Maureen O'Dougherty

Nutrition Labeling and Value Size Pricing at Fast-Food Restaurants: A Consumer Perspective:

Purpose. This pilot study examined nutrition-related attitudes that may affect food choices at fast-food restaurants, including consumer attitudes toward nutrition labeling of fast foods and elimination of value size pricing. Methods. A convenience sample of 79 fast-food restaurant patrons aged 16 and above (78.5% white, 55% female, mean age 41.2 [17.1]) selected meals from fast-food restaurant menus that varied as to whether nutrition information was provided and value pricing included and completed a survey and interview on nutrition-related attitudes. Results. Only 57.9% of participants rated nutrition as important when buying fast food. Almost two thirds (62%) supported a law requiring nutrition labeling on restaurant menus. One third (34%) supported a law requiring restaurants to offer lower prices on smaller instead of bigger-sized portions. Conclusion. This convenience sample of fast-food patrons supported nutrition labels on menus. More research is needed with larger samples on whether point-of-purchase nutrition labeling at fast-food restaurants raises perceived importance of nutrition when eating out.

Effects of Aerobic Exercise on Premenopausal Sex Hormone Levels: Results of the WISER Study, a Randomized Clinical Trial in Healthy, Sedentary, Eumenorrheic Women

Background: It is hypothesized that exercise can lead to a decrease in breast cancer risk through several hormonal and nonhormonal mechanisms. The WISER (Women In Steady Exercise Research) study investigated the effects of aerobic exercise on premenopausal sex hormone levels. Methods: Three hundred ninety-one sedentary, healthy, young eumenorrheic women were randomized either into an exercise intervention of 30 minutes of aerobic exercise 5 times a week for approximately 16 weeks (n = 212) or into a control group (n = 179). Serum levels of estradiol, estrone sulfate, testosterone, and sex hormone–binding globulin (SHBG), all in the midfollicular phase, and of progesterone, in the midluteal phase, were measured at baseline and at the end of the 16-week period. Results: Compared with the controls (n = 153), exercisers (n = 166) experienced significant increases in aerobic fitness, lean body mass, and decreases in percent body fat. There were no significant changes in body weight and menstrual cycle length between or within groups. Progesterone decreased significantly in exercisers; however, this reduction was similar to that of the control group. No significant changes between or within groups were found for any of the other sex hormones or SHBG. Conclusions: In premenopausal women, 16 weeks of 150 minutes per week of moderate aerobic exercise in young women did not significantly alter sex hormone or SHBG levels. Impact: Any favorable effects that moderate aerobic exercise without an associated weight change may have on breast cancer risk in premenopausal women are unlikely to be a consequence of changes in levels of sex hormones or SHBG. Cancer Epidemiol Biomarkers Prev; 20(6); 1098–106. ©2011 AACR.

Public Relations, Private Security: Managing Youth and Race at the Mall of America

In this paper, I examine the weekend night curfew imposed on youth under 16 years of age at the Mall of America (MOA). The discussion is based on qualitative research including twenty-six weekend observations of the curfew enforcement, interviews with security of color subcontracted by mall management to enforce the curfew, and media analysis of public relations efforts concerning disturbances and lawsuits involving security guards and youth of color at the mall. I argue that MOA security measures are closely linked with public relations (PR) and that a central function of PR as a support for security is to veil the racial dynamics motivating management policies at the mall. Key illustrations of the PR–security links and aims are seen in the campaign to ‘sell’ the curfew, which displaced issues of racial and generational inequalities onto moralizing discourses of property, safety, and family values, and in the deployment of security of color to accomplish friendly exclusions and managed inclusions of youth.

Dual Conversations: Body Talk Among Young Women and Their Social Contacts

In this article, we explore an area little researched within the literature on body dissatisfaction: the content and functions of body talk. We interviewed 60 diverse, college-educated women aged 18 to 30 in the urban United States about how social contacts talked about their bodies. Half the women, and by their reports, half their contacts (N = 295) endorsed some ideal body, most often the thin model. The other half favored a “healthy,” “average” range in body size, shape, and/or appearance. Excepting family members, contacts gave mostly positive comments about women’s bodies or appearance, or made no comments. Many critiqued their own bodies, however, as did nearly half the women participants. We suggest that these women exempted others, but not themselves, from critical body surveillance, rendering contestation of the ideal theoretical. We also suggest that the parallel airing of self-criticism repeatedly circulated through speech, if not through practice, the imperative to regulate one’s own gendered body toward unattainable normativity.

Shifting Motivations: Young Women's Reflections on Physical Activity Over Time and Across Contexts

This research analyzes motivations expressed by young, healthy, sedentary women before and after an exercise intervention. Young women (aged 18-30, n = 39) participated in focus groups or interviews during a 4-month exercise intervention. Afterward, 22 of these women and 20 controls completed physical activity diaries for 6 months and were interviewed. For the majority of women (n = 24), obligation to the study prevailed as the motivator during the intervention. Some ( n = 15) became physically active for their own benefit. Afterward, exercisers and controls said they were physically active to feel better and/or healthy (n = 20), for body image and/ or weight loss (n = 20), or both. Women expressed motivations for physical activity in ways that resonated with self-determination theory. Their commentaries expand on theory to include experiencing multiple motivations simultaneously and motivations shifting over time and in differing contexts. Social motivations were compelling, both those associated with societal values (research, health) and cultural trends (body image).

Plot and Irony in Childbirth Narratives of Middle-Class Brazilian Women

Brazils rate of cesarean deliveries is among the highest in the world and constitutes the majority of childbirths in private hospitals. This study examines ways middle-class Brazilian women are exercising agency in this context. It draws from sociolinguistics to examine narrative structure and dramatic properties of 120 childbirth narratives of 68 low- to high-income women. Surgical delivery constituted 62% of the total. I focus on 20 young middle-class women, of whom 17 had C-sections. Doctors determined mode of childbirth pre-emptively or appeared to accommodate womens wishes, while framing the scenario as necessitating surgical delivery. The women strove to imbue C-section deliveries with value and meaning through staging, filming, familial presence, attempting induced labor, or humanized childbirth. Their stories indicate that class privilege does not lead to choice over childbirth mode. The women nonetheless struggle over the significance of their agency in childbirth.

Purposeful Exercise and Lifestyle Physical Activity in the Lives of Young Adult Women: Findings from a Diary Study

It is important to know how physical activity is incorporated in womens lives to assess ways they can feasibly attain and maintain lifelong healthy practices. This study aimed to determine whether patterns of activity differed among young women whose physical activity met nationally recommended levels from those who did not. The sample was 42 women (aged 18–30 years) who had completed an exercise intervention (22 from the exercise group, 20 from the control group). Participants recorded pedometer steps and physical activities in diaries including form, duration and perceived exertion during 12 randomly assigned weeks over 26 weeks. We divided the sample into quartiles of moderate to vigorous physical activity to examine the composition of physical activities per quartile. Walking and shopping comprised the majority of physical activity in the lowest quartile of moderate to vigorous physical activity. In the second and third quartiles, walking and household/childcare together comprised more than two-thirds of all activities. Only in the highest quartile was cardio activity (not including walking, shopping and household/childcare) the largest proportion of activity; this category stood alone as varying significantly across quartiles of moderate to vigorous physical activity (p < 0.005). Among these young adult women, self-reported “lifestyle” physical activity was not sufficient to meet recommended levels of moderate to vigorous physical activity. The one-quarter who met recommended levels of moderate to vigorous physical activity did so largely through purposeful physical activities directly associated with exercise. Further research is needed to refine means of more fully measuring physical activities that women frequently perform, with particular attention to household work, childcare and shopping and to differing combinations of activities and levels of exertion by which diverse women can meet the recommended levels. The findings of this small scale study reinforce the ongoing benefit of recommending structured, planned physical activity at moderate and vigorous levels of intensity to young, healthy women to ensure they obtain the health benefits.

Communicating with local elected officials: lessons learned from clean indoor air ordinance campaigns.

This article describes a study of the effectiveness of communication strategies used to influence policy makers to support local smoke-free laws in the Minneapolis—St. Paul metropolitan region. Twenty-seven of 41 members of three city councils and two county boards of commissioners were individually interviewed as were seven advocates who campaigned for the bans. Officials valued public health and economic data, public opinion polls, personally written e-mails, and dialogue with constituents. Phone banking messages indicated public support but were a nuisance. Officials felt that media ads were a waste of money and leafleting and other personal targeting were unacceptable. Advocates tended not to critically examine their own efforts for strengths and weaknesses and seemed unconcerned by public officials’ negative reception to some strategies. This case study suggests the need for reflection on the pros and cons of well-funded, highly orchestrated campaigns for public health policy, as these strategies may clash with the political process of building relationships.