Journal of Nutrition Education and Behavior最新文献

英文中文

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.10.005

Lauren Haldeman PhD (Editor in Chief, Journal of Nutrition Education and Behavior)

引用次数: 0

Leveraging Head Start and WIC to Address Food Insecurity in Immigrant Mixed-Status Families: A Perspective Paper 利用领先优势和WIC解决移民混合身份家庭的粮食不安全问题：一篇展望论文。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.07.002

Eric Macias PhD , Cristina Gago PhD, MPH , Joycelyn Vu BSc , Roger Figueroa PhD, MPH, MSc

Immigrant households face a disproportionate burden of food insecurity. Cultural, linguistic, and political factors inhibit mixed-status immigrant families from accessing community nutrition and food safety-net nutrition resources. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Head Start services provide a unique set of services that may be supportive toward alleviating food insecurity for young children and their families, particularly immigrant mixed-status families. To fulfill their respective missions, it is ideal that services align and operate in a complementary way. The perspective of this paper is that Head Start settings can help maximize WIC benefit uptake among historically marginalized families, including mixed-status families who are less likely to receive WIC services because of misinformation, discrimination, and increased fears of being targets of immigration enforcement policies.

移民家庭面临着不成比例的粮食不安全负担。文化、语言和政治因素阻碍了混合移民家庭获取社区营养和食品安全网营养资源。妇女、婴儿和儿童特别补充营养计划（WIC）和启智服务提供了一套独特的服务，可能有助于减轻幼儿及其家庭，特别是移民混合身份家庭的粮食不安全状况。为了完成各自的任务，服务以互补的方式协调和运行是理想的。本文的观点是，“先发计划”的设置可以帮助历史上被边缘化的家庭最大限度地利用WIC的好处，包括混合身份家庭，这些家庭由于错误信息、歧视和对成为移民执法政策目标的担忧而不太可能获得WIC服务。

引用次数: 0

Qualitative Analysis of Nutrition Educators' Experiences During Implementation of the New York State Healthy Pantry Initiative 纽约州健康食品储藏室倡议实施过程中营养教育工作者经验的定性分析。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.06.015

Erica Tyler MA , Gwyneth Frederick MPH , Johanna Eldridge PhD , Jackson Sekhobo PhD, MPA

Objective

Identify and examine factors influencing the implementation of the Healthy Pantry Initiative (HPI) in New York State.

Design

Prequalitative and postqualitative intervention.

Setting

Forty-two food pantries.

Participants

Fourteen Just Say Yes to Fruits and Vegetables nutrition educators.

Intervention

Policy, systems, and environmental change.

Phenomenon of Interest

Facilitators, strategies, and challenges to HPI implementation.

Analysis

Cyclical qualitative analysis employing, directed, emergent, and thematic coding techniques.

Results

Five themes emerged: (1) organizational readiness (capacity to implement changes), (2) operational/physical constraints (layout or operations), (3) JSY educator implementation strategies (techniques), (4) perceived outcomes of HPI participation (changes), and (5) maintenance and planned sustainability (ability to maintain the policy, systems, and environmental changes postimplementation). Collaboration and communication facilitated implementation, whereas challenges included staffing, open hours, and adequate supplies.

Conclusion and Implications

Policies, systems, and environmental strategies in food pantries may improve client experiences and promote healthy food selection. Future research could investigate factors influencing staff buy-in and HPI maintenance and sustainability beyond the first year.

目的：确定和检查影响纽约州实施健康食品储藏室倡议（HPI）的因素。设计：质前和质后干预。环境：42个食品储藏室。参与者：14位水果和蔬菜营养教育家。干预：政策、制度和环境变化。感兴趣的现象：HPI实施的推动者、策略和挑战。分析：循环定性分析，采用定向、紧急和主题编码技术。结果：出现了五个主题：(1)组织准备（实施变化的能力），(2)操作/物理约束（布局或操作），(3)JSY教育者实施策略（技术），(4)HPI参与的感知结果（变化），以及(5)维护和计划可持续性（政策，系统和环境变化后维护的能力）。协作和沟通促进了实施，而挑战包括人员配备、开放时间和充足的供应。结论和启示：食品储藏室的政策、系统和环境策略可以改善客户体验，促进健康食品的选择。未来的研究可以调查影响员工购买和HPI维护和第一年之后可持续性的因素。

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引用次数: 0

Child, Caregiver, and Household Factors Associated With Children’s Dietary Diversity During the Complementary Feeding Period 儿童、照料者和家庭因素与辅食期儿童饮食多样性相关。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.06.003

Allison L.B. Shapiro PhD, MPH , Megan C. Lawless PhD , Susan L. Johnson PhD

Objective

To assess dietary diversity among foods offered to infants and toddlers in the US and to identify child, caregiver, and household characteristics associated with patterns of diversity in children’s dietary exposures during the complementary feeding period.

Design

Cross-sectional survey of complementary feeding practices.

Setting

Participants were recruited via Qualtrics in January 2022.

Participants

Caregivers (n = 344 [70.3%] female; aged 31.5 ± 6.3 years) of children aged 4–26 months (aged 17.1 ± 6.7 months; 41.6% female) completed the survey.

Main Outcomes Measures

Foods offered over the last month by food frequency questionnaire and patterns of diet diversity identified via latent class analysis.

Analysis

Multinomial ordinal logistic regression models tested associations between child, caregiver, and household variables and patterns of children’s diet diversity.

Results

Three patterns of diet diversity were identified: low, moderate, and high. Child age, sex, and type of milk feeding were significantly associated with high diet diversity, such that older child age (odds ratio [OR], 1.10 [95% confidence interval (CI), 1.06–1.14]) and receiving combined human milk and formula (vs none; OR, 2.91 [95% CI, 1.60–5.38]) were associated with high diet diversity, and being female was negatively associated with high diet diversity (vs male; OR, 0.55 [95% CI, 0.36–0.85]).

Conclusions and Implications

Although older children were offered a greater diversity of complementary feeding, the kinds of complementary foods included to arrive at the high level of diversity varied considerably. Messaging focused on the introduction of a diversity of nutrient-dense foods is recommended.

目的：评估美国婴幼儿食物的膳食多样性，并确定儿童、照料者和家庭特征与补充喂养期间儿童饮食暴露多样性模式相关。设计：辅助喂养实践的横断面调查。环境：参与者于2022年1月通过Qualtrics招募。参与者：4-26月龄儿童（年龄17.1±6.7月龄，女性41.6%）的照顾者（n = 344[70.3%]，女性，年龄31.5±6.3岁）完成调查。主要结果测量：通过食物频率调查问卷和通过潜在类分析确定的饮食多样性模式确定上个月提供的食物。分析：多项有序逻辑回归模型检验了儿童、照料者和家庭变量与儿童饮食多样性模式之间的关联。结果：确定了三种饮食多样性模式：低、中、高。儿童年龄、性别和母乳喂养类型与高饮食多样性显著相关，例如，较大的儿童年龄（优势比[OR]， 1.10[95%置信区间（CI）， 1.06-1.14]）和接受人乳和配方奶粉混合喂养（相对于没有；OR, 2.91 [95% CI, 1.60-5.38]）与高饮食多样性相关，女性与高饮食多样性负相关（相对于男性；OR, 0.55 [95% CI, 0.36-0.85]）。结论和影响：虽然年龄较大的儿童提供了更多样化的辅食，但达到高水平多样性的辅食种类差异很大。建议将信息的重点放在引进多种营养丰富的食物上。

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引用次数: 0

Preventing Food Waste: A Critical Step Toward a Sustainable Food System 防止食物浪费：迈向可持续粮食系统的关键一步

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.10.006

Diane Smith RD, MA , Ricardo Kairios MS , Sara Elnakib RDN, MPH, PhD

引用次数: 0

WIC Online Shopping: Challenges and Opportunities for Vendors and Farmers. WIC网上购物：供应商和农民的挑战和机遇。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-10-28 DOI: 10.1016/j.jneb.2025.09.006

Lisa Akers, Elizabeth Anderson-Steeves, Mayra Crespo-Bellido, Miguel Ángel López, Allison Nitto, Jennie Hill

Objective: This study aimed to expand knowledge and develop a list of technical assistance needs related to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) online shopping for small, tribal, and rural vendors; farmers; and farmers' markets.

Design: A modified Delphi method was used, collecting information via a web-based survey, facilitated workshops, a listening session, and individual interviews from October 2023 to February 2024.

Setting: Surveys were distributed through Qualtrics. Zoom was used to conduct virtual workshops, a listening session, and individual interviews.

Participants: Purposive sampling techniques were used to recruit the study sample. Of the 435 invited, 239 completed 50% of the survey; 22 survey respondents attended the workshop; 3 tribal vendors and/or farmers attended interview sessions; and 5 non-WIC-authorized vendors, farmers, and farmers' markets attended the listening session.

Main outcome measure(s): The overall phenomenon of interest included themes related to facilitators and barriers to WIC online shopping.

Analysis: Statistical software was used to report descriptive statistics. A rapid qualitative analysis inductive approach was used to construct themes for the study.

Results: Facilitators included support and guidance, a robust platform, and feedback mechanisms, whereas barriers included time, resources, and technology.

Conclusions and implications: To ensure WIC online shopping success, it is essential to address both the barriers and facilitators experienced by vendors, farmers, and farmers' markets. While this study collected various perspectives and experiences from merchants, future research may also focus attention on WIC participant perceptions of shopping online with these food retailers.

目的：本研究旨在为小型、部落和农村供应商拓展知识并制定与妇女、婴儿和儿童特殊补充营养计划（WIC）网上购物相关的技术援助需求清单；农民;还有农贸市场。设计：从2023年10月至2024年2月，采用改进的德尔菲法，通过网络调查、促进研讨会、听力会议和个人访谈收集信息。设置：调查是通过质量分配的。Zoom被用来进行虚拟研讨会、聆听会议和个人访谈。参与者：采用目的性抽样技术招募研究样本。在被邀请的435人中，239人完成了50%的调查；22名受访者参加了工作坊；3名部落摊贩和/或农民参加了面谈；5家非wic授权供应商、农户和农贸市场参加了听证会。主要结果测量：总体感兴趣的现象包括与WIC在线购物的促进者和障碍相关的主题。分析：采用统计软件进行描述性统计。采用快速定性分析归纳方法构建研究主题。结果：促进因素包括支持和指导、强大的平台和反馈机制，而障碍包括时间、资源和技术。结论和启示：为了确保WIC在线购物的成功，解决供应商、农民和农贸市场面临的障碍和促进因素至关重要。虽然本研究收集了来自商家的各种观点和经验，但未来的研究可能还会关注WIC参与者对与这些食品零售商在线购物的看法。

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引用次数: 0

Culturally Specific Trauma History is Associated with Dietary Intake Outcomes of a Healthy Eating Intervention Among Cambodian American Refugees: A Retrospective Cohort Study 文化特异性创伤史与柬埔寨裔美国难民健康饮食干预的饮食摄入结果相关：一项回顾性队列研究

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-10-01 DOI: 10.1016/j.jneb.2025.06.006

Julie A. Wagner PhD , Angela Bermúdez-Millán PhD, MPH , S. Megan Berthold PhD, LCSW , Thomas E. Buckley MPH, RPh , Orfeu M. Buxton PhD , Richard S. Feinn PhD , Sengly Kong PhD , Theanvy Kuoch MA, LPC , Mary F. Scully APRN

Objective

In a retrospective cohort study, we examined associations between trauma indicators and changes to dietary intake among Cambodian Americans who received the culturally-derived Eat, Walk, Sleep intervention.

Methods

Participants had depression and a high risk of developing type 2 diabetes (n = 135). Trauma indicators included experiences under the Pol Pot regime and current symptoms of posttraumatic stress and baksbat, a culture-bound syndrome of distress. Measurement of dietary intake at baseline, 12 months, and 15 months included self-reported brown rice, white rice, sweetened drinks, sodium, and fat.

Results

Longer exposure to Pol Pot was associated with a greater increase (improvement) in brown rice; longer exposure to Pol Pot and higher baksbat were associated with greater effort to reduce fat.

Conclusions and Implications

Eat, Walk, Sleep was most beneficial for those with certain trauma characteristics. Future work includes investigation of potential mechanisms of action of Eat, Walk, Sleep, such as self-efficacy and peer support.

目的：在一项回顾性队列研究中，我们研究了接受文化衍生的“吃、走、睡”干预的柬埔寨裔美国人的创伤指标与饮食摄入变化之间的关系。方法：参与者患有抑郁症和患2型糖尿病的高风险（n = 135）。创伤指标包括在波尔布特政权下的经历和目前的创伤后压力和baksbat症状，这是一种受文化限制的痛苦综合征。在基线、12个月和15个月测量饮食摄入量，包括自我报告的糙米、白米、甜饮料、钠和脂肪。结果：波尔布特暴露时间越长，糙米的增加（改善）越大；接触波尔布特的时间越长，摄入的食物越多，减少脂肪的努力就越大。结论和启示：吃、走、睡对那些有一定创伤特征的人最有益。未来的工作包括研究饮食、行走、睡眠的潜在作用机制，如自我效能感和同伴支持。

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引用次数: 0

Editorial Board/Board of Directors 编辑委员会/董事会

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-10-01 DOI: 10.1016/S1499-4046(25)00411-7

引用次数: 0

Feasibility of an Online Grocery Intervention Pilot to Improve Fruit and Vegetable Purchase and Food Security Among Adults With Children Eligible for SNAP 在线杂货店干预试点的可行性，以改善水果和蔬菜的购买和食品安全的成年人有孩子符合SNAP。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-10-01 DOI: 10.1016/j.jneb.2025.07.003

Angela C.B. Trude PhD , Zoya Naaz Rehman , Stefani Wiloejo MS, RDN, CDN, CNSC , Kellie McLean MPH, RDN, CDCES, BC-ADM, CDN , Laura Catalina Velasco Daza MPH , Pasquale Rummo MPH, PhD

Objective

To determine the feasibility of an online grocery pilot aimed at supporting healthy food purchases for caregivers of individuals with low income.

Methods

A pretest-posttest pilot study was conducted among 59 primary household food shopper caregivers living ≤ 130% of the poverty line. The 8-week randomized pilot had 4 groups: (1) free delivery-only, (2) trust-targeting SMS, (3) matching credit for online healthy purchases, and (4) grocery list recommendations. The groups received the program concomitantly from October to December, 2022. Feasibility was assessed through the setup of an online grocery account and receipt of the intervention materials via text. Acceptability was assessed via postintervention interviews and participants’ ratings of the intervention.

Results

Feasibility was medium-high: 47% created an online grocery account, 61% watched the program tutorial. Acceptability was high: 90% found the tutorial helpful, all received text messages, 82% deemed them useful.

Conclusions and Implications

The promising feasibility and acceptability suggest a potential for a fully powered trial behavioral intervention to support online healthy food shopping.

目的：确定在线杂货店试点的可行性，旨在支持低收入个人护理人员购买健康食品。方法：对生活在贫困线以下130%的59名主要家庭食品购物者护理人员进行了前测后测试点研究。为期8周的随机试验分为4组：(1)免费送货，(2)以信任为目标的短信，(3)在线健康购物匹配信用，(4)购物清单推荐。这些团体在2022年10月至12月期间同时接受了该计划。可行性评估是通过建立在线杂货店账户和通过文本接收干预材料来进行的。通过干预后访谈和参与者对干预的评分来评估可接受性。结果：可行性为中高：47%的人创建了在线杂货账户，61%的人观看了该计划的教程。接受度很高：90%的人认为教程很有帮助，所有人都收到了短信，82%的人认为它们很有用。结论和意义：有希望的可行性和可接受性表明，有可能进行全面的行为干预试验，以支持在线健康食品购物。

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引用次数: 0

Evaluation of a Preschool Nutrition and Gardening Education Program Among Teachers and Their Students 幼儿园师生营养与园艺教育项目的评价。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-10-01 DOI: 10.1016/j.jneb.2025.06.013

Jacqueline Genovesi PhD , Jennifer Jovanovic BA , Toni A. May PhD , Kristin L.K. Koskey PhD , Kaitlyn DelDuca BA , Kathleen Provinzano PhD , Casey Hanna MA

引用次数: 0

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