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Food Access Matters: Quantifying the Price Differential Across Four Major Food Retailers and a Mobile Market Aiming to Improve Affordable Nutritious Food Access 食品获取问题:量化四大食品零售商之间的价格差异和旨在改善可负担的营养食品获取的移动市场。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 DOI: 10.1016/j.jneb.2025.05.196
Shivani Muthya BSN , Melissa N. Laska PhD, RD , Jayne A. Fulkerson PhD , Stephanie Wagner BS , Kristen S. Gorman PhD , Lisa Harnack DrPH, RD, MPH , Melissa L. Horning PhD, RN, BSN, PHN

Objective

To understand how food prices differed between physical and online grocery stores and a well-established mobile market in a Midwest metropolitan area of the US.

Methods

Four major grocery retailers nearest to 8 subsidized apartments were identified. Two stores from each retailer were randomly selected (n = 8), and prices for 67 size-standardized foods were collected in person and online. An analysis of variance test assessed mean differences in cart prices across stores relative to the Twin Cities Mobile Market (TCMM).

Results

Relative to TCMM cart prices, cart prices were significantly higher at physical and online Walmart (21% to 22% higher, P < 0.001), Target (29% to 30%, P < 0.001), and Cub Foods (62% to 63%, P < 0.001) stores and online Aldi stores (14%, P = 0.02). Aldi physical store prices were not statistically significantly different (P = 0.72).

Conclusions and Implications

Results require cautious interpretation given the low number of observations per retailer; however, findings suggest TCMM provides foods at a lower cost than most nearby grocery stores, providing 1 example of full-service mobile market pricing. Future research is needed to assess mobile market pricing structures in other locations across the US.
目的:了解美国中西部大都市地区的实体和在线杂货店以及成熟的移动市场之间的食品价格差异。方法:选取距离8套补贴公寓最近的4家主要杂货零售商。每个零售商随机选择两家商店(n = 8),并亲自和在线收集67种尺寸标准化食品的价格。方差检验分析评估了相对于双城移动市场(TCMM)的商店手推车价格的平均差异。结果:相对于TCMM购物车价格,实体店和在线沃尔玛(21%至22%,P < 0.001)、塔吉特(29%至30%,P < 0.001)和Cub Foods(62%至63%,P < 0.001)商店和在线Aldi商店(14%,P = 0.02)的购物车价格明显更高。Aldi实体店价格差异无统计学意义(P = 0.72)。结论和含义:考虑到每个零售商的观察数量很少,结果需要谨慎解释;然而,调查结果表明,TCMM提供的食物比附近大多数杂货店的成本更低,这是全方位服务移动市场定价的一个例子。未来的研究需要评估美国其他地区的移动市场定价结构。
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引用次数: 0
Healthy Choices for Your Recovering Body: A Nutrition Education Curriculum for Adults With Limited Resources in Substance Use Recovery 健康的选择,为您的身体恢复:营养教育课程与有限的资源,在物质使用恢复成人。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 DOI: 10.1016/j.jneb.2025.05.200
Omolola A. Adedokun PhD , Moses Desmennu PhD , Paula Plonski MA , Brooke Jenkins MS , Jean Noble MS, RD
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引用次数: 0
Using Web Scraping as a Tool to Collect School Nutrition Data 使用网络抓取作为收集学校营养数据的工具。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 DOI: 10.1016/j.jneb.2025.05.199
Aaron Brown BS , Joseph Price PhD , Joanne Guthrie PhD, MPH
Web scraping, a technique for collecting publicly available online data, may facilitate collecting school meal data from large, national samples of school districts in a timely, cost-effective manner. We explore its potential by examining the variation in sodium content of 2 popular entrees served through the US Department of Agriculture’s National School Lunch Program—pizza and chicken nuggets. Daily school menu data were obtained from a national sample of school districts via web scraping. Linking web scraped data to publicly available data on school districts permitted examination of entree sodium content variation across school district geographic and socioeconomic characteristics. Such information may assist nutrition professionals in targeting efforts to meet school nutrition menu objectives. Other potential applications are discussed.
网络抓取是一种收集公开可用的在线数据的技术,它可以方便地以一种及时、经济有效的方式从全国范围内的大型学区样本中收集学校膳食数据。我们通过研究美国农业部国家学校午餐计划提供的两种受欢迎的主菜——披萨和鸡块——钠含量的变化来探索它的潜力。每日学校菜单数据是通过网络抓取从全国学区样本中获得的。将网络抓取的数据与学区的公开数据联系起来,可以检查不同学区地理和社会经济特征的主菜钠含量变化。这些信息可以帮助营养专业人员有针对性地努力满足学校营养菜单的目标。讨论了其他潜在的应用。
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引用次数: 0
Family Perspectives on Packing a Low-Waste and Nutritious School Lunchbox 从家庭角度包装低浪费和营养的学校午餐盒。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 DOI: 10.1016/j.jneb.2025.04.007
Neha K. Lalchandani PhD , Caroline Miller PhD , Clare Hume PhD , Shona Crabb PhD

Objective

To explore family perspectives on food, packaging, and waste in lunchboxes, and the everyday practices of lunchbox packing and consumption.

Design

Exploratory qualitative study using semistructured interviews guided by a critical realist epistemology.

Setting

Online interviews with South Australian families.

Participants

Self-selected sample of 16 parents (94% mothers) and their children aged 8–12 years in primary school grades third through sixth (60% female) from public (75%) and private schools (25%) across medium (38%) and high (62%) socioeconomic backgrounds.

Phenomenon of Interest and Variables

Factors influencing preparation of a nutritious and low-waste school lunchbox.

Analysis

Data were analyzed inductively using a reflexive thematic approach to identify major themes.

Results

Three major themes were generated: (1) extrinsic factors and school environment structures, (2) intrinsic factors and a Hierarchy of Motivations, and (3) responsibility for change. External factors influenced familial lunchbox packing practices, whereas personal priorities shaped food and packaging choices. Families emphasized shared responsibility for improving nutrition and reducing packaging between parents, schools, and broader systems.

Conclusions and Implications

This study provides updated insights into family lunchbox practices. Preexisting challenges in lunchbox practices deter prioritization of environmental sustainability. School-level initiatives should address barriers and leverage enablers to support families. Further research is needed to integrate nutrition and sustainability agendas and clarify responsibility for driving change.
目的:探讨家庭对饭盒中食物、包装和浪费的看法,以及日常饭盒包装和消费的做法。设计:探索性质的研究,采用半结构化访谈,以批判现实主义认识论为指导。背景:与南澳大利亚家庭的在线访谈。参与者:自选的16名家长(94%为母亲)及其8-12岁的孩子(小学三年级至六年级,60%为女性),来自公立学校(75%)和私立学校(25%),中等(38%)和高(62%)社会经济背景。兴趣现象和变量:影响制作营养和低浪费的学校午餐盒的因素。分析:使用反身性主题方法归纳分析数据,以确定主要主题。结果:产生了三个主要主题:(1)外在因素和学校环境结构;(2)内在因素和动机层次;(3)变革的责任。外部因素影响了家庭午餐盒包装的做法,而个人优先事项则影响了食品和包装的选择。家庭强调家长、学校和更广泛的系统共同承担改善营养和减少包装的责任。结论和启示:本研究为家庭午餐盒实践提供了新的见解。午餐盒实践中先前存在的挑战阻碍了环境可持续性的优先考虑。学校层面的举措应解决障碍,并利用促进因素来支持家庭。需要进一步的研究来整合营养和可持续性议程,并明确推动变革的责任。
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引用次数: 0
Culturally-Informed Food Insecurity Screening: Evidence From Northern Navajo Medical Center 文化知情食品不安全筛查:来自北纳瓦霍医疗中心的证据。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-09-01 DOI: 10.1016/j.jneb.2025.05.201
Tia R. Benally MPH , Kelli W. Begay MS, MBA, RDN , Lydia Kim MD, MPH , Preyanka Makadia DO , Amanda M. Fretts PhD , Cassandra J. Nguyen PhD

Objective

To develop and evaluate an alternative strengths-based and culturally-informed screener for food security among American Indian respondents.

Design

Two-phase mixed methods sequential exploratory study with a qualitative phase followed by a quantitative phase.

Setting

Northern Navajo Medical Center.

Participants

Twenty-five qualitative participants and 97 quantitative participants.

Phenomenon of Interest

Participants’ impressions of the existing food insecurity screener compared with an alternative set of questions focused on the type and amount of food consumed.

Analysis

Cognitive interviews were thematically analyzed and integrated with mixed methods in developing the quantitative survey, and survey responses on the 2 food insecurity screening questionnaires were analyzed for equivalent-form reliability with a Pearson correlation coefficient.

Results

The prevalence of food insecurity was high. Interviewees had concerns about the existing screener. Respondents provided suggestions for alternative food security questions. When feedback was integrated into the alternative screener for the quantitative phase, the correlation between screeners was weak to moderate (0.3).

Conclusions and Implications

Findings suggest the screeners may be collecting data related to unique concepts. Rampant food insecurity supports the need for future food access initiatives in the Navajo Nation to provide a foundation for a food-secure future.
目的:在美国印第安人受访者中开发和评估一种基于优势和文化信息的食品安全筛选方法。设计:两阶段混合方法序贯探索性研究,先定性后定量。环境:北纳瓦霍医疗中心。参与者:25名定性参与者和97名定量参与者。感兴趣的现象:参与者对现有食品不安全筛选者的印象,与另一组关注食品消费类型和数量的问题进行比较。分析:对认知访谈进行主题分析,并结合混合方法进行定量调查,对2份食品不安全筛查问卷的调查结果进行等效信度分析,采用Pearson相关系数。结果:粮食不安全发生率较高。受访者对现有的筛选程序表示担忧。答复者就其他粮食安全问题提供了建议。当反馈被整合到定量阶段的替代筛选器时,筛选器之间的相关性为弱至中等(0.3)。结论和启示:研究结果表明,筛选者可能正在收集与独特概念相关的数据。猖獗的粮食不安全支持了纳瓦霍族未来粮食获取倡议的必要性,为未来的粮食安全奠定基础。
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引用次数: 0
WIC Participant Perspectives: Facilitated by Social Support, Challenged by Shopping Barriers. WIC参与者视角:社会支持促进,购物障碍挑战。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-27 DOI: 10.1016/j.jneb.2025.07.005
Katharina C Fiedler, Danielle L Lee, Jessica Rangel, Rebeca Oropeza, Elsa Esparza, Celeste Felix, Loan Kim, Georgia Machell, Lorrene D Ritchie

Objective: Characterize the facilitators and barriers to participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), among WIC participants, given recent program changes and underutilization.

Design: Qualitative data collected in April through May, 2024.

Setting: Eleven virtual focus groups and 2 interviews.

Participants: English- and Spanish-speaking WIC participants (n = 44) randomly selected from a survey (n = 631) conducted in 19 states, 1 Indian Tribal Organization, and 1 US territory.

Phenomenon of interest: Facilitators and barriers to WIC participation, retention, and benefit redemption.

Analysis: Verbatim transcripts coded and analyzed using grounded theory.

Results: Facilitators of WIC participation included supportive WIC services, particularly WIC foods, nutrition education, especially for new parents, and breastfeeding support, as well as the provision of social support and the building of social capital, especially for women experiencing major life transitions. Barriers included limited initial understanding of WIC, misperceptions of benefits, and challenging shopping experiences, such as finding WIC-eligible foods and stigma.

Conclusions and implications: Participants value WIC staff, programming, and social support, but misperceptions and negative shopping experiences remain barriers to participation. Highlighting opportunities for building social capital and expanding shopping options, such as self-checkout and online ordering, could improve retention and benefit usage, warranting further research amid WIC food package changes.

目的:描述妇女、婴儿和儿童特殊补充营养计划(WIC)参与者参与的促进因素和障碍,考虑到最近的计划变化和利用不足。设计:2024年4月至5月收集定性数据。设置:11个虚拟焦点小组和2个访谈。参与者:从19个州、1个印第安部落组织和1个美国领土进行的调查(n = 631)中随机选择的说英语和西班牙语的WIC参与者(n = 44)。兴趣现象:WIC参与、保留和利益兑换的促进因素和障碍。分析:使用扎根理论对逐字记录进行编码和分析。结果:促进孕产妇参与的因素包括支持性孕产妇参与服务(特别是孕产妇参与食品)、营养教育(特别是针对新生儿父母)和母乳喂养支持,以及提供社会支持和社会资本建设,特别是针对经历重大生活转变的妇女。障碍包括对WIC的初步理解有限,对其好处的误解,以及具有挑战性的购物经历,例如寻找符合WIC标准的食品和耻辱。结论和意义:参与者重视WIC的工作人员、规划和社会支持,但误解和负面的购物经历仍然是参与的障碍。强调建立社会资本和扩大购物选择的机会,如自助结账和在线订购,可以提高保留率和福利使用率,值得在WIC食品包装变化中进行进一步研究。
{"title":"WIC Participant Perspectives: Facilitated by Social Support, Challenged by Shopping Barriers.","authors":"Katharina C Fiedler, Danielle L Lee, Jessica Rangel, Rebeca Oropeza, Elsa Esparza, Celeste Felix, Loan Kim, Georgia Machell, Lorrene D Ritchie","doi":"10.1016/j.jneb.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.07.005","url":null,"abstract":"<p><strong>Objective: </strong>Characterize the facilitators and barriers to participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), among WIC participants, given recent program changes and underutilization.</p><p><strong>Design: </strong>Qualitative data collected in April through May, 2024.</p><p><strong>Setting: </strong>Eleven virtual focus groups and 2 interviews.</p><p><strong>Participants: </strong>English- and Spanish-speaking WIC participants (n = 44) randomly selected from a survey (n = 631) conducted in 19 states, 1 Indian Tribal Organization, and 1 US territory.</p><p><strong>Phenomenon of interest: </strong>Facilitators and barriers to WIC participation, retention, and benefit redemption.</p><p><strong>Analysis: </strong>Verbatim transcripts coded and analyzed using grounded theory.</p><p><strong>Results: </strong>Facilitators of WIC participation included supportive WIC services, particularly WIC foods, nutrition education, especially for new parents, and breastfeeding support, as well as the provision of social support and the building of social capital, especially for women experiencing major life transitions. Barriers included limited initial understanding of WIC, misperceptions of benefits, and challenging shopping experiences, such as finding WIC-eligible foods and stigma.</p><p><strong>Conclusions and implications: </strong>Participants value WIC staff, programming, and social support, but misperceptions and negative shopping experiences remain barriers to participation. Highlighting opportunities for building social capital and expanding shopping options, such as self-checkout and online ordering, could improve retention and benefit usage, warranting further research amid WIC food package changes.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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 Pub Date : 2025-08-01 DOI: 10.1016/S1499-4046(25)00353-7
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引用次数: 0
Characterizing Cultural and Contextual Influences on Hypertension Management Health Behaviors Among Hispanic American Women 西班牙裔美国妇女高血压管理健康行为的文化和背景影响特征
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-01 DOI: 10.1016/j.jneb.2025.05.029
Erika Largacha Cevallos M.S., Victoria Trevino MPH, Rebecca Seguin-Fowler Ph.D., R.D.N., L.D., C.S.C.S., Jacob Szeszulski Ph.D., Chad Rethorst Ph.D., Alexandra MacMillan Uribe Ph.D., R.D.N.

Background

Hispanic American women experience uncontrolled hypertension at disparately high rates that, in turn, increases cardiovascular disease risk, the leading cause of death in this population. As a result, there is a need for culturally and contextually relevant blood pressure management interventions that promote healthy diets, physical activity, and stress reduction, which can be developed using community-informed approaches.

Objective

To characterize cultural and contextual influences on health behaviors used to manage blood pressure (diet, physical activity, stress management) among Hispanic American women with hypertension.

Study Design, Settings, Participants

Hispanic women with hypertension were recruited through a community clinic in Texas. Participants completed demographic surveys and an in-depth, semi-structured interview via phone. The interview guide was informed by the Nutritional Education DESIGN Procedure, an established nutrition education development framework.

Measurable Outcome/Analysis

Four researchers analyzed transcripts using a team-based directed content analysis approach in which each transcript was coded independently by two researchers using ATLAS.ti. Researchers built consensus around coding and themes through team discussions. Demographic data was analyzed using descriptive statistics.

Results

Participants (n=11) were 52±11.4 years old; most were Spanish speakers (73%) and of Mexican descent (73%). The following themes were constructed from the data: (1) participants expressed strong attachment to cultural foods they viewed as unhealthy and were resistant to adopting unfamiliar foods aligned with hypertension management diets; (2) many participants indicated concealing feelings of stress to prioritize family needs ahead of their own, though some reported finding stress-relief through physical activity; and (3) support from family and friends played a consistent and key role in adopting health behaviors.

Conclusions

Common elements of Hispanic culture, such as strong food identity, collectivism, familismo (i.e., a cultural value emphasizing family connection and loyalty), influenced health behaviors related to hypertension management. Incorporating strategies such as culturally relevant foods and recipes, as well as group support for physical activity and stress management, into hypertension management programs may strengthen intervention engagement and effectiveness for Hispanic American women.

Funding

USDA – National Institute of Food and Agriculture
背景:拉美裔美国女性患未控制的高血压的比例各不相同,这反过来又增加了心血管疾病的风险,这是该人群死亡的主要原因。因此,有必要采取与文化和环境相关的血压管理干预措施,促进健康饮食、身体活动和减轻压力,这些干预措施可以采用社区知情的方法来制定。目的探讨西班牙裔美国高血压女性血压管理行为(饮食、体育活动、压力管理)的文化和环境影响。研究设计、环境、参与者:通过德克萨斯州的一家社区诊所招募患有高血压的西班牙裔女性。参与者通过电话完成了人口统计调查和深入的半结构化访谈。访谈指南采用营养教育设计程序,这是一个已建立的营养教育发展框架。可测量的结果/分析四名研究人员使用基于团队的定向内容分析方法分析转录本,其中每个转录本由两名研究人员使用ATLAS.ti独立编码。研究人员通过团队讨论,围绕编码和主题达成共识。人口统计数据采用描述性统计进行分析。结果11例患者年龄为52±11.4岁;大多数是说西班牙语的(73%)和墨西哥裔(73%)。根据数据构建了以下主题:(1)参与者对他们认为不健康的文化食物表现出强烈的依恋,并且抵制采用与高血压管理饮食一致的不熟悉的食物;(2)许多参与者表示会隐藏压力,将家庭需求置于个人需求之前,但也有一些人表示通过体育锻炼可以缓解压力;(3)来自家人和朋友的支持对健康行为的形成起着持续的关键作用。结论西班牙文化的共同因素,如强烈的食物认同、集体主义、家庭主义(即强调家庭联系和忠诚的文化价值观),影响了与高血压管理相关的健康行为。将与文化相关的食物和食谱,以及对体育活动和压力管理的团体支持等策略纳入高血压管理计划,可能会加强对西班牙裔美国妇女的干预参与和有效性。资助美国农业部-国家粮食和农业研究所
{"title":"Characterizing Cultural and Contextual Influences on Hypertension Management Health Behaviors Among Hispanic American Women","authors":"Erika Largacha Cevallos M.S.,&nbsp;Victoria Trevino MPH,&nbsp;Rebecca Seguin-Fowler Ph.D., R.D.N., L.D., C.S.C.S.,&nbsp;Jacob Szeszulski Ph.D.,&nbsp;Chad Rethorst Ph.D.,&nbsp;Alexandra MacMillan Uribe Ph.D., R.D.N.","doi":"10.1016/j.jneb.2025.05.029","DOIUrl":"10.1016/j.jneb.2025.05.029","url":null,"abstract":"<div><h3>Background</h3><div>Hispanic American women experience uncontrolled hypertension at disparately high rates that, in turn, increases cardiovascular disease risk, the leading cause of death in this population. As a result, there is a need for culturally and contextually relevant blood pressure management interventions that promote healthy diets, physical activity, and stress reduction, which can be developed using community-informed approaches.</div></div><div><h3>Objective</h3><div>To characterize cultural and contextual influences on health behaviors used to manage blood pressure (diet, physical activity, stress management) among Hispanic American women with hypertension.</div></div><div><h3>Study Design, Settings, Participants</h3><div>Hispanic women with hypertension were recruited through a community clinic in Texas. Participants completed demographic surveys and an in-depth, semi-structured interview via phone. The interview guide was informed by the Nutritional Education DESIGN Procedure, an established nutrition education development framework.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Four researchers analyzed transcripts using a team-based directed content analysis approach in which each transcript was coded independently by two researchers using ATLAS.ti. Researchers built consensus around coding and themes through team discussions. Demographic data was analyzed using descriptive statistics.</div></div><div><h3>Results</h3><div>Participants (n=11) were 52±11.4 years old; most were Spanish speakers (73%) and of Mexican descent (73%). The following themes were constructed from the data: (1) participants expressed strong attachment to cultural foods they viewed as unhealthy and were resistant to adopting unfamiliar foods aligned with hypertension management diets; (2) many participants indicated concealing feelings of stress to prioritize family needs ahead of their own, though some reported finding stress-relief through physical activity; and (3) support from family and friends played a consistent and key role in adopting health behaviors.</div></div><div><h3>Conclusions</h3><div>Common elements of Hispanic culture, such as strong food identity, collectivism, familismo (i.e., a cultural value emphasizing family connection and loyalty), influenced health behaviors related to hypertension management. Incorporating strategies such as culturally relevant foods and recipes, as well as group support for physical activity and stress management, into hypertension management programs may strengthen intervention engagement and effectiveness for Hispanic American women.</div></div><div><h3>Funding</h3><div>USDA – National Institute of Food and Agriculture</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S12"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interventions to Enhance Breastfeeding Self-Efficacy Among Breastfeeding Mothers in the United States: A Scoping Review 干预措施,以提高母乳喂养自我效能感在美国的母乳喂养母亲:范围审查
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-01 DOI: 10.1016/j.jneb.2025.05.022
Uduak David M.Sc., Oluwatosin Leshi PhD, Imosi Olatunji M. Sc, Katie Kavanagh PhD, RDN, LDN, CLC

Background

Breastfeeding self-efficacy (BFSE) has been shown to play an important role in breastfeeding success and continuity in many countries. However, there is limited interventions that explore the implication of breastfeeding knowledge in enhancing BFSE of breastfeeding mothers in the United States.

Objective

This study aimed to conduct a scoping review to explore and synthesize existing interventions designed to enhance BFSE among breastfeeding mothers in the United States, thus exploring their content and approaches as well as identifying gaps and opportunities for future research.

Study Design, Settings, Participants

Five databases (PubMed, EMBASE, CINAHL, Web of Science and Scopus) were searched for relevant publications published to find studies that involved BFSE as an intervention outcome. Two reviewers screened titles, abstracts and full text independently against the review’s eligibility criteria including studies spanning from pregnancy to postpartum period as target population, peer-reviewed studies on intervention that focused on enhancing BFSE as concept, and those conducted in English and in the United States between 2010 and 2024 using the Population, Concept and Context framework.

Measurable Outcome/Analysis

Data synthesis was achieved by extracting and analyzing study characteristics, findings, and recommendations made for future BFSE studies.

Results

Ten studies were included in this review; 7 were randomized control trials. Interventions that incorporated educational content demonstrated positive impacts on BFSE across various programs. Computer-based education, home-based support, motivational interviewing, peer mentoring and breastmilk expression programs significantly improved BFSE through tailored, culturally sensitive, and interactive approaches. Interventions that integrated theory-based educational components into web-based digital tools resulted in enhanced BFSE scores. Programs with interactive formats, such as role-playing and group workshops, also yielded higher BFSE scores than standard care.

Conclusions

Integrating interactive educational components effectively enhances BFSE. Future research should move beyond breastfeeding knowledge to exploring innovative strategies that could have much effect on breastfeeding self-efficacy.

Funding

None
在许多国家,母乳喂养自我效能(BFSE)已被证明在母乳喂养的成功和连续性中发挥着重要作用。然而,在美国,探索母乳喂养知识对提高母乳喂养母亲的BFSE的影响的干预措施有限。目的本研究旨在进行范围综述,探索和综合旨在提高美国母乳喂养母亲BFSE的现有干预措施,从而探索其内容和方法,并确定未来研究的差距和机会。研究设计、设置、参与者在PubMed、EMBASE、CINAHL、Web of Science和Scopus等5个数据库中检索相关出版物,以发现将BFSE作为干预结果的研究。两位审稿人根据审查的资格标准独立筛选标题、摘要和全文,包括从怀孕到产后作为目标人群的研究,以增强BFSE为概念的同行评议干预研究,以及2010年至2024年间在英语和美国使用人口、概念和背景框架进行的研究。可测量的结果/分析通过提取和分析研究特征、发现和对未来BFSE研究的建议来实现数据合成。结果本综述纳入了10项研究;其中7项为随机对照试验。结合教育内容的干预措施在不同的项目中对BFSE有积极的影响。基于计算机的教育、基于家庭的支持、动机性访谈、同伴指导和母乳表达项目通过量身定制、文化敏感和互动的方法显著改善了BFSE。将基于理论的教育组件整合到基于网络的数字工具的干预措施提高了BFSE分数。具有互动形式的项目,如角色扮演和小组研讨会,也比标准护理获得更高的BFSE分数。结论整合互动式教育组件可有效提高BFSE。未来的研究应该超越母乳喂养知识,探索可能对母乳喂养自我效能有很大影响的创新策略。FundingNone
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引用次数: 0
The DC Food Retail Landscape Assessment: An Evaluation of Access to Healthy and Unhealthy Foods by Neighborhood and Retail Outlet Type DC食品零售景观评估:按社区和零售网点类型对健康和不健康食品获取的评估
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-08-01 DOI: 10.1016/j.jneb.2025.05.023
Robin McClave MS, CHES, Anastasia Snelling PhD, RD, Caroline Krekorian BS, Brogan Madden MS, CHES, Javad Rajabi MS, Brooke Wayne MS

Background

Food insecurity affects over 13% of U.S. households, with rates exceeding 33% among those with incomes below 185% of the federal poverty level (Rabbitt et al., 2024). In Washington, DC, only four of the city’s 68 full-service grocery stores are in the lowest income wards (Jones & Simpson, 2023). Limited access to affordable, healthy food significantly exacerbates health disparities. Research on the food retail environment can provide insight into barriers to healthy diets, inform retail food policy, and establish a benchmark for healthy food environments and evaluation moving forward.

Objective

Examine differences in access and amount of shelf space dedicated to selling healthy and unhealthy foods across DC.

Study Design, Settings, Participants

This cross-sectional study included128 food retail outlets across DC. Stores were categorized as: full-service grocery stores, small/medium food stores, Healthy Corner Stores, convenience stores, or drug stores. Data collection measured the shelf length/type dedicated to five healthy food categories and three unhealthy food categories. Shelf types included aisles, endcaps, floor displays and checkouts. Researchers measured exposure by documenting cumulative shelf space and number of locations where items appear.

Measurable Outcome/Analysis

Analyses included: 1) linear shelf space dedicated to healthy/unhealthy foods across store types; and 2) shelf space variation within store types by geography. Means, standard deviations and ratios across wards/store types were calculated.

Results

All store types allocated more space to unhealthy foods with ratios below 1.0. A ratio of 1.0 would indicate an equal amount of space dedicated to healthy and unhealthy food. Full-service grocery stores (n=19) had the greatest ratio at 0.3, indicating three feet of shelf space for healthy foods for every seven feet of shelf space for unhealthy foods. Drug stores (n=25) had the least amount of space for healthy foods with a ratio of 0.006. Unhealthy foods were more prominent at endcaps and checkouts.

Conclusions

This data shows disparities in availability of healthy and unhealthy foods within food retail outlets by store type. This research can guide statewide programming and policies to improve food retail environments.

Funding

SNAP-Ed
食品不安全影响了超过13%的美国家庭,在收入低于联邦贫困线185%的家庭中,这一比例超过33% (rabbit et al., 2024)。在华盛顿特区,全市68家提供全方位服务的杂货店中,只有4家位于低收入区(Jones &;辛普森,2023)。获得负担得起的健康食品的机会有限,大大加剧了健康差距。对食品零售环境的研究可以洞察健康饮食的障碍,为零售食品政策提供信息,并为未来的健康食品环境和评估建立基准。目的研究华盛顿特区健康食品和不健康食品货架空间的获取和数量差异。研究设计、环境、参与者这项横断面研究包括华盛顿特区的128家食品零售店。商店被分类为:提供全方位服务的杂货店、中小型食品店、健康街角商店、便利店或药店。收集的数据测量了五种健康食品和三种不健康食品的货架长度/类型。货架类型包括过道、端盖、地板展示和收银台。研究人员通过记录累积的货架空间和物品出现的位置数量来测量暴露程度。可测量的结果/分析分析包括:1)跨商店类型的健康/不健康食品线性货架空间;2)货架空间在商店类型的地理变化。计算各个病房/商店类型的平均值、标准差和比率。结果各门店类型不健康食品占比均在1.0以下。比值为1.0表示用于健康食品和不健康食品的空间相等。提供全方位服务的杂货店(n=19)的比例最大,为0.3,这表明健康食品的货架空间为3英尺,不健康食品的货架空间为7英尺。药店(n=25)的健康食品空间最小,比例为0.006。不健康食品在结帐和结账时更为突出。这一数据显示了食品零售店按商店类型提供的健康和不健康食品的差异。这项研究可以指导全州范围内的规划和政策,以改善食品零售环境。FundingSNAP-Ed
{"title":"The DC Food Retail Landscape Assessment: An Evaluation of Access to Healthy and Unhealthy Foods by Neighborhood and Retail Outlet Type","authors":"Robin McClave MS, CHES,&nbsp;Anastasia Snelling PhD, RD,&nbsp;Caroline Krekorian BS,&nbsp;Brogan Madden MS, CHES,&nbsp;Javad Rajabi MS,&nbsp;Brooke Wayne MS","doi":"10.1016/j.jneb.2025.05.023","DOIUrl":"10.1016/j.jneb.2025.05.023","url":null,"abstract":"<div><h3>Background</h3><div>Food insecurity affects over 13% of U.S. households, with rates exceeding 33% among those with incomes below 185% of the federal poverty level (Rabbitt et al., 2024). In Washington, DC, only four of the city’s 68 full-service grocery stores are in the lowest income wards (Jones &amp; Simpson, 2023). Limited access to affordable, healthy food significantly exacerbates health disparities. Research on the food retail environment can provide insight into barriers to healthy diets, inform retail food policy, and establish a benchmark for healthy food environments and evaluation moving forward.</div></div><div><h3>Objective</h3><div>Examine differences in access and amount of shelf space dedicated to selling healthy and unhealthy foods across DC.</div></div><div><h3>Study Design, Settings, Participants</h3><div>This cross-sectional study included128 food retail outlets across DC. Stores were categorized as: full-service grocery stores, small/medium food stores, Healthy Corner Stores, convenience stores, or drug stores. Data collection measured the shelf length/type dedicated to five healthy food categories and three unhealthy food categories. Shelf types included aisles, endcaps, floor displays and checkouts. Researchers measured exposure by documenting cumulative shelf space and number of locations where items appear.</div></div><div><h3>Measurable Outcome/Analysis</h3><div>Analyses included: 1) linear shelf space dedicated to healthy/unhealthy foods across store types; and 2) shelf space variation within store types by geography. Means, standard deviations and ratios across wards/store types were calculated.</div></div><div><h3>Results</h3><div>All store types allocated more space to unhealthy foods with ratios below 1.0. A ratio of 1.0 would indicate an equal amount of space dedicated to healthy and unhealthy food. Full-service grocery stores (n=19) had the greatest ratio at 0.3, indicating three feet of shelf space for healthy foods for every seven feet of shelf space for unhealthy foods. Drug stores (n=25) had the least amount of space for healthy foods with a ratio of 0.006. Unhealthy foods were more prominent at endcaps and checkouts.</div></div><div><h3>Conclusions</h3><div>This data shows disparities in availability of healthy and unhealthy foods within food retail outlets by store type. This research can guide statewide programming and policies to improve food retail environments.</div></div><div><h3>Funding</h3><div>SNAP-Ed</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 8","pages":"Page S9"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Nutrition Education and Behavior
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