A5057753910- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Urban Agriculture and Sustainability
- Organic Food and Agriculture
- Nutritional Studies and Diet
- Obesity and Health Practices
- Consumer Retail Behavior Studies
- Consumer Attitudes and Food Labeling
- Mobile Health and mHealth Applications
- Homelessness and Social Issues
- Nutrition, Health and Food Behavior
- ICT in Developing Communities
- Urban Transport and Accessibility
- Disaster Management and Resilience
- Indigenous Health, Education, and Rights
- Housing Market and Economics
- Dietetics, Nutrition, and Education
- Complementary and Alternative Medicine Studies
- COVID-19 Pandemic Impacts
- Physical Activity and Health
- Nutrition, Genetics, and Disease
- Behavioral Health and Interventions
- Children's Physical and Motor Development
- Economics of Agriculture and Food Markets
- Smoking Behavior and Cessation
Johns Hopkins University
2021-2025
Bloomberg (United States)
2024
University of Michigan
2022
University of Delaware
2021-2022
To investigate the relationship between United States (US) containment measures during COVID-19 pandemic and household food insecurity. these relationships, we developed a framework linking COVID-related policies with different domains of security, then used multilevel random effects models to examine associations state-level security. Our depicts theorized linkages stringency five security (availability, physical access, economic acceptability in meeting preferences, agency, which includes...
Objectives. To describe food insecurity in the United States December 2020 and examine associations with underuse of medical care during COVID-19 pandemic. Methods. We fielded a nationally representative Web-based survey (n = 8318). Multivariable logistic regression models predicted probabilities were used to evaluate factors associated compare likelihood delaying or forgoing because cost concerns by security status. Results. In 2020, 18.8% US adults surveyed reported experiencing...
Dollar stores are a rapidly expanding yet understudied food retailer in urban settings. Community member experiences with dollar-store environments at local level not well established the current literature. This qualitative study sought to understand community perspectives on and shopping experiences. Thirty-five participants across 15 zip codes Baltimore, Maryland completed an in-depth interview and/or engaged workshop between December 2022 July 2023. A thematic analysis was utilized...
This study investigated how workplace culture may affect the development of lifestyle medicine (LM) programming in health systems to inform successful growth LM programs. No has examined impact (shared knowledge, values and behaviours within an organisation) affects practitioners' abilities engage LM. A cross-sectional, multiple case investigation implementation five was conducted by administering semi-structured in-depth interviews (n=45) from May 2022 January 2023. Following transcription...
Early COVID-19 pandemic data showed a spike in both food insecurity and poor mental health. The purpose of this study was to examine the relationship between health outcomes nine months after start pandemic. A national survey adults 18 years older administered December 2020 (N = 8,355). Multivariable logistic models post-estimation margins commands were used show predicted probability (psychological distress, anxiety, depression) by security status. majority participants (68.5%) reported...
Improving healthy food access in low-income communities continues to be a public health challenge. One strategy for improving has been introduce community stores, with the mission of increasing access; however, no study explored experiences different initiatives and models opening sustaining stores. This used case approach understand stores communities. The purpose this paper is describe methodology protocol followed. A was seven across urban settings U.S. Each site individually coded their...
Introduction There are currently over 50 dollar stores in Baltimore City, Maryland. Community perceptions of over-saturation and resulting neighborhood impacts have garnered recent attention. A Maryland State Senate Bill required further study City to inform future policy. Therefore, the over-arching goal this was generate community-informed policy recommendations for Council. Methods Three methods data collection were used: (1) in-depth interviews with community members, retail...
Diet-related disease is rising, disproportionately affecting minority communities in which small food retail stores swamp supermarkets. Barriers to healthy access were exacerbated by the pandemic. We examined following: (1) individual- and household-level factors a sample of Baltimore community members who regularly shop at corner (2) how these are associated with indicators dietary quality.
Mission-driven, independently-owned community food stores have been identified as a potential solution to improve access healthy foods, yet date there is limited information on what factors contribute these stores’ success and failure. Using multiple case study approach, this examined makes store successful strategies for in seven urban areas across the United States. We used Stake’s analysis approach identify following key aims that contributed all cases: (1) making available, (2) offering...
Low-income urban communities in the United States commonly lack ready access to healthy foods. This is due part a food distribution system that favors provision of high-fat, high-sugar, high-sodium processed foods small retail stores, and impedes their healthier alternatives, such as fresh produce. The Baltimore Urban Distribution (BUD) study multilevel, multicomponent systems intervention aims improve low-income neighborhoods Baltimore, Maryland. primary BUD application (app), which uses...
Community engagement is well established as a key to improving public health. Prior food environment research has largely studied community an intervention component, leaving much unknown about how retailers may already engage in this work. The purpose of study was explore the activities employed by neighborhood located lower-income communities with explicit health missions understand ways stores involve and work their communities. A multiple case methodology utilized among seven urban U.S....
Lifestyle medicine (LM) is the use of therapeutic lifestyle changes (including a whole-food, plant-predominant eating pattern; regular physical activity; restorative sleep; stress management; avoidance risky substances; and positive social connection) to prevent treat chronic illness. Despite growing evidence, LM still not widely implemented in health care settings. Potential challenges implementation include lack clinician training, staffing concerns, misalignment services with...
A series of influential articles suggests that obesity may spread between couples, siblings, and close friends via an contagion phenomenon. Classmates, as important structural equivalents in one's social network, experience contagion. However, this has rarely been examined. Anthropometric measurements, questionnaire surveys, geographic information were collected from 3670 children 26 schools Northeast China. We found classmates positively related terms body mass index (BMI), fat, physical...
Dollar stores are the fastest-growing type of food retailer in United States, prompting policy action across country related to their perceived negative impact on communities they serve. However, there is little existing research that explores community member perceptions dollar stores, which critical inform new, equitable policies. To address this gap Baltimore City, Maryland, where store density high, we aimed describe terms role broader community. We used thematic analysis construct...
The objective of this study was to define the types digital tools currently used and desired by food pantries for pantry management. A nationwide online survey U.S. conducted searching foodpantries.org database. Surveys were sent via email completed using Google Forms. most app/software features included staff volunteer scheduling (49.2%); inventory management (42.1%); communicating with volunteers (35.7%); client registration at (35.4%); tracking statistics (33.7%). Overall, desire access...
In the United States, low-income, underserved rural and urban settings experience poor access to healthy, affordable food. Introducing new food outlets in these locations has shown mixed results for improving healthy consumption. The Healthy Community Stores Case Study Project (HCSCSP) explored an alternative strategy: supporting mission-driven, locally owned, community stores improve access. HCSCSP used a multiple case study approach, conducted cross-case analysis of seven across States....
Food-insecure households commonly rely on food pantries to supplement their nutritional needs, a challenge that was underscored during the COVID-19 pandemic. Food pantries, and banks supply them, face common challenges in meeting variable client volume dietary needs under normal emergency (e.g., pandemic, natural disaster) conditions. A scalable digital strategy has capacity streamline distribution system, while promoting healthy options, managing volunteer recruitment training, connecting...
To identify and describe factors related to low-income, African American youth's participation in neighborhood youth physical activity opportunities (YPAO).Formative research.Face-to-face focus groups New Castle County, Delaware.Fifty-five adults (parents/guardians of youth, YPAO providers, small business representatives) living and/or working neighborhoods.Nine, 60-90 minute were conducted from December 2018 through March 2019. Focus group questions developed a priori included domains...