No abstract

Research indicates that history and early life events and trajectories influence women’s dietary behaviors. Yet, the social context in which recent life changes occur requires greater understanding, particularly regarding changes that embody the interconnectedness of women and their families, and how those changes affect women’s dietary decisions and behaviors. The data presented here were the product of eight focus groups that we conducted in one Maryland county in the fall of 2009. Our participants were 43 women with limited financial resources aged 40–64 years. In this analysis, we focused on women’s perceptions of the relation of recent life transitions and events to the dietary decisions they made for themselves and their families. Our findings suggested that transitions and events related to household structure, health status, phases of motherhood, and shifts in financial and employment status all had the potential to have profound and immediate effects on women’s dietary decisions and resulting dietary behaviors. We used the focus group data to consider implications for developing intervention strategies designed to improve self-efficacy and negotiation skills around dietary issues as a means of promoting healthy decision-making among women in midlife, particularly in times of familial upheaval and in circumstances where financial resources are limited.

To promote healthy eating, it is important to understand how people conceptualize diet and factors shaping notions of particular foods and dietary patterns as healthy. We present data from eight focus groups exploring dietary issues among women aged 40-64. We analyze how women referenced their history and background in accounting for current diet. We highlight three emergent themes: (1) how we ate growing up; (2) what we eat where I come from; and (3) what my people see as healthy. We conclude that in these groups, nostalgic presentations of life-course experiences and personal identity were meaningful anchors for explaining current behaviors.

Objective: To evaluate the prevalence of suicidal ideation (SI), plans and attempts, and non-suicidal self-injury (NSSI) among students with attention deficit hyperactivity disorder (ADHD). Furthermore, we explored the mediating effects of depression, anxiety, alcohol and substance use on the association between ADHD and suicidal behaviors and NSSI. Method: Participants were first-year undergraduate students ( n = 1,829) recruited as part of the World Mental Health International College Student Initiative. Participants completed validated clinical measures online. Results: The prevalence of suicide behaviors and NSSI were significantly higher among students with ADHD than those without. Mediation analyses indicated that ADHD directly and indirectly increased suicidal behaviors and NSSI. While ADHD increased suicidal behaviors and NSSI through depression, ADHD and the co-variates age and gender also had indirect effects on suicidal behaviors via substance use. Conclusions: Specific predictors of risk were identified for students with ADHD which may inform the development of more targeted mental health and suicide prevention strategies across campuses.

The family environment plays an important role in influencing children’s dietary behaviors. Traditionally, African American extended family members play a key role in child socialization. We examine the role of extended families in how children are socialized to adopt dietary norms. We conducted in-depth, semi-structured interviews with 24 individuals across eight family units to elicit information regarding the influences of culture and families on children’s dietary behaviors. Findings suggest that families teach children to value activities that combine quality time and enjoying food together; adults are inconsistent in how they teach children to adopt desired dietary behaviors. This work has implications for improving family-based interventions for African American children through promoting healthful behaviors that are also respectful of family dietary traditions, improving communication between adults and children, and leveraging family members as attitudinal and behavioral referents.