Healthful eating: perceptions, motivations, barriers, and promoters in low-income minnesota communities

Eikenberry, Nicole; Smith, Chery

doi:10.1016/j.jada.2004.04.023

Cited by 162 publications

(153 citation statements)

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“…For example, Dibsdall et al (31) found that 73 % of their low-income sample believed they were healthy eaters, yet 82 % consumed less than five servings of F&V per day. Most low-income respondents to a food survey administered by Eikenberry and Smith (13) listed F&V as a main component of 'healthy eating' but defined the actual concept thirty-three different ways, suggesting that lack of nutrition knowledge of a 'healthy diet' is another barrier to its consumption. If low-income consumers do not understand how a healthy diet is defined, this may explain why they would prefer to buy more meat and RTE foods first (Table 4).…”

Section: Discussionmentioning

confidence: 99%

The art of grocery shopping on a food stamp budget: factors influencing the food choices of low-income women as they try to make ends meet

Wiig

Smith

2009

Public Health Nutr.

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193

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Objective: Amidst a hunger-obesity paradox, the purpose of the present study was to examine the grocery shopping behaviour and food stamp usage of lowincome women with children to identify factors influencing their food choices on a limited budget. Design: Focus groups, which included questions based on Social Cognitive Theory constructs, examined food choice in the context of personal, behavioural and environmental factors. A quantitative grocery shopping activity required participants to prioritize food purchases from a 177-item list on a budget of $US 50 for a one-week period, an amount chosen based on the average household food stamp allotment in 2005. Subjects: Ninety-two low-income women, with at least one child aged 9-13 years in their household, residing in the Twin Cities, Minnesota, USA. Results: Participants' mean age was 37 years, and 76 % were overweight or obese (BMI $ 25?0 kg/m 2 ). Key findings suggest that their food choices and grocery shopping behaviour were shaped by not only individual and family preferences, but also their economic and environmental situation. Transportation and store accessibility were major determinants of shopping frequency, and they used various strategies to make their food dollars stretch (e.g. shopping based on prices, in-store specials). Generally, meat was the most important food group for purchase and consumption, according to both the qualitative and quantitative data. Conclusions: Efforts to improve food budgeting skills, increase nutrition knowledge, and develop meal preparation strategies involving less meat and more fruits and vegetables, could be valuable in helping low-income families nutritionally make the best use of their food dollars.

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Section: Discussionmentioning

confidence: 99%

The art of grocery shopping on a food stamp budget: factors influencing the food choices of low-income women as they try to make ends meet

Wiig

Smith

2009

Public Health Nutr.

Self Cite

193

159

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“…It has been noted that intake of fast foods, snacks (5,6), and sweetened beverages (5) has increased among young adults, whereas intake of fruits, vegetables (7), and dairy products (6) [8][9][10][11][12][14][15][16], and a minority reporting either dubious (13) or no connection (28,29). This warrants more studies.…”

Section: Design-cross-sectionalmentioning

confidence: 99%

“…It has been noted that intake of fast foods, snacks (5,6), and sweetened beverages (5) has increased among young adults, whereas intake of fruits, vegetables (7), and dairy products (6) has decreased. Various factors such as socioeconomic status (eg, income and/or education) (8)(9)(10)(11)(12)(13)(14)(15)(16), demographics (eg, sex and ethnicity) (17)(18)(19), and lifestyle characteristics (eg, marital status [20][21][22][23] and physical activity [15,24,25]) have been thought to influence the food choices in this age group. However, the majority of studies conducted in the United States have either examined cost issues with respect to purchasing specific healthful foods (14,(26)(27)(28)(29) or have examined the influence of socioeconomic status on nutrient intakes (30,31) rather than the consumption of specific food groups.…”

mentioning

confidence: 99%

“…Also, the high intercorrelation among some nutrients (34) and complicated interactions among nutrients (35) makes it more difficult to assess the influence of socioeconomic status on dietary (nutrient) intakes. Furthermore, reported results of the role of socioeconomic status/ cost of foods on dietary intakes have been conflicting, with a majority of the research showing a positive connection (8)(9)(10)(11)(12)(14)(15)(16), and a minority reporting either dubious (13) or no connection (28,29). This warrants more studies.…”

mentioning

confidence: 99%

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Does Food Group Consumption Vary by Differences in Socioeconomic, Demographic, and Lifestyle Factors in Young Adults? The Bogalusa Heart Study

Deshmukh-Taskar¹,

Nicklas²,

Yang³

et al. 2007

Journal of the American Dietetic Association

145

112

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Objective-To examine if food group consumption varies by differences in socioeconomic, demographic, and lifestyle factors in young adults from a semirural setting in Louisiana. Design-Cross-sectional.Subjects-Young adults (n=1,266, 74% European American, 26% African American; 39% men, 61% women) aged 20 to 38 years, enrolled in the Bogalusa Heart Study.Measures-Food group consumption was assessed by a food frequency questionnaire. Socioeconomic (eg, income and education), demographic (eg, age, sex, and ethnicity), and lifestyle (eg, marital status and physical activity) information was obtained by a self-administered questionnaire and the subjects were stratified according to these groups.Statistical analyses-Analysis of covariance (adjusted for covariates) was used to detect differences in the mean servings of food groups consumed per day between the various socioeconomic, demographic, and lifestyle groups.Results-Compared to income ≤$15,000, those with an income >$45,000 had lower consumption of burgers/sandwiches (P<0.05) and those with income levels from $30,001 to $45,000 had lower consumption of mixed dishes (P<0.05). Intake of cereals/breads (P<0.05), dairy products (P<0.01), fruits/100% fruit juices (P<0.001), and vegetables (P<0.001) was higher in subjects with >12 years of education. European-American men consumed more servings of dairy products (P<0.05) and sweetened beverages (P<0.05) than African-American men. European-American women consumed more servings of dairy products (P<0.05), vegetables (P<0.05), and fats (P<0.05) than AfricanAmerican women. African Americans (men and women) consumed more servings of fruits/ 100% fruit juices (P<0.0001) than European Americans (men and women), respectively. Married individuals consumed more servings of snacks/desserts (P<0.05), but fewer servings of alcoholic beverages (P<0.0001) than those who were unmarried. Active individuals consumed more servings of fruits/100% fruit juices (P<0.05) and fewer servings of burgers/sandwiches (P<0.05) than inactive individuals. Conclusions-These findings suggest that food group consumption varies by socioeconomic, demographic, and lifestyle factors in young adults from a semirural setting. Food and nutrition professionals who encounter diverse populations need to consider the influence of income, education, sex, ethnicity, marital status, and physical activity on food consumption patterns when planning diets, nutrition education programs, and interventions for young adults.With rapid increases in obesity (1), metabolic syndrome (1), cardiovascular disease (2), diabetes mellitus (3), and cancer (4) in the young adult population (ages 19 to 39 years), there is a need for understanding their eating habits and lifestyle patterns. It has been noted that intake of fast foods, snacks (5,6), and sweetened beverages (5) has increased among young adults, whereas intake of fruits, vegetables (7), and dairy products (6) [8][9][10][11][12][14][15][16], and a minority reporting either dubious (13) or no connection (28,29). This ...

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“…women with low education, low income and/or residing in disadvantaged neighbourhoods) consume diets that are less consistent with guidelines for health, including lower consumption of fruit and vegetables (1)(2)(3) . One explanation for this socio-economic gradient in fruit and vegetable consumption is that women of low SEP are more likely than their more advantaged counterparts to perceive fruit and vegetables as expensive (4)(5)(6)(7)(8)(9)(10) . Women's perceptions of fruit and vegetable affordability, rather than actual prices of fruit and vegetables, have been found to significantly mediate the relationship between SEP and fruit and vegetable consumption (11,12) .…”

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confidence: 99%

Perceived quality and availability of fruit and vegetables are associated with perceptions of fruit and vegetable affordability among socio-economically disadvantaged women

Williams

Thornton

Crawford

et al. 2012

Public Health Nutr.

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Objective: Perceptions that fruit and vegetables are expensive have been found to be associated with lower consumption of fruit and vegetables among disadvantaged women; however, the determinants of these perceptions are relatively unknown. The purpose of the current paper is to examine whether perceived availability and quality of fruit and vegetables, and social support for healthy eating, are associated with perceptions of fruit and vegetable affordability among women residing in disadvantaged neighbourhoods. Design: Cross-sectional self-report survey. Setting: The study was conducted in Melbourne, Australia. Subjects: An Australian sample of 4131 women, aged 18-45 years, residing in neighbourhoods ranked in the lowest Victorian tertile of relative disadvantage by the Australian Bureau of Statistics, an index that considers aspects of disadvantage such as residents' income, education, motor vehicle access and employment. Results: Results showed that irrespective of education, income and other key covariates, women who perceived poor availability and quality of fruit and vegetables in their local neighbourhood were more likely to perceive fruit and vegetables as expensive. Conclusions: Our results suggest that perceptions of fruit and vegetable affordability are not driven exclusively by lack of financial or knowledge-related resources, but also by women's psychological response and interpretation of their local nutrition environment.

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Healthful eating: perceptions, motivations, barriers, and promoters in low-income minnesota communities

Cited by 162 publications

References 8 publications

The art of grocery shopping on a food stamp budget: factors influencing the food choices of low-income women as they try to make ends meet

The art of grocery shopping on a food stamp budget: factors influencing the food choices of low-income women as they try to make ends meet

Does Food Group Consumption Vary by Differences in Socioeconomic, Demographic, and Lifestyle Factors in Young Adults? The Bogalusa Heart Study

Perceived quality and availability of fruit and vegetables are associated with perceptions of fruit and vegetable affordability among socio-economically disadvantaged women

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