title: Promoting Healthy Eating Attitudes Among Uninsured Primary Care Patients.
abstract: Obesity is associated with a number of chronic health problems such as cardiovascular disease, diabetes and cancer. While common prevention and treatment strategies to control unhealthy weight gain tend to target behaviors and lifestyles, the psychological factors which affect eating behaviors among underserved populations also need to be further addressed and included in practice implementations. The purpose of this study is to examine positive and negative emotional valence about food among underserved populations in a primary care setting. Uninsured primary care patients (N = 621) participated in a self-administered survey from September to December in 2015. Higher levels of perceived benefits of healthy food choice were associated with lower levels of a negative emotional valence about food while higher levels of perceived barriers to healthy food choice are related to higher levels of a negative emotional valence about food. Greater acceptance of motivation to eat was associated with higher levels of positive and negative emotional valence about food. Spanish speakers reported greater acceptance of motivation to eat and are more likely to have a negative emotional valence about food than US born or non-US born English speakers. The results of this study have important implications to promote healthy eating among underserved populations at a primary care setting. Healthy food choice or healthy eating may not always be achieved by increasing knowledge. Psychological interventions should be included to advance healthy food choice.
authors.affiliation: Department of Sociology, University of Utah, 380 S 1530 E, Salt Lake City, UT, 84112, USA. akiko.kamimura@utah.edu.
authors.forename: Akiko
authors.initials: A
authors.lastname: Kamimura
authors.affiliation: Department of Sociology, University of Utah, 380 S 1530 E, Salt Lake City, UT, 84112, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tabler
authors.affiliation: School of Medicine, University of Utah, Salt Lake City, UT, USA.
authors.forename: Maziar M
authors.initials: MM
authors.lastname: Nourian
authors.affiliation: Maliheh Free Clinic, Salt Lake City, UT, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Jess
authors.affiliation: Department of Sociology, University of Utah, 380 S 1530 E, Salt Lake City, UT, 84112, USA.
authors.forename: Tamara
authors.initials: T
authors.lastname: Stephens
authors.affiliation: Department of Sociology, University of Utah, 380 S 1530 E, Salt Lake City, UT, 84112, USA.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Aguilera
authors.affiliation: Department of Anthropology, University of Utah, Salt Lake City, UT, USA.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Wright
authors.affiliation: Maliheh Free Clinic, Salt Lake City, UT, USA.
authors.forename: Jeanie
authors.initials: J
authors.lastname: Ashby
mesh_terms: D000328:Adult; D000072001:Diet, Healthy / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017057:Medically Uninsured / Q000523:psychology / Q000706:statistics & numerical data; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014481:United States
keywords: Eating attitudes; Emotional valence about food; Health promotion; Healthy food choice; Medically uninsured
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