Effectiveness of nutrition programs in increasing healthy eating behaviors among low income women

This article presents a review of the literature regarding nutrition education programs targeting low income women. A total of 15 interventions were found, which met inclusion criteria. Inclusion criteria included publication between January 1, 2001 and January 1, 2007, focus on low income females, focus exclusively on nutrition and improvement of dietary behaviors, publication in English, and intervention took place in the US. The 15 studies meeting the search criteria were, in turn, re-reviewed collectively by the authors. Ten main themes were found: 1) WIC and EFNEP-based interventions, 2) collaborative approaches, 3) theoretical framework, 4) learner-centered, 5) skills-based programs, 6) use of produce coupons or vouchers, 7) computer-based programs, 8) culturally-based interventions, 9) peer teaching, and 10) recommendations to include social support or physical activity. A summary of each was developed and emergent themes were identified. In this manner, effective strategies and lessons learned from the research regarding increasing healthy eating among low income females could be more clearly delineated and discussed. This paper could be quite beneficial to health educators and health researchers interested in increasing healthy dietary practices among low income female

Medicalization of Female Beauty: A Content Analysis of Cosmetic Procedures

Over the past decade, cosmetic procedures have significantly increased in options available for females to achieve the American cultural standards of beauty. The purpose of this study is to conduct a content analysis of brochures and to observe what cosmetic procedures are made available to female customers from plastic surgery centers, and also to examine the medical and therapeutic framing techniques used to encourage females to undergo cosmetic procedures. Three plastic surgery centers (overall response rate= 60%) located in one metropolitan area served as participants for this study. The researcher observed the locations and collected all brochures made available. Twenty - one diverse brochures were used in this study as well as the researcher locate d the websites to view any missing information of services offered not included in the brochures. A content analysis was conducted of the brochures. All of the cosmetic surgery centers were accredited and advertised each plastic surgeon’s credibility. Various invasive and noninvasive cosmetic procedures were offered by each center including procedures that focus on the face, breasts, body, and skin care. Additionally, all cosmetic surgery centers marketed their elective surgeries to females by using medical terms as well as therapeutic terms. As the rates of cosmetic procedures have significantly increased overtime, cosmetic surgeons appear to benefit from employing medical terms to diagnose beauty among their target population of healthy females. In addition, using therapeutic terms to ensure increase self - esteem among females is another beneficial framing techniqu

Home Tobacco Smoke Exposure and Neighborhood Support and Safety among U.S. School-Aged Children

Children who are socioeconomically disadvantaged face a myriad of environmental hardships in the neighborhoods in which they live. This study examined the associations between home tobacco smoke exposure (TSE) and neighborhood support, neighborhood safety, and school safety among U.S. school-aged children. Children ages 6-11 years were included in this secondary analysis of 2018-2019 National Survey of Children’s Health data (N = 17,300). Children’s home TSE status was categorized into three levels: (1) no TSE: Child did not live with a smoker; (2) Outside TSE only: Child lived with a smoker who did not smoke inside the home; and (3) Inside TSE: Child lived with a smoker who smoked inside the home. Parent-reported measures of perceived neighborhood support, and neighborhood and school safety were examined; covariates included the child’s age, sex, and race/ethnicity; the parent’s education; the family’s household structure, and federal poverty level. Weighted logistic and ordinal regression models were built adjusting for the covariates. In total, 13.2% of children had outside TSE and 1.7% of children had inside TSE. Multivariable logistic regression model results indicated that children with outside TSE were at decreased odds (AOR = 0.79, 95%CI = 0.65-0.96) of living in a supportive neighborhood compared to children with no TSE. Ordinal regression model results indicated that children with outside TSE (AOR = 0.77, 95%CI = 0.61-0.97) and children with inside TSE were at decreased odds (AOR = 0.62, 95%CI = 0.39-0.99) of going to a school that was perceived as safe. Community-level programs, policies, and funding are needed to improve neighborhood characteristics among children with TSE to improve their future health outcomes

A Photovoice Project: Urban Elementary Girls’ Perspectives on Physical Activity

Photovoice is a community-based participatory research method where participants can showcase their life experiences through photography. The objective of this study was to have adolescent girls attending an after-school program use photovoice to represent their perceptions of physical activity practices. Photovoice was used to allow adolescent girls to express their perspectives, through photographs and narratives, of their personal and community strengths and concerns related to their involvement in physical activity. The phenomenological methodology was used as a framework for the study. Qualitative analyses were conducted throughout the research process. Constant comparison was used to analyze the focus group, scrapbook data, and notes recorded by the author to determine key themes and ideas. Participants for the study included 14 girls attending a school in an urban area. Benefits of physical activity as provided by the girls in their personal lives and the community included: understanding activity contributed to wellness, increased social opportunities, and the school as a hub of activities. Personal and community barriers to physical activity included: lack of neighbourhood safety, being involved in other sedentary activities, parental rules restricting outside play, outside conditions, personal choices to not exercise, and a lack of opportunity to exercise. Potential ways to increase physical activity among these participants are to create more group games and activities at the after-school program daily. Involving parents in activities with the girls at home may increase physical activity levels while at home

Physical Pain and Participation in Organized Activities Among U.S. Adolescents

Chronic physical pain is a public health problem among adolescents in the United States. One important consideration for adolescent healthy development is participation in organized activities. Therefore, the study objective was to examine the associations between repeated or chronic physical pain and participation in organized activities overall and by activity type including sports, clubs, and other organized activities (e.g., dance) among U.S. adolescents. This secondary analysis utilized the 2018-2019 National Survey of Children’s Health (NSCH) combined two-year dataset, and included 24,680 adolescents ages 12-17 years. We conducted unadjusted and adjusted logistic regression analyses to examine the relationships between adolescent physical pain and participation in organized activities overall and by type (sports, clubs, other organized activities). Nearly 14% of adolescents had physical pain in the past 12-months. Unadjusted logistic regression model results indicated that adolescents with physical pain were less likely to participate in organized activities (odds ratio [OR] = 0.81, 95% confidence interval [CI] = 0.66, 0.99) compared to adolescents without physical pain. Concerning specific organized activity type, unadjusted (OR = 0.73, 95%CI = 0.61, 0.86) and adjusted (aOR = 0.83, 95%CI = 0.70, 0.99) model results indicated that adolescents with physical pain were less likely to participate in sports compared to adolescents without physical pain. The current study found that adolescents with physical pain had lower odds of overall participation in organized activities, and specifically sports, when compared to adolescents without physical pain. Findings should be considered when developing and implementing pain prevention and treatment programming for adolescents in school and community settings

Does Involvement in Healthy Eating Among University Students Differ Based on Exercise Status and Reasons for Exercise?

Background. Unhealthy nutritional habits are a major cause of morbidity and mortality in the US. Research indicates that regular physical activity can influence dietary habits of adults. Purpose. The purpose of this study was to examine whether university students’ involvement in healthy eating differed based on current exercise status and reported reasons for exercising. Methods. A sample of 204 university students completed a 22-item survey on healthy eating and physical activity. Results. Less than 10% met all Food Guide recommendations. The leading barriers to healthy eating were time, convenience and healthy food availability. Less than half exercised on four or more days each week. The leading reasons for exercising were to improve appearance, improve health and lose weight. Being physically active did not have a significant effect on healthy eating, nor did specific reason for exercising. Discussion. Most students did not eat healthy and their physical activity levels did not significantly affect their nutritional habits. Increased awareness campaigns are warranted. Conclusions. Strategies other than physical activity promotion are needed to positively impact students’ healthy eating behaviors. Students should continue to be educated about healthy nutrition and ways to reduce perceived barriers to healthy eating

Negative School Experiences and Pain Reliever Misuse among a National Adolescent Sample

A recent public health concern is the nonmedical use of prescription drugs among U.S. adolescents. The purpose of this study was to determine the relationship between negative school experiences and lifetime and past year pain reliever misuse among adolescents enrolled in high school nationwide. A secondary analysis was performed using the National Survey on Drug Use and Health 2017 data. Participants included 8,337 adolescents enrolled in 9th -12th grades. A total of 6.0% of high school students reported they had misused pain relievers in their lifetime, and 3.9% reported they had misused pain relievers during the past year. High school students who reported the following negative school experiences were at increased odds of reporting lifetime pain reliever misuse: liked/hated going to school (adjusted OR [aOR] = 2.04, 95% confidence interval [CI] = 1.66-2.50); felt their coursework was somewhat/very boring (aOR = 1.81, 95%CI = 1.48-2.22), seldom/never meaningful (aOR = 2.01, 95%CI = 1.64-2.45), and/or would be somewhat/very unimportant to them later in life (aOR = 1.64, 95%CI = 1.33-2.01); and had teachers who seldom/never let them know they were doing a good job (aOR = 1.71, 95%CI = 1.40-2.09). High school students who had a “D” grade average or lower (aOR = 2.69, 95%CI = 1.89-3.82) and skipped school on at least one day (aOR = 2.18, 95%CI = 1.76-2.70) were more likely to report lifetime use. Similar significant findings were reported between negative school experiences and past year pain reliever misuse. Negative school experiences are risk factors for lifetime and past year pain reliever misuse among U.S. adolescents. Programming that reduces students’ negative school experiences may create a positive environment, and in turn, reduce misuse

Características do Bairro e da Comunidade associados ao Transtorno de Conduta dos Jovens

Objetivo: Estima-se que entre 3% a 5% dos jovens sejam anualmente diagnosticados com o Transtorno de Conduta (DC), tornando-se uma preocupação premente de saúde mental. Embora muitos estudos se tenham focado sobre os aspetos comportamentais do transtorno de conduta, os fatores ambientais e de vizinhança ainda necessitam de ser explorados. O presente estudo examinou as características específicas do bairro e da comunidade associadas ao transtorno de conduta nos jovens. Método: Foi realizada uma análise secundária do Questionário Nacional de Saúde Infantil dos Estados Unidos de 2011-2012. Os participantes incluíram um total de 34.601 adolescentes com idade entre os 12 e os 17 anos (52,3% de sexo masculino e 47,7% de sexo feminino). Resultados: Os resultados do modelo final de regressão logística multivariada revelaram que os fatores de risco significativos para o transtorno de conduta dos jovens foram: os bairros sem parques ou parques infantis, bibliotecas ou veículos, presença de lixo nas calçadas, vandalismo, a impossibilidade de contar com os outros nos bairros e a segurança infantil percecionada. Conclusão: São discutidas as implicações desses resultados e as estratégias futuras para a prevenção do transtorno de conduta

Evaluation of an Afterschool Children’s Healthy Eating and Exercise Program

Background: The purpose of this study was to examine the feasibility of the Children’s Healthy Eating and Exercise Program (CHEE) in an afterschool program of an elementary school. Methods:Students in a low-income elementary school were recruited to participate in the program. Thirty-three children were in the intervention group. Twenty-four children in the comparison group were recruited from after school clubs in the same elementary school.The CHEE Program consisted of 18 sessions, featuring nutrition (20 min) and physical activity (40 min) lessons. Nutrition lessons were adapted from the Traffic Light Diet. Other lessons included MyPlate, my refrigerator, my lunchbox, and a healthy foods tasting activity. Multiple physical activities were utilized in the program including soccer, dance, relay races, tag, and other fun games. Data were collected at the beginning and end of the program. Results: Children in both groups reported eating more vegetables at the post-intervention measurement. Children in the intervention group indicated that they learned about healthy eating and new physical activities due to their participation in the program. Conclusions: Future studies are needed to discover barriers to behavior change as well as apply a more rigorous design to examine the impact of the CHEE Program