干旱区生态环境知识资源中心(Arid): Socioecological Path Analytic Model of Diet Quality among Residents in Two Urban Food Deserts

Arid

DOI	10.1016/j.jand.2019.02.012
	Socioecological Path Analytic Model of Diet Quality among Residents in Two Urban Food Deserts
	Freedman, Darcy A.1; Bell, Bethany A.5; Clark, Jill K.7; Sharpe, Patricia A.6; Trapl, Erika S.2; Borawski, Elaine A.2; Pike, Stephanie N.3; Rouse, Chaturia 3; Sehgal, Ashwini R.4
通讯作者	Freedman, Darcy A.
来源期刊	JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
ISSN	2212-2672
EISSN	2212-2680
出版年	2019
卷号	119 期号:7 页码:1150-1159
英文摘要	Background Diet is critical to chronic disease prevention, yet there are persistent disparities in diet quality among Americans. The socioecological model suggests multiple factors, operating at multiple levels, influence diet quality. Objective The goal was to model direct and indirect relationships among healthy eating identity, perceived control of healthy eating, social support for healthy eating, food retail choice block scores, perceptions of healthy food availability, and food shopping behaviors and diet quality measured using Healthy Eating Index-2010 scores (HEI-2010) for residents living in two urban communities defined as food deserts. Design A cross-sectional design was used including data collected via self-reported surveys, 24-dietary recalls, and through objective observations of food retail environments. Participants/setting Data collection occurred in 2015-2016 in two low-income communities in Cleveland (n=243) and Columbus (n=244), OH. Main outcome measure HEI-2010 scores were calculated based on the average of three 24-hour dietary recalls using the Nutrition Data System for Research. Analysis Separate path models, controlled for income, were run for each community. Analysis was guided by a conceptual model with 15 hypothesized direct and indirect effects on HEI-2010 scores. Associations were considered statistically significant at P<0.05 and P<0.10 because of modest sample sizes in each community. Results Across both models, significant direct effects on HEI-2010 scores included healthy eating identity (beta=.295, Cleveland; beta=.297, Columbus, P<0.05) and distance traveled to primary food store (beta=.111, Cleveland, P<0.10; 0,175, Columbus, P<0.05). Perceptions of healthy food availability had a significant, inverse effect in the Columbus model (beta=-.125, P<0.05). The models explained greater variance in HEI-2010 scores for the Columbus community compared with Cleveland (R-2 =.282 and R-2 =.152, respectively). Conclusions Findings highlight the need for tailored dietary intervention approaches even within demographically comparable communities. Interventions aimed at improving diet quality among residents living in food deserts may need to focus on enhancing healthy eating identity using culturally relevant approaches while at the same time addressing the need for transportation supports to access healthy food retailers located farther away.
英文关键词	Diet quality Healthy Eating Index Food desert Poverty Path analysis
类型	Article
语种	英语
国家	USA
开放获取类型	Green Accepted
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000472505600009
WOS关键词	ENVIRONMENTAL-INFLUENCES ; VEGETABLE CONSUMPTION ; SEASONAL-VARIATION ; NATIONAL-HEALTH ; SOCIAL SUPPORT ; SELF-EFFICACY ; US ADULTS ; NUTRITION ; FRUIT ; IDENTITY
WOS类目	Nutrition & Dietetics
WOS研究方向	Nutrition & Dietetics
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/217353
作者单位	1.Case Western Reserve Univ, Sch Med, Environm Hlth Sci, Cleveland, OH 44106 USA; 2.Case Western Reserve Univ, Sch Med, Dept Populat & Quantitat Hlth Sci, Community Nutr, Cleveland, OH 44106 USA; 3.Case Western Reserve Univ, Sch Med, Prevent Res Ctr Hlth Neighborhoods, Cleveland, OH 44106 USA; 4.Case Western Reserve Univ, Sch Med, Community Hlth Improvement, Cleveland, OH 44106 USA; 5.Univ South Carolina, Coll Social Work, Columbia, SC 29208 USA; 6.Univ South Carolina, Arnold Sch Publ Hlth, Columbia, SC 29208 USA; 7.Ohio State Univ, John Glenn Coll Publ Affairs, Columbus, OH 43210 USA
推荐引用方式 GB/T 7714	Freedman, Darcy A.,Bell, Bethany A.,Clark, Jill K.,et al. Socioecological Path Analytic Model of Diet Quality among Residents in Two Urban Food Deserts[J],2019,119(7):1150-1159.
APA	Freedman, Darcy A..,Bell, Bethany A..,Clark, Jill K..,Sharpe, Patricia A..,Trapl, Erika S..,...&Sehgal, Ashwini R..(2019).Socioecological Path Analytic Model of Diet Quality among Residents in Two Urban Food Deserts.JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS,119(7),1150-1159.
MLA	Freedman, Darcy A.,et al."Socioecological Path Analytic Model of Diet Quality among Residents in Two Urban Food Deserts".JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS 119.7(2019):1150-1159.