scholarly journals Determining Nutritional Barriers to Access to Fresh Fruits, Vegetables, and Whole Grains in Older Americans

2018 ◽  
Vol 15 (2) ◽  
Author(s):  
Tornia Anderson-Morgan ◽  
Melissa Fett ◽  
Michelle Jasso ◽  
Aisha Moten ◽  
Elgloria Harrison

The University of the District of Columbia is a partner of the Northeast Hatch Multistate Research Collaborative. This research project, known as the UDC NE 1439, was designed as a pilot study to determine the barriers that prevented the consumption of fresh fruits, vegetables, and whole grains among older adults in Wards 5, 7, and 8 in the District of Columbia (DC). The residents of these wards have been shown to have higher rates of chronic diseases. Data shows that Ward 7 has the highest rate of deaths due to diabetes. Furthermore, Wards 5, 7, and 8 have the highest percentage of hypertension and diabetes This project used a quantitative and qualitative survey instrument, which included 53 questions and/or statements using a Likert scale: demographics (8 questions); household information (2 questions); shopping habits (8 questions); eating habits, including the identity of the person who prepared meals in the home (21 questions); physical fitness (11 questions); and policy (3 questions). Ninety-six (96) older adults participated in the survey, with a gender distribution of 77% female (68 individuals), 22% male (24 individuals), and 1% not reported (1 individual). The racial distribution of the participants was 91% (87) African American, .01% (one) Asian American, .01% (one) Caucasian, .01% (one) Native American, and .03% (three) others/not reported. Additionally, according to the participants’ residency results, Ward 5 accounted for 23% of the participants (24 participants), Ward 7 for 38% (33 participants), and Ward 8 for 38% (33 participants). The participants’ average age was ≥ 56, (45 to 76 and over) and most were the primary financial supporters of their households and the primary grocery shoppers in their families. In conclusion, this project determined that access to fresh fruits and vegetables and travel time to a full-service grocer were less prominent barriers; this was an unexpected finding. Though the participants indicated sufficient access to fresh fruits, vegetables, and whole grains, they lacked nutrition-based knowledge. Many of them viewed unfitting food choices as healthy. An intervention centered on nutrition education using food demonstrations and grocer tours would improve nutrition knowledge in this population. This offered these nutrition and dietetics research assistants with an opportunity to provide nutrition education to the population in question. Moreover, it presents an opportunity to extend nutrition education to all seniors across the Washington, DC region. KEYWORDS: Fruits; Vegetables; Whole Grains; Urban; Disease; African American; Health; Nutrition; Food Security; Food Desert, Senior Citizens

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 721-721
Author(s):  
Lillie Monroe-Lord ◽  
Hasti Ardekani ◽  
Ana Vasquez

Abstract Objectives The Supplemental Nutrition Assistance Program Education (SNAP-Ed) offers complementary education programs to improve public health through improving nutritional behavioral habits in preschoolers in Washington D.C. This study examines the influence of the SNAP-Ed program on changing a set of positive nutritional behaviors in preschoolers to encourage healthier eating habits. These nutritional behavioral changes include recognizing, choosing, and consuming nutritious and healthy foods. Methods The SNAP-Ed program implemented nutritional education in 37 preschools, schools, and community centers located in Washington D.C for Fiscal Year 2019. During the program, the nutritional behavior of 1679 children aged 2 to 5 years old was examined before and after educational interventions. Interventions focused on the types and the related benefits of different groups of foods including fruits, vegetables, dairy, and whole grains. Designed questionnaires were filled out by 130 teachers based on their observations of the children's nutritional behavioral habits. Teachers were asked if children had an increase in the amount of food consumption from different groups. Children were also observed for an increase in independently choosing healthier foods. Results The SNAP-Ed program observed a positive change in all questions in comparison to the beginning of the program. According to the questionnaires, there were 75%, 75%, 78%, and 75% increases in the amount of fruits, vegetables, dairy, and whole grains preschoolers consumed, respectively. After the educational interventions, 78% of preschoolers showcased healthy food choices, 76% of them selected fruits and vegetables in the cafeteria and 75% of them brought fruits and vegetables as a healthy snack. Conclusions SNAP-Ed nutrition education positively changed preschoolers’ nutritional knowledge and established healthier eating habits. Further research, done in multiple states, is essential to enhance the knowledge of preschoolers nationwide. More research can also be done to examine how effective nutritional education was between SNAP eligible and non-eligible preschoolers. Funding Sources Congress, through the Nutrition Education and Obesity Prevention Grant Program in the Healthy, Hunger-Free Kids Act of 2010.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Audrey Olson ◽  
Katie Vieyra ◽  
Alexandra Polasky ◽  
Amy Best ◽  
Lois Durant ◽  
...  

Abstract Objectives To assess the overall nutritional quality of meals chosen by undergraduate students during weekday lunches at campus all-you-care-to-eat dining halls. Methods A previously validated exit survey was used to collect self-reported data from undergraduate students on foods and beverages they consumed during a single visit to two all-you-care-to-eat dining halls on the George Mason University Fairfax campus, during 4 weeks. (n = 468) Nutritional quality of each meal was evaluated on a 7-point rubric, according to the ‘Wellness Meal’ standards from the Partnership for a Healthier America: ≤700 kilocalories, ≤10% calories from saturated fat, ≤800 mg sodium, ≥2 ounces whole grains, ≥1 cup lowfat dairy, ≥ 1.75 cups fruits and vegetables, and ≥ 2 ounces lean protein. Results Of the maximum score of 7 on the meal nutritional quality rubric, 4 participants earned the highest score of 5, whereas 43, 150, 132, 88, and 51 participants had scores of 4, 3, 2, 1, and 0, respectively. The most commonly attained rubric standard was saturated fat, where 60% of participants consumed ≤ 10% calories from saturated fat and average consumption was 9.1% (± 5.4%) of calories. The least achieved rubric category was lowfat dairy, where only 2% of students consumed 1 cup equivalent, followed by only 9% of participants having consumed the 2 ounce equivalent of whole grains. Approximately one-third of students met calorie, lean protein, sodium, and fruit/vegetable standards. Conclusions Despite a wide variety of food options in the campus all-you-care-to-eat dining halls during the lunch hours, most undergraduate students consumed meals of subpar nutritional quality, with the vast majority meeting fewer than half the categories on the meal nutritional quality rubric. All-you-care-to-eat university dining halls may be a prime location for nutrition education and interventions. Funding Sources This research was funded by the George Mason University Provost's Multidisciplinary Research Award.


2000 ◽  
Vol 86 (3) ◽  
pp. 1003-1010 ◽  
Author(s):  
Keith B. Williams

This study examined the perceptions of social support reported by 70 African-American, 44 Hispanic, 20 Native-American, and 69 Asian-American doctoral students ( N = 203) concerning their experiences in graduate school. The Doctoral Student Survey was used to measure the levels and types of social support provided. One-way analysis of variance of mean scores indicated that a majority of doctoral students perceived the academic environment on campus and faculty advisers to be strong sources of social support, while perceiving the social environment on campus as unsupportive of their progress. The African-American and Native-American doctoral students perceived the social environment on campus to be less supportive than did the Hispanic and Asian-American doctoral students, and Native-American doctoral students perceived their departments to be less supportive than did the African-American, Hispanic, and Asian-American doctoral students.


2003 ◽  
Vol 19 (5) ◽  
pp. 266-272 ◽  
Author(s):  
Elizabeth M. Saewyc ◽  
Sandra Pettingell ◽  
Lara L. Magee

Sexual abuse is a profound stressor that complicates the development and health of adolescents, yet its prevalence has been difficult to estimate among adolescents in school populations. This study explored the prevalence of both incest and nonfamily abuse in 2 cohorts of adolescents in Minnesota in the 1990s (1992: N = 77,374; 1998: N = 81,247). Findings indicate that sexual abuse was reported by both boys and girls and among students of all ethnic groups. Approximately 10% of adolescents reported sexual abuse in each cohort, with girls 5 times more likely to report abuse than boys. Ethnic variation was minor, with African American, Native American, and Hispanic teens slightly more likely to report abuse than White or Asian American youth. School nurses should routinely assess for a history of sexual abuse in adolescents and should be prepared to provide support and referral for abused students and their families.). Findings indicate that sexual abuse was reported by both boys and girls and among students of all ethnic groups. Approximately 10% of adolescents reported sexual abuse in each cohort, with girls 5 times more likely to report abuse than boys. Ethnic variation was minor, with African American, Native American, and Hispanic teens slightly more likely to report abuse than White or Asian American youth. School nurses should routinely assess for a history of sexual abuse in adolescents and should be prepared to provide support and referral for abused students and their families.


2002 ◽  
Vol 95 (1) ◽  
pp. 187-196 ◽  
Author(s):  
Keith B. Williams

This study examined the perceptions of amount and types of social support reported by minority and majority doctoral students during graduate school. Analysis of responses from 803 White, 292 African-American, 179 Asian-American, 151 Hispanic, and 29 Native American doctoral students ( N = 1,454) using the Doctoral Student Survey showed that most doctoral students across groups were moderately satisfied with their programs and they perceived the academic environment and faculty advisors to be strong sources of social support. White doctoral students reported greater program satisfaction, more positive perceptions of the academic environment, and fewer program problems than African-American doctoral students, while the latter reported more negative perceptions of the social environment than the other group.


Author(s):  
Belinda Robnett

For decades, women in the United States have fought for civil rights. Other than the fight for women’s civil rights, women’s activism in other types of social movements has been largely ignored in textbooks and in the media. Two factors contribute to this neglect. First, historically, women have held differential access to structural and institutional power. Second, with a narrow definition of leadership, researchers focused exclusively on charismatic and formal social movement leaders. However, women served as leaders and participants not only in the Suffrage movement and the second-wave feminist movement but also in the U.S. civil rights movement, the Chican@ movement, the Asian American movement, and the Native American movement. Among the causes, women have fought on the front lines for voting rights; equal employment opportunities; equal pay; desegregated housing, schools, and public facilities; reproductive rights; tribal land rights; cultural and religious preservation; LGBTQ+ rights; criminal justice; welfare rights; universal healthcare; parental leave; environmental justice; and subsidized child care. Women served as formal leaders in women’s movement organizations, and as bridge leaders in mixed-gender groups. As bridge leaders, they fostered ties between the social movement and the community, between strategies (aimed at individual change, identity, and consciousness) and political strategies (aimed at organizational tactics designed to challenge existing relationships with the state and other societal institutions). The African American, Asian American, Native American, and Chicana women’s movements did not emerge after the second-wave feminist movement, which mainly comprised white middle-class women, but simultaneously. In the case of women of color, African American, Latinx, Asian American, and Native American women have struggled for justice and equality on behalf of their specific racial–ethnic groups. Born out of gender inequality within their respective racial–ethnic movement, the activists formulated a multicultural/womanist feminism/womanism that addressed the intersectionality, race–ethnicity, gender, and class dimensions of their lived experiences.


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