A Tale Of Two Medicaid Cities: Community And Psychosocial Factors In Birth Outcomes Among African American And Latina Women

2002 ◽  
Author(s):  
AnnJanette Alejano-Steele ◽  
Kimberly Forrest ◽  
Grizel Gonzalez ◽  
Karen Hellman ◽  
Linda Hoctor ◽  
...  
2005 ◽  
Vol 116 (6) ◽  
pp. 497-506 ◽  
Author(s):  
Roberta McKean-Cowdin ◽  
Heather Spencer Feigelson ◽  
Lucy Y. Xia ◽  
Celeste Leigh Pearce ◽  
Duncan C. Thomas ◽  
...  

2018 ◽  
Vol 22 (12) ◽  
pp. 1797-1804 ◽  
Author(s):  
Lucy Mkandawire-Valhmu ◽  
Lorraine Lathen ◽  
Mary Jo Baisch ◽  
Quinton Cotton ◽  
Anne Dressel ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 519 ◽  
Author(s):  
Ingrid Richards Adams ◽  
Wilson Figueroa ◽  
Irene Hatsu ◽  
James Odei ◽  
Mercedes Sotos-Prieto ◽  
...  

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.


2007 ◽  
Vol 10 (7) ◽  
pp. 701-711 ◽  
Author(s):  
Joanne L Watters ◽  
Jessie A Satia ◽  
Joseph A Galanko

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.


2012 ◽  
Vol 142 (5) ◽  
pp. 948-954 ◽  
Author(s):  
Rebecca F. Kramer ◽  
Anastasia J. Coutinho ◽  
Elisabeth Vaeth ◽  
Karina Christiansen ◽  
Sonali Suratkar ◽  
...  

2003 ◽  
Vol 133 (7) ◽  
pp. 2348-2355 ◽  
Author(s):  
Shih-Chen Chang ◽  
Kimberly O. O'Brien ◽  
Maureen Schulman Nathanson ◽  
Jeri Mancini ◽  
Frank R. Witter

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