scholarly journals Psychosocial Determinants of Food Acquisition and Preparation in Low-Income, Urban African American Households

2018 ◽  
Vol 45 (6) ◽  
pp. 898-907 ◽  
Author(s):  
JaWanna L. Henry ◽  
Angela C. B. Trude ◽  
Pamela J. Surkan ◽  
Elizabeth Anderson Steeves ◽  
Laura C. Hopkins ◽  
...  
Keyword(s):  
African American ◽  
Psychosocial Factors ◽  
Low Income ◽  
Self Efficacy ◽  
Food Preparation ◽  
Food Sources ◽  
Food Acquisition ◽  
Psychosocial Determinants ◽  
Food Purchasing ◽  
Prepared Food

Background. Psychosocial factors are important determinants of health behaviors and diet-related outcomes, yet relatively little work has explored their relation to food-purchasing and preparation behaviors in low-income populations. Aim. To evaluate the psychosocial factors associated with food-related behaviors. Methods. Cross-sectional data collected from 465 low-income African American adult caregivers in the baseline evaluation of the B’more Healthy Communities for Kids obesity prevention trial. Questionnaires were used to assess household sociodemographic characteristics, food sources frequently used, and food preparation and food acquisition behaviors. Multiple linear regression models explored the associations between caregiver psychosocial variables and food-related behaviors, controlling for caregivers’ age, sex, household income, household size, and food assistance participation. Results. Caregivers purchased prepared food at carry-outs on average 3.8 times (standard deviation [ SD] = 4.6) within 30 days. Less healthy foods were acquired 2 times more frequently than healthier foods ( p < .001). Higher food-related behavioral intention and self-efficacy scores were positively associated with healthier food acquisition (β = 0.7; 95% confidence interval [CI] [0.09, 1.4]; β = 0.04; 95% CI [0.02, 0.06]) and negatively associated with frequency of purchasing at prepared food sources (β = −0.4; 95% CI [−0.6, −0.2]; β = −0.5; 95% CI [−0.7, −0.3]), respectively. Higher nutrition knowledge was associated with lower frequency of purchasing food at prepared food venues (β = −0.7; 95% CI: [−1.2, −0.2]). Discussion. Our findings indicate a positive association between psychosocial determinants and healthier food acquisition and food preparation behaviors. Conclusion. Interventions that affect psychosocial factors (i.e., food-related behavioral intentions and self-efficacy) may have the potential to increase healthier food preparation and food-purchasing practices among low-income African American families.

scholarly journals Low Healthy Diet Self-Efficacy and Intentions Associated with High Sweet Snacks and Sugar Sweetened Beverages Consumption among African American Adolescents Recruited from Low-Income Neighborhoods in Baltimore

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4516
Author(s):  
Isna A. Fajarini ◽  
Mika Matsuzaki ◽  
Cara F. Ruggiero ◽  
Caroline R. Wensel ◽  
Sangwon Chung ◽  
...  
Keyword(s):  
African American ◽  
Psychosocial Factors ◽  
Low Income ◽  
Self Efficacy ◽  
Weight Status ◽  
Caloric Intake ◽  
African American Adolescents ◽  
Sugar Sweetened Beverages ◽  
Cross Sectional ◽  
Sweetened Beverages

Psychosocial factors may influence consumption patterns of sweet snacks and sugar sweetened beverages (SSB), which are potential risk factors for obesity among African American (AA) adolescents. We used multivariable linear and logistic regression models to examine cross-sectional associations among psychosocial factors, sweet snacks and SSB consumption, and BMI z-scores in 437 AA adolescents aged 9–14 years living in low-income neighborhoods in Baltimore City, U.S.A. Mean caloric intake from sugar was 130.64 ± 88.37 kcal. Higher sweet snacks consumption was significantly associated with lower self-efficacy (adjusted Odds Ratio (aOR) = 0.81; 95% CI = 0.71 to 0.93) and lower food intentions scores (0.43; 0.30 to 0.61). Higher SSB consumption was associated with lower outcome expectancies (aOR = 0.98; 95% CI = 0.96–0.99), lower self-efficacy (0.98; 0.96 to 0.99), and lower food intentions (0.91; 0.87 to 0.95). No significant association was found between SSB and sweet snacks consumption and weight status. Psychosocial factors may play a role in sugar consumption behaviors among AA adolescents in low-income neighborhoods. Further studies are needed to improve our understanding of causal mechanisms of this association.

scholarly journals Lifecourse, immigrant status and acculturation in food purchasing and preparation among low-income mothers

2007 ◽  
Vol 10 (4) ◽  
pp. 396-404 ◽  
Author(s):  
Tamara Dubowitz ◽  
Dolores Acevedo-Garcia ◽  
Judy Salkeld ◽  
Ana Cristina Lindsay ◽  
SV Subramanian ◽  
...  
Keyword(s):  
Focus Groups ◽  
Low Income ◽  
Metropolitan Areas ◽  
Food Preparation ◽  
Immigrant Status ◽  
Food Purchasing ◽  
Study Results ◽  
The Usa ◽  
Low Income Women ◽  
Access To Food

AbstractObjectivesThis study investigates how lifecourse, immigrant status and acculturation, and neighbourhood of residence influence food purchasing and preparation among low-income women with children, living in the USA. This research sought to understand physical and economic access to food, from both ‘individual’ and ‘community’ perspectives.DesignThis study used qualitative methodology (focus groups) to examine the mechanisms and pathways of food preparation and purchasing within the context of daily life activity for US- and foreign-born women, living in the USA. The study methodology analysed notes and verbatim transcripts, summarised recurring responses and identified new themes in the discussions.Setting and subjectsA total of 44 women were purposively sampled from two metropolitan areas in Massachusetts, USA, based on (1) neighbourhood of residence and (2) primary language spoken. All focus groups were conducted in community health centres and community centres co-located with offices of the special supplemental nutritional programme for Women, Infants, and Children.ResultsAnalysis of key response themes suggested that scarcity of food and physical access to food purchasing points did not influence food purchasing and preparation as much as (1) limited time for food shopping, cooking and family activities; and (2) challenges in transportation to stores and childcare. The study results demonstrated differing attitudes toward food acquisition and preparation between immigrant and US-born women and between women who lived in two metropolitan areas in the western and eastern regions of the state of Massachusetts, USA.ConclusionsThe findings illustrate ‘hidden’ constraints that need to be captured in measures of physical and economic access and availability of food. US policies and programmes that aim to improve access, availability and diet quality would benefit from considering the social context of food preparation and purchasing, and the residential environments of low-income women and families.

A Pilot Study of a Culturally Grounded Breastfeeding Intervention for Pregnant, Low-Income African American Women

2018 ◽  
Vol 34 (3) ◽  
pp. 478-484
Author(s):  
Rebecca Reno
Keyword(s):  
African American ◽  
Pilot Study ◽  
African American Women ◽  
Health Equity ◽  
Low Income ◽  
Self Efficacy ◽  
Short Form ◽  
Assessment Process ◽  
American Women ◽  
Significant Difference

Background: Increasing breastfeeding rates among low-income African American women may work toward the achievement of health equity. The dynamic breastfeeding assessment process (D-BAP) is a community-grounded, equity-focused intervention designed to increase prenatal breastfeeding self-efficacy. Research aim: The aims of the pilot study were (a) to determine the effect of the D-BAP on breastfeeding self-efficacy among pregnant, low-income African American women, (b) to examine the findings among women with no previous breastfeeding experience, and (c) to compare the findings between women with prior breastfeeding experience and those without it. Methods: A pre/post, paired-samples design was utilized. Convenience sampling was used to recruit pregnant, low-income African American women ( N = 25). Participants completed the Breastfeeding Self-Efficacy Scale–Short Form prior to and following the D-BAP. Results: The Wilcoxon signed rank test indicated that participation in the D-BAP had a statistically significant influence on breastfeeding self-efficacy ( z = −2.01, p = .04). Among a subsample of participants with no previous breastfeeding experience ( n = 12), completion of the D-BAP resulted in a statistically significant increase in breastfeeding self-efficacy ( z = −2.36, p = .02). There was no statistically significant difference between those with prior breastfeeding experience and those without it. Conclusion: Breastfeeding among low-income African American women is a health equity issue for which culturally responsive, effective breastfeeding interventions are needed. This research demonstrates an association between completion of the D-BAP and an increase in prenatal breastfeeding self-efficacy.

scholarly journals An Examination of Demographic and Psychosocial Factors, Barriers to Healthy Eating, and Diet Quality Among African American Adults

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 519 ◽  
Author(s):  
Ingrid Richards Adams ◽  
Wilson Figueroa ◽  
Irene Hatsu ◽  
James Odei ◽  
Mercedes Sotos-Prieto ◽  
...  
Keyword(s):  
Social Support ◽  
African American ◽  
African Americans ◽  
Psychosocial Factors ◽  
Healthy Eating ◽  
Diet Quality ◽  
Self Efficacy ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
African American Adults

A healthy diet is associated with lower risk of chronic disease. African Americans generally have poor diet quality and experience a higher burden of many chronic diseases. We examined the associations of demographic and psychosocial factors and barriers to diet quality among African American adults. This cross-sectional study included 100 African American adults in a southeastern metropolitan area. Psychosocial factors (social support, self-efficacy), and barriers to healthy eating were assessed with validated measures. Diet quality was assessed using the Healthy Eating Index (HEI-2010). Nested linear regressions were used to examine the association between the variables of interest and HEI scores. Participants reported having social support (M (mean) = 2.0, SD (standard deviation) = 0.6, range 0–3), high levels of self-efficacy (M = 3.1, SD = 0.7, range 1–4), and low barriers (M = 1.4, SD = 0.6, range 0–4) to engage in healthy eating but total mean HEI scores needed improvement (M = 54.8, SD = 10.9, range 27.1–70.0). Participants consumed significantly higher empty calories and lower whole fruits, dairy, and total protein foods than the national average. Barriers to healthy eating (b = −12.13, p = 0.01) and the interaction between age and barriers (b = 0.25, p = 0.02) were most strongly associated with lower HEI scores. Younger African Americans with the highest barriers to healthy eating had the lowest HEI scores. Culturally appropriate interventions targeting empty calories, barriers to healthy eating, and knowledge of the Dietary Guidelines for Americans are needed for African Americans.

scholarly journals Associations of psychosocial factors with fruit and vegetable intake among African-Americans

2007 ◽  
Vol 10 (7) ◽  
pp. 701-711 ◽  
Author(s):  
Joanne L Watters ◽  
Jessie A Satia ◽  
Joseph A Galanko
Keyword(s):  
African American ◽  
African Americans ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
African American Men ◽  
Predisposing Factors ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Enabling Factors

AbstractObjectiveTo examine associations of various psychosocial factors with fruit and vegetable intake in African-American adults.MethodsA cross-sectional survey of a population-based sample of 658 African-Americans, aged 18–70 years, in North Carolina. Information was collected on diet-related psychosocial (predisposing, reinforcing and enabling) factors based on the PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation) planning framework; demographic, lifestyle and behavioural characteristics, and fruit and vegetable intake.ResultsThe mean participant age was 43.9 years (standard deviation 11.6), 57% were female and 76% were overweight/obese. Participants expressed healthy beliefs regarding many of, but not all, the psychosocial factors. For example, although half of the respondents believed it is important to eat a diet high in fruits/vegetables, only 26% knew that ≥ 5 daily servings are recommended. The strongest associations of the psychosocial factors with fruit/vegetable intake were for predisposing factors (e.g. belief in the importance of a high fruit/vegetable diet and knowledge of fruit/vegetable recommendations) and one reinforcing factor (social support), with differences between the healthiest and least healthy responses of 0.5–1.0 servings per day. There was evidence of effect modification by gender in associations between psychosocial factors and fruit/vegetable consumption (e.g. self-efficacy was only significant in women), with higher intakes and generally healthier responses to the psychosocial variables in women than men.ConclusionsInterventions to increase fruit/vegetable intake in African-Americans may be more effective if they focus primarily on predisposing factors, such as knowledge, self-efficacy and attitudes, but not to the exclusion of reinforcing and enabling factors. The psychosocial factors that are targeted may also need to be somewhat different for African-American men and women.

scholarly journals Healthier Home Food Preparation Methods and Youth and Caregiver Psychosocial Factors Are Associated with Lower BMI in African American Youth

2012 ◽  
Vol 142 (5) ◽  
pp. 948-954 ◽  
Author(s):  
Rebecca F. Kramer ◽  
Anastasia J. Coutinho ◽  
Elisabeth Vaeth ◽  
Karina Christiansen ◽  
Sonali Suratkar ◽  
...  
Keyword(s):  
African American ◽  
Psychosocial Factors ◽  
African American Youth ◽  
Food Preparation ◽  
Preparation Methods ◽  
Home Food ◽  
Home Food Preparation

Parental self-efficacy and infant feeding practices in a group of first-time, low-income, African-American mother-infant dyads

2019 ◽  
Vol 33 (4) ◽  
pp. 377
Author(s):  
Jessica Bahorski ◽  
Gwendolyn Childs ◽  
Lori Loan ◽  
Andres Azuero ◽  
Marti Rice ◽  
...  
Keyword(s):  
African American ◽  
Infant Feeding ◽  
Low Income ◽  
Self Efficacy ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
First Time

scholarly journals Parental Self-Efficacy in New Mothers Predicts Infant Growth Trajectories

2019 ◽  
Vol 42 (4) ◽  
pp. 254-261
Author(s):  
Jessica S. Bahorski ◽  
Gwendolyn D. Childs ◽  
Lori A. Loan ◽  
Andres Azuero ◽  
Marti H. Rice ◽  
...  
Keyword(s):  
African American ◽  
Low Income ◽  
Self Efficacy ◽  
Slow Growth ◽  
Growth Trajectories ◽  
Z Score ◽  
Obesity Risk ◽  
New Mothers ◽  
Time Points ◽  
Post Hoc

The purpose of this study was to examine whether parental self-efficacy (PSE) is associated with change in infant weight-for-length z score (WLZ) from age 3 to 12 months. Data were drawn from the Infant Care, Feeding, and Risk of Obesity study, conducted with low-income, African American mother–infant dyads ( n = 127). PSE was measured at infant age of 3 months. Infant anthropometrics were measured at infant age of 3 and 12 months, WLZ change between these time points was calculated, and infants stratified into WLZ change categories (expected, excessive, or slow). To analyze the data, ANCOVA, multiple regression, and post hoc techniques were used. Controlling for infant birthweight, PSE at 3 months was associated with infant WLZ change (η2 = 0.05, p = .04). Mothers of infants who exhibited excessive growth had higher PSE than mothers of infants who exhibited slow growth (Tukey-adjusted p = .03). This finding suggests that infants of mothers with high PSE may have increased obesity risk, but more research is needed.

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