Journal
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR
Volume 47, Issue 3, Pages 196-205Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jneb.2015.01.001
Keywords
rural; health disparities; diabetes; beverages; water
Funding
- Virginia Tech College of Agriculture and Life Sciences
- Virginia Foundation for Healthy Youth
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Objective: To determine whether sociodemographic characteristics, food security status, participation in federal nutrition programs (Supplemental Nutrition Assistance Program [SNAP] or Special Supplemental Nutrition Program for Women, Infants, and Children [WIC]), and chronic disease status were associated with adherence to water and sugar-sweetened beverage (SSB) intake recommendations. Design: Cross-sectional, random-digit phone survey with questions from the Behavioral Risk Factor Surveillance System and beverage intake questionnaire. Participants: Residents of a medically underserved, rural area. Main Outcome Measures: Water and SSB intake. Analysis: Descriptive statistics, chi-square and 1-way ANOVA, and linear and logistic regression. Results: The sample consisted of 930 respondents (aged 56 +/- 17 years; 35% non-white); reported food insecurity and SNAP and WIC participation were 37%, 29%, and 8%, respectively. Prevalent health conditions included overweight/obesity (69%), diabetes (19%), and hypertension (45%). Water recommendations were more likely to be met (72%; mean intake, 31 +/- 19 fluid oz) than SSB (41%; mean intake, 246 +/- 297 kcal). Food insecurity and SNAP/WIC participation were not associated with meeting recommendations, but those reporting >= 1 chronic disease were more likely to meet SSB recommendations (odds ratio, 2.42; P = .02). Conclusions and Implications: Odds of achieving SSB but not water recommendations were greater among individuals with a chronic disease. Efforts to communicate beverage recommendations to at-risk groups are needed.
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