Predictors of health-promoting behaviors in children from low-income families: An ecological approach

2018 ◽  
Vol 20 (1) ◽  
pp. 60-68 ◽  
Author(s):  
Jiyoung Park
2016 ◽  
Vol 32 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Stephen J. Hile ◽  
Matthew B. Feldman ◽  
Amanda R. Raker ◽  
Mary K. Irvine

Purpose: To collect information that will inform the development of an intervention to support the maintenance of HIV-related health-promoting behaviors. Design: Focused, in-depth individual and group interviews. Setting: The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) and DOHMH-funded community-based organizations that primarily serve low-income people living with HIV within the five boroughs of NYC. Participants: A total of 42 individuals who had participated in The Positive Life Workshop—an HIV self-management intervention adapted and implemented by the NYC DOHMH. Method: Purposive sampling was used to recruit study participants. Five 60- to 90-minute focus groups (n = 38) and 4 individual interviews were conducted to assess motivations for and barriers to maintaining HIV-related health-promoting behaviors and to elicit feedback on the content and format for the proposed maintenance intervention. Thematic analysis was used to summarize the data. Results: Participants reported that relationships with family, a responsibility to protect others from HIV, and faith/spirituality supported the maintenance of health-promoting behaviors. Barriers to behavior maintenance included substance use and mental health issues. Meeting in small groups was also highlighted as a motivator to sustaining health behaviors, particularly in decreasing isolation and receiving affirmation from others. Conclusion: Participants identified several factors that could be incorporated into an intervention to support HIV-related health-promoting behavior maintenance that could supplement existing HIV self-management interventions.


Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2613
Author(s):  
Janne Lauk ◽  
Eha Nurk ◽  
Aileen Robertson ◽  
Alexandr Parlesak

Although low socioeconomic groups have the highest risk of noncommunicable diseases in Estonia, national dietary guidelines and nutrition recommendations do not consider affordability. This study aims to help develop nutritionally adequate, health-promoting, and culturally acceptable dietary guidelines at an affordable price. Three food baskets (FBs) were optimised using linear programming to meet recommended nutrient intakes (RNIs), or Estonian dietary guidelines, or both. In total, 6255 prices of 422 foods were collected. The Estonian National Dietary Survey (ENDS) provided a proxy for cultural acceptability. Food baskets for a family of four, earning minimum wage, contain between 73 and 96 foods and cost between 10.66 and 10.92 EUR per day. The nutritionally adequate FB that does not follow Estonian dietary guidelines deviates the least (26% on average) from ENDS but contains twice the sugar, sweets, and savoury snacks recommended. The health-promoting FB (40% deviation) contains a limited amount of sugar, sweets, and savoury snacks. However, values for vitamin D, iodine, iron, and folate are low compared with RNIs, as is calcium for women of reproductive age. When both the RNIs and dietary guidelines are enforced, the average deviation (73%) and cost (10.92 EUR) are highest. The composition of these FBs can help guide the development of dietary guidelines for low income families in Estonia.


2020 ◽  
pp. 152483992096136
Author(s):  
Nalini Ranjit ◽  
Aida Nielsen ◽  
Nika Akhavan ◽  
Laurence Denis ◽  
Kathryn Janda ◽  
...  

Objectives To describe outcomes of a 4-year physical activity (PA) and nutrition intervention (2013–2017) in Dove Springs, a low-income urban community in Texas. Method Go! Austin/Vamos! Austin is a place-based intervention targeting the built and social environments of PA and nutrition. Baseline and follow-up measures related to PA and nutrition were obtained from 357 parent–child dyads (final n = 236) in the intervention community and a control community. A three-level dose of exposure measure was created to indicate the amount of exposure to intervention activities across the 4 years. Pre–post changes in key outcomes by level of exposure and contrasts across “high exposure” and “no exposure” categories were obtained using repeated-measures regression, adjusting for important confounders. Results “High exposure” adult participants showed consistently more favorable changes than “no exposure” participants across a variety of indicators, including positive perceptions and utilization of community PA resources, amount of moderate PA, utilization of retail outlets offering fresh produce, and measures of healthy eating. Few improvements were seen in child-level outcomes. Conclusions Community interventions can successfully improve health-promoting behaviors provided they ensure sufficient dose of exposure.


Author(s):  
Eun-Jin Kim ◽  
Ju-Hee Nho ◽  
Hye-Young Kim ◽  
Sook-Kyoung Park

Low-income middle-aged women (LMW) who are vulnerable have various physical and psychosocial problems. They need lifestyle interventions to actively cope with these risk factors. This study used a randomized control group pretest-posttest design. LMW aged from 40 to 60 years were recruited and randomly assigned to an experimental group (n = 31) and a control group (n = 32). The lifestyle interventions for this study, which were implemented for eight weeks, included nutritional management, physical activity, stress management and cognitive function improvement based on King’s goal attainment theory. The measured outcomes were health-promoting behaviors, Type D personality, cognitive function and body composition. The experimental group scored significantly higher than the control group for health-promoting behaviors (effect size (ES) = 0.68~1.27, p < 0.001~0.014) and cognitive function (ES = 0.79~1.31, p < 0.001~0.005). The negative affectivity (ES = 0.70, p = 0.012) and the prevalence of a Type D personality (x2 = 4.39, p = 0.047) and the systolic blood pressure (ES = 0.65, p = 0.019) decreased significantly in the experimental group compared with the control group. Lifestyle interventions for LMW were effective in improving health-promoting behavior, Type D personality traits and cognitive function.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 326-326
Author(s):  
Ga-Eun (Grace) Oh

Abstract Globally, as people expect the longer life expectancy than ever before, people have increasing concerns about their health and aging. Although what people believe regarding aging can affect their health behaviors, limited research has investigated which beliefs regarding aging influence health behaviors. Previous research has shown that essentialist beliefs about aging reflect beliefs that the aging process is fixed, while nonessentialist beliefs about aging reflect the beliefs that the aging process is rather malleable. Since beliefs in nonessentialism regarding aging imply the benefits of health-promoting behaviors, we examine if manipulating nonessentialist beliefs about aging could contribute to intentions to engage in health behaviors. We also investigate if age and income might moderate the effect of nonessentialist beliefs. We conducted an experiment with a sample of American participants of varied ages (n = 599). The results showed that compared to essentialist beliefs, nonessentialist beliefs regarding aging significantly increased an intention to eat healthy food but they did not improve intentions of other health-promoting behaviors in terms of regular exercise and consumption of fruits and vegetables. Income moderated the effect of essentialist beliefs on an intention to eat fruits and vegetables. Specifically, nonessentialist beliefs had a positive effect among high-income people but rendered a negative effect among low-income people. Together, the present findings provide initial evidence that nonessentialist beliefs have a potential to promote health behaviors and call for the further investigation of the effects of educating nonessentialist beliefs on actual health behaviors and the boundary conditions of the effects.


2011 ◽  
Vol 25 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Martha Gene Meraviglia ◽  
Alexa Stuifbergen

2014 ◽  
Vol 84 (5-6) ◽  
pp. 244-251 ◽  
Author(s):  
Robert J. Karp ◽  
Gary Wong ◽  
Marguerite Orsi

Abstract. Introduction: Foods dense in micronutrients are generally more expensive than those with higher energy content. These cost-differentials may put low-income families at risk of diminished micronutrient intake. Objectives: We sought to determine differences in the cost for iron, folate, and choline in foods available for purchase in a low-income community when assessed for energy content and serving size. Methods: Sixty-nine foods listed in the menu plans provided by the United States Department of Agriculture (USDA) for low-income families were considered, in 10 domains. The cost and micronutrient content for-energy and per-serving of these foods were determined for the three micronutrients. Exact Kruskal-Wallis tests were used for comparisons of energy costs; Spearman rho tests for comparisons of micronutrient content. Ninety families were interviewed in a pediatric clinic to assess the impact of food cost on food selection. Results: Significant differences between domains were shown for energy density with both cost-for-energy (p < 0.001) and cost-per-serving (p < 0.05) comparisons. All three micronutrient contents were significantly correlated with cost-for-energy (p < 0.01). Both iron and choline contents were significantly correlated with cost-per-serving (p < 0.05). Of the 90 families, 38 (42 %) worried about food costs; 40 (44 %) had chosen foods of high caloric density in response to that fear, and 29 of 40 families experiencing both worry and making such food selection. Conclusion: Adjustments to USDA meal plans using cost-for-energy analysis showed differentials for both energy and micronutrients. These differentials were reduced using cost-per-serving analysis, but were not eliminated. A substantial proportion of low-income families are vulnerable to micronutrient deficiencies.


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