Role of Critical Nutrition Literacy in Making Informed Decisions About Dietary Behavior (OR08-07-19)

Abstract Objectives To determine if there is an association between critical nutrition literacy (CNL) and dietary behavior. It is hypothesized that college students with higher nutrition literacy scores will consume more fruits and vegetables (FV) and less added sugar (S). Methods A secondary data analysis was conducted using a cross-sectional survey of a convenience sample of college students from the University of Rhode Island, Rutgers University, and West Virginia University. Participants completed the Behavior Environment Perception Survey (BEPS), including the validated NCI Dietary Screener Questionnaire to assess FV and S consumption, and a validated, 5-item CNL Claims Scale to assess CNL. Mean CNL scores (range 1–5) were divided into tertiles: 1.0 to 3.0 indicated lower CNL, 3.01 to 3.81 moderate CNL and 3.82 to 5.0 higher CNL. Multivariate analysis of variance (MANOVA) examined the differences between the CNL tertiles and cup equivalents (C) of FV per day and teaspoon equivalents (tsp) of S per day. Results Out of the 1820 student responses to BEPS, 1407 students had complete data for CNL, the dependent variables, and were between the ages of 18 and 24. The average age was 20.3 ± 1.7 (SD) years old; majority were female (72%), white (81%), and lived off-campus (61%). Mean CNL score among students was 3.49 ± 0.72 (SD). After controlling for university, there were no differences between CNL score and fruit and vegetable or added sugar intake (F(2704) = 1.88, P = .08). Interestingly, although not statistically significant, mean FV was 2.28 ± 0.95 (SD) C and S was 12.29 ± 7.7 (SD) tsp for subjects with lower CNL while students with higher CNL reported less FV of 2.16 ± 0.96 (SD) C and more S of 13.30 ± 8.9 (SD) tsp. Conclusions Results suggest no significant relationships between CNL score and FV or added S intake. This finding contrasts with research demonstrating that health literacy is predictive of positive health promotion behavior. Future research should investigate the relationship between CNL and FV or S more specifically by including more sensitive and comprehensive nutrition literacy measures. Funding Sources This work is supported by the USDA National Institute of Food and Agriculture, Hatch projects, at the participating universities.

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Effectiveness of mobile produce markets in increasing access and affordability of fruits and vegetables among low-income seniors

Public Health Nutrition ◽

10.1017/s1368980020002931 ◽

2020 ◽

Vol 23 (17) ◽

pp. 3226-3235

Author(s):

Reece Lyerly ◽

Pasquale Rummo ◽

Sarah Amin ◽

Whitney Evans ◽

Eliza Dexter Cohen ◽

...

Keyword(s):

Rhode Island ◽

Low Income ◽

Fruits And Vegetables ◽

Economic Status ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Assistance Program ◽

Logistic Regression Models ◽

Populations At Risk ◽

Nutrition Assistance

AbstractObjective:Mobile produce markets (MPM) offering Supplemental Nutrition Assistance Program (SNAP) incentive programmes have the potential to provide accessible and affordable fruits and vegetables (FV) to populations at risk of food insecurity. The objective of this study is to characterise the customer base of an MPM and describe their participation at twelve market sites serving low-income seniors.Design:In 2018, customers from an MPM in Rhode Island (RI) participated in a cross-sectional survey (n 330; 68 % response rate), which measured dietary patterns, food security and food shopping behaviours. We compared the shopping habits and market experiences of customers who currently received SNAP benefits with those who did not currently receive SNAP benefits.Setting:An MPM in RI which offers a 50 % discount for FV purchased with SNAP benefits.Participants:This study describes current market customers at twelve market sites serving low-income seniors.Results:Market customers were mostly low-income, female, over the age of 50 years and Hispanic/Latino. Most customers received SNAP benefits, and almost half were food insecure. In addition, three quarters of SNAP customers reported their SNAP benefits last longer since shopping at the markets. Mixed logistic regression models indicated that SNAP customers were more likely to report buying and eating more FV than non-SNAP customers.Conclusions:MPM are critical resources of affordable produce and have been successful in improving access to FV among individuals of low socio-economic status in RI. This case study can inform policy and programme recommendations for MPM and SNAP incentive programmes.

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Abdominal pain: a survey of clinically important outcomes for future research

CJEM ◽

10.1017/s1481803500012707 ◽

2010 ◽

Vol 12 (06) ◽

pp. 485-490 ◽

Cited By ~ 4

Author(s):

Angela M. Mills ◽

Anthony J. Dean ◽

Judd E. Hollander ◽

Esther H. Chen

Keyword(s):

Abdominal Pain ◽

Acute Abdominal Pain ◽

Future Research ◽

Original Research ◽

Emergency Physicians ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Convenience Sample ◽

Clinically Significant

ABSTRACT Objective: We aimed to use the consensus opinion of a group of expert emergency physicians to derive a set of emergency diagnoses for acute abdominal pain that might be used as clinically significant outcomes for future research. Methods: We conducted a cross-sectional survey of a convenience sample of emergency physicians with expertise in abdominal pain. These experts were authors of textbook chapters, peer-reviewed original research with a focus on abdominal pain or widely published clinical guidelines. Respondents were asked to categorize 50 possible diagnoses of acute abdominal pain into 1 of 3 categories: 1) unacceptable not to diagnose on the first emergency department (ED) visit; 2) although optimal to diagnose on first visit, failure to diagnose would not be expected to have serious adverse consequences provided the patient had follow-up within the next 2–7 days; 3) if not diagnosed during the first visit, unlikely to cause long-term risk to the patient provided the patient had follow-up within the next 1–2 months. Standard descriptive statistical analysis was used to summarize survey data. Results: Thirty emergency physicians completed the survey. Of 50 total diagnoses, 16 were categorized as “unacceptable not to diagnose in the ED” with greater than 85% agreement, and 12 were categorized as “acceptable not to diagnose in the ED” with greater than 85% agreement. Conclusion: Our study identifies a set of abdominal pain conditions considered by expert emergency physicians to be clinically important to diagnose during the initial ED visit. These diseases may be used as “clinically significant” outcomes for future research on abdominal pain.

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Cross-Sectional Survey of the Training Practices of Racing Greyhounds in New Zealand

Animals ◽

10.3390/ani10112032 ◽

2020 ◽

Vol 10 (11) ◽

pp. 2032

Author(s):

Anna L. Palmer ◽

Chris W. Rogers ◽

Kevin J. Stafford ◽

Arnon Gal ◽

Darryl J. Cochrane ◽

...

Keyword(s):

New Zealand ◽

High Intensity ◽

High Specificity ◽

Interquartile Range ◽

Future Research ◽

Primary Reason ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Convenience Sample ◽

Training Programmes

The aim of this study was to conduct a cross-sectional survey of racing greyhound trainers in New Zealand in order to provide an overview of their training practices. A survey regarding training practices was posted to all registered greyhound training license holders in New Zealand in August 2019. Data were collected from a convenience sample of 48 trainers (35.6%; n = 48/137) who completed the survey. Other than the differences in the number of greyhounds in race training, the training programmes described by public trainers and owner trainers were similar. Trainers reported that the primary reason for registering young dogs for racing and for qualifying for racing was the ability to meet time milestones. Young dogs had a median of six (interquartile range (IQR): 4–10) trials before they commenced their racing career. Trainers described training practices that aimed to prepare greyhounds for race-day. Regardless of whether the dogs raced once or twice a week, most training programmes demonstrated high specificity where training involved two periods of load cycles through high-intensity workload. Trainers racing their greyhounds once a week simulated the workload of trainers racing their greyhounds twice a week by introducing one high-intensity (speed) workout during the week. Training programmes were structured to condition the dogs to the physiological and metabolic requirements of sprint racing. This study highlights the importance of the need for an improved understanding of training and competition load in order to enable future research in the field of racing greyhounds.

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Knowledge, Attitudes, Beliefs and Behaviors Regarding Fruits and Vegetables among Cost-Offset Community-Supported Agriculture (CSA) Applicants, Purchasers, and a Comparison Sample

Nutrients ◽

10.3390/nu11061320 ◽

2019 ◽

Vol 11 (6) ◽

pp. 1320

Author(s):

Karla L. Hanson ◽

Leah C. Volpe ◽

Jane Kolodinsky ◽

Grace Hwang ◽

Weiwei Wang ◽

...

Keyword(s):

Fruits And Vegetables ◽

Community Supported Agriculture ◽

Future Research ◽

Poverty Level ◽

Cross Sectional Survey ◽

Eligibility Criteria ◽

Cross Sectional ◽

Cost Offset ◽

Comparison Sample ◽

Chi Square Analysis

Community-supported agriculture (CSA) participation has been associated with high fruit and vegetable (FV) consumption, which may be due to better access to FV for CSA purchasers, or to positive knowledge, attitudes, and beliefs (KAB) regarding healthy eating among CSA applicants. The objective of this study was to examine KAB and consumption, in association with application to a cost-offset CSA (CO-CSA) program, and with CO-CSA purchase among applicants. We conducted a cross-sectional survey of CO-CSA applicants and a comparison sample in August 2017. All respondents were English-reading adults with a child 2–12 years old and household income of ≤185% of the federal poverty level. Among CO-CSA applicants, some were CO-CSA purchasers (n = 46) and some were not (n = 18). An online comparison sample met equivalent eligibility criteria, but had not participated in CSA for three years (n = 105). We compared CO-CSA applicants to the comparison sample, and compared purchasers and non-purchaser sub-groups, using Mann-Whitney U tests and chi-square analysis. CO-CSA applicants reported better knowledge, self-efficacy, home habits, and diet than the comparison sample. Among applicants, CO-CSA purchasers and non-purchasers had equivalent KAB, but children in purchaser households had higher FV consumption than in non-purchaser households (4.14 vs. 1.83 cups, p = 0.001). Future research should explore associations between CO-CSA participation and diet using experimental methods.

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Perspectives of Canadian and American Cat Owners on Provision of Uncontrolled Outdoor Access for Owned Domestic Cats

Frontiers in Veterinary Science ◽

10.3389/fvets.2021.742245 ◽

2021 ◽

Vol 8 ◽

Author(s):

Sarah M. L. Tan ◽

Sarah Jajou ◽

Anastasia C. Stellato ◽

Lee Niel

Keyword(s):

United States ◽

Online Survey ◽

Random Effect ◽

The United States ◽

Future Research ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional ◽

Convenience Sample ◽

Attitudes And Practices

While uncontrolled outdoor access can increase opportunities for cat physical and mental stimulation, it can also increase risks of injury and illness, and result in predation of wild birds and small animals. In Canada and the United States, it is often recommended to keep cats indoors, but many owners still provide some level of outdoor access. The objectives of this study were to use a cross-sectional survey to explore the attitudes and practices of cat owners in Canada and the United States toward outdoor access and to identify factors that influence the provision of uncontrolled outdoor access. A convenience sample of cat owners (N = 7,838) were recruited to complete an online survey, and a mixed logistic regression model was used to examine associations between cat and owner-related factors, and uncontrolled outdoor access for cats, with province/state included as a random effect. In total, 57% of owners kept their cats indoors, and 43% provided some form of outdoor access, with 21% of total owners providing uncontrolled outdoor access. Provision of uncontrolled outdoor access was associated with factors related to cat characteristics (e.g., sex, breed, presence of health, and behavioral issues), the home environment (e.g., living with other pets, types of enrichment provided), owner perspectives on outdoor access (e.g., level of agreement with potential benefits and consequence of outdoor access), and owner demographics (e.g., gender, education, area of residence). For cats with uncontrolled outdoor access, few owners reported their cats having a collar or a microchip, suggesting a need to increase education about precautionary measures to protect the welfare of outdoor cats. Results reveal how owners are caring for their cats in terms of providing outdoor access and generate hypotheses for future research to examine the influence of the owner-pet bond and educational programs on owner practices around providing outdoor access.

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Factors That Affect Exercise Habits of College Students

Journal of Education and Development ◽

10.20849/jed.v2i1.327 ◽

2018 ◽

Vol 2 (1) ◽

pp. 20 ◽

Cited By ~ 1

Author(s):

Luke Eichorn ◽

Kayla Bruner ◽

Taylor Short ◽

Samuel P. Abraham

Keyword(s):

College Students ◽

Extracurricular Activities ◽

Time Management ◽

Social Life ◽

Health Belief ◽

Sleep Habits ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Convenience Sample ◽

Exercise Habits

Various factors affect the exercise habits of college students. Some of these factors include sleep habits, diet, social life, homework, and other extracurricular activities. Although college students are aware of some of these influencing agents, they do not always take the necessary steps to change their habits. Exercise habits that an individual adheres to while in college would often determine their exercise habits for the rest of their lives. The purpose of this study was to determine the various factors that affect the exercise habits of college students. In this research, a convenience sample of 124 college students participated in a cross-sectional survey. The results indicated that the top reasons college students exercised was to remain healthy (M = 3.42, SD = 0.64), to gain the positive feeling that comes from exercise (M = 3.22, SD = 0.74); to join with friends who exercised (M = 2.99, SD = 0.72); and when feeling overweight (M = 2.96, SD = 0.88). Participants gave increased agreement to the item, “Having an increased homework load decreases the time I spend for exercise” (M = 3.10, SD = 0.86). This study may be useful for educators to teach and inform college students on the factors that affect exercise habits. A recommendation is to promote time management skills that are intentional about leaving adequate time for exercise. Teaching students how to balance personal life, school, and work will leave more time for them to exercise, and therefore, increase their health overall. Based on the health belief model, both positive and negative self-perceptions are motivating factors that causes people to take necessary steps to stay healthy.

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Knowledge and awareness about MERS-CoV among the dental students in Chennai

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl1.3091 ◽

2020 ◽

Vol 11 (SPL1) ◽

pp. 847-851

Author(s):

Nithyanandham Masilamani ◽

Dhanraj Ganapathy

Keyword(s):

College Students ◽

Large Scale ◽

Preventive Measures ◽

Positive Impact ◽

Educational Programs ◽

Dental Students ◽

Professional Organizations ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mode Of Transmission

Middle East Respiratory Syndrome (MERS) induced by new ß coronavirus MERS-(CoV) had first been described in Saudi Arabia in September 2012. MERS-CoV communication inside the population is often identified with clustered households and cramped communal spaces. The purpose of the study is to assess the knowledge and awareness of MERS-CoV among dental students in India. This was a questionnaire-based cross-sectional survey of 100 dental college students in Chennai. The self-designed questionnaires contained ten questions focused on the knowledge and awareness of MERS-CoV amongst dental college students. Questionnaires were circulated through an online website survey planet. After the responses were received from 100 participants, data were collected and analyzed, .87% are aware of MERS-CoV through media 13% from professional channels. 84%are aware of the clinical manifestation of MERS-CoV. 81%Are aware of the mode of transmission of MERS-CoV. 76%are aware of the preventive measures against MERS -CoV.68%. Are aware of the incubation period of MERS-CoV. 74%aware of PCR as a diagnostic test for MERS-CoV. This study concluded that dental students had strong awareness and knowledge of MERS. Also, there are a few differences in information and behaviours that require change. Large-scale health educational programs on MERS also should be facilitated by professional organizations to expand their reach and to strengthen knowledge to have a positive impact on their behaviour.

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Self-rated health among undocumented and newly regularized migrants in Geneva: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-11239-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Julien Fakhoury ◽

Claudine Burton-Jeangros ◽

Idris Guessous ◽

Liala Consoli ◽

Aline Duvoisin ◽

...

Keyword(s):

Social Support ◽

Social Networks ◽

Cross Sectional Study ◽

Future Research ◽

Undocumented Migrants ◽

Long Term Effects ◽

Residence Permit ◽

Cross Sectional ◽

Convenience Sample ◽

Self Rated Health

Abstract Background In Europe, knowledge about the social determinants of health among undocumented migrants is scarce. The canton of Geneva, Switzerland, implemented in 2017–2018 a pilot public policy aiming at regularizing undocumented migrants. We sought to test for associations between self-rated health, proven eligibility for residence status regularization and social and economic integration. Methods This paper reports data from the first wave of the Parchemins Study, a prospective study whose aim is to investigate the effect of residence status regularization on undocumented migrants’ living conditions and health. The convenience sample included undocumented migrants living in Geneva for at least 3 years. We categorized them into those who were in the process of receiving or had just been granted a residence permit (eligible or newly regularized) and those who had not applied or were ineligible for regularization (undocumented). We conducted multivariate regression analyses to determine factors associated with better self-rated health, i.e., with excellent/very good vs. good/fair/poor self-rated health. Among these factors, measures of integration, social support and economic resources were included. Results Of the 437 participants, 202 (46%) belonged to the eligible or newly regularized group. This group reported better health more frequently than the undocumented group (44.6% versus 28.9%, p-value < .001), but the association was no longer significant after adjustment for social support and economic factors (odds ratio (OR): 1.12; 95% confidence interval (CI): 0.67–1.87). Overall, better health was associated with larger social networks (OR: 1.66; 95% CI: 1.04–2.64). This association remained significant even after adjusting for health-related variables. Conclusion At the onset of the regularization program, access to regularization was not associated with better self-rated health. Policies aiming at favouring undocumented migrants’ inclusion and engagement in social networks may promote better health. Future research should investigate long-term effects of residence status regularization on self-rated health.

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Awareness and outcomes of the fruits and veggies (FNV) campaign to promote fruit and vegetable consumption among targeted audiences in California and Virginia: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-11055-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tessa R. Englund ◽

Valisa E. Hedrick ◽

Sofía Rincón-Gallardo Patiño ◽

Lauren E. Kennedy ◽

Kathryn W. Hosig ◽

...

Keyword(s):

Fruits And Vegetables ◽

Vegetable Intake ◽

Behavioral Outcomes ◽

Cross Sectional Study ◽

Fruit And Vegetable Intake ◽

Brand Awareness ◽

Sectional Study ◽

Fruit And Vegetable ◽

Cross Sectional ◽

Convenience Sample

Abstract Background In 2015, the Partnership for a Healthier America launched the branded Fruits & Veggies (FNV) Campaign to apply a unique industry-inspired marketing approach to promote fruit and vegetable sales and intake to moms and teens in two US pilot markets: Fresno, California and Hampton Roads, Virginia. The aims of this cross-sectional study were to: 1) assess brand awareness and fruit- and vegetable-related outcomes among FNV Campaign target audiences in the California and Virginia market locations; and 2) examine whether reported awareness of the FNV Campaign was associated with differences in fruit- and vegetable-related cognitive and behavioral outcomes. Methods Data for this cross-sectional study were collected using an online survey administered to a non-probability convenience sample (n = 1604; February–July 2017) of youth aged 14–20 years (n = 744) and moms aged 21–36 years (n = 860) in the two pilot markets. Descriptive statistics were computed and outcomes compared between unaware and aware respondents, controlling for sociodemographic covariates. Multivariate analysis of covariance (MANCOVA) was conducted to assess whether fruit- and vegetable-related attitude, belief, and encouragement outcomes differed by FNV Campaign awareness; logistic regression was used to examine associations between FNV brand awareness and dichotomous variables (fruit- and vegetable-related behavioral intentions, trying new fruits and vegetables); and ANCOVA was used to assess associations with daily fruit and vegetable intake frequency. Results Approximately 20% (n = 315/1604) of respondents reported awareness of the FNV Campaign. Youth that reported awareness of the FNV Campaign (n = 167, 22.4%) had higher intentions to buy (p = 0.003) and eat (p = 0.009) fruits and vegetables than unaware respondents. Mothers that reported awareness of the FNV Campaign (n = 148, 17.2%) reported greater encouragement for friends and family to eat fruits and vegetables (p = 0.013) and were approximately 1.5 times more likely to report trying a new fruit or vegetable (p = 0.04) than mothers unaware of the Campaign. Daily fruit and vegetable intake frequency did not differ by Campaign awareness. Conclusions FNV Campaign awareness was associated with limited but positive short- and intermediate-term cognitive and behavioral outcomes among target audience respondents. These findings can inform future research to enhance understanding and improve the FNV Campaign as it is expanded to new markets nationwide.

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Engagement with daily testing instead of self-isolating in contacts of confirmed cases of SARS-CoV-2

BMC Public Health ◽

10.1186/s12889-021-11135-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alex F. Martin ◽

Sarah Denford ◽

Nicola Love ◽

Derren Ready ◽

Isabel Oliver ◽

...

Keyword(s):

Pilot Study ◽

Minority Groups ◽

Service Evaluation ◽

Future Research ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Significant Group ◽

Negative Test ◽

The Impact ◽

Close Contacts

Abstract Background In December 2020, Public Health England with NHS Test and Trace initiated a pilot study in which close contacts of people with confirmed COVID-19 were given the option to carryout lateral flow device antigen tests at home, as an alternative to self-isolation for 10–14 days. In this study, we evaluated engagement with daily testing, and assessed levels of adherence to the rules relating to behaviour following positive or negative test results. Methods We conducted a service evaluation of the pilot study, examining survey responses from a subset of those who responded to an evaluation questionnaire. We used an online cross-sectional survey offered to adult contacts of confirmed COVID-19 cases who consented to daily testing. We used a comparison group of contacts who were not offered testing and instead self-isolated. Results Acceptability of daily testing was lower among survey respondents who were not offered the option of testing and among people from ethnic minority groups. Overall, 52% of respondents reported being more likely to share details of people that they had been in contact with following a positive test result, if they knew that their contacts would be offered the option of daily testing. Only 2% reported that they would be less likely to provide details of their contacts. On the days that they were trying to self-isolate, 19% of participants reported that they left the house, with no significant group differences. Following a negative test, 13% of respondents reported that they increased their contacts, but most (58%) reported having fewer risky contacts. Conclusions Our data suggest that daily testing is potentially acceptable, may facilitate sharing contact details of close contacts among those who test positive for COVID-19, and promote adherence to self-isolation. A better understanding is needed of how to make this option more acceptable for all households. The impact of receiving a negative test on behaviour remains a risk that needs to be monitored and mitigated by appropriate messaging. Future research should examine attitudes and behaviour in a context where infection levels are lower, testing is more familiar, and restrictions on activity have been reduced.

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