Deana A. Hildebrand, Jeremy Humphrey, Lindsi Lemons
Objective: The purpose of this study was to determine the efficacy of an ongoing health promotion program to sustain student outcomes over an extended period, and to determine if student outcomes are affected by the schools’ duration of program participation. Methods: The repeatmeasures study used secondary data from Healthy Schools Oklahoma for School Years 2016-2019. FITNESSGRAM assessed changes in student fitness levels (N = 12,219); an electronic health survey assessed changes in knowledge and behaviors (N = 6840). McNemar tests examined change in the proportion of students reaching the healthy fitness zone (HFZ) for 6 FITNESSGRAM tests, and the proportion of students with accurate knowledge or meeting dietary and physical activity recommendations. Poisson regression tested for change in student outcomes based on duration of program participation. Results: The proportion of students reaching HFZ increased for 5 of 6 fitness tests (p ≤ .004) and with accurate nutrition and physical education knowledge (p ≤ .009). We found statistically significant main effects for outcomes (p ≤ .016) and duration (p ≤ .030); there was no effect for the interaction. Conclusion: Students achieved similar gains in outcomes regardless of the schools’ duration of program participation.
{"title":"Non-profit Coordinated School Health Program Achieves Student Outcomes in Both Beginning and Experienced Schools","authors":"Deana A. Hildebrand, Jeremy Humphrey, Lindsi Lemons","doi":"10.14485/hbpr.9.2.4","DOIUrl":"https://doi.org/10.14485/hbpr.9.2.4","url":null,"abstract":"Objective: The purpose of this study was to determine the efficacy of an ongoing health promotion program to sustain student outcomes over an extended period, and to determine if student outcomes are affected by the schools’ duration of program participation. Methods: The repeatmeasures study used secondary data from Healthy Schools Oklahoma for School Years 2016-2019. FITNESSGRAM assessed changes in student fitness levels (N = 12,219); an electronic health survey assessed changes in knowledge and behaviors (N = 6840). McNemar tests examined change in the proportion of students reaching the healthy fitness zone (HFZ) for 6 FITNESSGRAM tests, and the proportion of students with accurate knowledge or meeting dietary and physical activity recommendations. Poisson regression tested for change in student outcomes based on duration of program participation. Results: The proportion of students reaching HFZ increased for 5 of 6 fitness tests (p ≤ .004) and with accurate nutrition and physical education knowledge (p ≤ .009). We found statistically significant main effects for outcomes (p ≤ .016) and duration (p ≤ .030); there was no effect for the interaction. Conclusion: Students achieved similar gains in outcomes regardless of the schools’ duration of program participation.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47758947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christine Cardinal, J. Bunn, Isaac Schley, D. Fulton, Rosanne S. Keathley
Objectives: We surveyed 287 American women from April 2020 until the November 2020 presidential election to evaluate their primary news source, beliefs on the constitutionality of mask-wearing and stay-at-home orders, government’s ability to implement public health orders, and political affiliation. Methods: Qualtrics surveys were distributed on social media. Using a chi-square test of independence, we evaluated differences by age groups, ethnicity, and education. Results: Age, ethnicity, and education were all statistically related to beliefs about public health initiatives. Conclusions: These results can help tailor public health interventions, policies, and laws focused on compliance with public health initiatives aimed at reducing the spread of the virus.
{"title":"American Women’s Perceptions of Pandemic Policies and Regulations","authors":"Christine Cardinal, J. Bunn, Isaac Schley, D. Fulton, Rosanne S. Keathley","doi":"10.14485/hbpr.9.2.3","DOIUrl":"https://doi.org/10.14485/hbpr.9.2.3","url":null,"abstract":"Objectives: We surveyed 287 American women from April 2020 until the November 2020 presidential election to evaluate their primary news source, beliefs on the constitutionality of mask-wearing and stay-at-home orders, government’s ability to implement public health orders, and political affiliation. Methods: Qualtrics surveys were distributed on social media. Using a chi-square test of independence, we evaluated differences by age groups, ethnicity, and education. Results: Age, ethnicity, and education were all statistically related to beliefs about public health initiatives. Conclusions: These results can help tailor public health interventions, policies, and laws focused on compliance with public health initiatives aimed at reducing the spread of the virus.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49364446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Many socioeconomic factors can influence the consumption of a nutritious diet. To uncover factors influencing nutrition habits in North Dakota, we implemented a communitybased nutrition education program. Methods: The program consisted of 6 educational sessions at a farmer’s market in North Dakota. We collected data through a questionnaire to assess individuals’ demographic information, health conditions, fruit and vegetable intake, and nutrition knowledge (N = 290). We analyzed the data using descriptive, chi-square, and one-way ANOVA analysis. Results: Overall, 37% of participants had a 4-year college degree, 20% had a master’s degree, 18% had a high school degree, and 17% had a 2-year or vocational degree. The chi-square analysis indicated a statistically significant correlation between education level and health condition (p = .010) and average total fruit and vegetable intake (p = .020). Participants with a higher level of education had fewer chronic disease diagnoses and ate more fruits and vegetables. The one-way ANOVA indicated a statistically significant relationship between education and nutrition knowledge (p < .001). Conclusions: Individuals with higher nutrition knowledge may have healthier eating habits and better health outcomes. Future nutrition education programs are needed to improve health equity and the population’s overall eating habits.
{"title":"Associations among Eating Habits, Health Conditions, and Education Level in North Dakota Adults","authors":"A. Alakaam, Madeline Lett, H. Puckett, K. Kite","doi":"10.14485/hbpr.9.1.2","DOIUrl":"https://doi.org/10.14485/hbpr.9.1.2","url":null,"abstract":"Objective: Many socioeconomic factors can influence the consumption of a nutritious diet. To uncover factors influencing nutrition habits in North Dakota, we implemented a communitybased nutrition education program. Methods: The program consisted of 6 educational sessions at a farmer’s market in North Dakota. We collected data through a questionnaire to assess individuals’ demographic information, health conditions, fruit and vegetable intake, and nutrition knowledge (N = 290). We analyzed the data using descriptive, chi-square, and one-way ANOVA analysis. Results: Overall, 37% of participants had a 4-year college degree, 20% had a master’s degree, 18% had a high school degree, and 17% had a 2-year or vocational degree. The chi-square analysis indicated a statistically significant correlation between education level and health condition (p = .010) and average total fruit and vegetable intake (p = .020). Participants with a higher level of education had fewer chronic disease diagnoses and ate more fruits and vegetables. The one-way ANOVA indicated a statistically significant relationship between education and nutrition knowledge (p < .001). Conclusions: Individuals with higher nutrition knowledge may have healthier eating habits and better health outcomes. Future nutrition education programs are needed to improve health equity and the population’s overall eating habits.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44136972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chakema Carmack, Karina M. Serrano, Angelica M Roncancio
Background: Multiple studies have shown that African-American and Hispanic women have limited and inadequate knowledge about cervical cancer (CC) and CC screening, which contributes to morbidity and mortality disparities. Access to knowledge, education, and other socio-political factors are social determinants of health that serve to shape individual health behavior knowledge. Better CC knowledge has been shown to increase screening uptake. Methods: In the present study, we specified unique subgroups regarding CC prevention behaviors in a sample of African- American and Hispanic women (N = 328) recruited from a minority-serving higher education institution. Results: Latent class analysis identified 3 unique salient subgroups based on the indicators: CC Screening Adherers and Vaccinators (14%), CC Screening Adherers (48%), and CC Prevention Non-adherers (38%). We found probable variations within the classes regarding screening behavior, human papillomavirus (HPV) vaccination status, and race/ethnicity. Women reporting higher guideline knowledge were 11 times more likely to be classified as CC Screening Adherers and Vaccinators than CC Prevention Non-adherers. Additionally, women who specifically understood that HPV causes cervical cancer were 16 and 9 times more likely to be classified as CC Screening Adherers and Vaccinators and CC Screening Adherers than to be classified as CC Prevention Nonadherers. Conclusion: Addressing cervical cancer knowledge remains an important intervention strategy in these populations to increase CC screening uptake.
{"title":"Cervical Cancer Knowledge as a Predictor of Latent Class Membership among African American and Hispanic Young Adult College Women","authors":"Chakema Carmack, Karina M. Serrano, Angelica M Roncancio","doi":"10.14485/hbpr.9.1.8","DOIUrl":"https://doi.org/10.14485/hbpr.9.1.8","url":null,"abstract":"Background: Multiple studies have shown that African-American and Hispanic women have limited and inadequate knowledge about cervical cancer (CC) and CC screening, which contributes to morbidity and mortality disparities. Access to knowledge, education, and other socio-political factors are social determinants of health that serve to shape individual health behavior knowledge. Better CC knowledge has been shown to increase screening uptake. Methods: In the present study, we specified unique subgroups regarding CC prevention behaviors in a sample of African- American and Hispanic women (N = 328) recruited from a minority-serving higher education institution. Results: Latent class analysis identified 3 unique salient subgroups based on the indicators: CC Screening Adherers and Vaccinators (14%), CC Screening Adherers (48%), and CC Prevention Non-adherers (38%). We found probable variations within the classes regarding screening behavior, human papillomavirus (HPV) vaccination status, and race/ethnicity. Women reporting higher guideline knowledge were 11 times more likely to be classified as CC Screening Adherers and Vaccinators than CC Prevention Non-adherers. Additionally, women who specifically understood that HPV causes cervical cancer were 16 and 9 times more likely to be classified as CC Screening Adherers and Vaccinators and CC Screening Adherers than to be classified as CC Prevention Nonadherers. Conclusion: Addressing cervical cancer knowledge remains an important intervention strategy in these populations to increase CC screening uptake.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48493285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sharon Thomson, Judy Ugwuegbu, Kimberly Montez, Sarah Langdon, Scott Best, Daniel Sostaita, Michelle Franklin, Rachel Zimmer
Objective: Food insecurity (FI) is a growing public health problem. Produce prescriptions are known to improve healthy eating and decrease FI; however, few studies have incorporated community voice prior to its implementation. In this study, we aimed to elicit perspectives of individuals at risk for FI and the potential impact of a fresh food prescription (FFRx) program.
Methods: We conducted this qualitative descriptive study through an academic medical center in collaboration with community partners. We conducted focus groups involving Latinx (N = 16) and African-American (N = 8) adults in community settings. Data were interpreted using an inductive thematic analysis.
Results: Three overarching themes emerged: (1) fresh food accessibility was limited by cost, household size, and transportation but enhanced by food pantries, budgeting, and education; (2) cooking behaviors were curbed by time constraints and unfamiliarity but propagated by passion, traditions, and communal practices; and (3) health and wellness deterrents included unhealthy diets driven by cultural and familial norms; however, weight loss and awareness of comorbidities were positive motivators. Participants shared their preference for local produce and cooking classes as components of a FFRx program while raising concerns about low participation due to the stigma of receiving aid.
Conclusions: Our findings illuminated interest in engaging in a FFRx program and learning ways to prepare healthy foods. A program distributing fresh produce and healthy lifestyle education could close gaps identified in African-American and Latinx communities at risk for FI.
{"title":"Qualitative Perceptions of an Anticipated Fresh Food Prescription Program.","authors":"Sharon Thomson, Judy Ugwuegbu, Kimberly Montez, Sarah Langdon, Scott Best, Daniel Sostaita, Michelle Franklin, Rachel Zimmer","doi":"10.14485/hbpr.9.1.5","DOIUrl":"https://doi.org/10.14485/hbpr.9.1.5","url":null,"abstract":"<p><strong>Objective: </strong>Food insecurity (FI) is a growing public health problem. Produce prescriptions are known to improve healthy eating and decrease FI; however, few studies have incorporated community voice prior to its implementation. In this study, we aimed to elicit perspectives of individuals at risk for FI and the potential impact of a fresh food prescription (FFRx) program.</p><p><strong>Methods: </strong>We conducted this qualitative descriptive study through an academic medical center in collaboration with community partners. We conducted focus groups involving Latinx (N = 16) and African-American (N = 8) adults in community settings. Data were interpreted using an inductive thematic analysis.</p><p><strong>Results: </strong>Three overarching themes emerged: (1) fresh food accessibility was limited by cost, household size, and transportation but enhanced by food pantries, budgeting, and education; (2) cooking behaviors were curbed by time constraints and unfamiliarity but propagated by passion, traditions, and communal practices; and (3) health and wellness deterrents included unhealthy diets driven by cultural and familial norms; however, weight loss and awareness of comorbidities were positive motivators. Participants shared their preference for local produce and cooking classes as components of a FFRx program while raising concerns about low participation due to the stigma of receiving aid.</p><p><strong>Conclusions: </strong>Our findings illuminated interest in engaging in a FFRx program and learning ways to prepare healthy foods. A program distributing fresh produce and healthy lifestyle education could close gaps identified in African-American and Latinx communities at risk for FI.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9364949/pdf/nihms-1827260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9301072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rashiduzzaman Ahmed, Mark R. Williamson, Samia Nadeem, Saif Bahri
Objective: Colorectal cancer screening is proven to reduce cancer burden and mortality. Despite several well-established screening methods, colorectal cancer still has the third-highest cancer mortality rate in the United States. Methods: We examine the self-reports of individuals ever having a colonoscopy or fecal occult blood test (FOBT) from the Behavioral Risk Factor Surveillance System questionnaire to determine if screening rates differed by race and year while controlling for state and other variables. Results: Colonoscopy rates increased between years while FOBT rates decreased. Blacks had higher colonoscopy rates than Whites and other racial minorities had lower rates. Blacks also had higher FOBT rates, as did American Indians/Alaska Natives (AI/ ANs), Native Hawaiian/Pacific Islanders (NH/PIs), and the multiracial category (MR). Whites and Asians saw a rise in colonoscopy rates between 2014 and 2018, whereas AI/ANs, NH/PIs, MR, and the other category (Other) saw a rise in FOBT rates. State-level screening rates were not associated with state-level incidence or mortality rates. Conclusions: Racial disparities still exist in self-reported colorectal screening patterns, though some are trending in the right direction, and there is a gap between screening rates and incidence rates by state that depend on further factors.
{"title":"Regional and Racial Trends in US Colorectal Cancer Screening","authors":"Rashiduzzaman Ahmed, Mark R. Williamson, Samia Nadeem, Saif Bahri","doi":"10.14485/hbpr.8.6.4","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.4","url":null,"abstract":"Objective: Colorectal cancer screening is proven to reduce cancer burden and mortality. Despite several well-established screening methods, colorectal cancer still has the third-highest cancer mortality rate in the United States. Methods: We examine the self-reports of individuals ever having a colonoscopy or fecal occult blood test (FOBT) from the Behavioral Risk Factor Surveillance System questionnaire to determine if screening rates differed by race and year while controlling for state and other variables. Results: Colonoscopy rates increased between years while FOBT rates decreased. Blacks had higher colonoscopy rates than Whites and other racial minorities had lower rates. Blacks also had higher FOBT rates, as did American Indians/Alaska Natives (AI/ ANs), Native Hawaiian/Pacific Islanders (NH/PIs), and the multiracial category (MR). Whites and Asians saw a rise in colonoscopy rates between 2014 and 2018, whereas AI/ANs, NH/PIs, MR, and the other category (Other) saw a rise in FOBT rates. State-level screening rates were not associated with state-level incidence or mortality rates. Conclusions: Racial disparities still exist in self-reported colorectal screening patterns, though some are trending in the right direction, and there is a gap between screening rates and incidence rates by state that depend on further factors.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47995602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Di Toma, F. Buono, Nicola Rascio, C. Baiardi, E. Manca, Guido Fares, Ernesto Fascia, A. Campanozzi
Objective: Italy was the first European nation to undergo a general lockdown as a means of containing the COVID-19 pandemic. In that period, a significant reduction in pediatric accesses to emergency rooms (ERs) was reported. In this study, we evaluated whether, in addition to the fear of infection, the reduced ER visits were also an indirect indicator of reduced incidence of common seasonal viruses. Methods: Sales data for pediatric formulations of antipyretics and probiotics from 27 pharmacies were evaluated, during March-May 2020, and compared to sales during the same period in 2019. Pediatric accesses in the emergency department (ED) also were evaluated. Results: The median number of antipyretics and probiotics sold per pharmacy was respectively 152 (IQR = 144) and 55 (IQR = 52) in 2019; during the same period of 2020 it was 77.5 (IQR = 60) (p < .001) and 27 (IQR = 44) (p < .05). In the March-May period of 2019, the number of pediatric accesses was 1004, whereas in the same period of 2020 it was 143, a reduction of 85.76% (p < .001). Conclusions: We found a statistically significant reduction in pediatric admissions to the ED during the lockdown, but that this reduction could largely be due to a reduction in seasonal viral disease as an effect of social distancing, mask use, and frequent hand-washing, as mandated by healthcare dispositions.
{"title":"Reduction in Pediatric Emergency Department Admissions during Lockdown: Just Fear of COVID-19?","authors":"M. Di Toma, F. Buono, Nicola Rascio, C. Baiardi, E. Manca, Guido Fares, Ernesto Fascia, A. Campanozzi","doi":"10.14485/hbpr.8.6.7","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.7","url":null,"abstract":"Objective: Italy was the first European nation to undergo a general lockdown as a means of containing the COVID-19 pandemic. In that period, a significant reduction in pediatric accesses to emergency rooms (ERs) was reported. In this study, we evaluated whether, in addition to the fear of infection, the reduced ER visits were also an indirect indicator of reduced incidence of common seasonal viruses. Methods: Sales data for pediatric formulations of antipyretics and probiotics from 27 pharmacies were evaluated, during March-May 2020, and compared to sales during the same period in 2019. Pediatric accesses in the emergency department (ED) also were evaluated. Results: The median number of antipyretics and probiotics sold per pharmacy was respectively 152 (IQR = 144) and 55 (IQR = 52) in 2019; during the same period of 2020 it was 77.5 (IQR = 60) (p < .001) and 27 (IQR = 44) (p < .05). In the March-May period of 2019, the number of pediatric accesses was 1004, whereas in the same period of 2020 it was 143, a reduction of 85.76% (p < .001). Conclusions: We found a statistically significant reduction in pediatric admissions to the ED during the lockdown, but that this reduction could largely be due to a reduction in seasonal viral disease as an effect of social distancing, mask use, and frequent hand-washing, as mandated by healthcare dispositions.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41368754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. An, Danyi Li, Marjorie Cole, Katherine Park, M. Ji, Aaron R Lyon, Neil White
Objective: In this study, we examined the influence of multi-level barriers on school diabetes care quality. Methods: We administered an online survey to nurses in Missouri K-12 schools (N = 245). We assessed 57 potential barriers in 5 domains (at individual, school, community, social/ cultural, and political/economic levels). We developed 38 criteria for care quality based on the National Institute of Diabetes and Digestive and Kidney Diseases’ school diabetes care guidelines. We carried out structural equation modeling to examine the effect of barriers on school diabetes care quality. Results: School nurses’ heavy workloads, teachers’/parents’ lack of training/knowledge on evidence-based practices, and lack of funding from government, districts, and schools serving disadvantaged or rural populations were among the key barriers to school diabetes care. Deficiencies in care quality were identified in areas including knowledge/training, communication, school policies, resources and environment, physical activity engagement among students with diabetes, school nurses’ diabetes management practices, and trained diabetes practitioners’ responsibilities. School diabetes care barriers, overall, were inversely associated with care quality; one standard deviation increase in the barriers was associated with a 0.163 (95% confidence interval = 0.002- 0.324) standard-deviation decrease in care quality. Conclusions: Multi-level policy interventions are called upon to address these barriers to improve care quality and ensure the healthy growth of students with diabetes.
{"title":"Barriers and Diabetes Care Quality in Public Schools in the United States","authors":"R. An, Danyi Li, Marjorie Cole, Katherine Park, M. Ji, Aaron R Lyon, Neil White","doi":"10.14485/hbpr.8.6.3","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.3","url":null,"abstract":"Objective: In this study, we examined the influence of multi-level barriers on school diabetes care quality. Methods: We administered an online survey to nurses in Missouri K-12 schools (N = 245). We assessed 57 potential barriers in 5 domains (at individual, school, community, social/ cultural, and political/economic levels). We developed 38 criteria for care quality based on the National Institute of Diabetes and Digestive and Kidney Diseases’ school diabetes care guidelines. We carried out structural equation modeling to examine the effect of barriers on school diabetes care quality. Results: School nurses’ heavy workloads, teachers’/parents’ lack of training/knowledge on evidence-based practices, and lack of funding from government, districts, and schools serving disadvantaged or rural populations were among the key barriers to school diabetes care. Deficiencies in care quality were identified in areas including knowledge/training, communication, school policies, resources and environment, physical activity engagement among students with diabetes, school nurses’ diabetes management practices, and trained diabetes practitioners’ responsibilities. School diabetes care barriers, overall, were inversely associated with care quality; one standard deviation increase in the barriers was associated with a 0.163 (95% confidence interval = 0.002- 0.324) standard-deviation decrease in care quality. Conclusions: Multi-level policy interventions are called upon to address these barriers to improve care quality and ensure the healthy growth of students with diabetes.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44359508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Keyondra Brooks, W. Rapp, Jennifer Ogleby, Mattherw Shepherd
Objective: That Pop-Up Restaurant Summer Food Service Program (SFSP) was a federally reimbursed program that first served healthy meals to families in a rural Kansas community during the summer of 2017. The program aimed to empower communities to address child hunger by reducing stigma concerning food assistance and providing high-quality, nutritious meals to families. This pilot was developed to increase low utilization rates of summer feeding programs. Methods: An ecological approach was implemented to engage students and families. Program innovations included an open menu ordering format with paid adult meals and proper food storage while maintaining USDA’s nutritional requirements. Additionally, the menu options exceeded fruit and vegetable requirements. Results: On average, 9.6% of youth who participated in the free and reduced-price lunch programs participated daily in summer nutrition during the 2016-2017 school year (FRAC, 2019). Comparatively, That Pop-Up Restaurant’s pilot had over 25% of eligible youth participate in the program one or more times. Conclusions: That Pop-Up Restaurant summer food service program showed promising results for the target population and program developers aim to replicate the program in various communities.
{"title":"That Pop-Up Restaurant: Innovation in a Summer Feeding Program","authors":"Keyondra Brooks, W. Rapp, Jennifer Ogleby, Mattherw Shepherd","doi":"10.14485/hbpr.8.6.12","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.12","url":null,"abstract":"Objective: That Pop-Up Restaurant Summer Food Service Program (SFSP) was a federally reimbursed program that first served healthy meals to families in a rural Kansas community during the summer of 2017. The program aimed to empower communities to address child hunger by reducing stigma concerning food assistance and providing high-quality, nutritious meals to families. This pilot was developed to increase low utilization rates of summer feeding programs. Methods: An ecological approach was implemented to engage students and families. Program innovations included an open menu ordering format with paid adult meals and proper food storage while maintaining USDA’s nutritional requirements. Additionally, the menu options exceeded fruit and vegetable requirements. Results: On average, 9.6% of youth who participated in the free and reduced-price lunch programs participated daily in summer nutrition during the 2016-2017 school year (FRAC, 2019). Comparatively, That Pop-Up Restaurant’s pilot had over 25% of eligible youth participate in the program one or more times. Conclusions: That Pop-Up Restaurant summer food service program showed promising results for the target population and program developers aim to replicate the program in various communities.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48739751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valerie Muehleman, Carey J. Fitzgerald, Shae Gantt, Brenda Hughes, Lydia Breland, Alan Warren, Swati Debroy
Objective: Our objective in this study was to inform policymakers if including a salad bar in school cafeterias in the district would serve all subgroups of students equally. Methods: A salad bar was implemented during the 2016-2017 academic year in a rural low-income county middle-school. Halfway through, a “healthy lifestyle” educational campaign was presented. Students’ gender, race, and body mass index (BMI) were recorded along with their choice of daily lunch item. Results: Overall, 528 middle schoolers participated in this program. Students opted to consume salad for approximately 5.73 days out of the 123 days that salad was served. The educational campaign had no effect on salad bar use. There was no gender difference in frequency of salad bar use. African- American students consumed significantly more salad than Hispanic students, and marginally more salad than white students. Students classified as normal weight (by BMI percentile) chose the salad bar option more frequently than obese students. Conclusions: Salad bar was the least popular food choice, and popularity of the salad bar decreased over time. The educational campaign designed to increase salad bar use had no effect. These results can help guide future interventions in low-income rural communities.
{"title":"Salad Bar Use among Middle School Children in a Socio-economically Disadvantaged Rural County","authors":"Valerie Muehleman, Carey J. Fitzgerald, Shae Gantt, Brenda Hughes, Lydia Breland, Alan Warren, Swati Debroy","doi":"10.14485/hbpr.8.6.11","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.11","url":null,"abstract":"Objective: Our objective in this study was to inform policymakers if including a salad bar in school cafeterias in the district would serve all subgroups of students equally. Methods: A salad bar was implemented during the 2016-2017 academic year in a rural low-income county middle-school. Halfway through, a “healthy lifestyle” educational campaign was presented. Students’ gender, race, and body mass index (BMI) were recorded along with their choice of daily lunch item. Results: Overall, 528 middle schoolers participated in this program. Students opted to consume salad for approximately 5.73 days out of the 123 days that salad was served. The educational campaign had no effect on salad bar use. There was no gender difference in frequency of salad bar use. African- American students consumed significantly more salad than Hispanic students, and marginally more salad than white students. Students classified as normal weight (by BMI percentile) chose the salad bar option more frequently than obese students. Conclusions: Salad bar was the least popular food choice, and popularity of the salad bar decreased over time. The educational campaign designed to increase salad bar use had no effect. These results can help guide future interventions in low-income rural communities.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41486010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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