- Email: [email protected]
Diabetes Knowledge and Cardiovascular Risk Awareness of Seasonal Migrant Workers in South Carolina
TUESDAY, SEPTEMBER 19
POSTER SESSION: WELLNESS AND PUBLIC HEALTH TITLE: COMMUNITY-WIDE COMPUTER-TAILORED INTERVENTION: FINDINGS FROM RURAL MISSOURI PARTICIPANT EVALUATIONS ABOUT RECEIVING TAILORED NEWSLETTERS FOCUSED ON INCREASING WALKING HABITS AUTHOR(S): N.M. Caito, MPH, MS, RD; M.B. Elliott, PhD; S.L. Lovegreen, MPH; R.C. Brownson, PhD; H.A. Jacobsen, MPH; M.W. Kreuter, PhD; Saint Louis University, School of Public Health, St. Louis, MO LEARNING OUTCOME: To understand rural Missouri participants’ reactions to and the effectiveness of computer tailored health communication. TEXT: Computer tailored materials intend to reach one specific person based on characteristics that are unique to that person, are related to study outcomes and have been derived from an individual assessment questionnaire. Randomized intervention trials have shown that tailored print materials are more effective than non-tailored materials in promoting various health-related behaviors. Such approaches have not often been used in comprehensive community interventions. The Walk the Ozarks to Wellness Project (WOW) is a four-year multi-component study within six rural underserved communities in southeast Missouri, aiming to improve energy balance in adults through walking. More than 1200 participants enrolled to receive 18 newsletters over two years tailored on baseline and mid-point survey responses and on walking data obtained from a card reader system located at each community trail. Participants also completed a post-intervention survey that was used to evaluate participants’ behavior change and reactions to newsletters. Qualitative data analyses indicate that nearly all remembered receiving and reading the tailored newsletters, found them to be somewhat or very useful and indicated interest in being contacted for future Project WOW newsletter programs. Top responses for why participants liked the newsletters are broadly labeled as: good information, interesting, motivating, personalized, and offered community announcements. Nutrition information was a top, unprompted request for a follow-up tailored newsletter program. Computer tailored health communication is a well-received and personally relevant way to communicate about health-related topics. Simple to complex tailoring systems can be useful for nutrition professionals to use in clinical, outpatient and community settings. FUNDING DISCLOSURE: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases grant 302365
TITLE: THE NATIONAL INTEGRATED FOOD SAFETY INITIATIVE—WHAT HAVE WE LEARNED IN 5 YEARS? AUTHOR(S): J.C. Singleton, PhD, RD; United States Department of Agriculture, Cooperative State Research, Education, and Extension Service LEARNING OUTCOME: To understand the impacts of integrated food safety research and education on the food safety behaviors and attitudes of consumers, food service workers, and other key target audiences. TEXT: Since the year 2000, the National Integrated Food Safety Initiative (NIFSI), a competitive grant program, has awarded nearly $90 million in grant funds to food safety researchers and educators at colleges and universities throughout the United States and its territories. Grants funded through NIFSI incorporate applied food safety research, classroom education, and extension/ outreach into each individual project. Using this unique approach to food safety education, NIFSI focuses on promoting recommended changes in food safety behaviors and attitudes among diverse audiences. Has this approach been successful? How has this approach compared to more conventional competitive food safety education programs? What lessons have been learned since 2000? This presentation will focus on defining the major advantages and disadvantages of an “integrated” food safety education program as compared to traditional programs. The presentation will outline major NIFSI program impacts on the food safety behavior and attitudes of varied target audiences that include general consumers, youths, high-risk audiences, hard-to-reach audiences, food service workers, farmers, retailers, and others. NIFSI national program staff will address issues that include: 1) recognizing the value of applied and basic food safety research; 2) encouraging collaborations among researchers and educators; and 3) defining existing knowledge gaps concerning food safety behaviors and attitudes. FUNDING DISCLOSURE: None
TITLE: FOOD INSECURITY IS ASSOCIATED WITH POOR SOCIAL CAPITAL AND POOR HEALTH IN FEMALES FROM HOUSEHOLDS RECEIVING WIC ALONE AND WIC PLUS FARMERS’ MARKET NUTRITION PROGRAM
TITLE: DIABETES KNOWLEDGE AND CARDIOVASCULAR RISK AWARENESS OF SEASONAL MIGRANT WORKERS IN SOUTH CAROLINA
AUTHOR(S): J. L. Walker; D. H. Holben, PhD, RD; M. Kropf; Ohio University, School of Human and Consumer Sciences, Athens, OH
AUTHOR(S): V.J. Haley-Zitlin, PhD, RD, C.R. Adams, PhD, W.W. Mayo, MS, L.W. Grimes, PhD; Food Science and Human Nutrition, Clemson, SC
LEARNING OUTCOME: To describe the household food security status, social capital, and health status of female heads from households receiving Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the impact of receiving WIC Farmers’ Market Nutrition Program benefits on those factors.
LEARNING OUTCOME: The participant will be able to describe the perception of the SC Hispanic migrant worker regarding the 1) effect of food on blood glucose levels and 2) diabetes and cardiovascular disease relationship.
TEXT: Food insecurity has been cited as being associated with poor social capital and poor health. Using validated measures, females from an Appalachian Ohio county and heading households receiving WIC benefits alone (n⫽829) and those heading households receiving both WIC and Farmers’ Market Nutrition Program (FMNP) benefits (n⫽246) were surveyed to examine differences in household food security status, social capital, and health status (health). The relationships of food security status, social capital, and health were also examined. Respondents (WIC, n⫽170 [20.5% return rate (RR)]; FMNP, n⫽65 [26.4% RR]) were from households classified as food secure (26.8%), at risk for being food insecure (20.6%), food insecure without hunger (32.9%), and food insecure with hunger (19.7%). Food security status (t-test, p⫽.984) and health (t-test, p⫽.177) did not differ between WIC and FMNP groups. Social capital was greater (t-test, p⫽.001) in respondents from WIC households (4.5⫾2.2), compared to those from FMNP households (3.4⫾2.4). As expected food insecurity was associated with poor social capital (r⫽⫺0.376, p⬍.001) and poor health (r⫽⫺0.189, p⫽.004). Poor health was also associated with poor social capital (r⫽0.135, p⫽.05). FMNP participation does not appear to improve social capital or health of female heads or household food security status. Further study is warranted in larger Ohio and US samples to confirm these trends. In addition, the impact of FMNP on produce intake and related psychosocial indicators of behaviors should be explored.
TEXT: The migrant farm worker has become an important contributor to the seasonal labor required in the agricultural state of South Carolina (SC). A significant number of these migrant workers are Hispanic many of whom speak little or no English. In this population the risk of developing diabetes is twice as high as in the non-Hispanic white population, and cardiovascular disease is the number one cause of death. The purpose of this study was to ascertain the level of knowledge of basic diabetes and cardiovascular disease in a SC Hispanic farm worker population. Migrant workers were recruited from a mobile health clinic and were administered a questionnaire delivered in Spanish which examined nutritional practices. Questions regarding the 1) perception of the impact of foods on blood sugar levels and 2) relationship of diabetes and cardiovascular disease were posed. Thirty six subjects completed the questionnaires. All respondents were Hispanic with Spanish as their primary language. Data was analyzed using a chi-square statistic. 69.4% (p⬍.05) did not think that food could change blood sugar or affect diabetes. 63.9% (p⬍.0001) did not think that diabetes had anything to do with heart problems. These findings strongly underscore the need to provide nutritional information and diabetes and cardiovascular disease information to this population.
FUNDING DISCLOSURE: Ohio University, School of Human and Consumer Sciences, Athens, Ohio; Ohio University, Graduate Student Senate, Athens, Ohio. Ohio University Research Council, Athens, Ohio.
FUNDING DISCLOSURE: None
Journal of the AMERICAN DIETETIC ASSOCIATION / A-69
POSTER SESSION: WELLNESS AND PUBLIC HEALTH TITLE: COMMUNITY-WIDE COMPUTER-TAILORED INTERVENTION: FINDINGS FROM RURAL MISSOURI PARTICIPANT EVALUATIONS ABOUT RECEIVING TAILORED NEWSLETTERS FOCUSED ON INCREASING WALKING HABITS AUTHOR(S): N.M. Caito, MPH, MS, RD; M.B. Elliott, PhD; S.L. Lovegreen, MPH; R.C. Brownson, PhD; H.A. Jacobsen, MPH; M.W. Kreuter, PhD; Saint Louis University, School of Public Health, St. Louis, MO LEARNING OUTCOME: To understand rural Missouri participants’ reactions to and the effectiveness of computer tailored health communication. TEXT: Computer tailored materials intend to reach one specific person based on characteristics that are unique to that person, are related to study outcomes and have been derived from an individual assessment questionnaire. Randomized intervention trials have shown that tailored print materials are more effective than non-tailored materials in promoting various health-related behaviors. Such approaches have not often been used in comprehensive community interventions. The Walk the Ozarks to Wellness Project (WOW) is a four-year multi-component study within six rural underserved communities in southeast Missouri, aiming to improve energy balance in adults through walking. More than 1200 participants enrolled to receive 18 newsletters over two years tailored on baseline and mid-point survey responses and on walking data obtained from a card reader system located at each community trail. Participants also completed a post-intervention survey that was used to evaluate participants’ behavior change and reactions to newsletters. Qualitative data analyses indicate that nearly all remembered receiving and reading the tailored newsletters, found them to be somewhat or very useful and indicated interest in being contacted for future Project WOW newsletter programs. Top responses for why participants liked the newsletters are broadly labeled as: good information, interesting, motivating, personalized, and offered community announcements. Nutrition information was a top, unprompted request for a follow-up tailored newsletter program. Computer tailored health communication is a well-received and personally relevant way to communicate about health-related topics. Simple to complex tailoring systems can be useful for nutrition professionals to use in clinical, outpatient and community settings. FUNDING DISCLOSURE: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases grant 302365
TITLE: THE NATIONAL INTEGRATED FOOD SAFETY INITIATIVE—WHAT HAVE WE LEARNED IN 5 YEARS? AUTHOR(S): J.C. Singleton, PhD, RD; United States Department of Agriculture, Cooperative State Research, Education, and Extension Service LEARNING OUTCOME: To understand the impacts of integrated food safety research and education on the food safety behaviors and attitudes of consumers, food service workers, and other key target audiences. TEXT: Since the year 2000, the National Integrated Food Safety Initiative (NIFSI), a competitive grant program, has awarded nearly $90 million in grant funds to food safety researchers and educators at colleges and universities throughout the United States and its territories. Grants funded through NIFSI incorporate applied food safety research, classroom education, and extension/ outreach into each individual project. Using this unique approach to food safety education, NIFSI focuses on promoting recommended changes in food safety behaviors and attitudes among diverse audiences. Has this approach been successful? How has this approach compared to more conventional competitive food safety education programs? What lessons have been learned since 2000? This presentation will focus on defining the major advantages and disadvantages of an “integrated” food safety education program as compared to traditional programs. The presentation will outline major NIFSI program impacts on the food safety behavior and attitudes of varied target audiences that include general consumers, youths, high-risk audiences, hard-to-reach audiences, food service workers, farmers, retailers, and others. NIFSI national program staff will address issues that include: 1) recognizing the value of applied and basic food safety research; 2) encouraging collaborations among researchers and educators; and 3) defining existing knowledge gaps concerning food safety behaviors and attitudes. FUNDING DISCLOSURE: None
TITLE: FOOD INSECURITY IS ASSOCIATED WITH POOR SOCIAL CAPITAL AND POOR HEALTH IN FEMALES FROM HOUSEHOLDS RECEIVING WIC ALONE AND WIC PLUS FARMERS’ MARKET NUTRITION PROGRAM
TITLE: DIABETES KNOWLEDGE AND CARDIOVASCULAR RISK AWARENESS OF SEASONAL MIGRANT WORKERS IN SOUTH CAROLINA
AUTHOR(S): J. L. Walker; D. H. Holben, PhD, RD; M. Kropf; Ohio University, School of Human and Consumer Sciences, Athens, OH
AUTHOR(S): V.J. Haley-Zitlin, PhD, RD, C.R. Adams, PhD, W.W. Mayo, MS, L.W. Grimes, PhD; Food Science and Human Nutrition, Clemson, SC
LEARNING OUTCOME: To describe the household food security status, social capital, and health status of female heads from households receiving Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the impact of receiving WIC Farmers’ Market Nutrition Program benefits on those factors.
LEARNING OUTCOME: The participant will be able to describe the perception of the SC Hispanic migrant worker regarding the 1) effect of food on blood glucose levels and 2) diabetes and cardiovascular disease relationship.
TEXT: Food insecurity has been cited as being associated with poor social capital and poor health. Using validated measures, females from an Appalachian Ohio county and heading households receiving WIC benefits alone (n⫽829) and those heading households receiving both WIC and Farmers’ Market Nutrition Program (FMNP) benefits (n⫽246) were surveyed to examine differences in household food security status, social capital, and health status (health). The relationships of food security status, social capital, and health were also examined. Respondents (WIC, n⫽170 [20.5% return rate (RR)]; FMNP, n⫽65 [26.4% RR]) were from households classified as food secure (26.8%), at risk for being food insecure (20.6%), food insecure without hunger (32.9%), and food insecure with hunger (19.7%). Food security status (t-test, p⫽.984) and health (t-test, p⫽.177) did not differ between WIC and FMNP groups. Social capital was greater (t-test, p⫽.001) in respondents from WIC households (4.5⫾2.2), compared to those from FMNP households (3.4⫾2.4). As expected food insecurity was associated with poor social capital (r⫽⫺0.376, p⬍.001) and poor health (r⫽⫺0.189, p⫽.004). Poor health was also associated with poor social capital (r⫽0.135, p⫽.05). FMNP participation does not appear to improve social capital or health of female heads or household food security status. Further study is warranted in larger Ohio and US samples to confirm these trends. In addition, the impact of FMNP on produce intake and related psychosocial indicators of behaviors should be explored.
TEXT: The migrant farm worker has become an important contributor to the seasonal labor required in the agricultural state of South Carolina (SC). A significant number of these migrant workers are Hispanic many of whom speak little or no English. In this population the risk of developing diabetes is twice as high as in the non-Hispanic white population, and cardiovascular disease is the number one cause of death. The purpose of this study was to ascertain the level of knowledge of basic diabetes and cardiovascular disease in a SC Hispanic farm worker population. Migrant workers were recruited from a mobile health clinic and were administered a questionnaire delivered in Spanish which examined nutritional practices. Questions regarding the 1) perception of the impact of foods on blood sugar levels and 2) relationship of diabetes and cardiovascular disease were posed. Thirty six subjects completed the questionnaires. All respondents were Hispanic with Spanish as their primary language. Data was analyzed using a chi-square statistic. 69.4% (p⬍.05) did not think that food could change blood sugar or affect diabetes. 63.9% (p⬍.0001) did not think that diabetes had anything to do with heart problems. These findings strongly underscore the need to provide nutritional information and diabetes and cardiovascular disease information to this population.
FUNDING DISCLOSURE: Ohio University, School of Human and Consumer Sciences, Athens, Ohio; Ohio University, Graduate Student Senate, Athens, Ohio. Ohio University Research Council, Athens, Ohio.
FUNDING DISCLOSURE: None
Journal of the AMERICAN DIETETIC ASSOCIATION / A-69