Nafiseh Heshmati Molaie, Roya Koochak Entezar, Fatemeh Golshani
Providing Adaptation Solutions to the Problems Faced by Adoptive Families
Cureus
myplate tool designed educate general us population eat alignment dietary guidelines americans yet lack data heard myplate time objective analysis examine prevalence awareness myplate within us population awareness changes differentially time study serial crosssectional survey three survey waves data 20132018 used national health nutrition examination survey adults aged 20 years older n 17023 percentage us adult population heard myplate measured stratified sex age citizenship status education household food security status income receipt supplemental nutrition assistance program snap benefits receipt special supplemental nutrition program women infants children wic benefits global wald tests used assess whether prevalence awareness myplate differed sociodemographic characteristics tests homogeneity using likelihood ratio tests nested logistic regression models used assess whether differences awareness myplate various sociodemographic characteristics changed time 2013 2018 twenty percent 195 n 875 analytic sample participants aged 20 years older heard myplate 20132014 245 n 1020 20152016 246 n 1086 20172018 awareness myplate changed differentially time p value 1 2013 2018 income household food security status receipt snap benefits slower increases awareness households lowest income time narrowing differences awareness household food security status time persistent differences awareness receipt snap benefits time results highlight current low awareness myplate disparities awareness myplate immediately implementation sociodemographic characteristics increases awareness time differential rates within levels income food security status ever receipt snap benefits given dietary guidelines americans 20252030 currently development new strategies considered disseminate tools translate updated dietary guidelines way reach general population equitably upon implementation within united states