Marie Fanelli Kuczmarski|Nancy Cotugna|Ryan T. Pohlig|May A. Beydoun|Erica Adams|Michele K. Evans|Alan B. Zonderman
Snacking and Diet Quality Are Associated With the Coping Strategies Used By a Socioeconomically Diverse Urban Cohort of African-American and White Adults
stress affects healthrelated quality life several pathways including physiological processes health behaviors always relationship stress stimulus coping response relationship snacking snackers diet quality stress coping topic overlooked researchthe study primarily designed determine whether energy provided snacks diet quality associated coping behaviors manage stresswe analyzed baseline cohort healthy aging neighborhoods diversity across life span study 2004 2009the sample composed 2177 socioeconomically diverse africanamerican white adults resided baltimore mdenergy snacks calculated 2 days 24hour dietary recalls collected using us department agricultures automated multiple pass method snack occasions selfreported distinct eating occasions diet quality evaluated healthy eating index2010multiple regression analyses used determine whether coping factors associated either energy provided snacks healthy eating index2010 adjusting age sex race socioeconomic status education literacy perceived stress coping measured brief cope inventory instrument variables categorized three factors problemfocused coping emotionfocused coping use support perceived stress measured 4item perceived stress scaleadjusting perceived stress selected demographic characteristics emotionfocused coping strategies associated greater energy intakes snacks p0020 use coping strategies involving support positively associated better diet quality p0009energy contributed snacks diet quality affected strategy individual used cope stress findings suggest health professionals working individuals seeking guidance modify eating practices assess persons coping strategies manage stress