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The relationship between literacy and diet quality among Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study participants

Pryor L, Kuczmarski MF, Cotugna N, Hotchkiss L, Kitner-Triolo M, Zonderman AB, Evans MK. The relationship between literacy and diet quality among Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study participants. Paper presented at the APHA 139th Annual Meeting and Exposition; 29 October-2 November 2011; Washington, DC. 2011

Introduction: Low literacy is a common US problem and can be a barrier to following dietary recommendations. Diet quality has been associated with race and education but no prior research has evaluated the association of literacy and diet quality and whether literacy is a better predictor of diet quality than race or education. Methodology: Subjects were drawn from 3,721 African American and white, low-income adults, aged 30-64 years who participated in the baseline phase of the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) Study. Dietary intake data were obtained from two 24-hour recalls using USDA’s Automated Multiple Pass Method. Diet quality was calculated using the USDA Healthy Eating Index-2005 as well as a micronutrient composite index of nutrient adequacy ratios (NAR) and a mean adequacy ratio (MAR). Literacy was measured using the Wide Range Achievement Test Letter and Word Reading, 3rd edition. Expected Outcomes: Results to be reported will include diet quality of the sample as reflected by HEI, NAR and MAR scores; literacy scores; and associations determined between those and diet quality scores as well as gender, race, age, education, income.




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