Obesity and Related Chronic Health Conditions as Predictors of Motivation to Engage in Healthy Eating Behaviors Among Black Adults

Tucker, Carolyn M.; Smith, Tasia M.; Arthur, Tya M.; Wall, Whitney

doi:10.1007/s40615-014-0015-5

Cited by 5 publications

(10 citation statements)

References 30 publications

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“…For the mediator situational motivation, which is defined as motivation experienced during a particular activity [ 32 ], the shopping task, swap offer, Nutri-Score label, and norm message are expected to increase situational motivation because presence of the interventions increases involvement with the product [ 33 ]. Being presented with a healthier alternative makes consumers aware of the (un)healthfulness of their food choice which subsequently may motivate them to behave more healthily (hypothesis 3) [ 34 ]. Additionally, presence of and attention to the Nutri-Score label make healthfulness information more salient, which may remind consumers about healthy eating and thus motivate them to make a healthy choice in this particular shopping situation (hypothesis 5) [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

“…Being presented with a healthier alternative makes consumers aware of the (un)healthfulness of their food choice which subsequently may motivate them to behave more healthily (hypothesis 3) [ 34 ]. Additionally, presence of and attention to the Nutri-Score label make healthfulness information more salient, which may remind consumers about healthy eating and thus motivate them to make a healthy choice in this particular shopping situation (hypothesis 5) [ 34 ]. Descriptive social norms have the ability to influence behavior because people want to follow others’ behavior to behave efficiently [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

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The use of food swaps to encourage healthier online food choices: a randomized controlled trial

Jansen

Kleef

Loo

2021

Int J Behav Nutr Phys Act

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Background Online grocery stores offer opportunities to encourage healthier food choices at the moment that consumers place a product of their choice in their basket. This study assessed the effect of a swap offer, Nutri-Score labeling, and a descriptive norm message on the nutrient profiling (NP) score of food choices in an online food basket. Additionally explored was whether these interventions made it more motivating and easier for consumers to select healthier foods and whether potential effects were moderated by consumer health interest. Methods Hypotheses were tested with a randomized controlled trial (RCT) in a simulated online supermarket. Dutch participants (n = 550) chose their preferred product out of six product options for four different categories (breakfast cereals, crackers, pizza, and muesli bars). Participants were randomly allocated to one of eight groups based on the interventions in a 2 (Nutri-Score: present, not present) X 2 (swap offer: present, not present) X 2 (norm message: present, not present) between subject design. The primary outcome was the difference in combined NP score of product choices, for which a lower score represented a healthier product. Results Swap offer (B = − 9.58, 95% CI: [− 12.026; − 7.132], Ƞ2 = 0.098) and Nutri-Score labeling (B = − 3.28, 95% CI: [− 5.724; −.829], Ƞ2 = 0.013) significantly improved the combined NP score compared to the control condition (NP score M = 18.03, SD = 14.02), whereas a norm message did not have a significant effect (B = − 1.378, 95% CI [− 3.825; 1.070], Ƞ2 = 0.002). No evidence was found that interventions made it more motivating or easier for consumers to select healthier food, but situational motivation significantly influenced the healthiness score of food choices for both swap offer (b = − 3.40, p < .001) and Nutri-Score (b = − 3.25, p < .001). Consumer health interest only significantly moderated the influence of Nutri-Score on ease of identifying the healthy food option (b = .23, p = .04). Conclusions Swap offer and Nutri-Score labeling were effective in enhancing healthy purchase behavior in the online store environment. Trial registration This study was retrospectively registered in the ISRCTN database on 02-09-2021 (ISRCTN80519674).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The use of food swaps to encourage healthier online food choices: a randomized controlled trial

Jansen

Kleef

Loo

2021

Int J Behav Nutr Phys Act

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“…In addition to studying the link between general self-efficacy and body weight in a representative sample of workers, we leverage research on body size perceptions to examine the role of race and gender as moderators of this relationship. This is an important step forward since research has suggested that both race and gender are tied to body weight (e.g., Baltrus et al, 2005), as well as individual's self-recognition of (e.g., Riggs et al, 2017;Sivalingam et al, 2011) and attitudes regarding (S. M. Harris, 1994;Tucker et al, 2014) body weight issues. Indeed, scholars of body weight have called for more research that includes gender and race in addition to body weight (e.g., Puhl & Brownell, 2001).…”

Section: Introductionmentioning

confidence: 99%

General Self-Efficacy and Body Weight: The Role of Race and Gender

Schmidt

Pichler²

2020

Psychol Rep

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Overweight and obesity have become a prominent concern for policymakers, the Surgeon General, scholars, and for work organizations. The estimated annual cost of obesity in terms of lost productivity is in the tens of billions of dollars, and the estimated annual medical cost of obesity is in the hundreds of millions of dollars. Psychologists have become increasingly interested in issues related to body weight, such as ways to help people reduce body weight. The aims of our study are twofold. First, based on social cognitive theory, we offer the first study of the relationship between general self-efficacy (GSE) and body weight based on a large, representative sample. Second, we also offer an understanding of the role of race and gender as potential boundary conditions of this relationship. Findings indicate that race moderates the relationship between GSE and body weight (both BMI and perceived weight) such that this relationship is positive for Blacks but negative for Whites. Gender did not moderate the relationship between GSE and body weight. These results suggest that body weight is unrelated to general self-efficacy in the population writ large and that body weight is differentially related to self-efficacy based on race but not gender.

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“…Demographic characteristics of the respondents were assessed using the Demographic and Health Information Data Questionnaire ( 45 , 46 ). Demographic characteristics reported in this study include respondents' age, height, weight, gender, ethnic origin, whether English was their first language, nativity, acculturation, highest level of education, employment status, U.S. region of residence, relationship status, health insurance status, and annual household income.…”

Section: Methodsmentioning

confidence: 99%

“…The dependent variable, presence of a chronic health condition, was assessed by one question from the Demographic and Health Information Data Questionnaire ( 45 , 46 ). Respondents were asked to indicate all of the health conditions they currently have from the following: high cholesterol, overweight/obesity, heart disease, cancer (specify the type), high blood pressure, type 2 diabetes, other (specify), or to select “I do not have any of these health conditions.”…”

Section: Methodsmentioning

confidence: 99%

Perceived Neighborhood Crime Safety Moderates the Association Between Racial Discrimination Stress and Chronic Health Conditions Among Hispanic/Latino Adults

Budd

Giuliani

Kelly

2021

Front. Public Health

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Background: Little is known about the link between perceived neighborhood walkability and prevalence of chronic disease. Even less is known regarding this association among Hispanic/Latino adults, despite exhibiting high rates of chronic diseases. Stress due to racial discrimination is a harmful social determinant of health in Hispanics/Latinos. Having both low perceived neighborhood walkability and high racial discrimination stress may exacerbate the chronic disease status of Hispanics/Latinos. Among a U.S. national sample of Hispanic/Latino adults, this cross-sectional study aims to examine (1) the associations among overall perceived neighborhood walkability, racial discrimination stress, and having a chronic health condition; and (2) whether overall perceived neighborhood walkability moderates the hypothesized association between racial discrimination stress and having a chronic health condition.Methods: In January 2018, 798 Hispanic/Latino adults (M age = 39.7 years, SD = 15.1; 58.6% female; 70.0% U.S. born; 52.0% Mexican/Mexican American) responded to a survey via Qualtrics Panels. Surveys included the Neighborhood Environment Walkability Scale-Abbreviated, Hispanic Stress Inventory-2, and self-reported presence/absence of chronic health conditions (e.g., hypertension, heart disease). A logistic regression was conducted testing for the moderation of the main effect of racial discrimination stress on the presence of a chronic health condition by overall perceived neighborhood walkability.Results: After controlling for age, body mass index, and income, racial discrimination stress was inversely associated with overall perceived neighborhood walkability (b = −0.18, p < 0.001) and positively associated with having a chronic health condition (OR = 1.02; 95% CI [1.00, 1.03]). While overall perceived neighborhood walkability was not associated with having a chronic health condition, perceived crime safety was inversely associated with having a chronic health condition (OR = 0.94; 95% CI [0.89, 0.99]). Perceived crime safety moderated the positive association between discrimination stress and having a chronic health condition, such that the association was only significant among those who perceived their neighborhood to be less safe (β = −0.004, 95% CI [−0.01, −0.00]).Conclusions: Overall perceived neighborhood walkability was inversely associated with racial discrimination stress, but not associated with having a chronic health condition. Perceived neighborhood crime safety, but not infrastructure or aesthetics, matters when it comes to the link between racial discrimination stress and having a chronic health condition among Hispanics/Latinos.

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Obesity and Related Chronic Health Conditions as Predictors of Motivation to Engage in Healthy Eating Behaviors Among Black Adults

Cited by 5 publications

References 30 publications

The use of food swaps to encourage healthier online food choices: a randomized controlled trial

The use of food swaps to encourage healthier online food choices: a randomized controlled trial

General Self-Efficacy and Body Weight: The Role of Race and Gender

Perceived Neighborhood Crime Safety Moderates the Association Between Racial Discrimination Stress and Chronic Health Conditions Among Hispanic/Latino Adults

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