title: Dietary and Behavioral Factors Associated with Diet Quality among Low-income Overweight and Obese African American Women.
abstract: OBJECTIVE
  The goal of this research was to assess the roles of demographic and home food environment characteristics on diet quality measured with the U.S. Department of Agriculture's Healthy Eating Index (HEI) in a population of low-income overweight and obese African American women.
  
  
  METHODS
  Cross-sectional analysis of baseline data.
  
  
  METHODS
  A community-based study of low-income overweight and obese African American women.
  
  
  METHODS
  Participants enrolled in the Healthy Homes/Healthy Families study including a home environment survey (e.g., food availability, food practices and social support) and 24-hour recall dietary data collected on one weekday and one weekend day (n = 198).
  
  
  RESULTS
  In multivariate regression analyses, demographic characteristics were not significantly associated with diet quality; however, several home food environment characteristics were significantly associated with higher quality diets, including healthy shopping (e.g., regularly purchasing fresh fruits and vegetables), selecting healthy beverages (e.g., without added sugar), healthy food preparation, and serving behaviors. Eating while watching television was associated with lower quality diets. Nearly 33% (p < 0.001) of the variance in HEI total score was explained by the home food environment factors, far surpassing that explained by demographic characteristics (3.5%, p = 0.21).
  
  
  CONCLUSIONS
  Interventions targeting the home food environment may improve overall diet quality in low-income overweight African American populations.
authors.affiliation: a Department of Epidemiology , Rollins School of Public Health and Winship Cancer Institute (TJH), Emory University , Atlanta , Georgia.
authors.forename: Terryl J
authors.initials: TJ
authors.lastname: Hartman
authors.affiliation: b Department of Behavioral Sciences and Health Education & Emory Prevention Research Center, Rollins School of Public Health and Winship Cancer Institute (TJH) , Emory University , Atlanta , Georgia.
authors.forename: Regine
authors.initials: R
authors.lastname: Haardörfer
authors.affiliation: c HERCULES-Emory's Environmental Health Center, Emory Prevention Research Center , Rollins School of Public Health and Winship Cancer Institute (TJH) , Emory University , Atlanta , Georgia.
authors.forename: Laura L
authors.initials: LL
authors.lastname: Whitaker
authors.affiliation: d Primary Care of Southwest GA, Inc. , Blakely , Georgia.
authors.forename: Ann
authors.initials: A
authors.lastname: Addison
authors.affiliation: a Department of Epidemiology , Rollins School of Public Health and Winship Cancer Institute (TJH), Emory University , Atlanta , Georgia.
authors.forename: Maria
authors.initials: M
authors.lastname: Zlotorzynska
authors.affiliation: a Department of Epidemiology , Rollins School of Public Health and Winship Cancer Institute (TJH), Emory University , Atlanta , Georgia.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Gazmararian
authors.affiliation: b Department of Behavioral Sciences and Health Education & Emory Prevention Research Center, Rollins School of Public Health and Winship Cancer Institute (TJH) , Emory University , Atlanta , Georgia.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Kegler
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D005638:Fruit; D015438:Health Behavior; D006801:Humans; D016014:Linear Models; D008875:Middle Aged; D015999:Multivariate Analysis; D015596:Nutrition Assessment; D009765:Obesity / Q000503:physiopathology*; D050177:Overweight / Q000503:physiopathology*; D011203:Poverty; D014675:Vegetables
keywords: Healthy Eating Index; diet quality; obesity; overweight