Association Between Food Insecurity and Diet Quality Among Early Care and Education Providers in the Pennsylvania Head Start Program

Mofleh, Dania; Ranjit, Nalini; Chuang, Ru‐Jye; Cox, Jill N.; Anthony, Christine; Sharma, Shreela V.

doi:10.5888/pcd18.200602

Cited by 8 publications

(12 citation statements)

References 22 publications

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“…Gender-related differences. Excepting from the work of Clark-Cutaia et al [38] in which women represent 37% of the studied population with a limited cohort not letting a deep comparison between male and female, in all the other examined studies the majority of the involved population is composed by women (100% in Bernard-Davila et al [39] consisting in breast cancer Hispanic survivors; in Mofleh et al [41], 97.7% of a population of educators from USA; 87% in Mendonça et al [40] from the Health Academy Program in Brazil; 58% in Miller et al [37] consisting in breast cancer survivors). Among women, as a synthetic result of all the analyzed studies, differences in the encountered barriers are especially linked to own's body perception, grade of education, being employed, need to take care of families, and economic concerns.…”

Section: Barriers To a Healthy Dietmentioning

confidence: 96%

See 1 more Smart Citation

Unraveling Barriers to a Healthy Lifestyle: Understanding Barriers to Diet and Physical Activity in Patients with Chronic Non-Communicable Diseases

Cavallo,

Morgana,

Dozzani

et al. 2023

Nutrients

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Although the important contribution of nutrition and physical activity to people’s health is known, it is equally well known that there are many barriers to adherence to healthy habits (i.e., of an organizational, economic, and/or psychological nature) experienced by the general population, as well as by people with non-communicable diseases. Knowledge of these barriers seems essential to the implementation of the activities and strategies needed to overcome them. Here, we aim to highlight the most frequent barriers to nutrition and exercise improvement that patients with chronic-degenerative diseases experience. Drawing from the Pubmed database, our analysis includes quantitative or mixed descriptive studies published within the last 10 years, involving adult participants with non-communicable diseases. Barriers of an organizational nature, as well as those of an environmental, economic, or psychological nature, are reported. The study of patients’ barriers enables healthcare and non-health professionals, stakeholders, and policymakers to propose truly effective solutions that can help both the general population and those with chronic pathologies to adhere to a healthy lifestyle.

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Section: Barriers To a Healthy Dietmentioning

confidence: 96%

“…Being younger and with lower income, for example, represents a risk factor for food insecurity in Mofleh et at. [41].…”

Section: Barriers To a Healthy Dietmentioning

confidence: 99%

Unraveling Barriers to a Healthy Lifestyle: Understanding Barriers to Diet and Physical Activity in Patients with Chronic Non-Communicable Diseases

Cavallo,

Morgana,

Dozzani

et al. 2023

Nutrients

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show abstract

“…Unfortunately, nearly 90–95% of American adults and children do not consume the recommended amounts of daily vegetables or fruit, with the lowest intake in those living in poverty [ 15 , 16 ]. Moreover, low intake of fruits and vegetables is common in historically socially and economically marginalized populations struggling with social determinants of health such as poverty, housing, and FI [ 17 , 18 , 19 ]. Research suggests barriers to fruit and vegetable consumption in households experiencing FI are varied and complex [ 20 ] and include cost, desirability, accessibility, and limited culinary knowledge and efficacy [ 18 , 21 , 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a Home-Delivery Produce Prescription Program to Address Food Insecurity and Diet Quality in Adults and Children

et al. 2022

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Produce prescription programs aim to improve food insecurity (FI) and nutrition but their effectiveness is unclear. We conducted a pilot study to demonstrate the feasibility and explore the potential impact of a family-based, home-delivery produce prescription and nutrition education program. We measured enrollment, satisfaction, participation, and retention as measure of feasibility. Adult participants answered pre-post self-report questionnaires assessing FI, child and adult fruit and vegetable intake, and culinary literacy and self-efficacy. To understand participants’ lived experiences, qualitative interviews were conducted at the 6-month time point. Twenty-five families were enrolled. Feasibility measures indicate participants were generally satisfied with the program but there were important barriers to participation. Qualitative data revealed themes around reduced food hardship, healthy eating, budget flexibility, and family bonding. Fruit and vegetable consumption increased in a small subgroup of children, but post-intervention intake remained below recommended levels, particularly for vegetables. FI scores were not significantly different post-intervention, but qualitative findings indicated improved access and reliability of food. This is the first intervention of its kind to be evaluated for feasibility and our results suggest the intervention is well-received and supportive. However, further study, with a larger sample size, is needed to understand factors influencing participation and assess effectiveness.

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“…It can be used to assess the diet quality of individuals, households, or populations, and can be adapted to reflect cultural and regional dietary patterns 23 . The HEI has also been used to evaluate the effectiveness of dietary interventions, such as nutrition education programs and food assistance programs 28 , 29 . However, the application of HEI in the field of predicting stroke risk and prevention and treatment of stroke is still limited.…”

Section: Discussionmentioning

confidence: 99%

Healthy eating index-2015 and its association with the prevalence of stroke among US adults

Wu,

Yin,

Wang

et al. 2024

Sci Rep

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This study aims to investigate the relationship between the healthy eating index (HEI) and the prevalence of stroke within a diverse United States population. Employing a cross-sectional design, we utilized data sourced from the National Health and Nutrition Examination Survey (NHANES). Dietary information was collected from participants and HEI scores were computed. NHANES employed stratified multistage probability sampling, with subsequent weighted analysis following NHANES analytical guidelines. Thorough comparisons were made regarding the baseline characteristics of individuals with and without stroke. Weighted multivariable logistic regression analysis and restricted cubic spline (RCS) methods were employed to ascertain the association between stroke risk and HEI, with LASSO regression utilized to identify dietary factors most closely linked to stroke risk. Additionally, we constructed a nomogram model incorporating key dietary factors and assessed its discriminatory capability using the receiver operating characteristic (ROC) curve. Our study encompassed 43,978 participants, representing an estimated 201 million U.S. residents. Participants with a history of stroke exhibited lower HEI scores than their non-stroke counterparts. Logistic regression analysis demonstrated a robust association between lower HEI scores and stroke, even after adjusting for confounding variables. RCS analysis indicated a nonlinear negative correlation between HEI and stroke risk. Furthermore, detailed subgroup analysis revealed a significant gender-based disparity in the impact of dietary quality on stroke risk, with females potentially benefiting more from dietary quality improvements. Sensitivity analysis using unweighted logistic regression yielded results consistent with our primary analysis. The nomogram model, based on key dietary factors identified through LASSO regression, demonstrated favorable discriminatory power, with an area under the curve (AUC) of 79.3% (95% CI 78.4–81.2%). Our findings suggest that higher HEI scores are inversely related to the risk of stroke, with potential greater benefits for women through dietary quality enhancement. These results underscore the importance of improving dietary quality for enhanced stroke prevention and treatment.

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Association Between Food Insecurity and Diet Quality Among Early Care and Education Providers in the Pennsylvania Head Start Program

Cited by 8 publications

References 22 publications

Unraveling Barriers to a Healthy Lifestyle: Understanding Barriers to Diet and Physical Activity in Patients with Chronic Non-Communicable Diseases

Unraveling Barriers to a Healthy Lifestyle: Understanding Barriers to Diet and Physical Activity in Patients with Chronic Non-Communicable Diseases

Feasibility of a Home-Delivery Produce Prescription Program to Address Food Insecurity and Diet Quality in Adults and Children

Healthy eating index-2015 and its association with the prevalence of stroke among US adults

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