ABSTRACT Nutrition education for low-income audiences often focuses on building skills in food shopping and food resource management to help families receive the best nutrition from the resources they have available. However, empirical evidence for the effect of food shopping practice on dietary quality has been limited. This article presents new analyses from two studies that found an association between food shopping practices and diet quality. Logistic regression of data from 957 respondents from the 1996 National Food Stamp Program Survey found that food shopping practices were significantly (p </= .05) associated with the availability of nutrients in the food the households used during a week. Similarly, analysis of baseline data from 5159 women from selected counties of states who participated in the Expanded Food and Nutrition Education Program found that food shopping practices were significantly (p </= .05) associated with increased consumption of nutrients as measured through a single 24-hour recall. These findings suggest that food shopping practices are an important area for nutrition education with low-income audiences.
"This may be due to the availability of various options/selections of health-promoting foods including fruits/vegetables and low-calorie products in a competitive environment with larger numbers of chain supermarkets, which can promote healthy dietary intake and ultimately health outcomes. However, factors such as individual’s food shopping skills/practices , and individual’s purchasing behaviors and social perceptions  can equally influence the relationships of food environment with health behaviors and outcomes. "
[Show abstract][Hide abstract] ABSTRACT: Youth with diabetes are at increased risk for obesity and cardiovascular disease complications. However, less is known about the influence of built food environment on health outcomes in this population. The aim of this study was to explore the associations of accessibility and availability of supermarkets and fast food outlets with Body Mass Index (BMI) z-score and waist circumference among youth with diabetes.
Information on residential location and adiposity measures (BMI z-score and waist circumference) for 845 youths with diabetes residing in South Carolina was obtained from the South Carolina site of the SEARCH for Diabetes in Youth study. Food outlets data obtained from the South Carolina Department of Health and Environmental Control and InfoUSA were merged based on names and addresses of the outlets. The comprehensive data on franchised supermarket and fast food outlets was then used to construct three accessibility and availability measures around each youth's residence.
Increased number and density of chain supermarkets around residence location were associated with lower BMI z-score and waist circumference among youth with diabetes. For instance, for a female child of 10 years of age with height of 54.2 inches and weight of 70.4 pounds, lower supermarket density around residence location was associated with about 2.8-3.2 pounds higher weight, when compared to female child of same age, height and weight with highest supermarket density around residence location. Similarly, lower supermarket density around residence location was associated with a 3.5-3.7 centimeter higher waist circumference, when compared to residence location with the highest supermarket density. The associations of number and density of chain fast food outlets with adiposity measures, however, were not significant. No significant associations were observed between distance to the nearest supermarket and adiposity measures. However, contrary to our expectation, increased distance to the nearest fast food outlet was associated with higher BMI z-score, but not with waist circumference.
Food environments conducive to healthy eating may significantly influence health behaviors and outcomes. Efforts to increase the availability of supermarkets providing options/selections for health-promoting foods may significantly improve the dietary intake and reduce adiposity among youth with diabetes.
International Journal of Behavioral Nutrition and Physical Activity 06/2012; 9(1):81. DOI:10.1186/1479-5868-9-81 · 4.11 Impact Factor
"Influences on these processes were addressed in the intervention video, and in the class discussions that occurred during the sessions (Campbell & Desjardins, 1989; Golan, 2006; Lindsay, Sussner, Kim, & Gortmaker , 2006), and improvements in these variables should support a healthy home food environment. Food shopping practices of EFNEP participants were significantly associated with nutrient consumption and the nutrients available in the foods used by households during 1 week (Hersey et al., 2001). Past EFNEP evaluation studies have also shown significant improvements in client meal planning and shopping skills compared to nonparticipants (Burney & Haughton, 2002). "
[Show abstract][Hide abstract] ABSTRACT: This study examined the relationships between participant goal attainment and changes in mediating variables and food choice outcomes from a modified curriculum for the Texas Expanded Food and Nutrition Education Program (EFNEP) promoting healthy home food environments and parenting skills related to obesity prevention. EFNEP participants in 54 intervention classes received a goal sheet after each of 6 classes. Participants recorded goal attainment and returned at the next class, Diet and mediating variables were measured at baseline, immediate post, and 4 months later. Mixed model regression analysis over time assessed whether goal attainment was associated with the outcomes at post or follow-up, controlling for baseline assessment. Participants who reported attaining more goals reported greater self-efficacy for planning/encouraging fruit and vegetable consumption and making fruit and vegetables available, menu planning skills, improvement in the food preparation practices and higher home availability for regular vegetables. At post, those who reported attaining more fiber, vegetable, and water goals reported consuming more of these items. Goal attainment was related to some changes in food choice and mediating variables in an at risk population. Further research into the use and efficacy of goal setting and attainment in this population is warranted.
"Women more than men prepared and used a grocery list (Blaylock and Smallwood, 1987; Putrevu and Ratchford, 1997; Thomas and Garland, 2004), and at-home wives were more likely than wives who work for income to use a list for purchasing groceries (Polegato and Zaichkowsky, 1999). While in some studies at least 50 percent of low-income households said they used a shopping list, households with income below 75 percent of the poverty line have been found significantly less likely to use a list when grocery shopping (Hersey et al., 2001). Dinkins (1997) found that households with a limited budget were less likely to use a list and speculated that a restricted budget may limit shopping to required items, eliminating the need for a grocery list. "
[Show abstract][Hide abstract] ABSTRACT: Purpose – This paper aims to investigate grocery list use in the lives of participant families in a study on decision making about food choices and eating practices. Design/methodology/approach – A total of 46 families from three ethno-cultural groups living in two regions in Canada participated in the study: in British Columbia, 12 Punjabi Canadian and 11 European Canadian families; in Nova Scotia, 13 African Canadian and ten European Canadian families. In each family, at least three individuals over the age of 13 years, one of whom was a woman between the ages of 25 and 55 years, were interviewed. Researchers participated in a meal and accompanied each family on a grocery trip. Findings – Most family members contributed to a grocery list. The shopper(s) in the family may take the written list with them, have the list in memory, use a combination of both memory and written list, or shop without a list. Finds the articulation of taken-for-granted, intersecting knowledge about family, household and grocery store, necessary to the compilation of a list, were largely unseen, unrecognised, and undervalued. Originality/value – Studies on grocery lists have focused on who uses lists, how they are used, and what their use says about consumers. In the literature, non-list use is conflated with the absence of a tangible grocery list. Shows that lack of a tangible list does not mean absence of a list in all cases. Further, extends and contextualises existing literature, showing that grocery list compilation relies upon interrelated knowledge of family, household and store.
British Food Journal 02/2008; 110(2):206-217. DOI:10.1108/00070700810849916 · 0.77 Impact Factor
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