Next Article in Journal
Comparison of Summer and Winter Objectively Measured Physical Activity and Sedentary Behavior in Older Adults: Age, Gene/Environment Susceptibility Reykjavik Study
Previous Article in Journal
Wear and Tear of Tyres: A Stealthy Source of Microplastics in the Environment
Article Menu
Issue 10 (October) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2017, 14(10), 1255; https://doi.org/10.3390/ijerph14101255

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

1
Department of Dietetics and Human Nutrition, 206J Funkhouser Building, University of Kentucky, Lexington, KY 40546, USA
2
Department of Public Health, Brody School of Medicine, ECU 600 Moye Blvd., Mailstop 660, Lakeside Annex Modular Unit 8 Room 126, Greenville, NC 27834, USA
3
Department of Nutrition, University of Pennsylvania, College Station, PA 20067, USA
4
College of Public Health, University of Kentucky, 725 Rose Street Room 301, Lexington, KY 40536, USA
5
Health Sciences Bldg, 3310J MailStop #668, College of Allied Health Sciences, East Carolina University, Greenville, NC 27834, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 27 July 2017 / Revised: 16 October 2017 / Accepted: 18 October 2017 / Published: 21 October 2017
Full-Text   |   PDF [418 KB, uploaded 21 October 2017]   |  

Abstract

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. View Full-Text
Keywords: consumer food environment; school food environment; home food availability; adolescent obesity; nutrition consumer food environment; school food environment; home food availability; adolescent obesity; nutrition
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Gustafson, A.; Jilcott Pitts, S.; McDonald, J.; Ford, H.; Connelly, P.; Gillespie, R.; Liu, E.; Bush, H.; Brancato, C.; Babatande, T.; Mullins, J. 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. Int. J. Environ. Res. Public Health 2017, 14, 1255.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top