Publications by authors named "Allan D Tate"

Introduction: Past research shows that structural racism contributes to disparities in cardiometabolic health among racially/ethnically minoritized populations.

Methods: This cross-sectional study examined the correlation between census tract-level racialized economic segregation and child health metrics among a racially and ethnically diverse cohort of 350 children (ages 6.5-13.

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6-11-year-old children provide a critical window for physical activity (PA) interventions. The Virtual Fitness Buddy ecosystem is a precision health PA intervention for children integrating mixed reality technology to connect people and devices. A cluster randomized, controlled trial was conducted across 19 afterschool sites over two 6-month cohorts to test its efficacy in increasing PA and decreasing sedentary behavior.

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Background: Ecological momentary assessment (EMA) has become a popular mobile health study design to understand the lived experiences of dynamic environments. The numerous study design choices available to EMA researchers, however, may quickly increase participant burden and could affect overall adherence, which could limit the usability of the collected data.

Objective: This study quantifies what study design, participant attributes, and momentary factors may affect self-reported burden and adherence.

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Article Synopsis
  • - Family meals are important for children's healthy development, but high daily stress levels in parents can impact their ability to create a positive meal environment and serve nutritious food.
  • - Although general stress levels did not significantly affect whether family meals occurred or their healthfulness, family-related stress reduced the likelihood of a positive meal atmosphere.
  • - The quality of co-parenting positively influenced the occurrence and healthiness of family meals, suggesting that improving co-parenting dynamics could be a useful intervention focus.
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Objective: To examine parent-reported key family meal characteristics to advance the conceptualization of how parents perceive family meals to inform public health interventions and clinical practice.

Design: Cross-sectional study design using ecological momentary assessment (EMA) and online survey data from a racially and ethnically diverse population.

Participants: Parent/child dyads (N = 631) with children ages 5-9 years old from diverse, low-income households.

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Objective: Children of parents who experienced adverse childhood experiences (ACEs) are at elevated risk for mental health (MH) issues. The goal of this study was to explore the relationships between parent ACEs and child MH and to identify potential mediators and points of psychosocial intervention.

Methods: Participants were 1307 children aged 5 to 9 years from diverse backgrounds and their primary caregivers.

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Objective: To examine associations among neighbourhood food environments (NFE), household food insecurity (HFI) and child's weight-related outcomes in a racially/ethnically diverse sample of US-born and immigrant/refugee families.

Design: This cross-sectional, observational study involving individual and geographic-level data used multilevel models to estimate associations between neighbourhood food environment and child outcomes. Interactions between HFI and NFE were employed to determine whether HFI moderated the association between NFE and child outcomes and whether the associations differed for US-born .

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Introduction: The coronavirus disease 2019 (COVID-19) pandemic disproportionately burdens communities of color in the United States. The prevalence of preexisting conditions in these populations has not accounted for the observed health inequities. A growing body of research indicates a significant role of racialized residential segregation and income inequality on health outcomes.

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Introduction: Biopsychosocial approaches to health care are critical to addressing childhood obesity. This study aimed to examine how multiple indicators of the home environment related to child weight-related outcomes. We hypothesized that families with home environments of higher chaos and stress, and lower quality parent-child interactions, would have children with a higher body mass index (BMI), less healthy dietary intake, and less healthy eating behaviors.

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This study examined kitchen adequacy in a racially/ethnically diverse low-income sample and associations with child diet quality. Families with children age five to seven years old (n = 150) from non-Hispanic white, non-Hispanic Black, Hispanic, Native American, Hmong, and Somali families were recruited through primary care clinics. More than 85% of families had 15 of the 20 kitchen items queried, indicating that the sample had adequate kitchen facilities.

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Researchers are increasingly interested in understanding potentially traumatic experiences in children's lives, such as witnessing community violence (WCV) and the recent death of a close family member or friend. These experiences can be distressing and have adverse effects on children's psychological and behavioural adjustment, including externalising behaviours and internalising symptoms. This paper reports the results of an exploratory study aimed to address knowledge gaps, particularly among children aged 5-9 years ( = 1 283), by examining the associations between WCV, recent death, and child behavioural outcomes.

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Children consume nearly one-third of their daily energy intake as snacks (i.e., eating occasions that occur between meals); thus there is a growing interest in understanding what snacking occasions look like in the homes of young children.

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Article Synopsis
  • The study investigates how food parenting practices (like restricting food or pressuring kids to eat) and parenting styles (like authoritarian or authoritative) interact to affect children's weight and eating behaviors.
  • It identified two distinct groups of parents: one that usually restricts food and uses pressure, and another that employs more supportive practices.
  • Despite these differences in parenting approaches, the research found no significant links between the parent subgroups and children's weight status or diet quality, suggesting more insight is needed into how these parenting characteristics work together.
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Background: Interest in initiatives that promote home cooking has been increasing, but no studies have examined whether home cooking is associated with dietary quality using longitudinal data on meals served in a diverse sample of families.

Objective: The present study examined data on multiple meals per family in diverse households to determine whether home-cooked meals are more likely to contain nutritious ingredients than pre-prepared meals.

Design: Data for the study came from the National Institutes of Health-funded Family Matters Study.

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Introduction: Although parental weight-focused conversations with children have been associated with more unhealthy weight and weight-related outcomes in children and adolescents, little is known about the content and context of these conversations or conversations about healthy eating in the home environment. This study examines the frequency, location, and content of health- and weight-focused conversations in the home environment and examines the association between specific types of health- and weight-focused conversations with child overweight status.

Methods: Mixed-methods data were collected from parents of children from primarily low-income, minority homes (n = 110).

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There are disparities in the prevalence of childhood obesity for children from low-income and minority households. Mixed-methods studies that examine home environments in an in-depth manner are needed to identify potential mechanisms driving childhood obesity disparities that have not been examined in prior research. The Family Matters study aims to identify risk and protective factors for childhood obesity in low-income and minority households through a two-phased incremental, mixed-methods, and longitudinal approach.

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Background: Research on family meals has demonstrated that family meals are protective for many aspects of child and adolescent health. It is unclear whether distractions at family meals, such as watching TV, are associated with child weight and weight-related behaviors, the emotional atmosphere at the meal, or family meal healthfulness.

Methods: Direct observational and objective data were collected on primarily low-income and minority families (n = 120) with 6-12 year old children.

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Background: Little is known about the healthfulness of foods offered at family meals or the relationship between the food's healthfulness and child overall dietary intake.

Objective: This exploratory study uses a newly developed Healthfulness of Meal Index to examine the association between the healthfulness of foods served at family dinners and child dietary intake.

Design: Direct observational, cross-sectional study.

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Objective: Little is known about whether siblings have similar or different eating behaviours or whether parents tailor their feeding practices to different siblings. The main objectives of the present study were to examine similarities and differences in child eating behaviours and parental feeding practices with siblings and to determine whether child eating behaviours and parental feeding practices differ depending on sibling concordant (i.e.

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Background: Child temperament is a measure of an individual's behavioral tendencies. The primary objective of this study was to examine whether child temperament modified the overweight risk associated with parent feeding behaviors and child eating behaviors.

Methods: A sample of predominantly African American, Midwest families (N = 120) recruited from four metropolitan primary care clinics participated in this cross-sectional, mixed methods study.

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Objectives: To examine the association between social factors in faith-based settings (including religiosity and proximity to people living with HIV/AIDS) and HIV stigma.

Methods: A total of 1747 congregants from primarily African American faith-based organizations of Project FAITH (Fostering AIDS Initiatives That Heal), a South Carolina statewide initiative to address HIV-related stigma, completed a survey.

Results: Female gender (P = .

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Background: Little research exists about the factors influencing the foods available at family meals. This study examines the home food environment factors contributing to the presence of fruit and vegetables at family meals.

Methods: Home food inventory (HFI) and survey data were collected from low-income, minority families (n = 120) with children 6-12 years old.

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