title: Perceived environmental church support is associated with dietary practices among African-American adults.
abstract: A unique strength of the African-American community is the importance of church and faith. Interventions promoting health might want to build on these strengths by developing faith-based interventions that encourage churches to create an environment that supports behavior change. The objective of the study was to examine the relationship between perceived environmental church support for healthy eating and intake of fruit and vegetables and fat- and fiber-related behaviors, and to examine whether these relationships differ by sex. The design was a cross-sectional study in which participants completed self-report dietary and perceived church support measures before initiation of an intervention. Relationships between fruit and vegetable consumption, fat- and fiber-related behaviors, and perceived church support (eg, total, written informational, spoken informational, instrumental [fruit and vegetable consumption only]), along with Support×Sex interactions were examined. Participants were 1,136 African-American church members from four geographically defined districts in South Carolina. Statistical analyses included regression models controlling for sex, age, years of education, health rating, and body mass index using SAS PROC MIXED. A separate model was conducted for each measure of perceived church support and each type of healthy eating index. Perceived total church support and perceived written and spoken informational church support were associated with considerably higher fruit and vegetable intake and more favorable fiber-related behaviors, whereas only perceived total and perceived written informational support were associated with more low-fat dietary behaviors. Perceived instrumental church support was not associated with fruit and vegetable consumption. No sex differences were found. The social and physical church environment can be an important factor influencing the dietary habits of its members. Future faith-based interventions should further explore the role of the church environment in improving the dietary practices of its members.
authors: Department of Exercise Science, University of South Carolina, Public Health Research Center, Columbia, SC, USA. stritesk@mailbox.sc.edu
authors: Meghan
authors: M
authors: Baruth
authors: Sara
authors: S
authors: Wilcox
authors: Margaret D
authors: MD
authors: Condrasky
references: Am J Public Health. 1999 Sep;89(9):1390-6
references: 10474558
references: J Cancer Educ. 2000 Fall;15(3):164-7
references: 11019765
references: Health Promot Pract. 2007 Jan;8(1):69-78
references: 16885511
references: Prev Med. 2000 Feb;30(2):146-54
references: 10656842
references: Prev Med. 2004 Sep;39(3):602-11
references: 15313101
references: JAMA. 2004 Mar 10;291(10):1238-45
references: 15010446
references: Am J Clin Nutr. 1994 Jan;59(1 Suppl):185S-189S
references: 8279421
references: Am J Public Health. 2001 Oct;91(10):1686-93
references: 11574336
references: Am J Clin Nutr. 2007 Sep;86(3):697-706
references: 17823435
references: Health Psychol. 2005 Jul;24(4):339-48
references: 16045368
references: Cancer Epidemiol Biomarkers Prev. 1997 May;6(5):355-61
references: 9149896
references: J Am Diet Assoc. 2002 Dec;102(12):1764-72
references: 12487538
references: Health Educ Behav. 2000 Apr;27(2):241-53
references: 10768805
references: Medscape J Med. 2009;11(1):26
references: 19295947
references: Contemp Clin Trials. 2010 Jul;31(4):323-35
references: 20359549
references: J Am Diet Assoc. 1999 Aug;99(8 Suppl):S35-9
references: 10450292
references: Am J Prev Med. 2007 Feb;32(2):131-8
references: 17234487
references: Health Educ Q. 1988 Winter;15(4):351-77
references: 3068205
references: Am J Epidemiol. 2000 Dec 1;152(11):1072-80
references: 11117617
references: Health Educ Behav. 2007 Dec;34(6):864-80
references: 17200096
references: Circulation. 2010 Feb 23;121(7):e46-e215
references: 20019324
references: J Am Diet Assoc. 1999 Oct;99(10):1241-8
references: 10524389
references: J Nutr Educ Behav. 2005 Sep-Oct;37(5):259-64
references: 16053815