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Create a Free AccountCultural Competency and Diversity Collection
Valuing Diversity in Dietetics: Considerations for Service Dogs at School, Internships, and the Workplace
Diversity has become an increasingly important topic within the field of dietetics to create a profession representative of the population it serves, capable of providing culturally appropriate patient care. Yet people with disabilities (PwDs) are often overlooked. The Americans with Disabilities Act (ADA) defines disability as “a physical or mental impairment that substantially limits one or more major life activities, a record of such an impairment, or being regarded as having such an impairment.”1 In the United States, approximately 12.6% of the noninstitutionalized population lives with a disability.Ethics: Health Equity and Dietetics-Related Inequalities
The unequal distribution of social, political, economic, educational, medical, and environmental resources has led to preventable negative health differences, also known as health disparities, among socially disadvantaged populations.1 These differences can span all areas of health, including access to food and nutrition. At the same time, health equity implies that, in an ideal environment, everyone should have a fair opportunity to attain their full health potential and be free of obstacles to achieving this.Development of Quick Guides for Assessing Food/Nutrition and Culture to Enhance Assessment of Food and Nutrition-Related History in Cross-Cultural Clients of Nutrition and Dietetics Practitioners around the World
The 2020 World Migration Report and the US Census Data Project indicated that the world’s population is steadily becoming more ethnically and racially diverse.1,2 In keeping up with these changing trends, it is imperative that credentialed nutrition and dietetics practitioners be culturally competent and that they have an understanding of cultural practices that influence nutrition (eg, food preparation, traditional healing through foods, religious and spiritual practices, dietary preferences and culinary practices).A Call for Action to Address the Root Causes of Racial/Ethnic Health Disparities
Many diet-related chronic diseases disproportionately impact racial/ethnic minority populations, resulting in a higher prevalence of obesity, hypertension, cancer, heart disease, type 2 diabetes, and kidney disease. Consequently, dietitians, nutrition professionals, and food and nutrition practitioners practicing in all sectors—from clinical settings to the food industry, to community nutrition, and nutrition research and advocacy—play an important role in addressing racial/ethnic disparities in diet-related chronic diseases.An Examination of the Sex-Specific Nature of Nutrition Assessment within the Nutrition Care Process: Considerations for Nutrition and Dietetics Practitioners Working with Transgender and Gender Diverse Clients
The Nutrition Care Process (NCP) is the standardized process for nutrition and dietetics practitioners to deliver care.1,2 Nutrition assessment is the first step of the NCP and is utilized to gather and synthesize client data that will ultimately inform a nutrition diagnosis. This step is considered an ongoing process of initial data collection, reassessment, and analysis against reference standards. The eight domains of nutrition assessment are: food/nutrition-related history; anthropometric measure; biochemical data, medical tests, and procedures; nutrition-focused physical findings; client history; assessment, monitoring, and evaluation tools; etiology category; and progress evaluation.Prenatal WIC Is Associated with Increased Birth Weight of Infants Born in the United States with Immigrant Mothers
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) improves health outcomes for participating mothers and children. Recent immigration policy changes increased chilling effects on WIC access and utilization. Associations between WIC participation and neonatal outcomes among infants born to immigrant parents—23% of all births in the United States—are understudied.The Need to Incorporate Diversity, Equity, and Inclusion: Reflections from a National Initiative Measuring Fruit and Vegetable Intake
Dietary patterns that include fruits and vegetables (F/V) greatly reduce chronic disease risk, but 90% of all adults in the United States do not consume enough F/V.1 Further, long-standing systemic inequities that produce multiple barriers have contributed to low F/V intake (F/VI) among individuals who report low-income or belong to a racial and/or ethnic minority group.2–5 Subsequently, these populations are less likely to meet recommended levels of F/VI and tend to have higher rates of food insecurity, or a lack of ability to access safe, nutritious, and affordable food.Beverage Characteristics Perceived as Healthy among Hispanic and African-American Parents of Young Children
It is recommended that children younger than 6 years of age avoid sugar-sweetened beverages (SSBs); yet, 25% of toddlers and 45% of preschool-aged children consume SSBs on a given day, with the highest intakes reported among Hispanic and African-American children.Differences in Dietary Quality by Sexual Orientation and Sex in the United States: NHANES 2011-2016
There are persistent disparities in weight- and diet-related diseases by sexual orientation. Lesbian and bisexual females have a higher risk of obesity and cardiovascular disease compared with heterosexual females. Gay and bisexual males have a higher risk of diabetes and cardiovascular disease compared with heterosexual males. However, it remains unknown how sexual orientation groups differ in their dietary quality.Associations of Food Allergy-Related Dietary Knowledge, Attitudes, and Behaviors Among Caregivers of Black and White Children With Food Allergy
The increasing prevalence of pediatric food allergy (FA) in the United States has disproportionately affected non-Hispanic Black youth. However, racial and other socioeconomic disparities in FA management among caregivers of children with FA remain unclear.Advancing Equity: The Academy's Commitment to Supporting Inclusion, Diversity, Equity, and Access
The Academy of Nutrition and Dietetics (Academy) has made inclusion, diversity, equity, and access (IDEA) a cornerstone of its organization-wide strategic plan to create lasting, sustainable change within the Academy and the dietetics profession. By fostering inclusive, welcoming environments for all practitioners and clients, the Academy is positioned to lead the profession by ensuring uninhibited access to food and nutrition information, as well as advocating for health care equity that serves the nutrition needs of every community.Healthy Eating Index Scores Differ by Race/Ethnicity but Not Hypertension Awareness Status among US Adults with Hypertension: Findings from the 2011-2018 National Health and Nutrition Examination Survey
Little is known about whether or not diet quality is associated with race/ethnicity as well as hypertension awareness status among adults with hypertension.“Food Doesn’t Have Power Over Me Anymore!” Self-Efficacy as a Driver for Dietary Adherence Among African American Adults Participating in Plant-Based and Meat-Reduced Dietary Interventions: A Qualitative Study
African American (AA) adults are disproportionately affected by cardiovascular disease risk factors. Many nutrition interventions aim to promote healthier eating to reduce cardiovascular disease incidences among participants. However, little is known about what influences individuals’ nutrition self-efficacy while participating in these interventions.Comparison of School vs Home Breakfast Consumption with Cardiometabolic and Dietary Parameters in Low-Income, Multiracial/Ethnic Elementary School-Aged Children
Breakfast consumption is often associated with improving cardiometabolic parameters and diet quality. However, literature evaluating breakfast consumption with these outcomes between the school and home environments is limited.“I Want a Program That Looks at My Whole Life.” A Focus Group Study on the Ideal Components for an mHealth Weight Management Program for African American Women
The high rate of obesity, ownership of smartphones, and online search for nutrition and dieting information among African American women (AAW) provide a unique opportunity to develop cost-effective, accessible, and acceptable mHealth weight management programs for them. Furthermore, they should participate in the development and evaluation of these programs.Barriers to Accessing Healthy Food and Food Assistance During the COVID-19 Pandemic and Racial Justice Uprisings: A Mixed-Methods Investigation of Emerging Adults’ Experiences
A steep rise in food insecurity is among the most pressing US public health problems that has resulted from the COVID-19 pandemic.The Gut Microbiome Is Associated with Circulating Dietary Biomarkers of Fruit and Vegetable Intake in a Multiethnic Cohort
Results from observational studies suggest high diet quality favorably influences the human gut microbiome. Fruit and vegetable consumption is often a key contributor to high diet quality.MSG Is A-OK: Exploring the Xenophobic History of and Best Practices for Consuming Monosodium Glutamate
Until 2020, Merriam-Webster Dictionary has included and defined “Chinese restaurant syndrome” (CRS) as “a group of symptoms (such as numbness of the neck, arms, and back with headache, dizziness, and palpitations) that is held to affect susceptible persons eating food and especially Chinese food heavily seasoned with monosodium glutamate.”1,2 In January 2020, a campaign pushing Meriam Webster to redefine CRS was driven by the assertion that the health consequences of monosodium glutamate (MSG) consumption is very weak, if existent, with the claim itself reflecting racialized, xenophobic undertones.Structural Barriers Influencing Food Insecurity, Malnutrition, and Health Among Latinas During and After COVID-19: Considerations and Recommendations
Food insecurity—defined as limited or uncertain availability of nutritious and safe food, or the limited or uncertain ability to acquire adequate food in socially acceptable ways—is a multidimensional concept encompassing food quantity, quality, and variety. Food secure households are able to provide all members consistent access to sufficient, nutritious, and safe foods to live an active, healthy life.1 Being food insecure is associated with lower-quality diets2-4 and several negative health conditions and outcomes, including psychological distress,5 depression,6 chronic illness,7,8 and even premature death.Preconception Diet Quality Is Associated with Birth Weight for Gestational Age Among Women in the Hispanic Community Health Study/Study of Latinos
The nutritional status of women in the preconception period is of paramount importance due to its role in reproduction.Dietetic Training: Understanding Racial Inequity in Power and Privilege
The Academy of Nutrition and Dietetics (Academy) embraced a new vision, mission, and principles in 2017 to lead the Academy into its second century of existence. The resulting vision reads, “A world where all people thrive through the transformative power of food and nutrition.” The updated vision reflects an increased emphasis on expanding the Academy’s reach and influence. According to the impact goals, this will be accomplished in part by “Increas[ing] equitable access to nutrition and lifestyle services” and “Improv[ing] health equity through access to medical nutrition therapy services.”1Cognitive Factors Associated with Frequency of Eating Out and Eating Takeout among Latinas
Higher frequency of eating outside the home can be an unhealthy behavior that may contribute to higher rates of obesity among Latinas, a disproportionately affected group. There is a growing need to understand potentially modifiable factors (eg, dispositional mindfulness, self-efficacy, nutrition knowledge) associated with higher frequency of eating outside the home in this population. This study assessed associations of cognitive factors (ie, dispositional mindfulness, self-efficacy of eating and purchasing healthy foods, nutrition knowledge) with frequency of eating out among Latinas.Relationship Between Grocery Shopping Frequency and Home- and Individual-Level Diet Quality Among Low-Income Racial or Ethnic Minority Households With Preschool-Aged Children
The home food environment can shape the diets of young children. However, little is known about modifiable factors that influence home food availability and dietary intake.The Diet Quality of a Sample of Predominantly Racial Minority Children From Low-Income Households Is Lower During the Summer vs School Year: Results From the Project Summer Weight and Environmental Assessment Trial Substudy
Little is known about the diet quality of racial minority children during the summertime when school is out of session and there is risk of accelerated weight gain. Project Summer Weight and Environmental Assessment Trial was an observational, prospective study exploring child weight status and health trends during the summer.Comparing Methods from the National Cancer Institute vs Multiple Source Method for Estimating Usual Intake of Nutrients in the Hispanic Community Health Study/Study of Latino Youth
The Multiple Source Method (MSM) and the National Cancer Institute (NCI) method estimate usual dietary intake from short-term dietary assessment instruments, such as 24-hour recalls. Their performance varies according to sample size and nutrients distribution. A comparison of these methods among a multiethnic youth population, for which nutrient composition and dietary variability may differ from adults, is a gap in the literature.
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