Skip to main content
Erschienen in: Journal of Community Health 3/2014

01.06.2014 | Original Paper

Personal Weight Status Classification and Health Literacy Among Supplemental Nutrition Assistance Program (SNAP) Participants

verfasst von: Hee-Jung Song, Stephanie K. Grutzmacher, Jane Kostenko

Erschienen in: Journal of Community Health | Ausgabe 3/2014

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this study was to examine the conceptual gap between self-perceived weight and body mass index (BMI), and to assess the knowledge gap between perceived importance of following dietary guidelines and health literacy levels. Adults (n = 131) eligible for the Supplemental Nutrition Assistance Program (SNAP) were interviewed at eleven SNAP regional offices in Maryland. Based on BMI calculated from self-reported height and weight, 65.6 % of participants were overweight or obese while 40.5 % perceived that they were overweight or obese. In sub-group analysis categorized by BMI, only 20.0 % in the overweight and 20.0 % in the obese group correctly perceived themselves as being overweight or obese. Following dietary guidelines was perceived as important by a majority of participants, but only 43.5 % had adequate health literacy. Conceptual and knowledge gaps between self-perception and objective health status existed in the low-income SNAP-eligible sample. Future studies need to address these gaps because misperceived weight status and insufficient health literacy are critical barriers to inducing behavioral change.
Literatur
2.
Zurück zum Zitat Stice, E., Shaw, H., & Marti, C. N. (2006). A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work. Psychological Bulletin, 132(5), 667–691.PubMedCentralPubMedCrossRef Stice, E., Shaw, H., & Marti, C. N. (2006). A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work. Psychological Bulletin, 132(5), 667–691.PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Barlow, S. E. (2007). Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics, 120(Suppl 4), S164–S192.PubMedCrossRef Barlow, S. E. (2007). Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics, 120(Suppl 4), S164–S192.PubMedCrossRef
5.
Zurück zum Zitat Lau, D. C. (2007). Synopsis of the 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children. Canadian Medical Association Journal, 176(8), S1–S13.PubMedCentralPubMedCrossRef Lau, D. C. (2007). Synopsis of the 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children. Canadian Medical Association Journal, 176(8), S1–S13.PubMedCentralPubMedCrossRef
6.
Zurück zum Zitat Chan, R. S., & Woo, J. (2010). Prevention of overweight and obesity: How effective is the current public health approach. International Journal of Environmental Research and Public Health, 7(3), 765–783.PubMedCentralPubMedCrossRef Chan, R. S., & Woo, J. (2010). Prevention of overweight and obesity: How effective is the current public health approach. International Journal of Environmental Research and Public Health, 7(3), 765–783.PubMedCentralPubMedCrossRef
7.
Zurück zum Zitat Briancon, S., Bonsergent, E., Agrinier, N., et al. (2010). PRALIMAP: Study protocol for a high school-based, factorial cluster randomised interventional trial of three overweight and obesity prevention strategies. Trials, 11, 119.PubMedCentralPubMedCrossRef Briancon, S., Bonsergent, E., Agrinier, N., et al. (2010). PRALIMAP: Study protocol for a high school-based, factorial cluster randomised interventional trial of three overweight and obesity prevention strategies. Trials, 11, 119.PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Maximova, K., McGrath, J. J., Barnett, T., et al. (2008). Do you see what I see? Weight status misperception and exposure to obesity among children and adolescents. International Journal of Obesity, 32, 1008–1015.PubMedCrossRef Maximova, K., McGrath, J. J., Barnett, T., et al. (2008). Do you see what I see? Weight status misperception and exposure to obesity among children and adolescents. International Journal of Obesity, 32, 1008–1015.PubMedCrossRef
9.
Zurück zum Zitat Nayga, R., & Capps, O. (1994). Analysis of away-from-home and at-home intake of saturated fat and cholesterol. Review of Agricultural Economics, 16, 429–440.CrossRef Nayga, R., & Capps, O. (1994). Analysis of away-from-home and at-home intake of saturated fat and cholesterol. Review of Agricultural Economics, 16, 429–440.CrossRef
10.
Zurück zum Zitat Kuchler, F., & Variyam, J. N. (2003). Mistakes were made: Misperception as a barrier to reducing overweight. International Journal of Obesity, 27, 856–861.PubMedCrossRef Kuchler, F., & Variyam, J. N. (2003). Mistakes were made: Misperception as a barrier to reducing overweight. International Journal of Obesity, 27, 856–861.PubMedCrossRef
11.
Zurück zum Zitat Bennett, G. G., & Wolin, K. Y. (2006). Satisfied or unaware? Racial differences in perceived weight status. The International Journal of Behavioral Nutrition and Physical Activity, 3, 40.PubMedCentralPubMedCrossRef Bennett, G. G., & Wolin, K. Y. (2006). Satisfied or unaware? Racial differences in perceived weight status. The International Journal of Behavioral Nutrition and Physical Activity, 3, 40.PubMedCentralPubMedCrossRef
12.
Zurück zum Zitat Lightman, S., Pisarska, K., Berman, E. R., et al. (1992). Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. The New England Journal of Medicine, 327(27), 1893–1898.CrossRef Lightman, S., Pisarska, K., Berman, E. R., et al. (1992). Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. The New England Journal of Medicine, 327(27), 1893–1898.CrossRef
13.
Zurück zum Zitat Bittner, F. H., Diamond, J., Myers, R., et al. (2008). Perception, intention, and action in adolescent obesity. Journal of the American Board of Family Medicine, 21(6), 555–561.CrossRef Bittner, F. H., Diamond, J., Myers, R., et al. (2008). Perception, intention, and action in adolescent obesity. Journal of the American Board of Family Medicine, 21(6), 555–561.CrossRef
14.
Zurück zum Zitat Rucker, C., & Cash, T. F. (1992). Body images, body-size perceptions and eating behaviors among African-American and white college women. International Journal of Eating Disorders, 12, 291–299.CrossRef Rucker, C., & Cash, T. F. (1992). Body images, body-size perceptions and eating behaviors among African-American and white college women. International Journal of Eating Disorders, 12, 291–299.CrossRef
15.
Zurück zum Zitat Desmond, S., Price, J. H., Gray, N., et al. (1986). The etiology of adolescents’ perceptions of their weight. Journal of Youth and Adolescence, 15, 461–474.PubMedCrossRef Desmond, S., Price, J. H., Gray, N., et al. (1986). The etiology of adolescents’ perceptions of their weight. Journal of Youth and Adolescence, 15, 461–474.PubMedCrossRef
16.
Zurück zum Zitat Shepherd, R., & Towler, G. (2007). Nutrition knowledge, attitudes and fat intake: Application of the theory of reasoned action. Journal of Human Nutrition and Diabetes, 5, 387–397.CrossRef Shepherd, R., & Towler, G. (2007). Nutrition knowledge, attitudes and fat intake: Application of the theory of reasoned action. Journal of Human Nutrition and Diabetes, 5, 387–397.CrossRef
17.
Zurück zum Zitat Tuorila, H., & Pangborn, R. M. (1988). Prediction of reported consumption of selected fat-containing foods. Appetite, 11(2), 81–95.PubMedCrossRef Tuorila, H., & Pangborn, R. M. (1988). Prediction of reported consumption of selected fat-containing foods. Appetite, 11(2), 81–95.PubMedCrossRef
18.
Zurück zum Zitat Kline, G., & Pedersen, S. D. (2010). Errors in patient perception of caloric deficit required for weight loss—Observations from the Diet Plate Trial. Diabetes, Obesity & Metabolism, 12, 455–457.CrossRef Kline, G., & Pedersen, S. D. (2010). Errors in patient perception of caloric deficit required for weight loss—Observations from the Diet Plate Trial. Diabetes, Obesity & Metabolism, 12, 455–457.CrossRef
19.
Zurück zum Zitat Speirs, K., Messina, L. A., Munger, A. L., et al. (2012). Health literacy and nutrition behaviors among low-income adults. Journal of Health Care for the Poor and Underserved, 23, 1082–1091.PubMedCrossRef Speirs, K., Messina, L. A., Munger, A. L., et al. (2012). Health literacy and nutrition behaviors among low-income adults. Journal of Health Care for the Poor and Underserved, 23, 1082–1091.PubMedCrossRef
20.
Zurück zum Zitat Zoellner, J., You, W., Connell, C., et al. (2011). Health literacy is associated with healthy eating index scores and sugar-sweetened beverage intake: Findings from the rural lower Mississippi data. Journal of the American Dietetic Association, 111, 1012–1020.PubMedCentralPubMedCrossRef Zoellner, J., You, W., Connell, C., et al. (2011). Health literacy is associated with healthy eating index scores and sugar-sweetened beverage intake: Findings from the rural lower Mississippi data. Journal of the American Dietetic Association, 111, 1012–1020.PubMedCentralPubMedCrossRef
21.
Zurück zum Zitat Drewnowski, A., & Specter, S. E. (2004). Poverty and obesity: The role of energy density and energy costs. The American Journal of Clinical Nutrition, 79(1), 6–16.PubMed Drewnowski, A., & Specter, S. E. (2004). Poverty and obesity: The role of energy density and energy costs. The American Journal of Clinical Nutrition, 79(1), 6–16.PubMed
22.
Zurück zum Zitat Jones-Smith, J. C., Karter, A. J., Warton, E. M., et al. (2013). Obesity and the food environment: Income and ethnicity differences among people with diabetes. Diabetes Care. doi:10.2337/dc12-2190.PubMed Jones-Smith, J. C., Karter, A. J., Warton, E. M., et al. (2013). Obesity and the food environment: Income and ethnicity differences among people with diabetes. Diabetes Care. doi:10.​2337/​dc12-2190.PubMed
23.
Zurück zum Zitat Peek, M. E., Cargill, A., & Huang, E. S. (2007). Diabetes health disparities: A systematic review of health care interventions. Medical Care Research and Review, 64(5 Suppl), 101S–156S.PubMedCentralPubMedCrossRef Peek, M. E., Cargill, A., & Huang, E. S. (2007). Diabetes health disparities: A systematic review of health care interventions. Medical Care Research and Review, 64(5 Suppl), 101S–156S.PubMedCentralPubMedCrossRef
24.
Zurück zum Zitat Leung, C., Willett, W. C., & Ding, E. L. (2012). Low-income Supplemental Nutrition Assistance Program participation is related to adiposity and metabolic risk factors. American Journal of Clinical Nutrition, 95(1), 17–24.PubMedCentralPubMedCrossRef Leung, C., Willett, W. C., & Ding, E. L. (2012). Low-income Supplemental Nutrition Assistance Program participation is related to adiposity and metabolic risk factors. American Journal of Clinical Nutrition, 95(1), 17–24.PubMedCentralPubMedCrossRef
25.
Zurück zum Zitat Leung, C. W., Ding, E. L., Catalano, P. J., et al. (2012). Dietary intake and dietary quality of low-income adults in the Supplemental Nutrition Assistance Program. The American Journal of Clinical Nutrition, 96(5), 977–988.PubMedCentralPubMedCrossRef Leung, C. W., Ding, E. L., Catalano, P. J., et al. (2012). Dietary intake and dietary quality of low-income adults in the Supplemental Nutrition Assistance Program. The American Journal of Clinical Nutrition, 96(5), 977–988.PubMedCentralPubMedCrossRef
27.
Zurück zum Zitat Leung, C. W., Willett, W. C., & Ding, E. L. (2012). Low-income Supplemental Nutrition Assistance Program participation is related to adiposity and metabolic risk factors. The American Journal of Clinical Nutrition, 95(1), 17–24.PubMedCentralPubMedCrossRef Leung, C. W., Willett, W. C., & Ding, E. L. (2012). Low-income Supplemental Nutrition Assistance Program participation is related to adiposity and metabolic risk factors. The American Journal of Clinical Nutrition, 95(1), 17–24.PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat Chen, Z., Yen, S. T., & Eastwood, D. B. (2005). Effects of food stamp participation on body weight and obesity. American Journal of Agricultural Economics, 87(5), 1167–1173.CrossRef Chen, Z., Yen, S. T., & Eastwood, D. B. (2005). Effects of food stamp participation on body weight and obesity. American Journal of Agricultural Economics, 87(5), 1167–1173.CrossRef
29.
Zurück zum Zitat Gibson, D. (2003). Food stamp program participation is positively related to obesity in low income women. The Journal of Nutrition, 133(7), 2225–2231.PubMed Gibson, D. (2003). Food stamp program participation is positively related to obesity in low income women. The Journal of Nutrition, 133(7), 2225–2231.PubMed
30.
Zurück zum Zitat Kostenko, J., & Grutzmacher, S. (2010). Self-perceptions of overweight and obesity versus BMI calculations using self-reported height and weight among SNAP-eligible adults. Journal of Nutrition Education, 42(4s), s93–s94.CrossRef Kostenko, J., & Grutzmacher, S. (2010). Self-perceptions of overweight and obesity versus BMI calculations using self-reported height and weight among SNAP-eligible adults. Journal of Nutrition Education, 42(4s), s93–s94.CrossRef
31.
Zurück zum Zitat Weiss, B. D., Mays, M. Z., Martz, W., et al. (2005). Quick assessment of literacy in primary care: The newest vital sign. Annals of Family Medicine, 3(6), 514–522.PubMedCentralPubMedCrossRef Weiss, B. D., Mays, M. Z., Martz, W., et al. (2005). Quick assessment of literacy in primary care: The newest vital sign. Annals of Family Medicine, 3(6), 514–522.PubMedCentralPubMedCrossRef
32.
Zurück zum Zitat Shah, L. C., West, P., Bremmeyr, K., et al. (2010). Health literacy instrument in family medicine: The “newest vital sign” ease of use and correlates. The Journal of the American Board of Family Medicine, 23(23), 195–203.CrossRef Shah, L. C., West, P., Bremmeyr, K., et al. (2010). Health literacy instrument in family medicine: The “newest vital sign” ease of use and correlates. The Journal of the American Board of Family Medicine, 23(23), 195–203.CrossRef
33.
Zurück zum Zitat Edwards, N., Pettingell, S., & Borowsky, I. W. (2013). Where perception meets reality: Self-perception of weight in overweight adolescents. Pediatrics. doi:10.1542/peds.2009-0185. Edwards, N., Pettingell, S., & Borowsky, I. W. (2013). Where perception meets reality: Self-perception of weight in overweight adolescents. Pediatrics. doi:10.​1542/​peds.​2009-0185.
34.
Zurück zum Zitat Viner, R. M., Haines, M. M., Taylor, S. J., et al. (2006). Body mass, weight control behaviours, weight perception and emotional well being in a multiethnic sample of early adolescents. International Journal of Obesity, 30(10), 1514–1521.PubMedCrossRef Viner, R. M., Haines, M. M., Taylor, S. J., et al. (2006). Body mass, weight control behaviours, weight perception and emotional well being in a multiethnic sample of early adolescents. International Journal of Obesity, 30(10), 1514–1521.PubMedCrossRef
35.
Zurück zum Zitat Baranowski, T., Cullen, K. W., Nicklas, T., et al. (2003). Are current health behavioral change models helpful in guiding prevention of weight gain efforts? Obesity Research, 11(Suppl), 23S–43S.PubMedCrossRef Baranowski, T., Cullen, K. W., Nicklas, T., et al. (2003). Are current health behavioral change models helpful in guiding prevention of weight gain efforts? Obesity Research, 11(Suppl), 23S–43S.PubMedCrossRef
36.
Zurück zum Zitat Rhee, K., Delago, C. W., Arscott-Mills, T., et al. (2005). Factors associated with parental readiness to make changes for overweight children. Pediatrics, 116, E94–E101.PubMedCrossRef Rhee, K., Delago, C. W., Arscott-Mills, T., et al. (2005). Factors associated with parental readiness to make changes for overweight children. Pediatrics, 116, E94–E101.PubMedCrossRef
37.
Zurück zum Zitat Engstrom, J. L., Paterson, S. A., Doherty, A., et al. (2003). Accuracy of self-reported height and weight in women: An integrative review of the literature. Journal of Midwifery & Women’s Health, 48(5), 338–345.CrossRef Engstrom, J. L., Paterson, S. A., Doherty, A., et al. (2003). Accuracy of self-reported height and weight in women: An integrative review of the literature. Journal of Midwifery & Women’s Health, 48(5), 338–345.CrossRef
38.
Zurück zum Zitat Kemper, K. A., Sargent, R. G., Drane, J. W., et al. (1994). Black and white females’ perceptions of ideal body size and social norms. Obesity Research, 2(2), 117–126.PubMedCrossRef Kemper, K. A., Sargent, R. G., Drane, J. W., et al. (1994). Black and white females’ perceptions of ideal body size and social norms. Obesity Research, 2(2), 117–126.PubMedCrossRef
39.
Zurück zum Zitat Benjamin, R. (2010). Health literacy improvement as a national priority. Journal of Health Communication, 15(Suppl 2), 1–3.PubMedCrossRef Benjamin, R. (2010). Health literacy improvement as a national priority. Journal of Health Communication, 15(Suppl 2), 1–3.PubMedCrossRef
40.
Zurück zum Zitat Levy, A., & Fein, S. B. (1998). Consumers’ ability to perform tasks using nutrition labels. Journal of Nutrition Education, 30(4), 210–217.CrossRef Levy, A., & Fein, S. B. (1998). Consumers’ ability to perform tasks using nutrition labels. Journal of Nutrition Education, 30(4), 210–217.CrossRef
41.
Zurück zum Zitat Kutner, M., Greenberg, E., Jin, Y., et al. (2006). The health literacy of America’s adults: Results from the 2003 National Assessment of Adult Literacy (NCES 2006-483), U.S. Department of Education. Washington, DC: National Center for Education Statistics. Kutner, M., Greenberg, E., Jin, Y., et al. (2006). The health literacy of America’s adults: Results from the 2003 National Assessment of Adult Literacy (NCES 2006-483), U.S. Department of Education. Washington, DC: National Center for Education Statistics.
42.
Zurück zum Zitat Kennen, E. M., Davis, T. C., Huang, J., et al. (2005). Tipping the scales: The effect of literacy on obese patients’ knowledge and readiness to lose weight. Southern Medical Journal, 98(1), 15–18.PubMedCrossRef Kennen, E. M., Davis, T. C., Huang, J., et al. (2005). Tipping the scales: The effect of literacy on obese patients’ knowledge and readiness to lose weight. Southern Medical Journal, 98(1), 15–18.PubMedCrossRef
43.
Zurück zum Zitat Rimal, R. N. (2000). Closing the knowledge–behavior gap in health promotion: The mediating role of self-efficacy. Health communication, 12(3), 219–237.PubMedCrossRef Rimal, R. N. (2000). Closing the knowledge–behavior gap in health promotion: The mediating role of self-efficacy. Health communication, 12(3), 219–237.PubMedCrossRef
Metadaten
Titel
Personal Weight Status Classification and Health Literacy Among Supplemental Nutrition Assistance Program (SNAP) Participants
verfasst von
Hee-Jung Song
Stephanie K. Grutzmacher
Jane Kostenko
Publikationsdatum
01.06.2014
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 3/2014
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-013-9796-4

Weitere Artikel der Ausgabe 3/2014

Journal of Community Health 3/2014 Zur Ausgabe