Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population.
| Autor: | Lando AM; Food and Drug Administration, College Park, MD, USA., Ferguson MS; Food and Drug Administration, College Park, MD, USA., Verrill L; Food and Drug Administration, College Park, MD, USA., Wu F; Food and Drug Administration, College Park, MD, USA., Jones-Dominic OE; Food and Drug Administration, College Park, MD, USA., Punzalan C; Food and Drug Administration, College Park, MD, USA., Wolpert BJ; Food and Drug Administration, College Park, MD, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of primary care & community health [J Prim Care Community Health] 2021 Jan-Dec; Vol. 12, pp. 21501327211002416. |
| DOI: | 10.1177/21501327211002416 |
| Abstrakt: | Purpose: Obesity prevalence has reached an all-time high in the US, affecting >40% of the population. This study's objective was to evaluate associations between demographics and self-reported calorie knowledge and self-perceived confidence in calorie knowledge ("calorie confidence"). The relationships between body mass index (BMI) and calorie knowledge and confidence were also explored. Methods: We analyzed data from participants (n = 2171) in the crosssectional, nationally representative 2019 FDA Food Safety and Nutrition Survey using logistic regression to estimate adjusted odds ratios (AORs) and confidence intervals (95% CIs) for associations between BMI and calorie knowledge (correct/incorrect), calorie confidence (confident/not confident), and demographic characteristics, and the Wald chi square test to evaluate relationships between BMI and both calorie knowledge and confidence. Results: Many of the same subgroups were more likely than others to report lack of calorie knowledge and lack of confidence in knowing the typical daily calorie intake needed to maintain a healthy weight [respective AORs (95% CIs): age (years), >60 vs 51-60, 1.7 (1.1-2.5), and 1.4 (1.0-2.0); sex, male vs female, 1.7 (1.3-2.3), and 1.7 (1.3-2.1); race/ethnicity, non-Hispanic Black vs non-Hispanic white, 3.4 (2.1-5.5), and 2.4 (1.6-3.8); education, ≤high school vs college grad, 1.5 (1.0- 2.3), and 1.9 (1.3-2.7)]. BMI was significantly correlated with calorie confidence ( P = .047), such that those reporting less confidence were more likely overweight or obese [underweight/healthy (BMI < 25): 29%, overweight (25 ≤ BMI < 30): 34%, obese (BMI ≥ 30): 37%]. Conclusion: In certain demographic subgroups associations between calorie knowledge and confidence differed. Tailored education and outreach for these groups may help to address these disparities. |
| Databáze: | MEDLINE |
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