scholarly journals Understanding the Relationship Between the Retail Food Environment Index and Early Childhood Obesity Among WIC Participants in Los Angeles County Using GeoDa

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Maria Koleilat ◽  
Shannon E. Whaley ◽  
Abdelmonem A. Afifi ◽  
Leobardo Estrada ◽  
Gail G. Harrison
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Los Angeles ◽  
Food Environment ◽  
Los Angeles County ◽  
Retail Food Environment ◽  
Early Childhood Obesity ◽  
Environment Index ◽  
The Relationship ◽  
Retail Food

scholarly journals The neighborhood food environment modifies the effect of the 2009 WIC food package change on childhood obesity in Los Angeles County, California

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christopher E. Anderson ◽  
Catherine M. Crespi ◽  
May C. Wang ◽  
Shannon E. Whaley ◽  
M. Pia Chaparro
Keyword(s):  
Childhood Obesity ◽  
Los Angeles ◽  
Food Environment ◽  
Los Angeles County ◽  
Neighborhood Food Environment ◽  
Food Package

Prehospital Emergency Provider’s Knowledge of and Comfort With Pediatric and Special Needs Cases: A Cross-Sectional Study in Los Angeles County

2021 ◽  
pp. 016327872110039
Author(s):  
Christopher J. Rogers ◽  
Marianne Gausche-Hill ◽  
Laurie Lee Brown ◽  
Rita V. Burke
Keyword(s):  
Health Care ◽  
Los Angeles ◽  
Continuing Education ◽  
Los Angeles County ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
The Relationship ◽  
Special Health

The current study assesses the relationship between continuing education (CE) with a focus on pediatrics and children with special heath care needs and how CE influences the knowledge and comfort levels of prehospital providers who treat these cases. Data are survey responses provided by paramedic and emergency medical technician (EMT) level providers (N = 575) in Los Angeles County. Regression models assessed the relationship between pediatric-focused continuing education and EMTs’ knowledge of and comfort with pediatric cases, adjusting for relevant covariates. EMTs’ participation in continuing education focusing on pediatrics and special health care needs was significantly associated with an increase in perceived comfort and knowledge. Among EMTs who did not receive continuing education focused on either pediatrics or special health care needs, the most frequently reported barrier to education was a perceived lack of availability. The impact of continuing education on perceived comfort and knowledge was more pronounced than the effect of prior experience, especially considering the limited prevalence of provider exposure to pediatric and childhood special health care needs cases compared to adult cases. Expanding educational opportunities is a promising approach to increasing the comfort and knowledge of EMTs who transport and care for pediatric cases.

scholarly journals Food Environments and Hepatocellular Carcinoma Incidence

2021 ◽  
Vol 18 (11) ◽  
pp. 5740
Author(s):  
Mimi Ton ◽  
Michael J. Widener ◽  
Peter James ◽  
Trang VoPham
Keyword(s):  
Hepatocellular Carcinoma ◽  
Food Environment ◽  
Variance Estimation ◽  
Cancer Registries ◽  
County Level ◽  
Individual Level ◽  
Retail Food Environment ◽  
Food Retailers ◽  
Environment Index ◽  
Rate Ratios

Research into the potential impact of the food environment on liver cancer incidence has been limited, though there is evidence showing that specific foods and nutrients may be potential risk or preventive factors. Data on hepatocellular carcinoma (HCC) cases were obtained from the Surveillance, Epidemiology, and End Results (SEER) cancer registries. The county-level food environment was assessed using the Modified Retail Food Environment Index (mRFEI), a continuous score that measures the number of healthy and less healthy food retailers within counties. Poisson regression with robust variance estimation was used to calculate incidence rate ratios (IRRs) and 95% confidence intervals (CIs) for the association between mRFEI scores and HCC risk, adjusting for individual- and county-level factors. The county-level food environment was not associated with HCC risk after adjustment for individual-level age at diagnosis, sex, race/ethnicity, year, and SEER registry and county-level measures for health conditions, lifestyle factors, and socioeconomic status (adjusted IRR: 0.99, 95% CI: 0.96, 1.01). The county-level food environment, measured using mRFEI scores, was not associated with HCC risk.

scholarly journals Sustainability of Effects of an Early Childhood Obesity Prevention Trial Over Time

2015 ◽  
Vol 169 (6) ◽  
pp. 543 ◽  
Author(s):  
Li Ming Wen ◽  
Louise A. Baur ◽  
Judy M. Simpson ◽  
Huilan Xu ◽  
Alison J. Hayes ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Prevention Trial ◽  
Childhood Obesity Prevention ◽  
Early Childhood Obesity ◽  
Over Time

Evolution of a Coalition Network during a Whole-of-Community Intervention to Prevent Early Childhood Obesity

2021 ◽  
Author(s):  
Ariella R. Korn ◽  
Ross A. Hammond ◽  
Erin Hennessy ◽  
Aviva Must ◽  
Mark C. Pachucki ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Community Intervention ◽  
Early Childhood Obesity

scholarly journals Local Retail Food Environment and Consumption of Fruit and Vegetable among Adults in Hong Kong

2018 ◽  
Vol 15 (10) ◽  
pp. 2247 ◽  
Author(s):  
Ting Zhang ◽  
Bo Huang
Keyword(s):  
Hong Kong ◽  
Food Environment ◽  
Fast Food ◽  
Vegetable Consumption ◽  
Grocery Stores ◽  
Fruit Consumption ◽  
Retail Food Environment ◽  
Convenience Stores ◽  
Fast Food Restaurants ◽  
Retail Food

Outside of western countries, the study of the local food environment and evidence for its association with dietary behavior is limited. The aim of this paper was to examine the association between the local retail food environment and consumption of fruit and vegetables (FV) among adults in Hong Kong. Local retail food environment was measured by density of different types of retail food outlets (grocery stores, convenience stores, and fast food restaurants) within a 1000 m Euclidean buffer around individual’s homes using a geographic information system (GIS). The Retail Food Environment Index (RFEI) was calculated based on the relative density of fast-food restaurants and convenience stores to grocery stores. Logistic regressions were performed to examine associations using cross-sectional data of 1977 adults (18 years or older). Overall, people living in an area with the highest RFEI (Q4, >5.76) had significantly greater odds of infrequent FV consumption (<7 days/week) after covariates adjustment (infrequent fruit consumption: OR = 1.36, 95% CI 1.04–1.78; infrequent vegetable consumption: OR = 1.72, 95% CI 1.11–2.68) in comparison to the lowest RFEI (Q1, <2.25). Highest density of fast food restaurants (Q4, >53) was also significantly associated with greater odds of infrequent fruit consumption (<7 days/week) (unadjusted model: OR = 1.34, 95% CI 1.04–1.73), relative to lowest density of fast food restaurants (Q1, <13). No significant association of density of grocery stores or convenience stores was observed with infrequent FV consumption regardless of the covariates included in the model. Our results suggest that the ratio of fast-food restaurants and convenience stores to grocery stores near people’s home is an important environmental factor in meeting fruit and vegetable consumption guidelines. “Food swamps” (areas with an abundance of unhealthy foods) rather than “food deserts” (areas where there is limited access to healthy foods) seems to be more of a problem in Hong Kong’s urban areas. We advanced international literature by providing evidence in a non-western setting.

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