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Cut vs Whole Fruit and Vegetable Selection, Consumption, and Waste in K12 School Lunch

Description
Objective: Increasing fruit/vegetable (FV) consumption and decreasing waste during the school lunch is a public health priority. Understanding how serving style of FV impacts FV consumption and waste may be an effective means to changing nutrition behaviors in schools. This study examined whether students were more likely to select, consume,…

Objective: Increasing fruit/vegetable (FV) consumption and decreasing waste during the school lunch is a public health priority. Understanding how serving style of FV impacts FV consumption and waste may be an effective means to changing nutrition behaviors in schools. This study examined whether students were more likely to select, consume, and waste FV when FVs were cut vs. whole. Methods: Baseline data from the ASU School Lunch Study was used to explore associations between cut vs. whole FV serving style and objectively measured FV selection, consumption, and waste and grade level interactions among a random selection of students (n=6804; 47.8% female; 78.8% BIPOC) attending Arizona elementary, middle, and high schools (N=37). Negative binomial regression models evaluated serving style on FV weight (grams) selected, consumed, and wasted, adjusted for sociodemographics and school. Results: Students were more likely to select cut FVs (IRR=1.11; 95% CI: 1.04, 1.18) and waste cut FVs (IRR=1.20; 95% CI: 1.04, 1.39); however, no differences were observed in the overall consumption of cut vs. whole FVs. Grade-level interactions impacted students’ selection of FVs. Middle school students had a significantly higher effect modification for the selection of cut FVs (IRR=1.18; p=0.006) compared to high school and elementary students. Further, high school students had a significantly lower effect modification for the selection of cut FVs (IRR=0.83; p=0.010) compared to middle and elementary students. No other grade-level interactions were observed. Discussion: Serving style of FV may impact how much FV is selected and wasted, but further research is needed to determine causality between these variables.
ContributorsJames, Amber Chandarana (Author) / Bruening, Meredith (Thesis advisor) / Adams, Marc (Thesis advisor) / Koskan, Alexis (Committee member) / Arizona State University (Publisher)
Created2021

HPV Vaccine Administration in Community Pharmacies

Description
The human papillomavirus (HPV) vaccine can help prevent numerous cancers and genital warts. Traditionally, pediatricians and family medicine providers administer the vaccine. However, pharmacists can also vaccinate against HPV. The objective for this study is to assess Arizona pharmacists’ behaviors and influences in relation to administering the HPV vaccine. We…

The human papillomavirus (HPV) vaccine can help prevent numerous cancers and genital warts. Traditionally, pediatricians and family medicine providers administer the vaccine. However, pharmacists can also vaccinate against HPV. The objective for this study is to assess Arizona pharmacists’ behaviors and influences in relation to administering the HPV vaccine. We administered a survey to Arizona pharmacists at a statewide virtual conference. The key points that are assessed: pharmacists’ behaviors, intentions, attitudes, subjective norms, and perceived behavioral in relation to the human papillomavirus vaccination. Looking at the measures, the leading outcomes of the study involved the HPV vaccination behavior and intentions to administer the vaccine. Secondary outcomes related more to the Theory of Planned Behavior constructs, which ended up being stronger with predictions of HPV vaccine administration intentions and behavior. Our results show that most of pharmacists held very positive attitudes (on a Likert Scale of 1-5)towards the HPV vaccine. It looked like attitude, perceived behavioral control, and subjective norm combined had a big influence on HPV vaccination intentions; however, the strongest predictor came down to the subjective norms, in administering the vaccine. Pharmacists believed strongly with implementing the HPV vaccine, and want to do so in the near future. In conclusion, the overall point of the study is that there should be a need in increasing pharmacy professionals’ subjective norms to vaccinate against the HPV in order to accelerate pharmacy-based HPV immunizations. Implementing human papillomavirus vaccine promotions in the near future could help engage leadership in pharmacy, and further encourage pharmacists’ awareness to administer the vaccine. Additionally, raising pharmacists’ awareness to administer the vaccine among adolescents could add facilitation in increasing human papillomavirus rates.
ContributorsBouanani, Iman (Author) / Koskan, Alexis (Thesis director) / Fahmi, Noureddine (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12