Objectives: Home food environments are created when families stock their kitchens with food, which contributes to their dietary patterns and weight management. Native Hawaiians and Pacific Islanders (NPHIs) have a high prevalence of overweight and obesity. A description of their home food environment can help nurses understand NHPIs' dietary patterns. Our purpose was to describe NHPIs' home food environments by analyzing grocery store and restaurant receipts. Design and Sample: This descriptive study used analyzed qualitative and quantitative data from eight NHPI families, collected over an 8-week period. Measures: Grocery store and restaurant receipts were analyzed with descriptive statistics. Families' dietary patterns were studied with open-ended questions and compared to receipt data. Results: Food groups with the highest percent expenditures included combination foods (20%), protein foods (19%), and empty calorie food and drinks (11%). The lowest percent expenditures included fruits (8%), grains (7%), vegetables (7%), and dairy (6%). Families visited restaurants zero to 10 times (M = 2) per week. Conclusions: Results can help nurses address NHPIs' home food environment challenges by increasing their awareness of typical food purchases and helping NHPIs assess their own grocery and restaurant purchases and improve their own home food environments.

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The aims of this research were to 1) demonstrate the validity of using a personally-worn micro-camcorder (PWMC) method to assess in-store parent-child food-purchasing interactions and environmental factors related to these behaviors; 2) examine the relationship between child at-home TV-exposure, home food availability/accessibility, parent dietary modeling, and child-feeding style with the healthfulness of child in-store food purchasing requests; and 3) examine the relationship between parent weight status, parent diet quality, food purchasing intentions, perceived relative cost of healthy food, and the use of nutrition facts labels with the healthfulness of parent responses to child in-store food purchasing requests. A total sample of 40 parent-child dyads completed the study. Parents were a mean age of 36.5 years (±6.3), and children were a mean age of 3.8 years (±1.1). Dyads were met at their usual grocery store and shopping time. Children wore a micro-camcorder or eButton on a hat to capture what they saw. Parents also completed a questionnaire about nutrition behaviors and the home food environment based on validated questions from the literature. Coded personally worn micro-camcorder (PWMC) data were highly correlated (rho = 0.345-0.911, p<0.01) with in-person observational data for assessing in-store behavioral and environmental factors, and the method demonstrated a high degree of reliability for assessing purchasing decisions compared to receipt data (Cohen's kappa = 0.787). Also, inter-rater reliability for assessing environmental/behavioral variables ranged from moderate to almost perfect (Cohen's kappa = 0.466-0.937). Children whose parents reported high levels of unhealthy dietary modeling had lower odds of a food request being healthy (OR=0.50, P=0.021), and having parents who report non-directive child-feeding had increased odds of a request being healthy (OR=1.66, P=0.028). Healthy weight parents were more likely to make healthy responses to child food purchasing requests than overweight/obese parents (OR=2.06, P=0.022). Behavioral interventions that seek to improve the healthfulness of food purchasing in families with young children should include components to promote non-directive feeding styles, discourage unhealthful dietary modeling, provide additional resources to target overweight/obese parents' responses to child requests, and use the PWMC method for efficient measurement of these behaviors. / text

abstract: Despite the literature suggesting that fruits and vegetables (F&V) can have a protective outcome against overweight, obesity and chronic diseases, consumption is still inadequate. In order to address under consumption of F&V among children, schools have become a platform for a variety of food programs. The Fresh Fruit and Vegetable Program (FFVP), a United States Department of Agriculture (USDA) initiative, aims to increase exposure and consumption of F&V in low-income school children by providing F&V snacks. Participation in FFVP has been associated with higher preference and consumption of F&V and research also suggests that the program has the potential to decrease rates of overweight and obesity. The benefits of this program have been found to extend outside of the school setting, with higher requests for F&V at home and at the grocery store. This study aims to explore how children’s participation in the FFVP influences home food environments and shopping practices through qualitative analysis focus group data. Four focus groups were held with parents (n=25) from three FFVP participating schools. The data was analyzed using an inductive thematic analysis approach to find themes within the discussions. The findings were grouped into three categories: General Perceptions of FFVP, Impact of FFVP on the Home Food Environment, and Impact of FFVP on Shopping Practices. For General Perceptions of FFVP, themes were: Children learn about and enjoy F&V, awareness of farm to school programs, and children make healthier choices. Impact of FFVP on the Home Food Environment included the themes: Choosing heathier foods and snacks, parent F&V behaviors, children request F&V at home, and children talk about or bring F&V home. Finally, Impact of FFVP on Shopping Practices included the themes: children’s involvement in shopping, children request to buy F&V, children request non-produce items, and parents decline or limit unhealthy requests. This qualitative study provides valuable insights about how FFVP participation influences child and family behaviors towards F&V at home and in the grocery store. School food programs, such as the FFVP, have a positive influence on F&V related behaviors among children and should be continued and expanded. / Dissertation/Thesis / Masters Thesis Obesity Prevention and Management 2018

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No description available.

abstract: Determining the factors associated with the availability of healthy and unhealthy foods in the household may help in understanding the varying complexities that contribute to obesity among children and help design interventions to impact children's food consumption behaviors. This study examined factors that are associated with the availability of healthy and unhealthy foods in children's home food environments (HFE). Data was collected from a random-digit-dial telephone survey of 1708 households, with at least one child between 3-18 years of age, located in five low-income New Jersey cities. HFE was assessed based on responses to a set of six items that measured availability of specific healthy and unhealthy foods in the respondent's home. These items contributed to construction of three HFE scales used as dependent variables in these analyses: healthy HFE, unhealthy HFE, and a ratio of healthy to unhealthy foods in the HFE. Independent variables included household socio-demographics, parental perceptions of their own weight and diet health, frequency of family meals, proximity to food outlets, and perception of access to healthy foods in the neighborhood food environment. Significant differences were observed in the HFE by race and ethnicity, with Non-Hispanic black children having fewer healthy foods and Non-Hispanic white children having more unhealthy food items available at home. Parents who reported being overweight or obese had a healthier HFE and those perceiving their own eating as healthy had more healthy and less unhealthy foods in the household. Food-secure households had more unhealthy compared to healthy foods at home. Households located farther from a supermarket had a greater number of unhealthy food items and a lower healthy/unhealthy food availability ratio. Parental perception of better access to fruits and vegetables and low-fat foods was associated with availability of a greater number of healthy food items at home. Overall, the HFE varied by parental and demographic characteristics, parental perceptions about the food environment and the actual features of the built neighborhood food environment. / Dissertation/Thesis / M.S. Nutrition 2012