less often and spent less money per person. Those who travelled further when they shopped had higher BMI, but most residents already shopped where healthy foods were available, and physical distance from full-service supermarkets was unrelated to weight or dietary quality.ConclusionsImproved access to healthy foods is the target of current policies meant to improve health. However, distance to the closest supermarket might not be as important as previously thought, and thus policy and interventions that focus merely on improving access may not be effective.


2020 ◽  
Vol 35 (1) ◽  
pp. 131-139
Author(s):  
Myoungock Jang ◽  
Roger Brown ◽  
Pa Ying Vang

Purpose: Home food environment, including home food availability and parental food preparation practices, plays a significant role in child diet patterns. Recent evidence suggests that parental psychological stress is related to parental food preparation practices; however, there is limited information about the relationship between parental psychological stress and home food availability. The purpose of the study is to examine the relationships between parental stress, home food availability, child diet patterns, and body mass index (BMI) in families with young children. Design: A secondary data analysis from a mixed-methods design study. Setting: The parent study was conducted in both local and online communities using a web-based survey. Participants: Participants were 256 parents of children aged 2 to 5 years (53.4% white; 41.5% of overweight or obese children). Measures: Parents completed well-validated self-report questionnaires. Analysis: We used latent structural equation modeling using Bayesian analysis. Results: There was a negative relationship between parents’ general stress and healthy food availability at home (β* = −.20, P < .001 for fruits; β* = −.23, P < .001 for vegetables; and β* = −.24, P < .001 for healthy beverage) and a positive relationship between parenting stress and healthy snack and healthy beverage availability (β = .13, P = .03; β = .14, P = .02, respectively). There was no relationship between parental stress and unhealthy food availability at home while unhealthy food availability was significantly associated with child’s unhealthy eating pattern (β* = .86, P < .01 for unhealthy snack; β* = .51, P < .01 for unhealthy beverage). There was no moderating effect of children’s health insurance on the relationships between parental stress and home food availability. Furthermore, child diet patterns were not associated with child BMI. Conclusion: Parental psychological stress is a potentially important intervention target point for improving home food environment and child diet patterns.


2020 ◽  
pp. 1-12
Author(s):  
Feyisayo A Odunitan-Wayas ◽  
Kufre J Okop ◽  
Robert VH Dover ◽  
Olufunke A Alaba ◽  
Lisa K Micklesfield ◽  
...  

Abstract Objective: To identify factors associated with food purchasing decisions and expenditure of South African supermarket shoppers across income levels. Design: Intercept surveys were conducted, grocery receipts collated and expenditure coded into categories, with each category calculated as percentage of the total expenditure. In-supermarket food quality audit and shelf space measurements of foods such as fruits and vegetables (F&V) (healthy foods), snacks and sugar-sweetened beverages (SSB) (unhealthy foods) were also assessed. Shoppers and supermarkets were classified by high-, middle- and low-income socio-economic areas (SEA) of residential area and location, respectively. Shoppers were also classified as “out-shoppers” (persons shopping outside their residential SEA) and “in-shoppers” (persons shopping in their residential SEA). Data were analysed using descriptive analysis and ANOVA. Setting: Supermarkets located in different SEA in urban Cape Town. Participants: Three hundred ninety-five shoppers from eleven purposively selected supermarkets. Results: Shelf space ratio of total healthy foods v. unhealthy foods in all the supermarkets was low, with supermarkets located in high SEA having the lowest ratio but better quality of fresh F&V. The share expenditure on SSB and snacks was higher than F&V in all SEA. Food secure shoppers spent more on food, but food items purchased frequently did not differ from the food insecure shoppers. Socio-economic status and food security were associated with greater expenditure on food items in supermarkets but not with overall healthier food purchases. Conclusion: Urban supermarket shoppers in South Africa spent substantially more on unhealthy food items, which were also allocated greater shelf space, compared with healthier foods.


Author(s):  
Patricia G Wolf ◽  
Jennifer C Sanchez-Flack ◽  
Joanna Buscemi ◽  
Marian L Fitzgibbon ◽  
H Rex Gaskins ◽  
...  

Abstract The COVID-19 pandemic has highlighted the inequitable access to resources, leading to a disproportionate burden of disease in vulnerable communities in the USA. However, these inequities in health outcomes are not limited to COVID-19. Approximately 18% of cancers are related to dietary behaviors and excess body weight. Underserved communities, such as minority racial/ethnic groups living in neighborhoods of low socioeconomic status, experience barriers to healthy eating including lack of access to high-quality healthy foods and higher availability of unhealthy foods and beverages in local retail food outlets. Strikingly, these same populations are more likely to die from cancers related to dietary intake and obesity like colorectal, liver, and pancreatic cancers. To reduce cancer inequities, policy makers can act by supporting programs that incentivize healthy food purchases and improve the local food environment in underserved communities.


2013 ◽  
Author(s):  
Stacey Maurer ◽  
Kristen Medina ◽  
Danielle Lespinasse ◽  
Samantha Minski ◽  
Manal Alabduljabbar ◽  
...  

2020 ◽  
Vol 41 (2_suppl) ◽  
pp. 74S-86S
Author(s):  
Adam Drewnowski ◽  
Eva C. Monterrosa ◽  
Saskia de Pee ◽  
Edward A. Frongillo ◽  
Stefanie Vandevijvere

Background: Sustainable healthy diets are those dietary patterns that promote all dimensions of individuals’ health and well-being; have low environmental pressure and impact; are accessible, affordable, safe, and equitable; and are culturally acceptable. The food environment, defined as the interface between the wider food system and consumer’s food acquisition and consumption, is critical for ensuring equitable access to foods that are healthy, safe, affordable, and appealing. Discussion: Current food environments are creating inequities, and sustainable healthy foods are generally more accessible for those of higher socioeconomic status. The physical, economic, and policy components of the food environment can all be acted on to promote sustainable healthy diets. Physical spaces can be modified to improve relative availability (ie, proximity) of food outlets that carry nutritious foods in low-income communities; to address economic access certain actions may improve affordability, such as fortification, preventing food loss through supply chain improvements; and commodity specific vouchers for fruits, vegetables, and legumes. Other policy actions that address accessibility to sustainable healthy foods are comprehensive marketing restrictions and easy-to-understand front-of-pack nutrition labels. While shaping food environments will require concerted action from all stakeholders, governments and private sector bear significant responsibility for ensuring equitable access to sustainable healthy diets.


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