Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017
Background: Obesity rates are higher among rural versus urban adolescents. To examine possible mechanisms for the rural-urban adolescent obesity disparity, we examined the direct and indirect effects of food purchasing patterns, and the home, school, and consumer food environments on dietary intake...
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MDPI AG
2017-10-01
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Series: | International Journal of Environmental Research and Public Health |
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Online Access: | https://www.mdpi.com/1660-4601/14/10/1255 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alison Gustafson Stephanie Jilcott Pitts Jordan McDonald Hannah Ford Paige Connelly Rachel Gillespie Emily Liu Heather Bush Candace Brancato Toyin Babatande Janet Mullins |
spellingShingle |
Alison Gustafson Stephanie Jilcott Pitts Jordan McDonald Hannah Ford Paige Connelly Rachel Gillespie Emily Liu Heather Bush Candace Brancato Toyin Babatande Janet Mullins Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017 International Journal of Environmental Research and Public Health consumer food environment school food environment home food availability adolescent obesity nutrition |
author_facet |
Alison Gustafson Stephanie Jilcott Pitts Jordan McDonald Hannah Ford Paige Connelly Rachel Gillespie Emily Liu Heather Bush Candace Brancato Toyin Babatande Janet Mullins |
author_sort |
Alison Gustafson |
title |
Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017 |
title_short |
Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017 |
title_full |
Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017 |
title_fullStr |
Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017 |
title_full_unstemmed |
Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017 |
title_sort |
direct effects of the home, school, and consumer food environments on the association between food purchasing patterns and dietary intake among rural adolescents in kentucky and north carolina, 2017 |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2017-10-01 |
description |
Background: Obesity rates are higher among rural versus urban adolescents. To examine possible mechanisms for the rural-urban adolescent obesity disparity, we examined the direct and indirect effects of food purchasing patterns, and the home, school, and consumer food environments on dietary intake among rural adolescents. Methods: A baseline survey was conducted among adolescents in eight rural high schools (four in Eastern Kentucky, and four in Eastern North Carolina). Participants answered questions about food purchasing patterns, dietary intake, home food availability, and demographics. The school and consumer food environments were assessed using validated measures from the School Meals Cost Study (United States Department of Agriculture-Mathematica) and the Nutrition Environment Measurement Survey for Stores, Restaurants, and Corner Stores. Results: Of 432 adolescents, 55% were normal weight, 24% were overweight, and 21% were obese. There was a direct association between unhealthy food purchasing patterns (shopping frequently at gas stations, fast food, and dollar stores) and consuming more added sugars, when compared to those with a healthy shopping pattern (shopping less frequently at gas stations, fast food, and dollar stores) [Odds Ratio = 2.41 (95% CI (confidence interval) 0.99, 3.82)]. Those who reported always having fruits and vegetables in the home consumed more servings of fruits and vegetables [OR = 0.31 cups (95% CI 0.22, 0.44)] compared to those who reported never having fruits and vegetables in the home. Adolescents attending a school with a low healthy food availability score consumed fewer servings of fruits and vegetables [−0.001 (95% CI −0.001, 0.0001)] compared to those attending a school with a high healthy food availability score. Conclusions: There are direct associations between food purchasing patterns, the home and school food environments, and dietary intake among rural adolescents. These cross-sectional results informed the development of the “Go Big and Bring it Home” program, a text messaging intervention to improve adolescents’ fruit, vegetable, and healthy beverage intake. |
topic |
consumer food environment school food environment home food availability adolescent obesity nutrition |
url |
https://www.mdpi.com/1660-4601/14/10/1255 |
work_keys_str_mv |
AT alisongustafson directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT stephaniejilcottpitts directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT jordanmcdonald directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT hannahford directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT paigeconnelly directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT rachelgillespie directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT emilyliu directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT heatherbush directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT candacebrancato directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT toyinbabatande directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 AT janetmullins directeffectsofthehomeschoolandconsumerfoodenvironmentsontheassociationbetweenfoodpurchasingpatternsanddietaryintakeamongruraladolescentsinkentuckyandnorthcarolina2017 |
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doaj-5507e919fab04cf0a21dc27cc01f54472020-11-25T00:09:36ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012017-10-011410125510.3390/ijerph14101255ijerph14101255Direct Effects of the Home, School, and Consumer Food Environments on the Association between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017Alison Gustafson0Stephanie Jilcott Pitts1Jordan McDonald2Hannah Ford3Paige Connelly4Rachel Gillespie5Emily Liu6Heather Bush7Candace Brancato8Toyin Babatande9Janet Mullins10Department of Dietetics and Human Nutrition, 206J Funkhouser Building, University of Kentucky, Lexington, KY 40546, USADepartment of Public Health, Brody School of Medicine, ECU 600 Moye Blvd., Mailstop 660, Lakeside Annex Modular Unit 8 Room 126, Greenville, NC 27834, USADepartment of Dietetics and Human Nutrition, 206J Funkhouser Building, University of Kentucky, Lexington, KY 40546, USADepartment of Dietetics and Human Nutrition, 206J Funkhouser Building, University of Kentucky, Lexington, KY 40546, USADepartment of Dietetics and Human Nutrition, 206J Funkhouser Building, University of Kentucky, Lexington, KY 40546, USADepartment of Dietetics and Human Nutrition, 206J Funkhouser Building, University of Kentucky, Lexington, KY 40546, USADepartment of Nutrition, University of Pennsylvania, College Station, PA 20067, USACollege of Public Health, University of Kentucky, 725 Rose Street Room 301, Lexington, KY 40536, USACollege of Public Health, University of Kentucky, 725 Rose Street Room 301, Lexington, KY 40536, USAHealth Sciences Bldg, 3310J MailStop #668, College of Allied Health Sciences, East Carolina University, Greenville, NC 27834, USADepartment of Dietetics and Human Nutrition, 206J Funkhouser Building, University of Kentucky, Lexington, KY 40546, USABackground: Obesity rates are higher among rural versus urban adolescents. To examine possible mechanisms for the rural-urban adolescent obesity disparity, we examined the direct and indirect effects of food purchasing patterns, and the home, school, and consumer food environments on dietary intake among rural adolescents. Methods: A baseline survey was conducted among adolescents in eight rural high schools (four in Eastern Kentucky, and four in Eastern North Carolina). Participants answered questions about food purchasing patterns, dietary intake, home food availability, and demographics. The school and consumer food environments were assessed using validated measures from the School Meals Cost Study (United States Department of Agriculture-Mathematica) and the Nutrition Environment Measurement Survey for Stores, Restaurants, and Corner Stores. Results: Of 432 adolescents, 55% were normal weight, 24% were overweight, and 21% were obese. There was a direct association between unhealthy food purchasing patterns (shopping frequently at gas stations, fast food, and dollar stores) and consuming more added sugars, when compared to those with a healthy shopping pattern (shopping less frequently at gas stations, fast food, and dollar stores) [Odds Ratio = 2.41 (95% CI (confidence interval) 0.99, 3.82)]. Those who reported always having fruits and vegetables in the home consumed more servings of fruits and vegetables [OR = 0.31 cups (95% CI 0.22, 0.44)] compared to those who reported never having fruits and vegetables in the home. Adolescents attending a school with a low healthy food availability score consumed fewer servings of fruits and vegetables [−0.001 (95% CI −0.001, 0.0001)] compared to those attending a school with a high healthy food availability score. Conclusions: There are direct associations between food purchasing patterns, the home and school food environments, and dietary intake among rural adolescents. These cross-sectional results informed the development of the “Go Big and Bring it Home” program, a text messaging intervention to improve adolescents’ fruit, vegetable, and healthy beverage intake.https://www.mdpi.com/1660-4601/14/10/1255consumer food environmentschool food environmenthome food availabilityadolescent obesitynutrition |