Availability of Low-Fat Milk and Produce in Small and Mid-Sized Grocery Stores After 2014 WIC Final Rule Changes, Tennessee.

Introduction: The 2007 Interim Rule mandated changes to food packages in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) for implementation by 2009. The 2014 Final Rule required additional changes, including increasing the cash value voucher for fruits and vegetables from $6 to $8 for children by June 2014, and allowing only low-fat (1%) or nonfat milk for mothers and children aged 2 to 4 years by October 2014. This study evaluated the effect of the 2014 Final Rule changes on the food environment of small and mid-sized WIC-authorized grocery stores.

A Smartphone App for Families With Preschool-Aged Children in a Public Nutrition Program: Prototype Development and Beta-Testing.

Background: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in the United States provides free supplemental food and nutrition education to low-income mothers and children under age 5 years. Childhood obesity prevalence is higher among preschool children in the WIC program compared to other children, and WIC improves dietary quality among low-income children. The Children Eating Well (CHEW) smartphone app was developed in English and Spanish for WIC-participating families with preschool-aged children as a home-based intervention to reinforce WIC nutrition education and help prevent childhood obesity.

Racial/ethnic and Weight Status Differences in Food Preparation among WIC Participants.

The main purpose of this study was to examine whether the Supplemental Nutrition Program for Women, Infants and Children (WIC) helped mothers of overweight/obese preschool children to cut down on dietary fat and sugar intake for their families. Data from the Children Eating Well for Health (CHEW) Nutrition Survey, a probability sample of 150 (50 each White, Black and Hispanic) families with preschoolers participating in the WIC program in Nashville/Davidson County, Tennessee, were analyzed using logistic regression modeling. Mothers who reported that the WIC program helped them reduce fat intake were 2.

Use of Six Sigma for eliminating missed opportunities for prevention services.

Delivery of primary care preventative services can be significantly increased utilizing Six Sigma methods. Missed preventative service opportunities were compared in the study clinic with the community clinic in the same practice. The study clinic had 100% preventative services, compared with only 16.

Association of infant feeding with adiposity in early childhood in a WIC sample.

Objectives: To evaluate the association of different infant feeding practices with adiposity in early childhood.

Methods: Survey was conducted among 150 White, Black, and Hispanic low-income families with children ages 2–4.

Results: History of supplementing breast milk with formula (mixed feeding) was more prevalent among Hispanic children (67.

Childhood obesity prevention interventions in childcare settings: systematic review of randomized and nonrandomized controlled trials.

Objective: Childcare settings are an opportune location for early intervention programs seeking to prevent childhood obesity. This article reports on a systematic review of controlled trials of obesity prevention interventions in childcare settings.

Data Source: The review was limited to English language articles published in PubMed, Web of Science, and Education Resources Information Center (ERIC) between January 2000 and April 2012.

Challenges and strategies in serving the uninsured in Nashville, Tennessee.

This study identified challenges faced by a healthcare safety net system. Surveys of safety net outpatient clinic and hospital emergency department (ED) facilities and key informant interviews ascertained barriers to providing necessary client services and strategies to overcome them. About 60% of key informants responded that Medicaid cuts greatly increased the numbers of uninsured clients.

TennCare disenrollment and avoidable hospital visits in Davidson County, Tennessee.

The objective of this study was to determine if an association existed between the mid-2005 TennCare (Medicaid) disenrollment and increases in uninsured ambulatory care sensitive condition (ACSC) non-admitted ER visits and inpatient hospitalizations in Davidson County, Tennessee (= the city of Nashville). Logistic regression modeling, using an interactive term for insurance category x year, indicated that the effect of no insurance on ACSC ER visits increased by 18% from 2003 to 2007 (p<.001), but no significant effect was found for uninsured ACSC inpatient hospitalizations.

Predictors of new screening for African American men participating in a prostate cancer educational program.

Background: African American (AA) men continue to have a greater than twofold risk of dying from prostate cancer compared to Whites.

Methods: This community-based intervention study employed a quasi-experimental, delayed-control (cross-over) design with randomization at the church-level (N = 345 AA men).

Results: Logistic regression analyses revealed that the level of knowledge (b = .

A church-based program on prostate cancer screening for African American men: reducing health disparities.

Introduction: African American men have a significantly higher incidence of prostate cancer, are diagnosed at younger ages and more advanced stages, and have higher mortality rates from prostate cancer than do White men.

Methods: This community-based intervention study employed a quasiexperimental delayed-control (crossover) design with randomization at the church level. Forty-five African American churches were randomly assigned to two study groups: early intervention and delayed intervention.

HEDIS prevention performance indicators, prevention quality assessment and Healthy People 2010.

The purposes of the study were to contrast actual prevention services needs with quality assurance indicators from the Health Employer Data Information System (HEDIS-Medicaid 3.0) and the goals and objectives of Healthy People 2010, to calculate allowable Medicaid reimbursement for comprehensive prevention services, and to describe patient expectations for prevention counseling. We obtained a convenience sample of all ages (under 17 years = 514, 18 years or older = 473), both sexes (male = 393, female = 594), and three racial/ethnic groups: African American = 687, White =173, Hispanic = 88 in a clinic that predominantly served Medicaid-insured patients.

Rural-urban differences in breast cancer screening among African American women.

This study reports on rural-urban differences in the effectiveness of a church-based educational program aimed at increasing breast cancer screening among African American women ages 40 and over. The data were drawn from an intervention study in urban Nashville, and a pilot extension of the study in five rural counties of West Tennessee. The partial program was equally effective in rural Tennessee (17.

Breast cancer screening among African American women: adherence to current recommendations.

Breast cancer remains one of the leading causes of cancer death among African American women, and rates of mammography screening for African American women remain lower than rates for their Caucasian counterparts. The purpose of the current study was to explore the reasons for nonadherence to American Cancer Society breast screening guidelines among African American women who had not received a mammogram within the past year. Participants included 91 African American women between 40 and 84 years of age recruited from churches, housing projects, and a health fair at a historically African American university who had not received a mammogram within the past 12 months.

Diabetes, depression, and healthcare utilization among African Americans in primary care.

Purpose: This study tested for an association between diabetes and depressive symptoms and assessed the effect of co-occurring diabetes and depressive symptoms on healthcare utilization outcomes among African-American patients.

Procedure: The sample consisted of 303 adult African-American patients age 40 and over from a primary care clinic serving the low-income population in Nashville, TN. Measures were based on self-reports during a structured interview.

The effect of a church-based breast cancer screening education program on mammography rates among African-American women.

This study examines the effectiveness of breast cancer screening education programs on mammography rates among African-American women 40 years of age and over. We conducted two types of educational programs in community settings, primarily in African-American churches. Three-month follow-up interviews were used to determine whether women who participated in programming were more likely to get a mammogram if they had not had a mammogram in the last year.