Influence of Home and School Environments on Specific Dietary Behaviors Among Postpartum, High-Risk Teens, 27 States, 2007–2009

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Clarke, Megan A. ; Haire-Joshu, Debra L. ; Schwarz, Cynthia D. ; Tabak, Rachel G. ; Joshu, Corinne E.
• Description:
  Introduction
  
  The objective of this study was to determine whether perceptions of the home and school food environments are related to food and beverage intakes of postpartum teens.
  
  Methods
  
  Our study was a baseline, cross-sectional analysis of 853 postpartum teens enrolled in a weight-loss intervention study across 27 states from 2007 through 2009. Eight-item scales assessed perceived accessibility and availability of foods and beverages in school and home environments. Associations between environments and intakes were assessed by using χ2 and using logistic regression with generalized estimating equations (GEE), respectively.
  
  Results
  
  Overall, 52% of teens perceived their school food environment as positive, and 68% of teens perceived their home food environment as positive. A positive school environment was independently associated with fruit consumption and 100% fruit juice consumption. A positive home environment was independently associated with fruit, vegetable, and water consumption and infrequent consumption of soda and chips (χ2P < .05). Having only a positive school environment was associated with fruit consumption (GEE odds ratio [OR], 3.1; 95% confidence interval [CI], 1.5–6.5), and having only a positive home environment was associated with fruit (GEE OR, 2.9; 95% CI, 1.6–5.6), vegetable (GEE OR, 3.1; 95% CI, 1.5–6.2), and water (GEE OR, 2.6; 95% CI, 1.7–4.0) consumption and infrequent consumption of soda (GEE OR, 0.5; 95% CI, 0.3–0.7). Results for positive home and school environments were similar to those for positive home only.
  
  Conclusion
  
  Home and school environments are related to dietary behaviors among postpartum teens, with a positive home environment more strongly associated with healthful behaviors.
  
  
• Subjects:
  Adolescent Beverages Body Mass Index Breast Feeding Cross-Sectional Studies Diet Educational Status Ethnicity Female Food Assistance Food Supply Humans Logistic Models Nutrition Surveys Perception Postpartum Period Residence Characteristics Schools Self Report Social Environment Vulnerable Populations Weight Reduction Programs

  More +
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.140437
• ISSN:
  1545-1151
• Pubmed ID:
  25950575
• Pubmed Central ID:
  PMC4436050
• Document Type:
  Journal Article
• Funding:
  1 R01 CA1215/CA/NCI NIH HHS/United States ; 1P30DK092950/DK/NIDDK NIH HHS/United States ; P30 DK092950/DK/NIDDK NIH HHS/United States ; T32CA009314-3/CA/NCI NIH HHS/United States ; U48/DP001903/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:08a67d63fd586bdeb70c5ad9e2b8eec5b6689b2b370f67852c9937fa3ef6141e801186e5af2487190b5281e2f26080b6fec79c9cf9ea0e2c60d6a2968be8c82b
• Download URL:
  https://stacks.cdc.gov/view/cdc/31373/cdc_31373_DS1.pdf
• File Type:
  [PDF - 365.31 KB ]