Predictors of Fat Intake Behavior Differ between Normal-Weight and Obese WIC Mothers

2005 ◽  
Vol 19 (4) ◽  
pp. 269-277 ◽  
Author(s):  
Mei-Wei Chang ◽  
Linda C. Baumann ◽  
Susan Nitzke ◽  
Roger L. Brown
Keyword(s):  
Food Availability ◽  
Low Income ◽  
Weight Control ◽  
Normal Weight ◽  
Predisposing Factors ◽  
Equation Modeling ◽  
Fat Intake ◽  
Obese Women ◽  
Health Concerns ◽  
Reinforcing Factors

Purpose. To determine whether predictors of fat intake behavior were the same for normal-weight and obese WIC mothers when applying the PRECEDE-PROCEED model and to identify predictors for each group. Design. Proportional stratified convenience sampling. Subjects. Five hundred eighty-one nonpregnant, black and white normal-weight (n = 180) or obese (n = 401) women. Settings. The Special Supplemental Nutrition Program for Women, Infants and Children in six counties in southern Wisconsin. Measures. The independent variables were predisposing, enabling, and reinforcing factors. Predisposing factors included beliefs in diet and health, beliefs in diet and body shape, health concerns in food choice, health concerns in nutrition, and eating habits. Enabling factors were cost of food, availability of time to prepare food, and accessibility to purchase food. Reinforcing factors were weight control intentions, sensory appeal, and mood. The dependent variable was fat intake behavior. Structural equation modeling was performed. Results. When controlling for covariates, certain factors affecting fat intake behavior differed between the normal-weight and the obese groups. For the normal-weight group, only reinforcing factors were positively associated with fat intake behavior. For the obese group, reinforcing and enabling, but not predisposing, factors were positively associated with fat intake behavior. Conclusions. Interventions to modify low-income women's fat intake behavior might benefit from targeting behavioral predictors that differ with body size. Messages that emphasize weight control intentions, sensory appeal, and mood are likely to affect both normal-weight and obese women. Information about cost of food, availability of time to prepare food, and accessibility to purchase food is likely to be more effective with obese women.

scholarly journals Kepatuhan Tenaga Kesehatan Terhadap SPO Rekam Medis Dalam Membangun Budaya Keselamatan Pasien di RSUD Gambiran

2021 ◽  
Vol 7 (1) ◽  
pp. 125
Author(s):  
Yullytia Franika Maryati ◽  
Nur Hidayah
Keyword(s):  
Structural Equation ◽  
Simple Random Sampling ◽  
Predisposing Factors ◽  
Partial Least Square ◽  
Least Square ◽  
Equation Modeling ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Reinforcing Factors ◽  
Depth Interview

Pengisian rekam medis harus akurat agar tercapai informasi yang baik untuk budaya keselamatan pasien. Kekurangan pengisian pada rekam medis menjadi masalah karena rekam medis berisi data yang memberikan informasi tentang  pasien dengan tujuan peningkatan mutu pelayanan di rumah sakit. Tujuan penelitian ini adalah untuk mengetahui kepatuhan tenaga kesehatan terhadap Standar Prosedur Operasional rekam medis dalam membangun budaya keselamatan pasien di Rumah Sakit Umum Daerah Gambiran Kota Kediri. Desain penelitian menggunakan mix methode yaitu metode kuantitatif  dengan pendekatan cross sectional dan metode kualitatif dengan depth interview. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik simple random sampling yang berjumlah 80 orang terdiri atas dokter,perawat dan bidan dan 10 informan. Teknik analisis data menggunakan analisis Structural Equation Modeling dengan menggunakan alat analisis data Partial Least Square. Hasil penelitian menunjukkan bahwa predisposing factors berpengaruh terhadap perilaku tenaga kesehatan, predisposing factors tidak berpengaruh terhadap budaya keselamatan pasien, enabling factors tidak berpengaruh terhadap perilaku kepatuhan tenaga kesehatan, enabling factors tidak berpengaruh terhadap budaya keselamatan pasien, reinforcing factors tidak berpengaruh terhadap perilaku kepatuhan tenaga kesehatan, reinforcing factors berpengaruh terhadap budaya keselamatan pasien, perilaku kepatuhan tenaga kesehatan berpengaruh terhadap budaya keselamatan pasien, predisposing factors berpengaruh terhadap budaya keselamatan pasien yang dimediasi perilaku kepatuhan,enabling factors tidak berpengaruh terhadap budaya keselamatan pasien yang dimediasi perilaku kepatuhan, reinforcing factors tidak berpengaruh terhadap budaya keselamatan pasien yang dimediasi perilaku kepatuhan.Kata kunci : Kepatuhan, budaya keselamatan pasien, rekam medis.

scholarly journals Weight Matters—Factors Influencing Eating Behaviors of Vulnerable Women

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1809 ◽  
Author(s):  
Marcela Vizcarra ◽  
Ana María Palomino ◽  
Lorena Iglesias ◽  
Alejandra Valencia ◽  
Patricia Gálvez Espinoza ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Low Income ◽  
Weight Status ◽  
Eating Behaviors ◽  
Normal Weight ◽  
World Health ◽  
Photo Elicitation ◽  
Obese Women ◽  
Care Providers ◽  
Qualitative Approaches

Women from low socioeconomic backgrounds are more affected by obesity than men. The influence of weight as a determinant of women’s eating behaviors has seldom been studied, especially in Latin America. In this study, we analyzed the food choices of vulnerable women according to their weight status. We conducted photo-elicitation interviews with 31 women from low-income neighborhoods in Santiago, Chile. Weight and height were measured and participants were divided into normal weight (n = 9), overweight (n = 15), and obese groups (n = 7) according to World Health Organization (WHO) body mass index (BMI) categories (p < 0.001). Quantitative and qualitative approaches were used for the analysis. Women in overweight and obese groups described more about their families, temporality, financial issues, and food perception. When weight groups were analyzed separately, more factors explaining eating behaviors were found (mental and physical health, body dissatisfaction, gender role, and obstacles for eating healthy) in the obese group. Results suggest that women with obesity or overweight based their diets on more internal and external factors than did normal weight women. This study contributes to our understanding of why changing behaviors can be difficult in women with obesity. Health care providers should consider these factors in the implementation of programs to address the need for a healthy diet for overweight and obese women.

scholarly journals Nutrient Density as a Dimension of Dietary Quality: Findings of the Nutrient Density Approach in a Multi-Center Evaluation

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4016
Author(s):  
Marieke Vossenaar ◽  
Noel W. Solomons ◽  
Siti Muslimatun ◽  
Mieke Faber ◽  
Olga P. García ◽  
...  
Keyword(s):  
Low Income ◽  
Food Selection ◽  
Normal Weight ◽  
Dietary Quality ◽  
Obese Women ◽  
Nutrient Intakes ◽  
Dietary Adequacy ◽  
Nutrient Adequacy ◽  
Nutrient Density ◽  
Public Health Epidemiology

The nutrient adequacy of a diet is typically assessed by comparing estimated nutrient intakes with established average nutrient requirements; this approach does not consider total energy consumed. In this multinational survey investigation in Indonesia, Mexico, and South Africa, we explore the applications of the “critical nutrient-density approach”—which brings energy requirements into the equation—in the context of public health epidemiology. We conducted 24 h dietary recalls in convenience samples of normal-weight (BMI 18.5–25 kg/m2) or obese (BMI > 30 kg/m2), low-income women in three settings (n = 290). Dietary adequacy was assessed both in absolute terms and using the nutrient density approach. No significant differences in energy and nutrient intakes were observed between normal-weight and obese women within any of the three samples (p > 0.05). Both the cut-point method (% of EAR) and critical nutrient density approach revealed a high probability of inadequate intakes for several micronutrients but with poor concordance between the two methods. We conclude that it may often require some approximate estimate of the habitual energy intake from an empirical source to apply a true critical nutrient density reference for a population or subgroup. This will logically signify that there would be more “problem nutrients” in the diets examined with this nutrient density approach, and efforts toward improved food selection or food- or biofortification will frequently be indicated.

scholarly journals Mediators of intervention effects on dietary fat intake in low-income overweight or obese women with young children

Appetite ◽  
2020 ◽  
Vol 151 ◽  
pp. 104700
Author(s):  
Mei-Wei Chang ◽  
Alai Tan ◽  
Jiying Ling ◽  
Duane T. Wegener ◽  
Lorraine B. Robbins
Keyword(s):  
Young Children ◽  
Low Income ◽  
Dietary Fat ◽  
Fat Intake ◽  
Obese Women ◽  
Intervention Effects ◽  
Dietary Fat Intake

scholarly journals Dietary Self-Monitoring Related to Appropriate Weight Gain in Pregnancy

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1005-1005
Author(s):  
Sarah Horton ◽  
Amy Herman ◽  
Holly Hull ◽  
Lauren Hand
Keyword(s):  
Weight Gain ◽  
Dietary Intake ◽  
Weight Control ◽  
Intervention Group ◽  
Normal Weight ◽  
Obese Women ◽  
Self Monitoring ◽  
High Fiber ◽  
Gestational Weight ◽  
The Relationship

Abstract Objectives The purpose of this study was to assess the relationship between dietary self-monitoring and adherence to gestational weight gain (GWG) guidelines in women randomized to a 12-week high fiber (HF) diet (≥30 g/day). These relationships were also evaluated within maternal pre-pregnancy BMI groups. Methods Twenty pregnant women were enrolled, and 12 were randomized and completed the intervention. The intervention group only tracked their daily diet for a total of 82-days. Women met weekly with a registered dietitian via telephone for group lessons on consuming a HF diet. Participants tracked dietary intake with a mobile application (LifeScience Technologies AtHome). For these analyses, a day was considered tracked if any food item was entered. Participants could only see fiber grams; all other nutrition data were hidden. GWG was classified as excessive or not-excessive based on 2009 IOM guidelines. ANOVA was used to detect a difference in days tracked between excessive and not-excessive gainers. Within BMI groups, linear regression determined the relationship between days tracked and GWG and dietary intake. Results Out of 82 days, women tracked a mean of 68.8 ± 22.8 days. No difference in days tracked was found between excessive (n = 5) and non-excessive (n = 7) weight gainers (57.0 ± 32.4 vs. 77.1 ± 7.2 days, respectively; P = 0.14). The number of days tracked was related to GWG during the intervention (R2 = 0.44; P = 0.03). In overweight/obese women (n = 5), tracking was related to GWG (R2 = 0.92; P = 0.04), however, no relationship was found in normal weight women (n = 7; P = 0.18). The number of days tracked was not related to calorie or fiber intake. Conclusions Dietary self-monitoring was related to better gestational weight control throughout the 82-day intervention, but not dietary measures. Larger studies are needed to expand these findings and to determine the possible mechanism by which self-monitoring improves gestational weight outcomes. Funding Sources This study was supported by an NIH Clinical and Translational Science Award.

scholarly journals Multilevel Pathways of Colorectal Cancer Screening Among Low-Income Vietnamese Americans: A Structural Equation Modeling Analysis

2021 ◽  
Vol 28 ◽  
pp. 107327482110110
Author(s):  
Grace X. Ma ◽  
Lin Zhu ◽  
Timmy R. Lin ◽  
Yin Tan ◽  
Phuong Do
Keyword(s):  
Health Beliefs ◽  
Low Income ◽  
Self Efficacy ◽  
Limited English Proficiency ◽  
Structural Equation ◽  
Vietnamese Americans ◽  
Equation Modeling ◽  
Community Based ◽  
Related Factors ◽  
Crc Screening

Background: Colorectal cancer (CRC) disproportionately affects Vietnamese Americans, especially those with low income and were born outside of the United States. CRC screening tests are crucial for prevention and early detection. Despite the availability of noninvasive, simple-to-conduct tests, CRC screening rates in Asian Americans, particularly Vietnamese Americans, remain suboptimal. The purpose of this study was to evaluate the interplay of multilevel factors – individual, interpersonal, and community – on CRC screening behaviors among low-income Vietnamese Americans with limited English proficiency. Methods: This study is based on the Sociocultural Health Behavior Model, a research-based model that incorporates 6 factors associated with decision-making and health-seeking behaviors that result in health care utilization. Using a community-based participatory research approach, we recruited 801 Vietnamese Americans from community-based organizations. We administered a survey to collect information on sociodemographic characteristics, health-related factors, and CRC screening-related factors. We used structural equation modeling (SEM) to identify direct and indirect predictors of lifetime CRC screening. Results: Bivariate analysis revealed that a greater number of respondents who never screened for CRC reported limited English proficiency, fewer years of US residency, and lower self-efficacy related to CRC screening. The SEM model identified self-efficacy (coefficient = 0.092, P < .01) as the only direct predictor of lifetime CRC screening. Educational attainment (coefficient = 0.13, P < .01) and health beliefs (coefficient = 0.040, P < .001) had a modest significant positive relationship with self-efficacy. Health beliefs (coefficient = 0.13, P < .001) and educational attainment (coefficient = 0.16, P < .01) had significant positive relationships with CRC knowledge. Conclusions: To increase CRC screening uptake in medically underserved Vietnamese American populations, public health interventions should aim to increase community members’ confidence in their abilities to screen for CRC and to navigate associated processes, including screening preparation, discussions with doctors, and emotional complications.

scholarly journals Senior Consumer Motivations and Perceived Value of Robot Service Restaurants in Korea

2021 ◽  
Vol 13 (5) ◽  
pp. 2755
Author(s):  
Min-Kyu Kwak ◽  
JeungSun Lee ◽  
Seong-Soo Cha
Keyword(s):  
South Korea ◽  
Low Income ◽  
Structural Equation ◽  
Perceived Value ◽  
Reliability And Validity ◽  
Equation Modeling ◽  
Consumer Innovativeness ◽  
Face To Face ◽  
Perceived Values ◽  
Level Group

This research empirically tested a theoretical model by defining senior customers’ intentions to use robot service restaurants emerging in South Korea. Non-face-to-face services have become increasingly important for seniors. Therefore, restaurant marketers should cater to senior customers’ needs by sustaining robot service restaurants. The study analyzed 243 questionnaires to verify the reliability and validity of the measurement items. The research hypotheses were examined using structural equation modeling (SEM). The suggested model comprised three stages: motivated consumer innovativeness (MCI), perceived value, and planned behavior (attitude, intention to use). The results revealed that senior customers’ perceived values positively influenced attitude and were enhanced by hedonically MCI (hMCI) and socially MCI. Moreover, the hedonic and social elements of motivation improved the attitude and usage intentions of robot service restaurants for senior customers. However, these relationships differed in terms of the income level of the customer groups. For the low-income senior-level group, hMCI was more influential on the perceived value. This study is meaningful because it analyzes the effect of MCI of seniors on the perceived value of robot service restaurants, which are growing rapidly in South Korea. It has empirically proved the moderating effect of different income groups, providing practical implications.

scholarly journals Trauma, Sleep and Mental Health Problems in Low-Income Young Adults

2021 ◽  
Vol 18 (3) ◽  
pp. 1145
Author(s):  
Rachel A. Fusco ◽  
Yan Yuan ◽  
Hyunji Lee ◽  
Christina E. Newhill
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Low Income ◽  
Mental Health Problems ◽  
Trauma Exposure ◽  
Health Problems ◽  
Equation Modeling ◽  
Poor Sleep ◽  
Depression And Anxiety ◽  
The Relationship

Low-income young adults are more likely to have exposure to trauma, which increases risk for mental health problems. Although adequate sleep promotes good health, people with histories of trauma are more likely to have sleep problems. The current study explored whether poor sleep mediated the relationship between trauma exposure and mental health. A sample of 143 low-income 18–24-year-old young adults completed depression, anxiety, and trauma exposure measures and wore sleep monitors for four nights. Structural equation modeling (SEM) was used to examine both direct and indirect effects of variables. Results showed that higher trauma exposure was associated with depression and anxiety. Mean sleep hours per night was fewer than six, far below recommended guidelines for optimal health and functioning. Fewer sleep hours partially mediated the relationship between both trauma exposure and depression and anxiety, and the direct effect from trauma remained significant after adjusting for the partial mediation from sleep.

scholarly journals An ecological momentary assessment study of physical activity behaviors among mothers of toddlers from low-income households

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katherine L. Campbell ◽  
Yan Wang ◽  
Ann Pulling Kuhn ◽  
Maureen M. Black ◽  
Erin R. Hager
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Ecological Momentary Assessment ◽  
Normal Weight ◽  
Activity Count ◽  
Group Relations ◽  
Environment Factors ◽  
Group Relation ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Background Mothers of young children from low-income communities may be vulnerable to barriers associated with low physical activity. The purpose of this study was to examine associations between home environment factors and maternal physical activity among mothers of toddlers. Methods Mothers of toddlers (n = 200) recruited from low-income communities simultaneously wore an ankle-placed accelerometer and were given a personal digital assistant for ecological momentary assessment. Mothers received randomly prompted questions about their current environment, activity, and social setting several times a day over eight consecutive days. Data were analyzed using linear mixed-effects regression models with random intercepts; within-group and between-group relations between physical activity and environment factors were disaggregated. Results Within-group relations included higher physical activity counts for specific mothers with television off versus on (95% CI = 130.45, 199.17), children absent versus present (95% CI = 82.00, 3.43), engaging with a child versus not (95% CI = 52.66, 127.63), and outside versus inside location (95% CI = 277.74, 392.67). Between-group relations included higher physical activity on average when other adults were absent versus present (95% CI = − 282.63, − 46.95). Recruitment site (urban vs. semi-urban) significantly moderated the within-group relation between being outside versus inside and activity count (β = − 243.12, 95% CI = − 358.74, − 127.47), and showed stronger relations among urban mothers (β = 440.33, 95% CI = 358.41, 522.25), than semi-urban (β = 190.37, 95% CI = 109.64, 271.11). Maternal body weight significantly moderated the within-group relation between being located outside versus inside the home and activity count (β for interaction = − 188.67, 95% CI = − 308.95, − 68.39), with a stronger relation among mothers with normal weight (β = 451.62, 95% CI = 345.51, 557.73), than mothers with overweight/obesity (β = 271.95, 95% CI = 204.26, 339.64). Conclusions This study highlights home environmental factors, including screen time, the presence of others (adults and children), and location (i.e., outside versus inside) that may relate to maternal physical activity behaviors. Understanding factors associated with physical activity could reduce physical activity disparities. Trial registry ClinicalTrials. NCT02615158, April 2006

scholarly journals Correlates of Transitions in Food Insecurity Status during the Early Stages of the COVID-19 Pandemic among Ethnically Diverse Households in Central Texas

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2597
Author(s):  
Kathryn M. Janda ◽  
Nalini Ranjit ◽  
Deborah Salvo ◽  
Aida Nielsen ◽  
Pablo Lemoine ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Food Availability ◽  
Low Income ◽  
Food Access ◽  
Multinomial Logistic Regression ◽  
Related Factors ◽  
Logistic Regression Models ◽  
Early Stages ◽  
Central Texas ◽  
June July

Food insecurity increased substantially in the USA during the early stages of the 2020 COVID-19 pandemic. The purpose of this study was to identify potential sociodemographic and food access-related factors that were associated with continuing or transitioning into food insecurity in a diverse population. An electronic survey was completed by 367 households living in low-income communities in Central Texas during June–July 2020. Multinomial logistic regression models were developed to examine the associations among food insecurity transitions during COVID-19 and various sociodemographic and food access-related factors, including race/ethnicity, children in the household, loss of employment/wages, language, and issues with food availability, accessibility, affordability, and stability during the pandemic. Sociodemographic and food access-related factors associated with staying or becoming newly food insecure were similar but not identical. Having children in the household, changes in employment/wages, changing shopping location due to food availability, accessibility and/or affordability issues, issues with food availability, and stability of food supply were associated with becoming newly food insecure and staying food insecure during the pandemic. Identifying as Latino and/or Black was associated with staying food insecure during COVID-19. These findings suggest that the COVID-19 pandemic did not create new food insecurity disparities. Rather, the pandemic exacerbated pre-existing disparities.

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