Cost-Effectiveness of Mandating Calorie Labels on Prepared Foods in Supermarkets.

Introduction: The U.S. has required chain food establishments-including supermarkets-to display calorie labels on prepared (i.

Association of continuous BMI with health-related quality of life in the United States by age and sex.

Objective: The objective of this study is to estimate health-related quality of life (HRQoL) by continuous BMI by age, sex, and demographic group in the United States.

Methods: We estimated HRQoL (overall and by domain) by continuous BMI using SF-6D (Short-Form Six-Dimension) data from 182,778 respondents ages 18 years and older from the repeated cross-sectional Medical Expenditure Panel Survey (MEPS) 2008 to 2016. We adjusted for BMI self-report bias and for potential confounding between BMI and HRQoL.

Cost Effectiveness of Calorie Labeling at Large Fast-Food Chains Across the U.S.

Introduction: Calorie labeling of standard menu items has been implemented at large restaurant chains across the U.S. since 2018.

Use of Evidence-Based Interventions to Promote Healthy Weight, Nutrition, and Physical Activity in Community Health Improvement Plans from Large Local Health Departments.

We sought to identify evidence-based healthy weight, nutrition, and physical activity strategies related to obesity prevention in large local health department (LHD) Community Health Improvement Plans (CHIPs). We analyzed the content of the most recent, publicly available plans from 72 accredited LHDs serving a population of at least 500 000 people. We matched CHIP strategies to the County Health Rankings and Roadmaps' What Works for Health (WWFH) database of interventions.

Food Allergy Management for Adolescents Using Behavioral Incentives: A Randomized Trial.

Objective: We sought to evaluate the use of behavioral economics approaches to promote the carrying of epinephrine auto-injectors (EAIs) among adolescents with food allergies. We hypothesized that adolescents who receive frequent text message nudges (Intervention 1) or frequent text message nudges plus modest financial incentives (Intervention 2) would be more likely to carry their epinephrine than members of the usual care control group.

Methods: We recruited 131 adolescents ages 15 to 19 with a food allergy and a current prescription for epinephrine to participate in a cohort multiple randomized controlled trial.

Social disparities in early childhood prevention and management of food allergy.

Food allergy (FA) affects 8% of US children. Navigating and managing FA permeates across multiple facets of childhood. In this article, we review research on social disparities in feeding practices, managing meals, and selecting childcare and schools.

Food Allergies in Inner-City Schools: Addressing Disparities and Improving Management.

Objective: Food allergy (FA) affects approximately 8% of children in the United States. Management comprises both preventing and treating allergic reactions, which poses unique challenges in the inner-city school setting. In this article, we review the epidemiology of FA in school-aged children and management challenges and opportunities specific to the inner-city population.

Substance Use and Overdose in Public Libraries: Results from a Five-State Survey in the US.

In the U.S., overdoses have become a health crisis in both public and private places.

Overdose Awareness and Reversal Trainings at Philadelphia Public Libraries.

Purpose: To evaluate an overdose response training program in public libraries.

Design: Mixed methods evaluation including pre- and post-intervention questionnaires and debriefing interviews.

Setting: Ten Philadelphia public libraries.

Local health departments and the implementation of evidence-based policies to address opioid overdose mortality.

In the context of the opioid overdose crisis, local health departments are on the front lines, coordinating programs and services and translating state and federal policies into community action. While media reports describe growth of Overdose Education and Naloxone Distribution (OEND) programs among local health departments, little is known about program features, scope, and target populations. We surveyed health departments in 180 United States counties with high overdose mortality rates.

Food Allergy Management at School.

Background: Approximately 8% of schoolchildren in the United States experience potentially life-threatening food allergies. They must diligently avoid allergenic foods and have prompt access to epinephrine to treat anaphylaxis. These prevention strategies must be sustained without interruption, posing a range of challenges at school.

Public libraries as partners in confronting the overdose crisis: A qualitative analysis.

The overdose crisis is affecting public libraries. In a 2017 survey of public librarians, half reported providing patrons support regarding substance use and mental health in the previous month, and 12% reported on-site drug overdose at their library in the previous year. Given the magnitude of the overdose crisis and the fact that public libraries host 1.

A Randomized Trial to Encourage Healthy Eating Through Workplace Delivery of Fresh Food.

Purpose: This study aimed to increase the consumption of home-cooked meals among employees at a large urban worksite through a fully subsidized Community Supported Agriculture (CSA) program.

Design: Randomized trial.

Setting: Worksite in a large northeast city.

Food and financial coping strategies during the monthly Supplemental Nutrition Assistance Program cycle.

One in seven Americans participates in the Supplemental Nutrition Assistance Program (SNAP), making it the largest federally funded food assistance program. SNAP benefits are distributed once per month and both food spending and calorie consumption tend to decrease as time from benefit distribution increases. The monthly SNAP benefit cycle has serious implications for the health and financial stability of low-income families, a growing number of whom rely on SNAP as their sole source of income.

Reconciling opposing perceptions of access to physical activity in a gentrifying urban neighborhood.

Objective: We sought to understand perspectives on access to physical activity in a gentrifying neighborhood.

Design: This qualitative descriptive study used street intercept interviews and photo documentation.

Sample: Participants included members (n = 19) of a gentrifying neighborhood in a northeastern city.

Planning for Food Access During Emergencies: Missed Meals in Philadelphia.

Objectives: To illustrate the effects that minor social or environmental disruptions could have on the food access of low-income households in Philadelphia, Pennsylvania, and provide suggestions for how cities can better incorporate food into emergency planning.

Methods: Using publicly available data and stakeholder interviews (n = 8) in 2017, we projected the number of meals that would be missed during environmental and social disruptions in Philadelphia, a major US city with a high poverty rate.

Results: As our projections in Philadelphia indicate, even just 3 days of school closures could result in as many as 405 600 missed meals for school-aged children.

Youth Speak Out on School Food Environments.

In Philadelphia, over 40% of youth are overweight or obese. The objective in this assessment was to learn about urban residents' perspectives regarding the local food environment and its impact on eating behaviors. Using photo-elicitation, 20 adolescents reflected on their food environments through photographs and corresponding interviews.

Public Libraries As Partners for Health.

Introduction: Public libraries are free and accessible to all and are centers of community engagement and education, making them logical choices as partners for improving population health. Library staff members routinely assist patrons with unmet health and social needs.

Methods: We used a 100-question, self-administered web survey sent to all library directors listed in the Pennsylvania Library Association database (N = 621), to investigate staff interactions with library patrons to address social determinants of health.