Health Disparities in Calorie Knowledge and Confidence Among the U.S. Adult Population

Purpose Obesity prevalence has reached an all-time high in the US, affecting >40% of the population. This study’s objective was to evaluate associations between demographics and self-reported calorie knowledge and self-perceived confidence in calorie knowledge (“calorie confidence”). The relation...

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Bibliographic Details
Published in:Journal of primary care & community health 2021, Vol.12, p.21501327211002416-21501327211002416
Main Authors: Lando, Amy M., Ferguson, Martine S., Verrill, Linda, Wu, Fanfan, Jones-Dominic, Olivia E., Punzalan, Cecile, Wolpert, Beverly J.
Format: Article
Language:English
Subjects:
Body mass index
Calories
Confidence
Demographics
Demography
Ethnicity
FDA’s Strategies to Close the Health Equity Gap Among Diverse Populations
Food safety
Health disparities
Healthy food
Knowledge
Nutrition
Obesity
Overweight
Race
Secondary schools
Underweight
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Summary:Purpose Obesity prevalence has reached an all-time high in the US, affecting >40% of the population. This study’s objective was to evaluate associations between demographics and self-reported calorie knowledge and self-perceived confidence in calorie knowledge (“calorie confidence”). The relationships between body mass index (BMI) and calorie knowledge and confidence were also explored. Methods We analyzed data from participants (n = 2171) in the crosssectional, nationally representative 2019 FDA Food Safety and Nutrition Survey using logistic regression to estimate adjusted odds ratios (AORs) and confidence intervals (95% CIs) for associations between BMI and calorie knowledge (correct/incorrect), calorie confidence (confident/not confident), and demographic characteristics, and the Wald chi square test to evaluate relationships between BMI and both calorie knowledge and confidence. Results Many of the same subgroups were more likely than others to report lack of calorie knowledge and lack of confidence in knowing the typical daily calorie intake needed to maintain a healthy weight [respective AORs (95% CIs): age (years), >60 vs 51-60, 1.7 (1.1-2.5), and 1.4 (1.0-2.0); sex, male vs female, 1.7 (1.3-2.3), and 1.7 (1.3-2.1); race/ethnicity, non-Hispanic Black vs non-Hispanic white, 3.4 (2.1-5.5), and 2.4 (1.6-3.8); education, ≤high school vs college grad, 1.5 (1.0- 2.3), and 1.9 (1.3-2.7)]. BMI was significantly correlated with calorie confidence (P = .047), such that those reporting less confidence were more likely overweight or obese [underweight/healthy (BMI 
ISSN:2150-1319
2150-1327
DOI:10.1177/21501327211002416