Need for Physician Referral of Low-Income, Chronic Disease Patients to Community Nutrition Education Programs

2000 ◽  
Vol 20 (1) ◽  
pp. 17-33 ◽  
Author(s):  
Gregory W. Shawver ◽  
Ruby H. Cox
Keyword(s):  
Chronic Disease ◽  
Nutrition Education ◽  
Low Income ◽  
Community Nutrition ◽  
Education Programs ◽  
Physician Referral ◽  
Chronic Disease Patients

scholarly journals Considerations for Evaluation of Fruit and Vegetable Intake in Low-Literate Spanish-Speaking Participants in USDA Food and Nutrition Education Programs

2018 ◽  
Vol 13 (3) ◽  
pp. 235-238
Author(s):  
Jinan Banna
Keyword(s):  
Chronic Disease ◽  
Nutrition Education ◽  
Underserved Populations ◽  
The United States ◽  
Spanish Language ◽  
Food Assistance ◽  
Fruit And Vegetable ◽  
Education Programs ◽  
Positive Effects ◽  
Spanish Speaking

Rates of obesity and associated chronic disease are high in Hispanics in the United States. Nutrition education interventions promoting dietary change in underserved populations have been shown to have positive effects on behaviors such as fruit and vegetable (FV) intake, thereby reducing the chronic disease burden. Evaluation tools in the Spanish language to assess the dietary behavior changes made in response to the intervention are important in determining the success of such efforts. Currently, there are no Spanish-language tools focused exclusively on FV intake and behaviors that include features to enhance readability for use in low-literacy participants of US Department of Agriculture (USDA) food assistance and education programs. There is a need for such tools to determine the degree to which programs are able to promote behavior change. In designing these tools, researchers should take into account potential issues that may arise when administered. For example, respondents may have difficulty estimating consumption for mixed dishes and vegetables added to food. To address such issues, researchers should employ strategies to assist respondents to understand what constitutes FV and appropriately identify amount consumed. Addition of images to tools or development of accompanying instruction guides may be helpful. Once developed and tested, such scales may be used with Spanish-speaking participants of USDA food assistance and education programs aimed at improving FV behaviors and ultimately, intake.

scholarly journals (A197) Attitudes toward Public Assistance during a Disaster Among Patients with Rheumatoid Arthritis

2011 ◽  
Vol 26 (S1) ◽  
pp. s55-s56
Author(s):  
H. Sato ◽  
J. Tomio ◽  
H. Mizumura
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Disease ◽  
Health Status ◽  
Patient Group ◽  
Low Income ◽  
Privacy Protection ◽  
Local Governments ◽  
Personal Information ◽  
Public Assistance ◽  
Chronic Disease Patients

BackgroundRecently, the local governments in Japan implemented the measures for people requiring assistance during a disaster (PRAD). These measures aim to provide public assistance during a disaster for the citizens who registered themselves to the PRAD list in advance, by sharing their personal information among relevant local authorities. However, the needs for such assistance were not clear among chronic disease patients, and there are some concerns about privacy protection in relation to the PRAD list.ObjectivesThe objective of this study is to describe the attitudes toward the registration to the PRAD list among rheumatoid arthritis (RA) patients.MethodsStudy subjects were the members of a nationwide RA patient group in Japan. Of about 20,000 members, 1,477 who lived in the municipalities affected by disasters from 2004 to 2006 were enrolled. Self-administered questionnaires were sent by mail. The subjects were asked their attitudes toward the registration to the PRAD list and categorized into three groups: (1) no need for assistance; (2) need assistance but will not register; and (3) need assistance and wish to register or already registered. Their concerns about privacy protection as well as socio-demographic and health status were also asked.ResultsOf 1,477, 664 (45%) responded validly, and 596 (40%) answered on their attitudes toward the PRAD list. Of these, 365 (61%) reported they need assistance, though 30% of them (108) did not wish to register. A majority of the subjects concerned about privacy protection among those did not wish to register (65%) as well as among those wished to register (55%). Patients who lived alone, and those with low income were more likely to wish to register.ConclusionsThere are substantial needs for public assistance during a disaster among RA patients although the privacy protection issue would be a barrier to be overcome for successful utilization of the list.

scholarly journals A “Food as Medicine” Program and It's Effects on Healthy Eating and Cooking Confidence (P04-021-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
DeAnna Nara ◽  
Linda Thompson ◽  
Allan Johnson ◽  
Oyonumo Ntekim ◽  
Chimene Castor ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Literacy ◽  
Nutrition Education ◽  
Chronic Diseases ◽  
Low Income ◽  
Quantitative Methods ◽  
Community Intervention ◽  
Disease Risk ◽  
Nutrition Intervention ◽  
Blood Cholesterol

Abstract Objectives The aims of this study were to develop and implement a “Food as Medicine” intervention using quantitative methods supported by health literacy and food choice and behavioral models to target chronic diseases under free-living conditions in adults diagnosed with chronic diseases. The hypothesis of this study is that “Food as Medicine” nutrition and lifestyle intervention sessions will result in significant improvements in food choices, as well as shopping and cooking behaviors. Methods The Food as Medicine (FAM) study is a community-based pilot study that measured the effectiveness of a nutrition intervention to improve chronic disease risk factors and outcomes among African Americans with either pre-diabetes, type 2 diabetes mellitus, hypertension, elevated total blood cholesterol levels, obesity or a combination of these disorders. The study enrolled patients who were attending both Howard University Family Medicine and Internal Medicine Practices, and were residents of wards seven or eight in the District of Columbia. Fifty-four participants were enrolled and assigned to five cohorts, which consisted of five group sessions over three months, and focused on improving diet and health literacy through nutritionist-led, culturally-tailored, nutrition education classes that included health literacy, mindfulness exercises, and cooking demonstrations. Results After program completion, FAM participants demonstrated significant improvements in all outcome measures of interest: healthy dietary patterns (P < .001), healthful eating (P = .002), positive changes in dietary choices (P < .001), cooking confidence (P < .001), reduction of cooking barriers (P < .001), and healthy food preparation (P < .001). Participants also increased the number of times in one week that they cooked dinner at home (P < .001). Conclusions This study demonstrated the positive impacts of including health literacy, mindfulness exercises, and cooking demonstrations in a nutrition education program. The outcomes of this study can be used to inform and improve future community intervention studies within the areas of chronic disease in low income and minority populations. Funding Sources Funding for this study was received from the Ardmore Institute of Health.

Eating NAFTA

2018 ◽  
Author(s):  
Alyshia Gálvez
Keyword(s):  
Public Health ◽  
Chronic Disease ◽  
Low Income ◽  
Food System ◽  
Dietary Habits ◽  
Trade Agreement ◽  
Well Being ◽  
Health Crisis ◽  
The North ◽  
The World

In the two decades since the North American Free Trade Agreement (NAFTA) went into effect, Mexico has seen an epidemic of diet-related illness. While globalization has been associated with an increase in chronic disease around the world, in Mexico, the speed and scope of the rise has been called a public health emergency. The shift in Mexican foodways is happening at a moment when the country’s ancestral cuisine is now more popular and appreciated around the world than ever. What does it mean for their health and well-being when many Mexicans eat fewer tortillas and more instant noodles, while global elites demand tacos made with handmade corn tortillas? This book examines the transformation of the Mexican food system since NAFTA and how it has made it harder for people to eat as they once did. The book contextualizes NAFTA within Mexico’s approach to economic development since the Revolution, noticing the role envisioned for rural and low-income people in the path to modernization. Examination of anti-poverty and public health policies in Mexico reveal how it has become easier for people to consume processed foods and beverages, even when to do so can be harmful to health. The book critiques Mexico’s strategy for addressing the public health crisis generated by rising rates of chronic disease for blaming the dietary habits of those whose lives have been upended by the economic and political shifts of NAFTA.

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