Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population
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 relation...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-03-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501327211002416 |
| _version_ | 1818428137014296576 |
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| author | Amy M. Lando Martine S. Ferguson Linda Verrill Fanfan Wu Olivia E. Jones-Dominic Cecile Punzalan Beverly J. Wolpert |
| author_facet | Amy M. Lando Martine S. Ferguson Linda Verrill Fanfan Wu Olivia E. Jones-Dominic Cecile Punzalan Beverly J. Wolpert |
| author_sort | Amy M. Lando |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T14:56:50Z |
| format | Article |
| id | doaj.art-eb12c4db710346078e6b17d20b0d5757 |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-12-14T14:56:50Z |
| publishDate | 2021-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-eb12c4db710346078e6b17d20b0d57572022-12-21T22:56:58ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272021-03-011210.1177/21501327211002416Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult PopulationAmy M. Lando0Martine S. Ferguson1Linda Verrill2Fanfan Wu3Olivia E. Jones-Dominic4Cecile Punzalan5Beverly J. Wolpert6Food and Drug Administration, College Park, MD, USAFood and Drug Administration, College Park, MD, USAFood and Drug Administration, College Park, MD, USAFood and Drug Administration, College Park, MD, USAFood and Drug Administration, College Park, MD, USAFood and Drug Administration, College Park, MD, USAFood and Drug Administration, College Park, MD, USAPurpose 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.https://doi.org/10.1177/21501327211002416 |
| spellingShingle | Amy M. Lando Martine S. Ferguson Linda Verrill Fanfan Wu Olivia E. Jones-Dominic Cecile Punzalan Beverly J. Wolpert Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population Journal of Primary Care & Community Health |
| title | Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population |
| title_full | Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population |
| title_fullStr | Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population |
| title_full_unstemmed | Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population |
| title_short | Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population |
| title_sort | health disparities in calorie knowledge and confidence among the u s adult population |
| url | https://doi.org/10.1177/21501327211002416 |
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