Community intervention and trends in dietary fat consumption among black and white adults
Abstract
Objective This study assessed whether a state public health department could effectively implement an affordable nutrition intervention program at the community level.Design Cross-sectional data were collected via telephone surveys of 9,839 adults, aged 18 years or older, in 1987, 1989, and 1991 in two South Carolina communities. Nutrition education programs began in 1988 in one community. The other community served as a comparison site. We assessed and compared changes in community levels of dietary fat and weekly meat consumption, salt use, and nutrition promotion awareness with analysis of covariance regression techniques that included race, sex, and age as covariates.Results We observed favorable changes in most eating behaviors and levels of awareness in both communities. The intervention community experienced greater absolute changes that the comparison community in use of animal fats (-8.9% vs -4.0%; P = .02) and liquid or soft vegetable fats (+8.4% vs +3.6%; P = .04), and in awareness of restaurant nutrition information (+33.0% vs +19.4%; P = .0001). Although the primary type of dietary fat used differed between black and white respondents, we observed significant change among both groups.Conclusions These results suggest that community-wide nutrition education programs may have augmented regional or national changes in dietary behavior among white and black adults in the intervention community.
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Community- and school-based long-term media and education campaigns have been effective in improving dietary habits of adults, school-age children, and younger children, as well as reducing adiposity and cardiovascular risk factors in adults.
“Community- and school-based long-term media and education campaigns have also been effective in improving dietary habits of adults, school-age children, and younger children,45–48 as well as reducing adiposity and cardiovascular risk factors in adults.49”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [47]
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References 43 · Cited by 32
- Authors
- Croft, J. B., Temple, S. P., Lankenau, B., Heath, G. W., Macera, C. A., Eaker, E. D., & Wheeler, F. C.
- Affiliations
- Centers for Disease Control and Prevention (US)
- South Carolina Department of Health and Environmental Control (US)
- University of South Carolina (US)
- Corresponding author
- Croft, Janet B
- Venue
- Journal of the American Dietetic Association
- Publisher
- Elsevier BV
- Published
- 1994-11
- Volume
- 94
- Issue
- 11
- Pages
- 1284-1290
- ISSN
- 0002-8223 (ISSN-L)
- OpenAlex
- W2042615885
- Cited by
- 32
- References
- 43
- Citations by year
- 2017: 2 · 2015: 1 · 2014: 1 · 2012: 2
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Dietetic Association (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (U501CCU402234)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Life Sciences › Agricultural and Biological Sciences › Food Science › Nutrition, Health, and Society Studies
- Keywords
- community nutrition intervention, nutrition education programs, dietary fat intake, meat consumption, salt use, South Carolina
- MeSH terms
- Adult, Black or African American, Cross-Sectional Studies, Diet, Dietary Fats, Feeding Behavior, Female, Health Promotion, Humans, Male, Middle Aged, Risk Factors, Sodium, Dietary, South Carolina, White People, Nutritional Sciences
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