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Motivators of and Barriers to Engagement in Healthy Eating Behaviors among non-Hispanic Black Adults

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Abstract

Objectives

The objective of this study was to determine if non-Hispanic Black adults’ levels of endorsement of motivators and barriers related to healthy eating are significantly associated with their level of engagement in healthy eating and their perceived importance of healthy eating and if these investigated variables differ by gender, income, and/or age.

Method

An assessment battery was completed by a cross-sectional sample of 207 non-Hispanic Black adults in Bronx, NY (54.1 % female; age: M = 38, SD = 14.12). Participants were recruited by culturally diverse data collectors at community-based locations within Bronx.

Results

Building healthy eating into a routine was a significant motivator of healthy eating (p < 0.001), and having low self-control over eating behaviors was a significant barrier to healthy eating (p < 0.05). Importance ratings of healthy eating were positively associated with motivators to engaging in healthy eating (routine: p < 0.001; availability of healthy foods: p < 0.001; addressing medical issues: p < 0.001; convenience of eating healthy foods: p < 0.01). There were age and income differences in several motivators and barriers.

Implications

Intervention programs to increase healthy eating among adults similar to those in this study may benefit from including a focus on increasing self-control of eating behaviors and incorporating healthy eating into one’s routine.

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References

  1. Flegal KM, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA. 2012;307(5):491–7.

    Article  PubMed  Google Scholar 

  2. Alwan A. Global status report on noncommunicable diseases. 2011. http://www.who.int/nmh/publications/ncd_report_full_en.pdf. Accessed 2 Feb 2013.

  3. Roger VL, Go AS, Lloyd-Jones DM, et al. Statistical fact sheet 2012 update: African Americans & cardiovascular diseases. 2011. http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319568.pdf. Accessed 2 Feb 2013.

  4. Centers for Disease Control and Prevention. National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States, 2011. 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf. Accessed 2 Feb 2013.

  5. Heron M. Deaths: Leading causes for 2006. National Vital Statistics Reports. 2011;58(14). http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr5814.pdf . Accessed 2 Feb 2013.

  6. US Census Bureau. State and county quick facts: Bronx county, New York. 2012. http://quickfacts.census.gov/qfd/states/36/36005.html. Accessed 2 Feb 2013.

  7. New York State Department of Health. Obesity statistics and prevention activities by county. 2003. http://www.health.state.ny.us/statistics/prevention/obesity/county_list.htm Accessed 2 Feb 2013.

  8. Centers for Disease Control and Prevention. Vital signs: State-specific obesity prevalence among adults — United States, 2009. MMWR. 2010;59(1-5). http://www.cdc.gov/mmwr/preview/mmwrhtml/mm59e0803a1.htm?s_cid=mm59e0803a1_e%0D%0A. Accessed 2 Feb 2013.

  9. Healthy States Initiative. Improving health through better nutrition: Legislator policy brief. 2008. http://www.healthystates.csg.org/NR/rdonlyres/F2AD6ADA-59B3-4902-B2E9-52E4CED43D3B/0/LPB_BetterNutrition.pdf. Accessed 2 Feb 2013.

  10. King DE, Mainous AG, Carnemolla M, et al. Adherence to healthy lifestyle habits in US adults, 1988-2006. Am J Med. 2009;122(6):528–34.

    Article  PubMed  Google Scholar 

  11. Beydoun MA, Gary TL, Caballero BH, et al. Ethnic differences in dairy and related nutrient consumption among US adults and their association with obesity, central obesity, and the metabolic syndrome. Am J Clin Nutr. 2008;87(6):1914–25.

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Wang Y How much of racial/ethnic disparities in dietary intakes, exercise, and weight status can be explained by nutrition- and health-related psychosocial factors and socioeconomic status among US adults. J Am Diet Assoc. 2011;111(12):1904–11.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Block JP, Scribner RA, DeSalvo KB. Fast food, race/ethnicity, and income. Am J Prev Med. 2004;27(3):211–7.

    PubMed  Google Scholar 

  14. Morland K, Wing S, Diez-Roux A, et al. Neighborhood characteristics associated with the location of food stores and food service places. Am J Prev Med. 2002;22(1):23–9.

    Article  PubMed  Google Scholar 

  15. James DCS. Factors influencing food choices, dietary intake, and nutrition-related attitudes among African Americans: Application of a culturally sensitive model. Ethn Health. 2004;9(4):349–67.

    Article  PubMed  Google Scholar 

  16. Alberti P, Hadi E, Cespedes A, et al. Farmers’ markets – Bringing fresh, nutritious food to the South Bronx. 2008. http://www.nyc.gov/html/doh/downloads/pdf/dpho/dpho-farmersmarket.pdf. Accessed 2 Feb 2013.

  17. Tucker CM, Butler AM, Loyuk IS, et al. Predictors of a health promoting lifestyle and behaviors among low-income African American mothers and White mothers of chronically ill children. J Natl Med Assoc. 2009;101(2):103–10.

    Article  PubMed  Google Scholar 

  18. Tucker CM, Rice KG, Hou W, et al. Development of the Motivators of and Barriers to Health-Smart Behaviors Inventory. Psychol Assess. 2011;23(2):487–503.

    Article  PubMed  Google Scholar 

  19. Bandura A Social foundations of thought and action: a social cognitive theory. Prentice Hall: Englewood Cliffs, NJ; 1986.

    Google Scholar 

  20. Hearty AP, McCarthy SN, Kearney JM, et al. Relationship between attitudes towards healthy eating and dietary behavior, lifestyle and demographic factors in a representative sample of Irish adults. Appetite. 2007;48(1):1–11.

    Article  CAS  PubMed  Google Scholar 

  21. Standage M, Sebire SJ, Loney T. Does exercise motivation predict engagement in objectively assessed bouts of moderate-intensity exercise? A self-determination theory perspective. J Sport Exerc Psychol. 2008;30(4):337–52.

    Article  PubMed  Google Scholar 

  22. Pelletier LG, Dion SC, Slovinec-D’Angelo M, et al. Why do you regulate what you eat? Relationships between forms of regulation, eating behaviors, sustained dietary behavior change, and psychological adjustment. Motiv Emot. 2004;28(3):245–77.

    Article  Google Scholar 

  23. Wardle J, Haase AM, Steptoe A, et al. Gender differences in food choice: The contribution of health beliefs and dieting. Ann Behav Med. 2004;27(2):107–16.

    Article  PubMed  Google Scholar 

  24. Guo X, Warden BA, Paeratakul S, Bray GA. Healthy eating index and obesity. Eur J Clin Nutr. 2004;58:1580–6.

    Article  CAS  PubMed  Google Scholar 

  25. Zenk SN, Schulz AJ, Hollis-Neely T, et al. Fruit and vegetable intake in African Americans: Income and store characteristics. Am J Prev Med. 2005;29(1):1–9.

    Article  PubMed  Google Scholar 

  26. Moore LV, Diez-Roux AV, Franco M. Measuring availability of healthy foods: Agreement between directly measured and self-reported data. Am J Epidemiol. 2012;175(10):1037–44.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Black JL, Macinko J, Dixon LB, et al. Neighborhoods and obesity in New York City. Health Place. 2010;16(3):489–99.

    Article  PubMed  Google Scholar 

  28. Bader MD, Purciel M, Yousefzadeh P, et al. Disparities in neighborhood food environments: Implications of measurement strategies. J Econ Geo. 2010;86(4):409–30.

    Article  Google Scholar 

  29. LaCaille LJ, Dauner KN, Krambeer RJ, et al. Psychosocial and environmental determinants of eating behaviors, physical activity, and weight change among college students: A qualitative analysis. J Am Coll Heal. 2011;59(6):531–8.

    Article  Google Scholar 

  30. Ryan RM, Deci EL. Self-regulation and the problem of human autonomy: Does psychology need choice, self-determination, and will? J Pers. 2006;74:1557–85.

    Article  PubMed  Google Scholar 

  31. McGuire LC, Strine TW, Okoro CA, et al. Healthy lifestyle behaviors among older U.S. adults with and without disabilities, Behavioral Risk Factor Surveillance System, 2003. Prev Chronic Dis. 2007;4(1). http://www.cdc.gov/pcd/issues/2007/jan/06_0029.htm. 2 Feb 2013.

  32. Ogden CL, Lamb MM, Carroll MD, et al. Obesity and socioeconomic status in adults: United States 1988–1994 and 2005–2008. NCHS data brief no 50. Hyattsville, MD: National Center for Health Statistics; 2010.

    Google Scholar 

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Acknowledgments

Thank you to PepsiCo for providing the grant funding to support the research reported in this paper. The research funder had no involvement in the study design, in the collection, analysis, and interpretation of data, or in the writing of the manuscript.

Conflict of Interest

The authors declare that they have no competing interests.

Compliance with Ethical Standards

The Institutional Review Board at the university where the research team is based granted the approval of the present study.

Statement of Human Rights and Informed Consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. No signed inform consent form was required because participants’ responses were anonymous.

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Corresponding author

Correspondence to Sarah E. M. Nolan.

Appendices

Appendix 1. Health Behaviors Importance Rating Form

Directions: Do NOT write your name on this questionnaire. Please think about how important it is to you to do each of the behaviors listed below on a daily basis.

On a scale of 0 to 7, with “0” meaning “Not at all important” and “7” meaning “Extremely important,” how important is it to you to do each of these behaviors on a daily basis? For each question, please fill in one circle, like this: ●

figure b

Appendix 2. The Health Promoting Behavior Log

Directions: Do NOT write your name on this questionnaire. Think about your behaviors over the past week. How many days out of the past week did you do each of the behaviors listed below? For each question, please fill in one bubble (like this: ).

figure c

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Nolan, S.E.M., Tucker, C.M., Flenar, D.J. et al. Motivators of and Barriers to Engagement in Healthy Eating Behaviors among non-Hispanic Black Adults. J. Racial and Ethnic Health Disparities 3, 473–483 (2016). https://doi.org/10.1007/s40615-015-0164-1

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  • DOI: https://doi.org/10.1007/s40615-015-0164-1

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