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Article

An Examination of Demographic and Psychosocial Factors, Barriers to Healthy Eating, and Diet Quality Among African American Adults

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College of Food, Agricultural, and Environmental Sciences, Ohio State University Extension, Columbus, OH 43201, USA
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Medical Dietetics, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, 453 W. 10th Ave., Atwell Hall 306 D, Columbus, OH 43210, USA
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Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, 341 Campbell Hall, 1787 Neil Ave, Columbus, OH 43210, USA
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Division of Biostatistics, College of Public Health, 248 Cunz Hall, 1841 Neil Avenue, Columbus, OH 43210, USA
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Food and Nutrition Sciences, Ohio University College of Health Sciences and Professions, Grover Center E189, Athens, OH 45701, USA
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Department of Statistics, Ohio State University, 329 Cockins Hall, 1958 Neil Ave, Columbus, OH 43210, USA
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Division of Endocrinology, Diabetes and Metabolism, The Ohio State University Wexner Medical Center, 566 McCampbell Hall, 1581 Dodd Dr., Columbus, OH 43210, USA
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Author to whom correspondence should be addressed.
Nutrients 2019, 11(3), 519; https://doi.org/10.3390/nu11030519
Received: 12 February 2019 / Revised: 24 February 2019 / Accepted: 26 February 2019 / Published: 28 February 2019
(This article belongs to the Special Issue Diet Diversity and Diet Quality)
A healthy diet is associated with lower risk of chronic disease. African Americans generally have poor diet quality and experience a higher burden of many chronic diseases. We examined the associations of demographic and psychosocial factors and barriers to diet quality among African American adults. This cross-sectional study included 100 African American adults in a southeastern metropolitan area. Psychosocial factors (social support, self-efficacy), and barriers to healthy eating were assessed with validated measures. Diet quality was assessed using the Healthy Eating Index (HEI-2010). Nested linear regressions were used to examine the association between the variables of interest and HEI scores. Participants reported having social support (M (mean) = 2.0, SD (standard deviation) = 0.6, range 0–3), high levels of self-efficacy (M = 3.1, SD = 0.7, range 1–4), and low barriers (M = 1.4, SD = 0.6, range 0–4) to engage in healthy eating but total mean HEI scores needed improvement (M = 54.8, SD = 10.9, range 27.1–70.0). Participants consumed significantly higher empty calories and lower whole fruits, dairy, and total protein foods than the national average. Barriers to healthy eating (b = −12.13, p = 0.01) and the interaction between age and barriers (b = 0.25, p = 0.02) were most strongly associated with lower HEI scores. Younger African Americans with the highest barriers to healthy eating had the lowest HEI scores. Culturally appropriate interventions targeting empty calories, barriers to healthy eating, and knowledge of the Dietary Guidelines for Americans are needed for African Americans. View Full-Text
Keywords: African Americans adults; healthy eating index; barriers to healthy eating African Americans adults; healthy eating index; barriers to healthy eating
MDPI and ACS Style

Richards Adams, I.K.; Figueroa, W.; Hatsu, I.; Odei, J.B.; Sotos-Prieto, M.; Leson, S.; Huling, J.; Joseph, J.J. An Examination of Demographic and Psychosocial Factors, Barriers to Healthy Eating, and Diet Quality Among African American Adults. Nutrients 2019, 11, 519. https://doi.org/10.3390/nu11030519

AMA Style

Richards Adams IK, Figueroa W, Hatsu I, Odei JB, Sotos-Prieto M, Leson S, Huling J, Joseph JJ. An Examination of Demographic and Psychosocial Factors, Barriers to Healthy Eating, and Diet Quality Among African American Adults. Nutrients. 2019; 11(3):519. https://doi.org/10.3390/nu11030519

Chicago/Turabian Style

Richards Adams, Ingrid K., Wilson Figueroa, Irene Hatsu, James B. Odei, Mercedes Sotos-Prieto, Suzanne Leson, Jared Huling, and Joshua J. Joseph 2019. "An Examination of Demographic and Psychosocial Factors, Barriers to Healthy Eating, and Diet Quality Among African American Adults" Nutrients 11, no. 3: 519. https://doi.org/10.3390/nu11030519

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