Karen A. Kemper

Black and White Adolescent Males' Perceptions of Ideal Body Size.

A stratified random sample of 496 white (n =337) and black (n =159) adolescent males participated in a survey of ideal body size beliefs. Responses to the questionnaire and a series of nine female and male body size drawings were analyzed using the General Linear Model Analysis of Variance and Categorical Modeling. Using SES and race as independent variables and BMI (kg/m2)as a covariate, black males were found to prefer a significantly heavier ideal female body size than whites (p <.0001) and also perceived that their parents, female friends, and male friends would select as ideal a significantly heavier female body size than white subjects. Black subjects were 1.9 times (O.R. = 1.88, 95% C.I. = 1.44, 2.47) more likely to select a larger ideal female hip/buttocks size and 1.7 times (O.R. = 1.72, 95% C.I. = 1.25, 2.37) more likely to choose a larger ideal female thigh size than white subjects. Our findings seem to point toward a greater approval and social acceptance of a larger body size for black females by black males.

Nutritional Beliefs, Attitudes and Practices of Elderly, Rural, Southern Women

Abstract Six focus groups were held with 49 rural southern women, 92% of whom were over 65 years of age. Discussions covered influences on food choices, supplement use and meal frequency; problems with buying, preparing and storing food; participation in food assistance programs; nutrition information sources; and preferred methods of nutrition education. Data analysis revealed six major themes: food preferences based upon taste and childhood familiarity; beliefs about benefits and detriments of eating certain foods; influence of health conditions on food choices; perceived barriers to purchasing, preparing and consuming certain foods; cues to action regarding food selection, supplement use and meal patterns; and nutrition information needs.

Physical Activity Behaviors of Students of a Rural Historically Black College.

Abstract Physical activity can have a positive impact on health disparities among African Americans. Objective: In this study, we assessed physical activity behaviors and correlates of students of a Historically Black College. Methods: In September 2004, an online survey and pedometers were used to measure physical activity behavior and correlates. Participants: A convenience sample of 106 students completed the survey and received pedometers. Pedometer data were submitted online for 5 weeks. Results: One hundred and six students completed the survey. Twenty-eight percent and 41% of respondents met recommendations for moderate physical activity and vigorous physical activity, respectively. Week 1 daily pedometer step count average was 8,707. Most students reported positive outcome expectations for physical activity. Students submitting pedometer data were less likely to meet MPA recommendations than students only completing the survey. Conclusions: African American students feel positive about physical activity yet most do not meet recommended levels.

Promoting success for at-risk African-American youth: perceived barriers and resources in using community-based success criteria.

&NA; A Delphi technique was used to assess service provider and community consensus on program elements essential for promoting the success of at‐risk African American youth. The respondent group consisted of 54 subjects representing three broad groups: service agencies, community leaders and members, and school system participants. The study identified barriers to the use of community‐derived success constructs, opportunities for collaboration between community members and service agencies in the development of programs, and the feasibility of incorporating success constructs into program development and delivery. Although consensus was achieved on key issues, individual variations between counties point to the necessity of targeting intervention programs to the unique problems and expectations found in each community.

Guidelines for public health practitioners serving as student preceptors.

Student fieldwork and service learning are valuable strategies for developing the skills of future public health professionals. Practitioners who serve as preceptors to students often receive little preparation for guiding and evaluating students. Findings from a review of fieldwork and service learning literature and a program evaluation of an undergraduate public health program at a large southern public university were used to construct guidelines for the practitioners supervising students in the field. These guidelines should aid practitioners in their role as preceptors of public health students. The guidelines address assessing student competencies, developing student competencies, writing learning objectives, evaluating students, maximizing the student precept or relationship, and managing problems.

Impacting mediators of change for physical activity among elderly food stamp recipients

A multidisciplinary team developed and pilot-tested a curriculum, delivered by trained lay educators, to increase self-efficacy for physical activity among elderly food stamp recipients. Curriculum development was guided by a comprehensive literature review. Process evaluation was used to revise the curriculum and to assess lay educator training and pilot test fidelity. Three hundred sixteen low-income older adults participated in curriculum development and pilot-testing activities. One hundred twenty four participants completed pretest/posttest impact evaluation surveys. The average age of participants was 75 years old with 55.28% having less than high school education. Significant increases in self-efficacy regarding walking most days (p = .0022), using exercise bands (p < .0001), being physically active to increase strength (p = .0012), being active without injury (p < .0001), being able to wear appropriate clothing and shoes (p < .0001), and getting information about community physical activity programs (p = .0007) were observed. Participants also endorsed higher ratings of general health at posttest (p < .0001).

Parents' Perceptions of Influences on Child Eating Behaviors: An Attitudinal Approach

A Healthy People 2000 coalition comprised of representatives from public schools, the local health department, the medical community, and local university wished to improve child dietary behaviors ...