Sociocultural Influences on Dietary Intake Among Black Women in the Deep South

社会文化对南方腹地黑人女性膳食摄入量的影响

• 批准号: 7807498
• 负责人: MONICA L. BASKIN
• 金额: $ 36.63万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-25 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7807498
• 关键词: Age; Alabama; Attention; Attitude; Behavior; Belief; Cancer Control; Cardiovascular Diseases; Chronic; Classification; Cluster Analysis; Communities; County; Cross-Sectional Studies; Deep South; Diet; Dietary Practices; Dietary intake; Eating; Eating Behavior; Energy Intake; Energy Metabolism; Environment; Family; Food; Friendships; Future; Health; Hypertension; Individual; Intervention; Intervention Studies; Knowledge; Life; Louisiana; Maps; Marriage; Measures; Mediating; Medical; Methods; Mississippi; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; North Carolina; Not Hispanic or Latino; Obesity; Overweight; Prevention; Psychosocial Factor; Risk; Risk Factors; Role; Rural; Self Efficacy; South Carolina; Supermarket; Symbolism; Typology; Weight; Woman; behavior influence; cancer type; demographics; design; disorder risk; energy balance; health disparity; high risk; hypertensive heart disease; modifiable risk; mortality; nutrition; obesity risk; residence; role model; social; success

DESCRIPTION (provided by the applicant): Non-Hispanic blacks and residents of the Deep South, of whom about 1/3 are black, are disproportionately impacted by a myriad of chronic medical conditions including obesity, cancer, type 2 diabetes, hypertension, and cardiovascular disease. Black women living in Alabama and Mississippi are at particularly high risk with greater health risk factors than white counterparts in their state, and national averages for black women. Poor dietary intake is at least partially implicated in the expressed disparities. Comprehensive frameworks for explaining dietary behaviors have suggested influencing factors such as demographics (e.g., rural or urban residence, age), psychosocial factors (e.g., self-efficacy, nutrition knowledge), socio-cultural factors (e.g., social or cultural norms), and the built environment (e.g., access to supermarkets). To date, little attention has been focused on measuring the impact of socio-cultural influences in addition to individual psychosocial factors on dietary intake among black women in the Deep South. We hypothesize that: (1) there is a direct relationship between individual psychosocial factors and dietary intake, and (2) the relationship between socio-cultural factors and dietary intake is mediated by individual psychosocial factors. This study leverages the ongoing academic-community partnership of the UAB Deep South Network for Cancer Control and Prevention (DSN) that includes 22 counties in Alabama and Mississippi. Approximately 300 black women across the DSN will participate in concept mapping, a participatory and mixed methods design, to characterize the socio-cultural influences on dietary intake (Aim 1). An additional 350 black women will participate in a cross-sectional study to investigate the relationship between socio-cultural influences, individual factors, and dietary intake (Aim 2). We will then use cluster analysis to develop a typology of dietary intake influences among black women residing in the Deep South (Aim 3). Findings from this study have the potential to better explain the limited successes of black women achieving recommended dietary intake and, more importantly, better inform future interventions for black women at greatest risk for obesity and other chronic conditions.

描述（由申请人提供）：非西班牙裔黑人和深南地区的居民，其中约1/3是黑人，受到无数少数慢性医疗状况的影响，包括肥胖，癌症，2型糖尿病，高血压，高血压和心血管疾病。居住在阿拉巴马州和密西西比州的黑人妇女的风险尤其高，其健康风险因素比其州的白人同行以及黑人妇女的民族平均值更大。饮食不良至少部分与表达的差异有关。解释饮食行为的全面框架提出了影响因素，例如人口统计学（例如农村或城市居住，年龄），心理社会因素（例如自我效能感，营养知识），社会文化因素（例如，社会或文化规范）以及建筑环境（例如，访问超级市场）。迄今为止，除了个别的社会心理因素对深南部黑人妇女饮食的摄入外，几乎没有关注的重点是衡量社会文化影响的影响。我们假设：（1）个体的社会心理因素与饮食摄入量之间存在直接关系，（2）社会文化因素与饮食摄入之间的关系是由个别的社会心理因素介导的。这项研究利用了UAB Deep South网络癌症控制与预防网络（DSN）的持续学术社区合作伙伴关系，其中包括阿拉巴马州和密西西比州的22个县。整个DSN的大约300名黑人妇女将参与概念映射，这是一种参与性和混合方法设计，以表征社会文化对饮食摄入的影响（AIM 1）。另外350名黑人妇女将参加一项横断面研究，以研究社会文化影响，个体因素和饮食摄入量之间的关系（AIM 2）。然后，我们将使用聚类分析来开发居住在深南方的黑人妇女中饮食摄入影响的类型（AIM 3）。这项研究的结果有可能更好地解释黑人妇女获得推荐饮食摄入量的有限成功，更重要的是，可以更好地为黑人妇女提供最大风险肥胖和其他慢性病风险的未来干预措施。