Evidence map›Paper›PMID 30954634›Full record

ArticleAppetite2019

Barriers and facilitators to healthy eating among low-income Latino adolescents.

Amy L Beck, Esti Iturralde, Julissa Haya-Fisher, Sarah Kim, Victoria Keeton, Alicia Fernandez

Abstract read
In one paragraph

Article in Appetite, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Amy L BeckDepartment of Pediatrics, School of Medicine, University of California San Francisco, USA. Electronic address: Amy.Beck@ucsf.edu.
Esti IturraldeDivision of Research, Kaiser Permanente Northern California, USA. Electronic address: estibaliz.m.iturralde@kp.org.
Julissa Haya-FisherDepartment of Pediatrics, School of Medicine, University of California San Francisco, USA. Electronic address: julissa.haya@ucsf.edu.
Sarah KimDepartment of Medicine, School of Medicine, University of California, San Francisco, USA. Electronic address: sarah.kim@ucsf.edu.
Victoria KeetonDepartment of Family Health Care Nursing, School of Nursing, University of California, San Francisco, USA. Electronic address: victoria.keeton@ucsf.edu.
Alicia FernandezDepartment of Medicine, School of Medicine, University of California, San Francisco, USA. Electronic address: alicia.fernandez@ucsf.edu.

Funding

Mentoring in the Context of Improving Care for Latinos with DiabetesK24DK102057 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FERNANDEZ, ALICIA · 2014 to 2018
$919k
Enhanced Primary Care Nutrition and Screen time Education to Prevent Obesity in Latino InfantsK23HD080876 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BECK, AMY LAURA · 2016 to 2020
$902k
NICHD NIH HHS K23 HD080876NIDDK NIH HHS K24 DK102057
6 · The paper itself

Abstract

objectiveThe objective of this study was to explore barriers and facilitators to healthy eating among low-income Latino adolescents using an intervention development framework.

methodsSemi-structured interviews (n = 30) were conducted with Latino youth ages 13-17 who had overweight or obesity at a safety-net clinic in San Francisco, CA. Adolescent beliefs and attitudes regarding healthy eating and individual, family, and community level barriers and facilitators were elicited. Interviews were analyzed using an inductive approach and the Capability-Opportunity-Motivation (COM-B) model.

resultsParticipants had capability gaps; while they demonstrated basic nutrition knowledge, they also held significant misconceptions about healthy eating, equating "organic" with healthy and failing to recognize sugar in a number of beverages and foods. Families were a source of support through role modeling and purchasing fresh produce, yet in many cases also undermined adolescents' healthy eating goals through purchases of high calorie low nutrient food, an opportunity facilitator and challenge. By contrast, peers were mostly a negative influence due to frequent consumption of high calorie low nutrient food. The school environment posed opportunity challenges as participants found school lunch unpalatable and had ready access to unhealthy options nearby. Participants were motivated to improve their eating habits but often not resilient in the face of obstacles.

conclusionsInterventions to promote healthy eating among low-income Latino adolescents should address common nutritional misconceptions, target families as well as teens, consider peer influences, and advocate for policy approaches that improve the school food environment.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentDiet, HealthyFeeding BehaviorFemaleFocus GroupsFood PreferencesHispanic or LatinoHumansInterviews as TopicMaleNutritional StatusPediatric ObesityPovertySan FranciscoAdolescentHealthy eatingLatinoLow-incomeQualitative

Identifiers

PMID30954634
PMCPMC6628719

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.