TY - JOUR
T1 - Sociodemographic and Psychosocial Factors Associated With Diet Quality in 6 Rural Native American Communities
AU - Estradé, Michelle
AU - Trude, Angela C.B.
AU - Pardilla, Marla
AU - Jock, Brittany Wenniserí:iostha
AU - Swartz, Jacqueline
AU - Gittelsohn, Joel
N1 - Publisher Copyright:
© 2020 Society for Nutrition Education and Behavior
PY - 2021/1
Y1 - 2021/1
N2 - Objective: To identify psychosocial and household environmental factors related to diet quality among Native Americans (NA). Design: Analysis of baseline data from a community-randomized obesity prevention trial. Setting: Six rural NA communities in the Midwest and the Southwestern US. Participants: A total of 580 tribal members, aged 18–75 years old (mean 45 years), 74% female, self-identified as the main household food purchaser. Variables Measured: Diet quality (Healthy Eating Index–2015 [HEI]) was derived from a semiquantitative food frequency questionnaire. Sociodemographic, psychosocial, and home food environment factors were assessed via interviewer-administered questionnaires. Analysis: One-way ANOVA, linear regression models, and 2-tailed t tests compared HEI scores among sociodemographic categories. Multiple linear regression models assessed the relationship between psychosocial factors, home food environment, and HEI. Results: Prevalence of obesity was 59%. Mean HEI–2015 score was 49.3 (SD = 8.1). Average HEI scores were 3.0 points lower in smokers than nonsmokers (P < 0.001), and 2.2 points higher in females than males (P < 0.01). Higher self-efficacy (β = 0.97; P < 0.001) and healthier eating intentions (β = 0.78; P < 0.001) were positively associated with HEI. Healthier household food patterns score was associated with higher HEI (β = 0.48; P < 0.01). Conclusions and Implications: Psychosocial factors were associated with diet quality, a finding that supports the use of social-cognitive intervention approaches in rural NA communities in the Midwest and Southwest, and warrants evaluation in other locations. There remains a need to elucidate the association between the Food Distribution Program on Indian Reservations and diet quality.
AB - Objective: To identify psychosocial and household environmental factors related to diet quality among Native Americans (NA). Design: Analysis of baseline data from a community-randomized obesity prevention trial. Setting: Six rural NA communities in the Midwest and the Southwestern US. Participants: A total of 580 tribal members, aged 18–75 years old (mean 45 years), 74% female, self-identified as the main household food purchaser. Variables Measured: Diet quality (Healthy Eating Index–2015 [HEI]) was derived from a semiquantitative food frequency questionnaire. Sociodemographic, psychosocial, and home food environment factors were assessed via interviewer-administered questionnaires. Analysis: One-way ANOVA, linear regression models, and 2-tailed t tests compared HEI scores among sociodemographic categories. Multiple linear regression models assessed the relationship between psychosocial factors, home food environment, and HEI. Results: Prevalence of obesity was 59%. Mean HEI–2015 score was 49.3 (SD = 8.1). Average HEI scores were 3.0 points lower in smokers than nonsmokers (P < 0.001), and 2.2 points higher in females than males (P < 0.01). Higher self-efficacy (β = 0.97; P < 0.001) and healthier eating intentions (β = 0.78; P < 0.001) were positively associated with HEI. Healthier household food patterns score was associated with higher HEI (β = 0.48; P < 0.01). Conclusions and Implications: Psychosocial factors were associated with diet quality, a finding that supports the use of social-cognitive intervention approaches in rural NA communities in the Midwest and Southwest, and warrants evaluation in other locations. There remains a need to elucidate the association between the Food Distribution Program on Indian Reservations and diet quality.
KW - American Indians
KW - Healthy Eating Index
KW - Native Americans
KW - diet
KW - psychosocial factors
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U2 - 10.1016/j.jneb.2020.05.001
DO - 10.1016/j.jneb.2020.05.001
M3 - Article
C2 - 33218847
AN - SCOPUS:85096371964
SN - 1499-4046
VL - 53
SP - 10
EP - 19
JO - Journal of Nutrition Education and Behavior
JF - Journal of Nutrition Education and Behavior
IS - 1
ER -