ArticleJournal of nutrition education and behavior2021
Sociodemographic and Psychosocial Factors Associated With Diet Quality in 6 Rural Native American Communities.
Article in Journal of nutrition education and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Exposure to a Multilevel, Multicomponent Obesity Prevention Intervention (OPREVENT2) in Rural Native American Communities: Variability and Association with Change in Diet Quality.International journal of environmental research and public health · 2021Trial
- What nourishes us: psychometric validation of culturally grounded measures of indigenous nourishment in a cross-sectional study of two urban native communities.Public health nutrition · 2026Article
- Social Determinants Influencing Nutrition Behaviors and Cardiometabolic Health in Indigenous Populations: A Scoping Review of the Literature.Nutrients · 2024Article
- Dietary Outcomes of a Multilevel, Multicomponent, Cluster Randomized Obesity Intervention in 6 Native American Communities in the Upper Midwest and Southwest United States.Current developments in nutrition · 2023Article
- Identifying service quality gaps between patients and providers in a Native American outpatient clinic.BMC health services research · 2022Article
- Individual- and household-level factors associated with fruit, vegetable, and dietary fiber adequacy among Native American adults in 6 reservation communities.Preventive medicine reports · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo identify psychosocial and household environmental factors related to diet quality among Native Americans (NA).
designAnalysis of baseline data from a community-randomized obesity prevention trial.
settingSix rural NA communities in the Midwest and the Southwestern US.
participantsA total of 580 tribal members, aged 18-75 years old (mean 45 years), 74% female, self-identified as the main household food purchaser. VARIABLES MEASURED: Diet quality (Healthy Eating Index-2015 [HEI]) was derived from a semiquantitative food frequency questionnaire. Sociodemographic, psychosocial, and home food environment factors were assessed via interviewer-administered questionnaires. ANALYSIS: One-way ANOVA, linear regression models, and 2-tailed t tests compared HEI scores among sociodemographic categories. Multiple linear regression models assessed the relationship between psychosocial factors, home food environment, and HEI.
resultsPrevalence of obesity was 59%. Mean HEI-2015 score was 49.3 (SD = 8.1). Average HEI scores were 3.0 points lower in smokers than nonsmokers (P < 0.001), and 2.2 points higher in females than males (P < 0.01). Higher self-efficacy (β = 0.97; P < 0.001) and healthier eating intentions (β = 0.78; P < 0.001) were positively associated with HEI. Healthier household food patterns score was associated with higher HEI (β = 0.48; P < 0.01). CONCLUSIONS AND IMPLICATIONS: Psychosocial factors were associated with diet quality, a finding that supports the use of social-cognitive intervention approaches in rural NA communities in the Midwest and Southwest, and warrants evaluation in other locations. There remains a need to elucidate the association between the Food Distribution Program on Indian Reservations and diet quality.
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