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Baxter KA, Nambiar S, So THJ, Gallegos D, Byrne R. Parental Feeding Practices in Families Experiencing Food Insecurity: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095604. [PMID: 35564998 PMCID: PMC9099728 DOI: 10.3390/ijerph19095604] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 04/26/2022] [Accepted: 04/26/2022] [Indexed: 01/16/2023]
Abstract
Parental feeding practices and styles influence child diet quality and growth. The extent to which these factors have been assessed in the context of disadvantage, particularly household food insecurity (HFI), is unknown. This is important, as interventions designed to increase responsive practices and styles may not consider the unique needs of families with HFI. To address this gap, a scoping review of studies published from 1990 to July 2021 in three electronic databases was conducted. A priori inclusion criteria were, population: families with children aged 0–5 years experiencing food insecurity and/or disadvantage; concept: parental feeding practices/behaviours/style; and context: high income countries. The search identified 12,950 unique papers, 504 full-text articles were screened and 131 met the inclusion criteria. Almost all the studies (91%) were conducted in the United States with recruitment via existing programs for families on low incomes. Only 27 papers assessed feeding practices or styles in the context of HFI. Of the eleven interventions identified, two assessed the proportion of participants who were food insecure. More research is required in families outside of the United States, with an emphasis on comprehensive and valid measures of HFI and feeding practices. Intervention design should be sensitive to factors associated with poverty, including food insecurity.
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Affiliation(s)
- Kimberley A. Baxter
- Woolworths Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology, Graham St, South Brisbane 4101, Australia; (S.N.); (T.H.J.S.); (D.G.); (R.B.)
- Correspondence:
| | - Smita Nambiar
- Woolworths Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology, Graham St, South Brisbane 4101, Australia; (S.N.); (T.H.J.S.); (D.G.); (R.B.)
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove 4059, Australia
| | - Tsz Hei Jeffrey So
- Woolworths Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology, Graham St, South Brisbane 4101, Australia; (S.N.); (T.H.J.S.); (D.G.); (R.B.)
| | - Danielle Gallegos
- Woolworths Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology, Graham St, South Brisbane 4101, Australia; (S.N.); (T.H.J.S.); (D.G.); (R.B.)
| | - Rebecca Byrne
- Woolworths Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology, Graham St, South Brisbane 4101, Australia; (S.N.); (T.H.J.S.); (D.G.); (R.B.)
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove 4059, Australia
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Petrov ME, Jiao N, Panchanathan SS, Reifsnider E, Coonrod DV, Liu L, Krajmalnik-Brown R, Gu H, Davidson LA, Chapkin RS, Whisner CM. Protocol of the Snuggle Bug/Acurrucadito Study: a longitudinal study investigating the influences of sleep-wake patterns and gut microbiome development in infancy on rapid weight gain, an early risk factor for obesity. BMC Pediatr 2021; 21:374. [PMID: 34465311 PMCID: PMC8405858 DOI: 10.1186/s12887-021-02832-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 08/09/2021] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Overweight, obesity, and associated comorbidities are a pressing global issue among children of all ages, particularly among low-income populations. Rapid weight gain (RWG) in the first 6 months of infancy contributes to childhood obesity. Suboptimal sleep-wake patterns and gut microbiota (GM) have also been associated with childhood obesity, but little is known about their influences on early infant RWG. Sleep may alter the GM and infant metabolism, and ultimately impact obesity; however, data on the interaction between sleep-wake patterns and GM development on infant growth are scarce. In this study, we aim to investigate associations of infant sleep-wake patterns and GM development with RWG at 6 months and weight gain at 12 months. We also aim to evaluate whether temporal interactions exist between infant sleep-wake patterns and GM, and if these relations influence RWG. METHODS The Snuggle Bug/ Acurrucadito study is an observational, longitudinal study investigating whether 24-h, actigraphy-assessed, sleep-wake patterns and GM development are associated with RWG among infants in their first year. Based on the Ecological Model of Growth, we propose a novel conceptual framework to incorporate sleep-wake patterns and the GM as metabolic contributors for RWG in the context of maternal-infant interactions, and familial and socio-physical environments. In total, 192 mother-infant pairs will be recruited, and sleep-wake patterns and GM development assessed at 3 and 8 weeks, and 3, 6, 9, and 12 months postpartum. Covariates including maternal and child characteristics, family and environmental factors, feeding practices and dietary intake of infants and mothers, and stool-derived metabolome and exfoliome data will be assessed. The study will apply machine learning techniques combined with logistic time-varying effect models to capture infant growth and aid in elucidating the dynamic associations between study variables and RWG. DISCUSSION Repeated, valid, and objective assessment at clinically and developmentally meaningful intervals will provide robust measures of longitudinal sleep, GM, and growth. Project findings will provide evidence for future interventions to prevent RWG in infancy and subsequent obesity. The work also may spur the development of evidence-based guidelines to address modifiable factors that influence sleep-wake and GM development and prevent childhood obesity.
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Affiliation(s)
- Megan E Petrov
- Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd Street, Suite 301, Phoenix, AZ, 85004, USA
| | - Nana Jiao
- Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd Street, Suite 301, Phoenix, AZ, 85004, USA
| | - Sarada S Panchanathan
- Valleywise Comprehensive Health Center - Phoenix (Pediatric Clinic), 2525 E. Roosevelt St., Phoenix, AZ, 85008, USA
- College of Medicine Phoenix, University of Arizona, Phoenix, AZ, 85007, USA
| | - Elizabeth Reifsnider
- Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd Street, Suite 301, Phoenix, AZ, 85004, USA
| | - Dean V Coonrod
- Valleywise Health, Department of Obstetrics and Gynecology, 2525 E. Roosevelt St., Phoenix, AZ, 85008, USA
| | - Li Liu
- Biodesign Institute, Arizona State University, 1001 S. McAllister Ave BDA230B, Tempe, AZ, 85287, USA
| | - Rosa Krajmalnik-Brown
- Biodesign Swette Center for Environmental Biotechnology, Arizona State University, 1001 S. McAllister Ave, PO Box 875701, Tempe, AZ, 85287, USA
| | - Haiwei Gu
- College of Health Solutions, Arizona State University, 550 N. 3rd. Street, Suite 501, Phoenix, AZ, 85004, USA
| | - Laurie A Davidson
- Department of Nutrition and Food Science, Program in Integrative Nutrition and Complex Diseases, Texas A&M University, 2253 TAMU, 112 Cater-Mattil, College Station, TX, 77843, USA
| | - Robert S Chapkin
- Department of Nutrition and Food Science, Program in Integrative Nutrition and Complex Diseases, Texas A&M University, 2253 TAMU, 112 Cater-Mattil, College Station, TX, 77843, USA
| | - Corrie M Whisner
- College of Health Solutions, Arizona State University, 550 N. 3rd. Street, Suite 501, Phoenix, AZ, 85004, USA.
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Salarzadeh Jenatabadi H, Shamsi NA, Ng BK, Abdullah NA, Mentri KAC. Adolescent Obesity Modeling: A Framework of Socio-Economic Analysis on Public Health. Healthcare (Basel) 2021; 9:healthcare9080925. [PMID: 34442062 PMCID: PMC8392515 DOI: 10.3390/healthcare9080925] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 07/15/2021] [Accepted: 07/17/2021] [Indexed: 02/07/2023] Open
Abstract
Bayesian Structural Equation Modeling (SEM-Bayesian) was applied across different research areas to model the correlation between manifest and latent variables. The primary purpose of this study is to introduce a new framework of complexity to adolescent obesity modeling based on adolescent lifestyle through the application of SEM-Bayesian. The introduced model was designed based on the relationships among several factors: household socioeconomic status, healthy food intake, unhealthy food intake, lifestyle, body mass index (BMI) and body fat. One of the main contributions of this study is from considering both BMI and body fat as dependent variables. To demonstrate the reliability of the model, especially in terms of its fitting and accuracy, real-time data were extracted and analyzed across 881 adolescents from secondary schools in Tehran, Iran. The output of this study may be helpful for researchers who are interested in adolescent obesity modeling based on the lifestyle and household socioeconomic status of adolescents.
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Simonovich SD, Pineros-Leano M, Ali A, Awosika O, Herman A, Withington MHC, Loiacono B, Cory M, Estrada M, Soto D, Buscemi J. A systematic review examining the relationship between food insecurity and early childhood physiological health outcomes. Transl Behav Med 2020; 10:1086-1097. [PMID: 33044532 DOI: 10.1093/tbm/ibaa021] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Food insecurity, or limited access to nutritious foods, is a significant public health concern especially among vulnerable populations including infants and young children in low-income households. While literature to date has thoroughly examined the psychological and behavioral impacts of food insecurity on children, no known study to date has specifically synthesized the literature exploring the relationship between food insecurity and physiological health outcomes during early childhood. The purpose of this study was to review the literature on physiological health outcomes associated with food insecurity during early childhood among children aged 0-5 years in developed countries. Our literature search sources included PubMed, PsycInfo, CINAHL, and Embase databases. A total of 657 articles published up to September 2019 were reviewed for eligibility by two coders, with a third reviewer in cases of disagreement. Eighty-three articles remained after screening by abstract, with a final 27 studies ultimately included in the final synthesis. This review is registered with PROSPERO and adhered to PRISMA guidelines. In total, 20 articles (74%) noted significant relationships between food insecurity and physiological health outcomes in young children. Findings included an association with overweight or obesity (n = 9), anemia (n = 3), poor child health (n = 3), low birth weight (n = 3), chronic illness (n = 1), special health care needs (n = 1), and increased cortisol (n = 1), in young children who experience food insecurity. Identifying relationships between food insecurity and health outcomes during early childhood has the potential to inform future prevention interventions to reduce health disparities in these vulnerable populations.
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Affiliation(s)
| | | | - Asma Ali
- School of Nursing, College of Science & Health, DePaul University, Chicago, IL, USA
| | - Olanrewaju Awosika
- School of Nursing, College of Science & Health, DePaul University, Chicago, IL, USA
| | - Anne Herman
- Department of Psychology, College of Science & Health, DePaul University, Chicago, IL, USA
| | | | - Bernardo Loiacono
- Department of Psychology, College of Science & Health, DePaul University, Chicago, IL, USA
| | - Molly Cory
- Department of Psychology, College of Science & Health, DePaul University, Chicago, IL, USA
| | - Monica Estrada
- Department of Psychology, College of Science & Health, DePaul University, Chicago, IL, USA
| | - Danya Soto
- Department of Psychology, College of Science & Health, DePaul University, Chicago, IL, USA
| | - Joanna Buscemi
- Department of Psychology, College of Science & Health, DePaul University, Chicago, IL, USA
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Benjamin-Neelon SE, Allen C, Neelon B. Household Food Security and Infant Adiposity. Pediatrics 2020; 146:peds.2019-3725. [PMID: 32859735 PMCID: PMC7461216 DOI: 10.1542/peds.2019-3725] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/10/2020] [Indexed: 01/24/2023] Open
Abstract
OBJECTIVES Food insecurity has been associated with obesity, but previous studies are inconsistent and few included infants. We examined associations between household food security and infant adiposity and assessed the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Supplemental Nutrition Assistance Program (SNAP) as effect modifiers. We hypothesized that infants from food-insecure households would have greater adiposity, with attenuation by WIC and SNAP. METHODS We repeatedly measured 666 infants from the southeastern United States in 2013-2017. We categorized households as high, marginal, low, or very low using the US Household Food Security Survey Module. Outcomes were BMI z score, subscapular and triceps skinfold-for-age z score, the sum of subscapular and triceps skinfolds, the ratio of subscapular and triceps skinfolds, and BMI z score ≥1 (at risk for overweight). We used covariate-adjusted repeated-measures linear and logistic regressions. RESULTS Of infants, 68.6% were Black and 60.5% had household incomes <$20 000. Interactions between food security and WIC and/or SNAP were not significant. Compared with infants from high food security households, infants from very low food security households had higher BMI z scores (0.18 U; 95% confidence interval [CI] 0.01 to 0.35), higher subscapular skinfold-for-age z scores (0.31 U; 95% CI 0.04 to 0.59), a higher sum of subscapular and triceps skinfolds (0.53 mm; 95% CI 0.002 to 1.07), and greater odds of being at risk for overweight (odds ratio 1.55; 95% CI 1.14 to 2.10). Infants from low food security households had greater odds of being at risk for overweight (odds ratio 1.72; 95% CI 1.17 to 2.10). CONCLUSIONS In larger and longer studies, researchers should examine food security and adiposity in young children.
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Affiliation(s)
- Sara E. Benjamin-Neelon
- Department of Health, Behavior, and Society, Johns Hopkins University, Baltimore, Maryland; and
| | - Carter Allen
- Division of Biostatistics, Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina
| | - Brian Neelon
- Division of Biostatistics, Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina
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Reifsnider E, Crawford D, Nichols MJ. Community/public health nurses' responsibility to ensure adequate nutrition for hungry families. Public Health Nurs 2019; 36:587-588. [PMID: 31550064 DOI: 10.1111/phn.12663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Accepted: 08/24/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Elizabeth Reifsnider
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Daniel Crawford
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Megan J Nichols
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
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Wan Mohamed Radzi CWJ, Salarzadeh Jenatabadi H, Alanzi ARA, Mokhtar MI, Mamat MZ, Abdullah NA. Analysis of Obesity among Malaysian University Students: A Combination Study with the Application of Bayesian Structural Equation Modelling and Pearson Correlation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16030492. [PMID: 30744209 PMCID: PMC6388275 DOI: 10.3390/ijerph16030492] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Revised: 12/18/2018] [Accepted: 12/26/2018] [Indexed: 02/07/2023]
Abstract
In obesity modelling studies, researchers have been seeking to identify the effective indicators of obesity by using appropriate statistical or mathematical techniques. The main objective of the present study is addressed in three stages. First, a new framework for modelling obesity in university students is introduced. The second stage involves data analysis based on Bayesian Structural Equation Modelling (BSEM) for estimating the Body Mass Index (BMI) (representative of the obesity level) of students at three university levels: Bachelor, Master and PhD. In the third stage, the highest significant correlation is determined between the BMI and other variables in the research model that were found significant through the second phase. The data for this study were collected from students at selected Malaysian universities. The results indicate that unhealthy food intake (fast food and soft drinks), social media use and stress exhibit the highest weightage contributing to overweight and obesity issues for Malaysian university students.
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Affiliation(s)
| | - Hashem Salarzadeh Jenatabadi
- Department of Science and Technology Studies, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia.
| | - Ayed R A Alanzi
- Department of Mathematics, College of Science and Human Studies at Hotat Sudair, Majmaah University, Majmaah 11952, Saudi Arabia.
| | - Mohd Istajib Mokhtar
- Department of Science and Technology Studies, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia.
| | - Mohd Zufri Mamat
- Department of Science and Technology Studies, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia.
| | - Nor Aishah Abdullah
- Department of Science and Technology Studies, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia.
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Aceves-Martins M, Cruickshank M, Fraser C, Brazzelli M. Child food insecurity in the UK: a rapid review. PUBLIC HEALTH RESEARCH 2018. [DOI: 10.3310/phr06130] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BackgroundFood insecurity (FI) is a multifaceted, socioeconomic problem involving difficulties accessing sufficient, safe and nutritious food to meet people’s dietary requirements and preferences for a healthy life. For children experiencing FI, there are some potentially negative developmental consequences and it is, therefore, important to understand the links between FI and children’s health and well-being as well as any strategies undertaken to address FI. The overall objective of this assessment was to determine the nature, extent and consequences of FI affecting children (aged ≤ 18 years) in the UK.ObjectiveTo determine the nature, extent and consequences of FI affecting children (aged ≤ 18 years) in the UK.Data sourcesThe databases searched on 4 December 2017 included MEDLINE (including In-Process & Other Non-Indexed Citations and E-pub ahead of print files), EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Commonwealth Agricultural Bureaux (CAB) abstracts, The Cochrane Library, Education Resources Information Centre (ERIC), PsycINFO, the Social Science Citation Index and the Applied Social Sciences Index and Abstracts (ASSIA).MethodsA rapid review of the current published and unpublished literature was conducted, including all study designs from specified high-income countries in children aged ≤ 18 years. Searches were conducted of major health-care, nutrition, education and social science databases from 1995 onwards, and websites of relevant UK and international organisations. Final searches were undertaken in December 2017.ResultsIn total, 109 studies were selected. Only five studies were conducted in the UK, four of which provided qualitative data. Possible factors associated with child FI were identified, for example socioeconomic status, material deprivation, living in public housing and having unemployed or poorly educated parents. Children’s health, well-being and academic outcomes were all negatively affected by FI. The mediating effects of family stressors and parenting practices in the relationship between FI and children’s health and well-being outcomes were not clear. Food assistance programmes were generally effective in mitigating FI and improving nutritional outcomes (including hunger) in the short term, but did not eradicate FI, eliminate its effects on children’s health or have an impact on academic outcomes. No reports assessing the prevalence of child FI in the UK or the cost-effectiveness and sustainability of interventions to tackle FI were identified.LimitationsThere was a lack of consistency in how FI was defined and measured across studies. Most of the studies used indirect measurements of child FI through parental reports. The majority of studies were conducted in North America. Only five studies were conducted in the UK. Thirty potentially relevant studies were not included in the review as a result of time and resource constraints. Most studies were observational and caution is advised in interpreting their results.ConclusionsA number of factors that were related to child FI were identified, as were negative associations between child FI and physical, mental and social outcomes. However, these findings should be interpreted with caution because of the correlational nature of the analyses and the fact that it is difficult to determine if some factors are predictors or consequences of FI.Future researchThere is an urgent requirement for the development of a reliable instrument to measure and monitor child FI in the UK and for well-designed interventions or programmes to tackle child FI.Study registrationThis study is registered as PROSPERO CRD42017084818.FundingThe National Institute for Health Research Public Health Research programme. The Health Services Research Unit is core-funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates.
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Affiliation(s)
| | | | - Cynthia Fraser
- Health Services Research Unit, University of Aberdeen, Aberdeen, UK
| | - Miriam Brazzelli
- Health Services Research Unit, University of Aberdeen, Aberdeen, UK
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Foster JS, Adamsons K, Vollmer RL, Mobley AR. A pilot study of low-income mothers and fathers of preschool age children to determine the relationship of food security and nutrition assistance on feeding style and child body weight. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2018. [DOI: 10.1080/19320248.2018.1491363] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Jaime S. Foster
- Department of Nutritional Sciences, University of Connecticut, Storrs, CT, USA
- Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford, CT, USA
| | - Kari Adamsons
- Department of Human Development and Family Studies, University of Connecticut, Storrs, CT, USA
| | - Rachel L. Vollmer
- Department of Nutritional Sciences, University of Connecticut, Storrs, CT, USA
- Department of Family & Consumer Sciences, Bradley University, Peoria, IL, USA
| | - Amy R. Mobley
- Department of Nutritional Sciences, University of Connecticut, Storrs, CT, USA
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Cartagena D, McGrath JM, Linares AM. Associations between Introduction of Age-Inappropriate Foods and Early Eating Environments in Low-Socioeconomic Hispanic Infants. J Pediatr Health Care 2018; 32:e27-e36. [PMID: 29249647 DOI: 10.1016/j.pedhc.2017.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Revised: 09/04/2017] [Accepted: 09/09/2017] [Indexed: 01/28/2023]
Abstract
PURPOSE To examine the associations between feeding practices and eating environments of low-socioeconomic Hispanic infants. METHODS Secondary analysis of cross-sectional data from a sample of 62 low-income immigrant Hispanic mothers and their infants (age range = 4-12 months). Measures of infant feeding practices (food groups and beverages consumption) and eating environment domains were included using the Infant Feeding Scale. RESULTS TV exposure and allowing the infant to play with toys during meals significantly correlated with intake of energy-dense foods in 4- to 6-month-olds (p = .05). Among 7- to 9-month-olds, mealtime TV watching correlated with consumption of snacks (p = .05) and sweetened beverages (p = .01). Consumption of energy-dense foods was significantly different among groups with higher mean intake in older infants (p = < .01). CONCLUSION Findings highlight the need for culturally and socioeconomically sensitive approaches to improve infant feeding practices and support low-income Hispanic families in providing healthy and nurturing eating environments required to prevent later obesity risk.
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Jafari F, Ehsani S, Nadjarzadeh A, Esmaillzadeh A, Noori-Shadkam M, Salehi-Abargouei A. Household food insecurity is associated with abdominal but not general obesity among Iranian children. BMC Public Health 2017; 17:350. [PMID: 28431549 PMCID: PMC5399801 DOI: 10.1186/s12889-017-4262-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2016] [Accepted: 04/12/2017] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Childhood obesity is increasing all over the world. Food insecurity is mentioned as a possible risk factor; however, previous studies have led to inconsistent results in different societies while data are lacking for the Middle East. We aimed to investigate the relationship between food insecurity and general or abdominal obesity in Iranian children in a cross-sectional study. METHODS Anthropometric data including height, weight, and waist circumference were measured by trained nutritionists. General and abdominal obesity were defined based on world health organization (WHO) and Iranian reference curves for age and gender, respectively. Radimer/Cornell food security questionnaire was filled by parents. Data about the physical activity of participants, family socio-economic status, parental obesity and data about perinatal period were also gathered using self-administered questionnaires. Logistic regression was incorporated to investigate the association between food insecurity and obesity in crude and multi-variable adjusted models. RESULTS A total of 587 children aged 9.30 ± 1.49 years had complete data for analysis. Food insecurity at household level was significantly associated with abdominal obesity (odds ratio (OR) = 1.54; confidence interval (CI):1.01-2.34, p <0.05) and the relationship remained significant after adjusting for all potential confounding variables (OR = 2.02; CI:1.01-4.03, p <0.05). Food insecurity was associated with general obesity neither in crude analysis and multi-variable adjusted models. CONCLUSIONS The slight levels of food insecurity might increase the likelihood of abdominal obesity in Iranian children and macroeconomic policies to improve the food security are necessary. Large-scale prospective studies, particularly in the Middle East, are highly recommended to confirm our results.
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Affiliation(s)
- Fateme Jafari
- Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Simin Ehsani
- Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
- Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Azadeh Nadjarzadeh
- Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Ahmad Esmaillzadeh
- Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
- Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahmood Noori-Shadkam
- Department of Pediatrics, Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, PO Code 8915173160, Yazd, Iran.
| | - Amin Salehi-Abargouei
- Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Huang H, Wan Mohamed Radzi CWJB, Salarzadeh Jenatabadi H. Family Environment and Childhood Obesity: A New Framework with Structural Equation Modeling. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14020181. [PMID: 28208833 PMCID: PMC5334735 DOI: 10.3390/ijerph14020181] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2016] [Revised: 01/24/2017] [Accepted: 01/25/2017] [Indexed: 01/05/2023]
Abstract
The main purpose of the current article is to introduce a framework of the complexity of childhood obesity based on the family environment. A conceptual model that quantifies the relationships and interactions among parental socioeconomic status, family food security level, child’s food intake and certain aspects of parental feeding behaviour is presented using the structural equation modeling (SEM) concept. Structural models are analysed in terms of the direct and indirect connections among latent and measurement variables that lead to the child weight indicator. To illustrate the accuracy, fit, reliability and validity of the introduced framework, real data collected from 630 families from Urumqi (Xinjiang, China) were considered. The framework includes two categories of data comprising the normal body mass index (BMI) range and obesity data. The comparison analysis between two models provides some evidence that in obesity modeling, obesity data must be extracted from the dataset and analysis must be done separately from the normal BMI range. This study may be helpful for researchers interested in childhood obesity modeling based on family environment.
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Affiliation(s)
- Hui Huang
- Department of Science and Technology Studies, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia.
| | | | - Hashem Salarzadeh Jenatabadi
- Department of Science and Technology Studies, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia.
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Blue Bird Jernigan V, Wetherill MS, Hearod J, Jacob T, Salvatore AL, Cannady T, Grammar M, Standridge J, Fox J, Spiegel J, Wiley A, Noonan C, Buchwald D. Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study. Am J Public Health 2017; 107:441-446. [PMID: 28103070 DOI: 10.2105/ajph.2016.303605] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
OBJECTIVES To examine food insecurity and cardiovascular disease-related health outcomes among American Indians (AIs) in rural Oklahoma. METHODS We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. RESULTS Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality. The unadjusted prevalence of diabetes (28.4% vs 18.4%), obesity (60.0% vs 48.3%), and hypertension (54.1% vs 41.6%) was higher among participants with inadequate food quantity than among those with adequate food quantity. These associations did not reach statistical significance after adjustment for age, gender, study site, education, and income. The unadjusted prevalence of obesity (60.7% vs 45.8%), diabetes (27.3% vs 18.8%), and hypertension (52.5% vs 42.5%) was higher among those with inadequate food quality than among those with adequate food quality, even after adjustment for age, gender, study site, education, and income. CONCLUSIONS Tribal, federal, and state policymakers, as well as businesses and nonprofit organizations, must collaboratively take aggressive action to address food insecurity and its underlying causes, including improving tribal food environments, reducing barriers to healthy foods, and increasing living wages.
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Affiliation(s)
- Valarie Blue Bird Jernigan
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Marianna S Wetherill
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Jordan Hearod
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Tvli Jacob
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Alicia L Salvatore
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Tamela Cannady
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Mandy Grammar
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Joy Standridge
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Jill Fox
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Jennifer Spiegel
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - AnDina Wiley
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Carolyn Noonan
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
| | - Dedra Buchwald
- Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle
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Bruening M, McClain D, Moramarco M, Reifsnider E. The Role of SNAP in Home Food Availability and Dietary Intake among WIC Participants Facing Unstable Housing. Public Health Nurs 2017; 34:219-228. [PMID: 28084013 DOI: 10.1111/phn.12311] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE Little nutrition research has been conducted among families with unstable housing. The objective of this study was to examine the role of food stamps (i.e., Supplemental Nutrition Assistance Program; SNAP) in home food availability and dietary intake among WIC families who experienced unstable housing. DESIGN AND SAMPLE Cross-sectional study among vulnerable families. Low-income, multiethnic families with children participating in WIC (n = 54). MEASURES Dietary intake was assessed with 24-hr recalls. Home food availability was assessed with an adapted home food inventory for low-income, multiethnic families. Validation results from adapted home food inventory for these families are also reported. RESULTS SNAP households had more foods than non-SNAP households; few significant associations were observed between food availability and child dietary intake. CONCLUSIONS With few exceptions, the home food environment was not related to children's dietary intake among these vulnerable families. More research is needed on food access for families facing unstable housing.
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Affiliation(s)
- Meg Bruening
- School of Nutrition and Health Promotion, Arizona State University, Phoenix, Arizona
| | - Darya McClain
- College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona
| | - Michael Moramarco
- College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona
| | - Elizabeth Reifsnider
- College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona
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Factors Associated with Successful Mentoring of Parents Addressing Childhood Obesity: A Mixed Methods Approach. Int J Pediatr 2016; 2016:5769621. [PMID: 27990165 PMCID: PMC5136387 DOI: 10.1155/2016/5769621] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Revised: 09/06/2016] [Accepted: 10/30/2016] [Indexed: 11/18/2022] Open
Abstract
Objective. Parents mentoring other parents as a behavioral intervention for child obesity is novel with limited data describing the experience and dynamics of this approach. This study aimed to describe the experiences of parent mentors and the self-efficacy and attitudes of their mentees in the context of a clinical trial for childhood obesity. Methods. The context for this study was a randomized clinical trial using either parent mentors or a community health worker engaging parents of obese children in behavioral change over six months. Parent mentors were interviewed at the mid-point of the intervention using a semistructured questionnaire to elicit their perceptions and experiences during the process of mentoring. Parent mentees completed a survey assessing their self-efficacy, perception of the parent mentor, and attitudes and beliefs related to their child's weight. Results. The qualitative analysis of parent mentor interviews indicated high commitment despite their nonprofessional status, facing challenges of engagement with fellow parents and attitudes of persistence and being nonjudgmental. The parent mentee ratings of parent mentors were overall very high and similar to the ratings of a community health worker (paraprofessional). Conclusion. The data suggest that a parent mentor model of intervention for child obesity is an acceptable mode of approaching behavior change in the Hispanic population around childhood obesity with potential for scalability if proven effective.
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Reifsnider E, Shin CN, Todd M, Jeong M, Gallagher M, Moramarco M. How Did They Grow: An Intervention to Reduce Stunted Growth in Low-Income Mexican-American Children. Res Nurs Health 2016; 39:105-20. [PMID: 26915468 DOI: 10.1002/nur.21714] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2016] [Indexed: 11/10/2022]
Abstract
Growth stunting is a complex phenomenon related to undernutrition that can contribute to developmental delay, cognitive deficits, and small size and obesity in adulthood. Stunted growth, defined as height for age below the 5th percentile, is primarily caused by chronic malnutrition. In this study, a community-based intervention to reduce undernutrition was tested in a quasi-experimental design with 174 low-income, Mexican-American mothers and children recruited from a Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinic in a major southwestern city. The intervention was based on the public health nursing practice of collaborating with mothers of young children on appropriate nutrition and parenting, and was tailored by the author and community informants for mothers of children with stunted growth. Data were collected on child height and weight, dietary intake, maternal acculturation, maternal perceived stress as measured by the Perceived Stress Scale (PSS), home environment as measured by the home screening questionnaire (HSQ), and maternal-child interaction as measured by the Nursing Child Assessment Teaching Scale (NCATS). Intervention children had higher growth velocity than the children in the comparison group. These findings were especially prominent for children of women who were older and less acculturated. Results suggest that a nursing intervention delivered in collaboration with WIC can make a significant improvement in growth of low-income children with growth stunting.
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Affiliation(s)
- Elizabeth Reifsnider
- Nancy Melvin Professor, Associate Dean for Research, College of Nursing and Health Innovation, Arizona State University, 500 N. 3rd St., Phoenix, AZ, 85004
| | - Cha-Nam Shin
- Assistant Professor, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
| | - Michael Todd
- Associate Research Professor, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
| | - Mihyun Jeong
- Doctoral Student, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
| | - Martina Gallagher
- Assistant Professor, School of Nursing, University of Texas Houston Health Sciences Center, Houston, TX
| | - Michael Moramarco
- Project Coordinator, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
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