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Health Disparities in Nutrition and Health

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (25 July 2023) | Viewed by 3927

Special Issue Editors


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Guest Editor
Department of Pharmacy Systems, Outcomes, and Policy, University of Illinois at Chicago, Chicago, IL, USA
Interests: implementation science; chronic disease prevention; public health nutrition; dietary assessment
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA
Interests: nutrition; epidemiology; cancer; food intake; diet; modifiable risk factors; cohort study; systematic review; meta-analysis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Many diet-related chronic diseases such as diabetes, cardiovascular disease, and certain cancers, disproportionately impact groups of a particular race, ethnicity, gender, socioeconomic status, religion, immigration status, sexual orientation or gender identity, age, cognitive and/or physical disability, and geographical location. Equitably addressing health disparities will require approaches (e.g., interventions, policies, etc.) that consider the contexts of the most impacted populations. This will require a greater understanding of the contextual factors that support or hinder health-promoting actions (e.g., healthy eating, being physically active, engaging in routine medical care for disease prevention and management, etc.) and using this knowledge to develop solutions that appropriately address these factors.

For this Special Issue, we are seeking papers that examine the relationships between contextual factors and nutrition and/or health in populations impacted by health disparities. We also welcome papers exploring specific approaches (e.g., interventions-at any stage, policies, strategies, etc.) developed for these populations.

Dr. Angela Kong
Dr. Yumie Takata
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • health disparities
  • health equity
  • contextual factors
  • social determinants of health
  • nutrition
  • health

Published Papers (2 papers)

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Research

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19 pages, 914 KiB  
Article
Using Community-Based Participatory Research Methods to Inform the Development of Medically Tailored Food Kits for Hispanic/Latine Adults with Hypertension: A Qualitative Study
by Ambria Crusan, Kerrie Roozen, Clara Godoy-Henderson, Kathy Zamarripa and Anayeli Remache
Nutrients 2023, 15(16), 3600; https://doi.org/10.3390/nu15163600 - 17 Aug 2023
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Abstract
The Dietary Approaches to Stop Hypertension (DASH) eating plan is the most effective dietary intervention for cardiovascular disease (CVD), but it excludes the consideration of culture and cost. The Hispanic/Latine population is disproportionately affected by CVD, with risks increasing if persons are [...] Read more.
The Dietary Approaches to Stop Hypertension (DASH) eating plan is the most effective dietary intervention for cardiovascular disease (CVD), but it excludes the consideration of culture and cost. The Hispanic/Latine population is disproportionately affected by CVD, with risks increasing if persons are accustomed to a Westernized diet. This research aims to understand the cultural dietary practices aligned with a DASH eating plan and the social determinants of health impacting fruit and vegetable (F/V) consumption among immigrant Hispanic/Latine individuals at a community-based clinic in Minnesota. Utilizing community-based participatory research methods, a community survey informed the development of DASH-focused, medically tailored food kits of varying F/V modalities. Qualitative feedback was sought out regarding the kits when presented to 15 individuals during in-depth interview sessions to validate the cultural appropriateness of food kits for clinical use. Box A was the highest rated kit (66.7%) and consisted of fresh F/V. The average F/V consumption per day was 2.6 ± 1.4 servings. The food insecurity questionnaires showed high/marginal (40%), low (53.3%), and very low (6.7%) food security. The barriers to consuming F/V were money, time, and transportation. Understanding cultural dietary practices related to the DASH eating plan is necessary to mitigate CVD risk and provide inclusive medical nutrition therapy for Hispanic/Latine populations. Full article
(This article belongs to the Special Issue Health Disparities in Nutrition and Health)
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Review

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20 pages, 1261 KiB  
Review
Challenges and Opportunities for Equity in US School Meal Programs: A Scoping Review of Qualitative Literature Regarding the COVID-19 Emergency
by Kaitlyn Harper, Bree Bode, Kritika Gupta, Ally Terhaar, Aysegul Baltaci, Yuka Asada and Hannah Lane
Nutrients 2023, 15(17), 3738; https://doi.org/10.3390/nu15173738 - 26 Aug 2023
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Abstract
The emergency school meals program provided free meals to children in the United States (US) during COVID-19-related school closures. This scoping review aims to synthesize the existing qualitative empirical evidence published between March 2020 and January 2023 on the operations and utilization of [...] Read more.
The emergency school meals program provided free meals to children in the United States (US) during COVID-19-related school closures. This scoping review aims to synthesize the existing qualitative empirical evidence published between March 2020 and January 2023 on the operations and utilization of emergency school meal programs during the pandemic. Qualitative, US-based peer-reviewed literature was collected from three sources: (1) parent review of all federal nutrition assistance programs; (2) systematic search of four databases; and (3) manual search of grey literature. Identified scientific articles and grey literature reports (n = 183) were uploaded into Covidence and screened for duplicates and inclusion/exclusion criteria. Our final sample included 21 articles/reports, including 14 mixed methods and seven qualitative-only projects. Articles spanned all U.S. states. Articles had similar research questions to understand school meals and/or general food access during COVID-19, with an emphasis on long-term policy implications. Hybrid deductive/inductive analytic coding was used to analyze data, utilizing domains from the Getting to Equity Framework (GTE). GTE considers multi-level factors that influence nutrition behavior while centering more equitable pathways to improve nutrition security and reduce adverse health. Findings were sorted into two categories: operational challenges during the pandemic and solutions to address inequities in school meal distribution during and after the pandemic, particularly during school closures such as summers or future emergencies. Key challenges related to supply chain issues, safety, and balancing families’ needs with limited staff capacity. Programs addressed equity by (a) reducing deterrents through federally issued waivers and increased communications which allowed the serving of meals by programs to families who previously did not have access, (b) building community capacity through collaborations and partnerships which allowed for increased distribution, and (c) preparing and distributing healthy options unless barriers in supply chain superseded the effort. This review highlights the importance of emergency school meal programs and provides insights into addressing challenges and promoting equity in future out-of-school times. These insights could be applied to policy and practice change to optimize program budgets, increase reach equitably, and improve access to nutritious meals among populations at highest risk for nutrition insecurity. Full article
(This article belongs to the Special Issue Health Disparities in Nutrition and Health)
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