scholarly journals Parental Perceptions and Exposure to Advertising of Toddler Milk: A Pilot Study with Latino Parents

2021 ◽  
Vol 18 (2) ◽  
pp. 528
Author(s):  
Emily W. Duffy ◽  
Lindsey S. Taillie ◽  
Ana Paula C. Richter ◽  
Isabella C. A. Higgins ◽  
Jennifer L. Harris ◽  
...  
Keyword(s):  
Online Survey ◽  
Public Health Problem ◽  
Spanish Language ◽  
Latino Parents ◽  
Convenience Sample ◽  
Potential Health ◽  
Added Sugar ◽  
Fortified Milk ◽  
The Us ◽  
Almost All

Marketing of toddler milk (i.e., typically sugar-sweetened nutrient-fortified milk-based drinks marketed for children 12–36 months) is an emerging public health problem in the US. The American Academy of Pediatrics recommends against the consumption of toddler milk because it often contains added sugar and can displace nutrient-dense foods. Studies have not examined toddler milk perceptions among Latinos, an important gap given Latino children in the US are at high risk of having poor diet quality, and toddler milk is extensively advertised on Spanish-language TV. This study used an online survey of a convenience sample of 58 Latino parents to examine parents’ experiences with toddler milk, understand their perceptions of the healthfulness and the nutrition-related claims on toddler milk, and describe their exposure to toddler milk advertising. Nearly half (44%) of parents in the sample reported purchasing toddler milk. When asked to provide open-ended interpretations of claims on toddler milk, almost all parents gave positive answers, suggesting potential “health halo” effects of the claims. More than half (56%) of parents reported seeing toddler milk advertisements, most commonly on Spanish-language TV. The misperceptions about toddler milk identified should be explored in further research using larger, more representative samples.

scholarly journals Toddler milk perceptions and purchases: the role of Latino ethnicity

2021 ◽  
pp. 1-9
Author(s):  
Emily W Duffy ◽  
Lindsey Smith Taillie ◽  
Ana Paula C Richter ◽  
Isabella CA Higgins ◽  
Jennifer L Harris ◽  
...  
Keyword(s):  
Online Survey ◽  
Latino Parents ◽  
Convenience Sample ◽  
Recent Immigrants ◽  
Halo Effects ◽  
Fortified Milk ◽  
Demographic Correlates ◽  
The Usa ◽  
Milk Marketing

Abstract Objectives: Toddler milk (i.e. a nutrient-fortified milk-based drink marketed for children 12–36 months old) is increasingly being marketed in the USA despite not being recommended for young children. There is evidence of targeted toddler milk marketing to Latinos in the USA. This study aimed to explore toddler milk perceptions and behaviours among Latino and non-Latino parents. Design: An online survey assessed toddler milk perceptions, behaviours and interpretations of nutrition-related claims. Multivariable logistic and linear regression explored socio-demographic correlates of parent reported past purchases and perceived healthfulness. Setting: Online. Participants: National convenience sample of 1078 US parents of children aged 2–12 years (48 % Latino). Results: About half of parents (51 %) had previously purchased toddler milk and few (11 %) perceived toddler milk as unhealthy. Latino parents were more likely to have purchased toddler milk than non-Latino parents (P < 0·001), but there were no differences in perceived product healthfulness (P = 0·47). Compared to parents born in the USA, parents living in the USA 10 years or less were more likely to have purchased toddler milk (P < 0·001) and perceive toddler milk as healthier (P = 0·002). Open-ended interpretations of claims were primarily positive, suggesting ‘health halo’ effects. Conclusions: Common misperceptions about toddler milk healthfulness suggest stronger labelling regulations are needed. Greater reported purchases by Latino parents and recent immigrants warrant further investigation.

scholarly journals Language Vitality of Spanish in Equatorial Guinea: Language Use and Attitudes

Humanities ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 33 ◽  
Author(s):  
Grace Gomashie
Keyword(s):  
Online Survey ◽  
Language Use ◽  
African Country ◽  
Spanish Language ◽  
Equatorial Guinea ◽  
Functional Language ◽  
Highly Educated ◽  
Descriptive Research ◽  
Almost All ◽  
Spanish Language Use

This study investigates the use of and attitudes towards, Spanish in the multilingual Republic of Equatorial Guinea, the only African country with Spanish as an official language. The Spanish dialect of Equatorial Guinea is an understudied area, although descriptive research on the Spanish language spoken there began in the 1950s. Very few research studies have been carried out on the sociolinguistic dynamic of this multilingual country. Four scales of language vitality were utilized and it was demonstrated that Spanish in Equatorial Guinea is not endangered and continues to thrive. An online survey was also performed to assess Spanish language use and attitudes towards the Equatoguinean variety of Spanish. Respondents were highly educated, middle-class and spoke at least two languages. It was observed that Spanish was the functional language in almost all the sociocultural contexts or domains. Equatorial Guineans share that Spanish is important to their identity as the only Spanish-speaking country in Africa.

scholarly journals An Exploration of Online Exercise Participation of Older Manitobans During the COVID-19 Pandemic

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 964-965
Author(s):  
Michelle Porter ◽  
Mikyung Lee ◽  
Ruth Barclay ◽  
Stephen Cornish ◽  
Nicole Dunn ◽  
...  
Keyword(s):  
Older People ◽  
Online Survey ◽  
Local Community ◽  
Lessons Learned ◽  
Convenience Sample ◽  
Exercise Participation ◽  
Technical Issues ◽  
Exercise Class ◽  
The Right ◽  
Almost All

Abstract During the COVID-19 pandemic, in-person exercise programs for older people were temporarily closed, and some were replaced with online exercise. We explored the online exercise experiences of older people in Manitoba, Canada, using an online survey. We recruited a convenience sample (≥ 65 years), primarily through community organizations, and 745 people (57.5% female) consented. About 38.2% reported participating in online exercise during the pandemic. Most used pre-recorded classes (80.4%), from their local community (79.7%), and YouTube was the most used platform (57.4%). Almost all (82.7%) found the classes had the right variety and intensity. Of those who had participated in online exercise, 67.0% said they would participate in an online exercise class outside of a pandemic time. Participants like the following aspects better about online exercise: no transportation arrangements, it doesn’t matter what they wear, no travel time, and they like to exercise without others seeing them. However, they also miss being with and socializing with others, and they reported feeling unsafe when the instructor cannot see them. Of those who did not participate online, several reasons were given: they prefer to exercise with others in the same room, they prefer to exercise with an instructor directly present, no appropriate device, and their internet is not reliable. Many also provided examples of future circumstances when they might participate online, including: when the weather is not conducive to outdoor exercise, and if they can overcome technical issues. Lessons learned from this study can help those delivering online exercise in the future.

Contraceptive use and access among deployed US servicewomen: findings from an online survey

2020 ◽  
pp. bmjsrh-2019-200569
Author(s):  
Jane W Seymour ◽  
Laura Fix ◽  
Daniel Grossman ◽  
Kate Grindlay
Keyword(s):  
Birth Control ◽  
Online Survey ◽  
Contraceptive Use ◽  
National Guard ◽  
Low Cost ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Contraceptive Counselling ◽  
Us Military ◽  
The Us

Background/introductionThis study aimed to survey US servicewomen on their contraceptive access and use during deployment.MethodsBetween June 2016 and July 2017, we conducted a cross-sectional online survey among a convenience sample of current and former members of the US Military, National Guard and Reserves who had a deployment ending in 2010 or later. Participants were asked open-ended and closed-ended questions about their demographics and contraceptive use and access before and during their last deployment. Descriptive statistics were run on closed-ended questions and responses to open-ended questions were inductively coded.ResultsA total of 353 participants were included. Sixty-five per cent reported using contraception during all or part of their last deployment. Nearly half (49.3%) did not have or remember having a discussion with a military care provider about contraception prior to deployment. Both prior to and during deployment, the free or low cost of birth control and ability to get a full supply for deployment facilitated contraceptive use. Difficulty obtaining an appointment and the inability to get a full supply of birth control were barriers to contraception access both before and during deployment. Half (49.1%) of respondents who had to start or refill contraception during deployment said it was somewhat or very difficult to do so.ConclusionsFor at least some servicewomen, there are barriers to contraceptive access and use prior to and during overseas deployment. Programmes to increase contraceptive access should be expanded and monitoring systems should be implemented to ensure all servicemembers receive predeployment contraceptive counselling.

Drivers and dynamics of brand prominence preferences among the Chinese little emperors residing in the US

2020 ◽  
Vol 24 (1) ◽  
pp. 66-82
Author(s):  
Sang-Eun Byun ◽  
Shuying Long ◽  
Manveer Mann
Keyword(s):  
Online Survey ◽  
Social Values ◽  
Sociodemographic Factors ◽  
Luxury Brands ◽  
Consumer Group ◽  
Convenience Sample ◽  
Luxury Consumption ◽  
Content Type ◽  
Factors Affecting ◽  
The Us

PurposeThis study investigates drivers and dynamics of preferences for brand prominence among the Chinese little emperors (LEs) residing in the US, a unique but powerful consumer group with dual-cultural characteristics.Design/methodology/approachUsing an online survey, the proposed model was tested with a convenience sample of the Chinese LE generation residing in the USFindingsSusceptibility to normative influence was a significant cultural driver of conspicuous, social, and unique value perceptions of luxury consumption among the Chinese LE generation residing in the US Perceived conspicuous and social values of luxury consumption were the primary drivers of this group's brand prominence preference for luxury fashion bags. However, perceived unique value of luxury consumption did not necessarily lead these consumers to prefer prominent logos or marks on a luxury bag. Furthermore, sociodemographic factors (gender, age, and time lived in the US) significantly affected perceptions and preferences related to luxury consumption among this consumer group.Research limitations/implicationsThis study advances the luxury literature by examining the drivers and dynamics of brand prominence preference among the Chinese LE generation residing in the US By testing the role of different sociodemographic factors, we demonstrate heterogeneity within this group and the evolving nature of their perceptions and preferences related to luxury consumption as they are acculturated to Western culture. We used a convenient sample and focused on luxury fashion bags for measuring preference for brand prominence, limiting the generalizability of the findings.Practical implicationsLuxury brands should effectively convey conspicuous and social values in product designs, advertising and promotions as these values play integral roles in determining the Chinese LE generation's preference for brand prominence. Our findings also highlight the importance of fine-tuned approaches to different segments within the LE generation cohort.Originality/valueThis study fills several gaps in the luxury literature by empirically investigating various factors affecting preference for brand prominence among the Chinese LE generation residing in the US, an important but under-researched luxury segment.

scholarly journals Shared Decision Making during the COVID-19 Pandemic

2021 ◽  
pp. 0272989X2110041
Author(s):  
Anja K. Köther ◽  
Katharina U. Siebenhaar ◽  
Georg W. Alpers
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Shared Decision Making ◽  
Online Survey ◽  
Health Care Systems ◽  
Shared Decision ◽  
Patient Centered ◽  
Convenience Sample ◽  
Potential Health ◽  
Care Systems

Objective The COVID-19 pandemic pushed some of the most well-developed health care systems to their limits. In many cases, this has challenged patient-centered care. We set out to examine individuals’ attitudes toward shared decision making (SDM) and to identify predictors of participation preference during the pandemic. Methods We conducted an online survey with a large convenience sample ( N = 1061). Our main measures of interest were participants’ generic and COVID-19–related participation preference as well as their acceptance and distress regarding a triage vignette. We also assessed anxiety, e-health literacy, and aspects of participants’ health. We conducted group comparisons and multiple linear regression analyses on participation preference as well as triage acceptance. Results In generic decision making, most participants expressed a strong need for information and a moderate participation preference. In the hypothetical case of COVID-19 infection, most preferred physician-led decisions. Generic participation preference was the strongest predictor of COVID-19–related participation preference, followed by age, education, and anxiety. Furthermore, both higher generic and COVID-19–related participation preferences predicted lower triage acceptance. Conclusion Our findings demonstrate potential health care recipients’ attitudes toward SDM during a severe health care crisis and emphasize that participation preference varies according to the context.

scholarly journals Community education and health promotion activities of naturopathic practitioners: results of an international cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amie Steel ◽  
Iva Lloyd
Keyword(s):  
Health Promotion ◽  
Patient Education ◽  
Online Survey ◽  
Community Education ◽  
Stakeholder Involvement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Wide Range ◽  
Almost All

Abstract Background Health promotion and patient education are crucial to improved population health and are also among the core principles that define naturopathy. Yet, the activities of naturopathic practitioners (NPs) with regards to health promotion and community education have not been widely studied. Methods A cross-sectional online survey of an international convenience sample of NPs was conducted through disseminating a 15-item questionnaire prepared in five languages. Correlates of most frequently mentioned NP activities were studied. Results The survey was completed by 813 NPs representing all world regions. Almost all participants (98%) reported at least one health promotion activity. Most reported were information sheets and handouts (92.7%) or social and professional network communications (91.8%) and information talks presented to community members (84.9%). The majority of NPs (79.5%) indicated that the ‘health issues individuals in NPs’ community have said they need help with’ were a ‘very important’ consideration when they designed health promotion activities. NP characteristics associated with the likelihood of engaging in specific health promotion activities varied between activities but include gender, time since first qualification, factors considered to identify need when designing an activity, and stakeholder involvement in activity design. Conclusions Health promotion is a key activity of the global naturopathic profession. There are a wide range of patient education tools utilized by NPs.

Value of life and time: A survivorship perspective.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18298-e18298
Author(s):  
Jennifer M. Hinkel ◽  
Daniel B. Sexton ◽  
Justine Egan-Kunicki
Keyword(s):  
Online Survey ◽  
Full Range ◽  
Health Utility ◽  
Hematologic Malignancies ◽  
Quality Adjusted Life Year ◽  
Value Of Life ◽  
Health States ◽  
Convenience Sample ◽  
Potential Health ◽  
Life Years

e18298 Background: Common tools to quantify value of life years after a cancer diagnosis include the Quality Adjusted Life Year (QALY). This measure is partly based on health utility states derived from Quality of Life (QoL) survey instruments such as the EQ-5D. Research has identified shortcomings in applying the QALY, including the potential for underestimating value. QoL surveys may fail to capture the full range of potential health states, or the values derived may fail to reflect patient perspectives of value. Methods: An online survey was piloted with a convenience sample of cancer survivors via two US survivor Facebook groups over two weeks in Jan. 2017 to explore these themes. Results: 116 complete responses were analyzed (of 123 respondents). Original diagnoses included solid tumors and hematologic malignancies, and respondents were between one and 32 years post-diagnosis (PoD). Most (101, 87%) had completed active treatment. A majority (85, 73%) rated PoD years as having more value than years pre-diagnosis (PreD). 83% (98) indicated that they felt their time is more valuable since their diagnosis. While the majority of respondents (57%) assigned a lower value to the 12 months immediately following diagnosis compared to the value of a PreD year, a majority (55%) also valued the most recent twelve months to have equal or greater value than a PreD year. Many assigned higher valuations to PoD years even when simultaneously reporting limitations in Activities of Daily Living (ADLs). Conclusions: Comparing survivor valuations of PoD life years to valuations derived by utility state instruments has not been heavily researched. This survey generates additional hypotheses. First, assuming PoD years hold lower value than PreD years may underestimate value compared to a survivor’s view. Second, QoL instruments may not be capturing positive changes in PoD years, some of which have been documented in psychology research, such as Post-Traumatic Growth or increased feeling of meaningfulness. Further investigation is imperative to ensure that value determinations have a solid evidentiary basis and reflect patient-centered viewpoints, particularly as the “value debate” influences patient access to care.

Abstract MP41: Quantifying the Health and Economic Impact of the FDA Added Sugar Labeling Mandate in the US: A Cost-Effectiveness Analysis

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Yue Huang ◽  
Chris Kypridemos ◽  
Junxiu Liu ◽  
Yujin Lee ◽  
Brendan Collins ◽  
...  
Keyword(s):  
Sugar Content ◽  
Cost Savings ◽  
Economic Effects ◽  
Population Heterogeneity ◽  
Dietary Recommendations ◽  
Potential Health ◽  
Added Sugar ◽  
Added Sugars ◽  
Life Years ◽  
The Us

Introduction: Excess added sugars, particularly from sugar-sweetened beverages (SSBs), are linked to cardiometabolic risk including obesity, type 2 diabetes (T2D) and CVD. Despite recent declines in SSB intake in the US, added sugar intake from SSBs and foods remains high and exceeds dietary recommendations. In May 2016, the US Food and Drug Administration (FDA) announced major revisions to the Nutrition Facts panel, including mandatory labeling of added sugar content, as a strategy to target added sugars from packaged foods and beverages. Yet, potential health effects remain unclear; and the FDA recently announced delays in implementation. Aim: To estimate the cardiometabolic and economic effects of implementing FDA’s added sugar labeling policy over a 20-year horizon. Methods: A validated microsimulation model, the US IMPACT Food Policy Model, was used to estimate the T2D and CVD cases averted and quality-adjusted life-years (QALYs) gained from the FDA policy for US adults age 30+ years. Model inputs included: nationally representative demographics and added sugar intakes from NHANES; policy effects on consumer intake from labeling intervention studies; obesity-mediated effects and direct independent effects of added sugars from SSBs and other foods, considered separately, on T2D and CVD from meta-analyses; policy costs including government administrative costs and industry compliance costs from federal government reports; national health statistics from the CDC; and healthcare costs including medical, productivity, and indirect costs from the AHA and American Diabetes Association. All costs were inflated to constant 2017 US dollars, discounted annually at 3%. We took a societal perspective and assumed a willingness to pay of $100,000 per QALY. Probabilistic sensitivity analysis accounted for model parameter uncertainty and population heterogeneity. Results: Between 2018 and 2037, the FDA added sugar labeling policy could prevent approximately 580,000 (95% UI: 270,000–960,000) T2D cases and 210,000 (96,000–440,000) CVD cases, generating 600,000 (290,000–970,000) discounted QALYs. The policy would produce discounted net cost savings (health savings minus policy costs) of $47.3bn (21.7-78.6), including $25.6bn (11.9-43.1) from direct healthcare cost reductions. Most (>60%) savings were driven by costs related to T2D. Incorporating modelling and input uncertainty, the FDA added sugar label was estimated with >80% probability to be cost-effective by 2020 and cost-saving by 2022. Potential additional reductions from industry reformulations were not included and could further increase cost-savings. Conclusions: Implementing the FDA added sugar labeling mandate would generate substantial health gains and cost savings for the US population, highlighting the need for timely implementation, monitoring and evaluation.

scholarly journals A Cross-Sectional Comparison of Physical Activity during COVID-19 in a Sample of Rural and Non-Rural Participants in the US

2021 ◽  
Vol 18 (9) ◽  
pp. 4991
Author(s):  
Alan M. Beck ◽  
Amanda S. Gilbert ◽  
Dixie D. Duncan ◽  
Eric M. Wiedenman
Keyword(s):  
Physical Activity ◽  
Rural Areas ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Rural Residents ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Us ◽  
Global Physical Activity Questionnaire ◽  
Activity Questionnaire

Physical activity (PA) pre-COVID-19 was lower in rural areas compared to non-rural areas. The purpose of this study was to determine COVID-19’s impact on PA in rural and non-rural residents. A cross-sectional study consisting of a convenience sample of 278 participants (50% rural, 50% non-rural) from 25 states completed an online survey describing their PA behaviors and perceptions during COVID-19. The global physical activity questionnaire was used to determine PA in various domains and summed to determine if the participant met the PA guidelines. Rural participants had a significantly higher body mass index, lower income, and a lower educational attainment. Conversely, non-rural participants reported more barriers to PA. There was no difference in the perception of COVID-19’s impact on PA, specifically; however, rural participants were significantly less likely to meet cardiorespiratory PA recommendations compared to non-rural participants. Conclusions: This study demonstrates the continued disparity in PA between rural and non-rural residents, despite the supposition of COVID-19 being less impactful in rural areas due to sparse populations. Efforts should be pursued to close the PA gap between rural and non-rural residents.

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