scholarly journals Support policies that foster a healthy food environment and incentivize healthy food purchases to mitigate cancer inequities

2021 ◽  
Author(s):  
Patricia G Wolf ◽  
Jennifer C Sanchez-Flack ◽  
Joanna Buscemi ◽  
Marian L Fitzgibbon ◽  
H Rex Gaskins ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Food Environment ◽  
Healthy Food ◽  
Excess Body Weight ◽  
Healthy Foods ◽  
Underserved Communities ◽  
Low Socioeconomic ◽  
Food Purchases ◽  
Pancreatic Cancers ◽  
The Usa

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.

scholarly journals A neurobehavioral study on the efficacy of price interventions in promoting healthy food choices among low socioeconomic families

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Tannista Banerjee ◽  
Veena Chattaraman ◽  
Hao Zou ◽  
Gopikrishna Deshpande
Keyword(s):  
Low Socioeconomic Status ◽  
Calorific Value ◽  
Healthy Food ◽  
Fiscal Policies ◽  
Healthy Foods ◽  
Status Change ◽  
Low Socioeconomic ◽  
Food Items ◽  
Policy Interventions ◽  
The Brain

Abstract Given the healthcare costs associated with obesity (especially in childhood), governments have tried several fiscal and policy interventions such as lowering tax and giving rebates to encourage parents to choose healthier food for their family. The efficacy of such fiscal policies is currently being debated. Here we address this issue by investigating how behavioral and brain-based responses in parents with low socioeconomic status change when rebates and lower taxes are offered on healthy food items. We performed behavioral and brain-based experiments, with the latter employing electroencephalography (EEG) acquired from parents while they shop in a simulated shopping market as well as follow up functional magnetic resonance imaging (fMRI) in the more restricted scanner environment. Behavioral data show that lower tax and rebate on healthy foods increase their purchase significantly compared to baseline. Rebate has a higher effect than lower tax treatment. From the EEG and fMRI experiments, we first show that healthy/unhealthy foods elicit least/maximal reward response in the brain, respectively. Further, by offering lower tax or rebate on healthy food items, the reward signal for such items in the brain is significantly enhanced. Second, we demonstrate that rebate is more effective than lower tax in encouraging consumers to purchase healthy food items, driven in part, by higher reward-related response in the brain for rebate. Third, fiscal interventions decreased the amount of frontal cognitive control required to buy healthy foods despite their lower calorific value as compared to unhealthy foods. Finally, we propose that it is possible to titrate the amount of tax reductions and rebates on healthy food items so that they consistently become more preferable than unhealthy foods.

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 ◽  
...  
Keyword(s):  
Low Income ◽  
Food Environment ◽  
Healthy Food ◽  
Food Preparation ◽  
Healthy Foods ◽  
Home Food Environment ◽  
Behavioural Intentions ◽  
Food Purchasing ◽  
Food Purchases ◽  
Home Food

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.

scholarly journals Linking the Flint Food Store Survey: Is Objective or Perceived Access to Healthy Foods Associated with Glycemic Control in Patients with Type 2 Diabetes?

2021 ◽  
Vol 18 (19) ◽  
pp. 10080
Author(s):  
Richard Casey Sadler ◽  
Amanda Y. Kong ◽  
Zachary Buchalski ◽  
Erika Renee Chanderraj ◽  
Laura A. Carravallah
Keyword(s):  
Glycemic Control ◽  
Food Environment ◽  
Food Access ◽  
Diabetes Management ◽  
Healthy Food ◽  
Food Store ◽  
Healthy Foods ◽  
Objectively Measured ◽  
Healthy Food Access

Type 2 diabetes mellitus (DM-2) remains a significant public health concern, particularly in low-income neighborhoods where healthy foods may be scarcer. Despite the well-known relationship between diet and diabetes, little evidence exists on the connections among the objectively measured community and consumer food environment, perception of food access, and diabetes management or outcomes. This cross-sectional, ecological study represents the first example of combining a GIS-based, objectively measured food store audit considering quality, variety, and price of foods in stores with a clinical survey of patients with DM-2 (n = 126). In this way, we offer evidence on the relationship between healthy food access—measured more robustly than proximity to or density of certain store types—and diabetes management knowledge, medication adherence, and glycemic control. Better glycemic control was not correlated with better overall food store score, meaning that people in neighborhoods with better access to healthy foods are not necessarily more likely to manage their diabetes. While perceived healthy food access was not correlated with glycemic control, it was strongly correlated with objective healthy food access at shorter distances from home. These results have great importance both for clinical understanding of the persistence of poor diabetes management outcomes and for the understanding of the influence of the food environment on health behaviors.

scholarly journals Strategies to support healthy food choices for adults living with low socioeconomic status and type 2 diabetes mellitus: an integrative literature review

2021 ◽  
Author(s):  
◽  
Jade Leavitt
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Socioeconomic Status ◽  
Type 2 Diabetes Mellitus ◽  
Literature Review ◽  
Low Socioeconomic Status ◽  
Food Choices ◽  
Healthy Food ◽  
Low Socioeconomic

Type 2 diabetes mellitus (T2DM) is an increasing concern in Canada, with low socioeconomic status being a major risk factor. This review explores strategies to improve food access that promote healthy food choices among people experiencing food insecurity and living with T2DM. Whittemore and Knalf’s (2015) integrative literature review methodology was used to extract and analyse the evidence. Four key strategies emerged: 1) promoting healthy food affordability through incentives and disincentives, 2) understanding effective and ineffective food interventions, 3) enhancing nutritional education in the standard of care, and 4) manifesting empowerment through self-efficacy and diabetes management. These strategies can be applied by nurse practitioners within primary care. Aligned with a population health approach, they can direct practice, education, and research through healthy public policy focused on reducing the incidence of T2DM, particularly in people experiencing food insecurity.

scholarly journals Tobacco industry marketing to low socioeconomic status women in the USA

2014 ◽  
Vol 23 (e2) ◽  
pp. e139-e146 ◽  
Author(s):  
Cati G Brown-Johnson ◽  
Lucinda J England ◽  
Stanton A Glantz ◽  
Pamela M Ling
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Tobacco Industry ◽  
Low Socioeconomic ◽  
The Usa

scholarly journals At-a-glance - "A tough sell": findings from a qualitative analysis on the provision of healthy foods in recreation and sports settings

2018 ◽  
Vol 38 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Jessie-Lee D. McIsaac ◽  
Sherry L. Jarvis ◽  
Rebecca Spencer ◽  
Sara F.L. Kirk
Keyword(s):  
Physical Activity ◽  
Food Environment ◽  
Health Behaviours ◽  
Healthy Food ◽  
Cultural Norms ◽  
Healthy Foods ◽  
Personal Choice ◽  
Telephone Interviews ◽  
Stakeholder Perspectives ◽  
Food Provision

Recreation and sport settings (RSS) typically promote health in the form of physical activity, but the healthfulness of their food environment is often neglected. We explored stakeholder perspectives on barriers to healthy food provision in RSS through telephone interviews with ten representatives from RSS across Nova Scotia. Three key barriers were identified: 1) cultural norms associated with food in RSS and the broader environment, 2) the persisting notion of personal choice and responsibility, and 3) financial implications of healthy food provision. These barriers challenge healthy food provision in RSS and require multi-faceted strategies to overcome social norms that undermine health behaviours.

scholarly journals Relative contributions of recommended food environment policies to improve population nutrition: results from a Delphi study with international food policy experts

2018 ◽  
Vol 21 (11) ◽  
pp. 2142-2148 ◽  
Author(s):  
Rewena Mahesh ◽  
Stefanie Vandevijvere ◽  
Clare Dominick ◽  
Boyd Swinburn
Keyword(s):  
Delphi Study ◽  
Food Environment ◽  
Food Policy ◽  
Good Practice ◽  
Food Prices ◽  
Healthy Food ◽  
Healthy Foods ◽  
Analytic Hierarchy ◽  
Analytic Hierarchy Process Method ◽  
Expert Ratings

AbstractObjectiveTo determine weightings for the relative contributions of nineteen widely recommended good practice food environment policies to improve population nutrition, based on evidence of effectiveness and expert ratings, to facilitate benchmarking of the implementation of food environment policies globally.DesignA two-round Delphi study was performed in 2015, whereby international food policy experts (nRound127,nRound221) compared effectiveness of all possible pairs of policy domains and good practice policies within domains to improve population nutrition according to the Saaty scale (1 to 9). Weightings for each domain and policy were derived from expert ratings based on the Analytic Hierarchy Process method.SettingInternational.SubjectsFood policy experts.ResultsOut of the seven policy domains, Food Prices and Food Promotion received the highest weightings for impact on improving population nutrition, while Food Trade received the lowest weighting. Among the nineteen specific policies, taxing unhealthy foods (3·8 (0·7)), healthy food provision in schools (2·8 (0·4)) and minimizing taxes on healthy foods (2·6 (0·4)) were given the highest weightings, while nutrient declarations on packaged foods (1·2 (0·2)) and healthy food policies in private-sector workplaces (1·0 (0·2)) received the lowest weightings (mean (95 % CI)).ConclusionsExpert-derived weightings on the relative contributions of recommended food environment policies to improve population nutrition will facilitate monitoring and benchmarking the implementation of these policies by governments among countries globally. Additional weightings for contributions of policies to reducing nutrition inequalities and improving consumer and child rights could be developed in the future.

Studying the Place of Technology to Lower Financial Barriers for Dietary Change

2010 ◽  
Vol 49 (01) ◽  
pp. 74-80 ◽  
Author(s):  
J. Maitland ◽  
K. A. Siek
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Low Socioeconomic Status ◽  
Healthy Foods ◽  
Financial Barriers ◽  
Self Monitoring ◽  
Low Socioeconomic ◽  
Time Space ◽  
Information And Communication ◽  
English Speaking

Summary Background: Current dietary self-monitoring systems assume users have access to healthy foods and resources to effectively implement and monitor dietary behavioral change. Objectives: The purpose of this qualitative study is to understand the specific financial-related barriers that caregivers of low socioeconomic status encounter when attempting to make dietary behavior change. Methods: In this qualitative study, we conducted a focus group and 14 in-person interviews with the primary caregivers of low socioeconomic families. Participants were recruited from a community considered to be ‘at risk’ through high levels of exposure to multiple modifiable risk factors for cardiovascular disease. All participants were English-speaking caregivers, who had children under eight years old. The families lived in an urban, public housing community. The focus group and interviews were transcribed and coded during data analysis sessions, then analyzed for emergent themes. Results: We abstracted three main themes from the data. The caregivers of 17 families: 1) feared trying healthier food alternatives because of possibly wasting the food; 2) planned meals only when they had enough time, space, and financial security; and 3) defined produce as luxury items and often could only afford staple food items, such as meat and grains. Conclusion: We challenge the community to design technological interventions to lower the financial barriers presented with existing information and communication technology available to low socioeconomic populations. In addition, we encourage interventions to foster a community’s social capital to decrease feelings of isolation and increase opportunities for cooperation.

The molecular basis of labour and tocolysis

1998 ◽  
Vol 10 (3) ◽  
pp. 121-136 ◽  
Author(s):  
Stephen J Lye ◽  
Che-Wei Ou ◽  
Tiong-Ghee Teoh ◽  
Grace Erb ◽  
Yvette Stevens ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Health Care Systems ◽  
Neonatal Care ◽  
Morbidity Rate ◽  
Low Socioeconomic ◽  
Fertility Treatments ◽  
Mental Handicaps ◽  
Care Systems ◽  
The Usa ◽  
The Impact

Although significant advances to patient care have been made in various branches of obstetrics and gynaecology, the incidence of preterm birth has not changed in the past 40 years. Indeed there are signs that factors such as low socioeconomic status of some inner city populations, the tendency for women to choose to start a family at an older age and the impact of fertility treatments are leading to an increase in the incidence of preterm delivery. Improved neonatal care over this period has significantly reduced the mortality rate due to prematurity, although it remains the primary cause of neonatal death. The morbidity rate in preterm infants, however, has not substantially changed due largely to the resuscitation of neonates at or close to the limits of gestational age viability. This has inevitably had a tremendous economic impact upon health care systems and upon society in general. Neonatal care in the USA alone cost over $5 billion annually in the 1980s – the vast majority of which was due to prematurity. When one adds the costs of chronic care for some of these infants with major motor and/or mental handicaps as well as the loss of potential earnings, prematurity ranks as one of the most costly of medical complications.

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