This dissertation evaluated environmental, personal, and behavioral factors influencing food access, food choice, and health among homeless families residing in two homeless shelters (S1 and S2) in Minneapolis, MN. A mixed methodological approach was employed, including qualitative and quantitative techniques. Qualitative analyses included focus groups (n=53; phase 1) and face-to-face interviews with children 6-13 years old (n=56; phase 2), which were audiotaped and transcribed verbatim, with transcripts evaluated for common themes and subthemes. Geographical Information Systems was used to map food resources within a 5-block radius of the shelters (phase 1), and Epi Info (v. 3.3.2) calculated gender-specific BMI-for-Age percentiles (phase 2). Using the social cognitive theory as a theoretical framework and based on the formative information collected from the focus groups and interviews, a 264-item mother's survey (n=255) and 74-item child's (9-13 years) survey (n=159) were created (phase 3). Height, weight, and 24-hour recalls were collected. Independent t-tests, Fisher exact tests, and chi-square statistics tested significance of sociodemographic variables between S1 and S2. Nonparametric tests were used with the health outcomes (total energy, carbohydrates (g), protein (g), fat (g), Food Guide Pyramid food groups and BMI/BMI-for-Age percentiles). To determine the most predictive survey items on the health outcomes, multivariate hierarchical regression models and principle fitted components analyses were used. Results indicated inadequate cooking and storage space within shelter rooms, restrictive shelter rules encouraging junk food consumption, poor shelter meal timing and food quality, and limited food store availability impacted household's food access, food choice, and health. Women at S1 consumed significantly more fat (g) (63.0 vs. 51.3, p0.05) and milk food group servings (1.0 vs. 0.5, p0.05) than S2; female children at S1 consumed more fat (g) than those at S2 (76.6 vs. 59.8, p... when food was plentiful and tasty, volunteering in shelter facility kitchen in exchange for food, using a sign asking strangers for food, donating plasma, or prostituting and using the cash acquired to feed the family. In addition, one participantanbsp;...
|Title||:||The Impact of Personal, Behavioral, and Environmental Factors on Food Access, Food Choice, and Health Status Among Homeless Shelter-based Families in Minnesota|
|Publisher||:||ProQuest - 2007|