scholarly journals Using multi theory model (MTM) of health behavior change to explain intention for initiation and sustenance of the consumption of fruits and vegetables among African American men from barbershops in Mississippi

2020 ◽  
Vol 10 (3) ◽  
pp. 200-206
Author(s):  
Jaelrbreiret L. Williams ◽  
Manoj Sharma ◽  
Vincent L. Mendy ◽  
Sophia Leggett ◽  
Luma Akil ◽  
...  
Keyword(s):  
African American ◽  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
African American Men ◽  
Health Behavior Change ◽  
Theory Model ◽  
Adult Men ◽  
African American Adult ◽  
American Adult ◽  
The Mean

Background: African American men have poorer health outcomes compared to their white counterparts despite medical advancements and early detection of diseases. The purpose of this study was to determine to what extent the constructs of the multi theory model (MTM) explain the intention for initiation and sustenance of the consumption of fruits and vegetables among African American adult men in Mississippi. Methods: Using a cross-sectional design a valid and reliable paper survey was administered during November and December of 2019. The target population for the study consisted of African American adult men (18 or older) that had not consumed recommended levels of fruits and vegetables within 24 hours of taking the questionnaire. A convenience quota sample of African American men from select barbershops in Jackson, Mississippi, were asked to complete the 40-item questionnaire on preventive health screening behavior (n=134). Results: The mean total number of fruits and vegetables consumed by participants within 24hours of the taking the survey was 1.63 (SD =1.47). The mean intention to initiate consuming 5or more cups of fruits and vegetables per day score was 2.13 (SD=1.17) as measured on a 5-point scale (0-4). Behavioral confidence (β = 0.495, P<0.0001), and changes in physical environment(β = 0.230, P<0.0001) accounted for 40.8% of the variance in predicting the intention to initiate behavioral change regarding the daily consumption of fruits and vegetables. Practice for change (β = 0.462, P<0.001) and emotional transformation (β = 0.215, P<0.0001) accounted for 37.5% of the variance in the intention to sustain fruits and vegetables consumption behavior. Conclusion: Based on data found in the study, MTM appears to predict the intention to initiate and sustain fruit and vegetable intake of African American men. Further research studies of suitable interventions to target African American men are needed.

Reasoned Action Approach Correlates of Fruit and Vegetable Diet Among African American Men Living With HIV: A Cross-Sectional Study

2021 ◽  
pp. 109019812110119
Author(s):  
Terri-Ann Kelly ◽  
Soojong Kim ◽  
Loretta S. Jemmott ◽  
Larry D. Icard ◽  
Deepti Chittamuru ◽  
...  
Keyword(s):  
African American ◽  
Self Efficacy ◽  
Fruits And Vegetables ◽  
Reasoned Action ◽  
Vegetable Intake ◽  
African American Men ◽  
Reasoned Action Approach ◽  
Fruit And Vegetable ◽  
Positive Attitudes ◽  
Living With Hiv

Epidemiological evidence of the protective role of fruits and vegetables for a host of chronic health conditions is well-documented. However, there is a dearth of studies examining predictors of fruit and vegetable intake among African American men living with HIV. We report secondary analyses—multiple regression and logistic regression models fitted to examine the strength of the relationships between the reasoned action approach constructs; namely, attitudes, subjective norms, descriptive norms, self-efficacy and intention to consume fruits and vegetables, and self-reported adherence to 5-A-DAY guidelines. We used baseline data from a randomized controlled trial of a physical activity intervention trial with 302 African American men aged 40 years or older ( M = 53.9; SD = 7.2) living with HIV. Attitudes, subjective norms, descriptive norms, and self-efficacy were positively associated with intention to meet 5-A-DAY guidelines. More positive attitudes toward 5-A-DAY guidelines were associated with higher odds of meeting 5-A-DAY guidelines. More positive attitudes and self-efficacy were also positively associated with meeting the guidelines for intake of vegetable servings and fruit-and-vegetable servings combined. To increase fruit and vegetable intake among African American men living with HIV, interventions should be tailored to address the perceived benefits of consumption.

Negotiating the Aims of African American Adult Education: Race and Liberalism in the Harlem Experiment, 1931–1935

2018 ◽  
Vol 58 (1) ◽  
pp. 1-32
Author(s):  
Amato Nocera
Keyword(s):  
New York ◽  
African American ◽  
Adult Education ◽  
Public Library ◽  
Democratic Citizenship ◽  
Experimental Program ◽  
New York Public Library ◽  
African American Adult ◽  
American Adult ◽  
Liberal Citizenship

This paper examines an “experimental” program in African American adult education that took place at the Harlem branch of the New York Public Library in the early 1930s. The program, called the Harlem Experiment, brought together a group of white funders (the Carnegie Corporation and the American Association for Adult Education)—who believed in the value of liberal adult education for democratic citizenship—and several prominent black reformers who led the program. I argue that the program represented a negotiation between these two groups over whether the black culture, politics, and protest that had developed in 1920s Harlem could be deradicalized and incorporated within the funder's “elite liberalism”—an approach to philanthropy that emphasized ideological neutrality, scholarly professionalism, and political gradualism. In his role as the official evaluator, African American philosopher Alain Locke insisted that it could, arguing that the program, and its occasionally Afrocentric curriculum, aligned with elite liberal ideals and demonstrated the capacity for a broader definition of (historically white) liberal citizenship. While the program was ultimately abandoned in the mid-1930s, the efforts of Locke and other black reformers helped pave the way for a future instantiation of racial incorporation: the intercultural education movement of the mid-twentieth century.

Hearing Loss and Diabetes in an African American Adult

2020 ◽  
pp. 280-297
Author(s):  
Diane M. Scott
Keyword(s):  
Hearing Loss ◽  
African American ◽  
Blood Vessels ◽  
Nerve Fibers ◽  
African American Adult ◽  
Common Effect ◽  
Uncontrolled Diabetes ◽  
American Adult

Research has linked hearing loss to other medical conditions such as diabetes. Studies have shown that hearing loss is more common in individuals who have diabetes than in those who do not. Hyperglycemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and the blood vessels. Consequently, diabetes can affect the blood vessels of the inner ear and the vestibulocochlear (VIII cranial) nerve fibers. This case study examines the interrelationship between diabetes and hearing loss in an African American adult while examining the issues of the higher prevalence of diabetes in African Americans and the role of audiologists in the care of individuals with hearing loss and diabetes.

scholarly journals Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers

JAMA Oncology ◽  
2019 ◽  
Vol 5 (9) ◽  
pp. 1318 ◽  
Author(s):  
Melinda C. Aldrich ◽  
Sarah F. Mercaldo ◽  
Kim L. Sandler ◽  
William J. Blot ◽  
Eric L. Grogan ◽  
...  
Keyword(s):  
Lung Cancer ◽  
African American ◽  
Cancer Screening ◽  
Lung Cancer Screening ◽  
Screening Guidelines ◽  
African American Adult ◽  
American Adult

scholarly journals Associations of psychosocial factors with fruit and vegetable intake among African-Americans

2007 ◽  
Vol 10 (7) ◽  
pp. 701-711 ◽  
Author(s):  
Joanne L Watters ◽  
Jessie A Satia ◽  
Joseph A Galanko
Keyword(s):  
African American ◽  
African Americans ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
African American Men ◽  
Predisposing Factors ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Enabling Factors

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.

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