Sociodemographic and Psychosocial Factors Associated With Diet Quality in 6 Rural Native American Communities.

Journal of Nutrition Education and Behavior
Michelle EstradéJoel Gittelsohn

Abstract

To identify psychosocial and household environmental factors related to diet quality among Native Americans (NA). Analysis of baseline data from a community-randomized obesity prevention trial. Six rural NA communities in the Midwest and the Southwestern US. A total of 580 tribal members, aged 18-75 years old (mean 45 years), 74% female, self-identified as the main household food purchaser. 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. 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. 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...Continue Reading

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Citations

Apr 4, 2021·International Journal of Environmental Research and Public Health·Xavier OriolRafael Miranda

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