Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population

The present study examines the receptivity to and potential effects of menu labelling on food choices of low-income and minority individuals - a group often at disproportionate risk for preventable, lifestyle-related health conditions (e.g. obesity, diabetes and CVD). We conducted a cross-sectional...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Public health nutrition 2010-04, Vol.13 (4), p.550-555
Hauptverfasser: Piron, Jennifer, Smith, Lisa V, Simon, Paul, Cummings, Patricia L, Kuo, Tony
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 555
container_issue 4
container_start_page 550
container_title Public health nutrition
container_volume 13
creator Piron, Jennifer
Smith, Lisa V
Simon, Paul
Cummings, Patricia L
Kuo, Tony
description The present study examines the receptivity to and potential effects of menu labelling on food choices of low-income and minority individuals - a group often at disproportionate risk for preventable, lifestyle-related health conditions (e.g. obesity, diabetes and CVD). We conducted a cross-sectional survey to examine the knowledge, attitudes and potential response to menu labelling in an urban public health clinic population. United States. A total of 639 clinic patients were recruited in the waiting rooms of six, large public health centres in Los Angeles County (2007-2008). These centres provide services to a largely uninsured or under-insured, low-income, Latino and African-American population. Among those approached and who met eligibility criteria, 88 % completed the survey. Of the 639 respondents, 55 % were overweight or obese based on self-reported heights and weights; 74 % reported visiting a fast food restaurant at least once in the past year, including 22 % at least once a week; 93 % thought that calorie information was 'important'; and 86 % thought that restaurants should be required to post calorie information on their menu boards. In multivariate analyses, respondents who were obese, female, Latino and supportive of calorie postings were more likely than others to report that they would choose food and beverages with lower calories as a result of menu labelling. These findings suggest that clinic patients are receptive to this population-based strategy and that they would be inclined to change their food selections in response to menu labelling.
doi_str_mv 10.1017/S1368980009991303
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_745687181</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S1368980009991303</cupid><sourcerecordid>733712617</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-5f0af7b7d62aa1d92ede1a29cd4c430e85f3aaa8ceee4de0a785eeb0f8e45d353</originalsourceid><addsrcrecordid>eNqFkUtv1DAUhSMEog_4AWzAYtMNAT_i2FlWhRZoJUBtJXbWTXwzdcnYwXYE_Hs8zIhKIMTGD53vPo5OVT1h9CWjTL26ZKLVnaaUdl3HBBX3qn3WKFlzxdX98i5yvdH3qoOUbgsnlVIPqz3WKdpypvYrd-7DtwntCl8QyNnlxWIi4C2ZQ0afHUwkYpqDT0hyIGv0C5mgx2lyfkWcLyxZYl_OeeknN5AbhCnfkKHo5TeHeZkgu-AfVQ9GmBI-3t2H1fXpm6uTt_XFh7N3J8cX9SCpzrUcKYyqV7blAMx2HC0y4N1gm6ERFLUcBQDoAREbixSUlog9HTU20gopDqujbd85hq8LpmzWLg1lX_AYlmRUI1utmGb_J4VQjLdMFfL5H-RtWKIvNgzngmrJWVsgtoWGGFKKOJo5ujXEH4ZRs8nL_JVXqXm6a7z0a7R3FbuAClBvAZcyfv-tQ_xiWiWUNO3ZJ6M_n7_-eHr13mw8PdvyIwQDq-iSub7ktAxjmiv6y7XYrQnrPrqS_J2Zfy_6E7UWuS0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>223085216</pqid></control><display><type>article</type><title>Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Piron, Jennifer ; Smith, Lisa V ; Simon, Paul ; Cummings, Patricia L ; Kuo, Tony</creator><creatorcontrib>Piron, Jennifer ; Smith, Lisa V ; Simon, Paul ; Cummings, Patricia L ; Kuo, Tony</creatorcontrib><description>The present study examines the receptivity to and potential effects of menu labelling on food choices of low-income and minority individuals - a group often at disproportionate risk for preventable, lifestyle-related health conditions (e.g. obesity, diabetes and CVD). We conducted a cross-sectional survey to examine the knowledge, attitudes and potential response to menu labelling in an urban public health clinic population. United States. A total of 639 clinic patients were recruited in the waiting rooms of six, large public health centres in Los Angeles County (2007-2008). These centres provide services to a largely uninsured or under-insured, low-income, Latino and African-American population. Among those approached and who met eligibility criteria, 88 % completed the survey. Of the 639 respondents, 55 % were overweight or obese based on self-reported heights and weights; 74 % reported visiting a fast food restaurant at least once in the past year, including 22 % at least once a week; 93 % thought that calorie information was 'important'; and 86 % thought that restaurants should be required to post calorie information on their menu boards. In multivariate analyses, respondents who were obese, female, Latino and supportive of calorie postings were more likely than others to report that they would choose food and beverages with lower calories as a result of menu labelling. These findings suggest that clinic patients are receptive to this population-based strategy and that they would be inclined to change their food selections in response to menu labelling.</description><identifier>ISSN: 1368-9800</identifier><identifier>ISSN: 1475-2727</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980009991303</identifier><identifier>PMID: 19706217</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; African Americans ; Age groups ; Aged ; attitudes and opinions ; Calories ; Clinics ; consumer attitudes ; Consumer Health Information - methods ; Cross-Sectional Studies ; eating out ; energy content ; Energy Intake ; Fast food ; fast food restaurants ; Fast Foods ; Female ; Food ; Food choices ; Food Labeling ; Food Preferences - ethnology ; gender differences ; Health Knowledge, Attitudes, Practice ; Health Promotion ; health services ; Hispanic Americans ; human nutrition ; Humans ; Interventions ; Knowledge ; Labeling ; Latinos ; Los Angeles ; Low income groups ; low income households ; Male ; men ; Menu labelling ; Middle Aged ; minorities ; Multivariate analysis ; nationalities and ethnic groups ; Nutrition ; nutrition information ; nutrition knowledge ; nutrition labeling ; Obesity ; Obesity - prevention &amp; control ; Overweight ; Public health ; Questionnaires ; Restaurants ; Sexually transmitted diseases ; Socioeconomic Factors ; STD ; Surveys and Questionnaires ; Urban population ; Variables ; women ; Young Adult ; Young adults</subject><ispartof>Public health nutrition, 2010-04, Vol.13 (4), p.550-555</ispartof><rights>Copyright © The Authors 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-5f0af7b7d62aa1d92ede1a29cd4c430e85f3aaa8ceee4de0a785eeb0f8e45d353</citedby><cites>FETCH-LOGICAL-c508t-5f0af7b7d62aa1d92ede1a29cd4c430e85f3aaa8ceee4de0a785eeb0f8e45d353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19706217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Piron, Jennifer</creatorcontrib><creatorcontrib>Smith, Lisa V</creatorcontrib><creatorcontrib>Simon, Paul</creatorcontrib><creatorcontrib>Cummings, Patricia L</creatorcontrib><creatorcontrib>Kuo, Tony</creatorcontrib><title>Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>The present study examines the receptivity to and potential effects of menu labelling on food choices of low-income and minority individuals - a group often at disproportionate risk for preventable, lifestyle-related health conditions (e.g. obesity, diabetes and CVD). We conducted a cross-sectional survey to examine the knowledge, attitudes and potential response to menu labelling in an urban public health clinic population. United States. A total of 639 clinic patients were recruited in the waiting rooms of six, large public health centres in Los Angeles County (2007-2008). These centres provide services to a largely uninsured or under-insured, low-income, Latino and African-American population. Among those approached and who met eligibility criteria, 88 % completed the survey. Of the 639 respondents, 55 % were overweight or obese based on self-reported heights and weights; 74 % reported visiting a fast food restaurant at least once in the past year, including 22 % at least once a week; 93 % thought that calorie information was 'important'; and 86 % thought that restaurants should be required to post calorie information on their menu boards. In multivariate analyses, respondents who were obese, female, Latino and supportive of calorie postings were more likely than others to report that they would choose food and beverages with lower calories as a result of menu labelling. These findings suggest that clinic patients are receptive to this population-based strategy and that they would be inclined to change their food selections in response to menu labelling.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>Age groups</subject><subject>Aged</subject><subject>attitudes and opinions</subject><subject>Calories</subject><subject>Clinics</subject><subject>consumer attitudes</subject><subject>Consumer Health Information - methods</subject><subject>Cross-Sectional Studies</subject><subject>eating out</subject><subject>energy content</subject><subject>Energy Intake</subject><subject>Fast food</subject><subject>fast food restaurants</subject><subject>Fast Foods</subject><subject>Female</subject><subject>Food</subject><subject>Food choices</subject><subject>Food Labeling</subject><subject>Food Preferences - ethnology</subject><subject>gender differences</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Promotion</subject><subject>health services</subject><subject>Hispanic Americans</subject><subject>human nutrition</subject><subject>Humans</subject><subject>Interventions</subject><subject>Knowledge</subject><subject>Labeling</subject><subject>Latinos</subject><subject>Los Angeles</subject><subject>Low income groups</subject><subject>low income households</subject><subject>Male</subject><subject>men</subject><subject>Menu labelling</subject><subject>Middle Aged</subject><subject>minorities</subject><subject>Multivariate analysis</subject><subject>nationalities and ethnic groups</subject><subject>Nutrition</subject><subject>nutrition information</subject><subject>nutrition knowledge</subject><subject>nutrition labeling</subject><subject>Obesity</subject><subject>Obesity - prevention &amp; control</subject><subject>Overweight</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Restaurants</subject><subject>Sexually transmitted diseases</subject><subject>Socioeconomic Factors</subject><subject>STD</subject><subject>Surveys and Questionnaires</subject><subject>Urban population</subject><subject>Variables</subject><subject>women</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>1368-9800</issn><issn>1475-2727</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUtv1DAUhSMEog_4AWzAYtMNAT_i2FlWhRZoJUBtJXbWTXwzdcnYwXYE_Hs8zIhKIMTGD53vPo5OVT1h9CWjTL26ZKLVnaaUdl3HBBX3qn3WKFlzxdX98i5yvdH3qoOUbgsnlVIPqz3WKdpypvYrd-7DtwntCl8QyNnlxWIi4C2ZQ0afHUwkYpqDT0hyIGv0C5mgx2lyfkWcLyxZYl_OeeknN5AbhCnfkKHo5TeHeZkgu-AfVQ9GmBI-3t2H1fXpm6uTt_XFh7N3J8cX9SCpzrUcKYyqV7blAMx2HC0y4N1gm6ERFLUcBQDoAREbixSUlog9HTU20gopDqujbd85hq8LpmzWLg1lX_AYlmRUI1utmGb_J4VQjLdMFfL5H-RtWKIvNgzngmrJWVsgtoWGGFKKOJo5ujXEH4ZRs8nL_JVXqXm6a7z0a7R3FbuAClBvAZcyfv-tQ_xiWiWUNO3ZJ6M_n7_-eHr13mw8PdvyIwQDq-iSub7ktAxjmiv6y7XYrQnrPrqS_J2Zfy_6E7UWuS0</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Piron, Jennifer</creator><creator>Smith, Lisa V</creator><creator>Simon, Paul</creator><creator>Cummings, Patricia L</creator><creator>Kuo, Tony</creator><general>Cambridge University Press</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>20100401</creationdate><title>Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population</title><author>Piron, Jennifer ; Smith, Lisa V ; Simon, Paul ; Cummings, Patricia L ; Kuo, Tony</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-5f0af7b7d62aa1d92ede1a29cd4c430e85f3aaa8ceee4de0a785eeb0f8e45d353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans</topic><topic>Age groups</topic><topic>Aged</topic><topic>attitudes and opinions</topic><topic>Calories</topic><topic>Clinics</topic><topic>consumer attitudes</topic><topic>Consumer Health Information - methods</topic><topic>Cross-Sectional Studies</topic><topic>eating out</topic><topic>energy content</topic><topic>Energy Intake</topic><topic>Fast food</topic><topic>fast food restaurants</topic><topic>Fast Foods</topic><topic>Female</topic><topic>Food</topic><topic>Food choices</topic><topic>Food Labeling</topic><topic>Food Preferences - ethnology</topic><topic>gender differences</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Promotion</topic><topic>health services</topic><topic>Hispanic Americans</topic><topic>human nutrition</topic><topic>Humans</topic><topic>Interventions</topic><topic>Knowledge</topic><topic>Labeling</topic><topic>Latinos</topic><topic>Los Angeles</topic><topic>Low income groups</topic><topic>low income households</topic><topic>Male</topic><topic>men</topic><topic>Menu labelling</topic><topic>Middle Aged</topic><topic>minorities</topic><topic>Multivariate analysis</topic><topic>nationalities and ethnic groups</topic><topic>Nutrition</topic><topic>nutrition information</topic><topic>nutrition knowledge</topic><topic>nutrition labeling</topic><topic>Obesity</topic><topic>Obesity - prevention &amp; control</topic><topic>Overweight</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Restaurants</topic><topic>Sexually transmitted diseases</topic><topic>Socioeconomic Factors</topic><topic>STD</topic><topic>Surveys and Questionnaires</topic><topic>Urban population</topic><topic>Variables</topic><topic>women</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Piron, Jennifer</creatorcontrib><creatorcontrib>Smith, Lisa V</creatorcontrib><creatorcontrib>Simon, Paul</creatorcontrib><creatorcontrib>Cummings, Patricia L</creatorcontrib><creatorcontrib>Kuo, Tony</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Career &amp; Technical Education Database</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>Public health nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Piron, Jennifer</au><au>Smith, Lisa V</au><au>Simon, Paul</au><au>Cummings, Patricia L</au><au>Kuo, Tony</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>13</volume><issue>4</issue><spage>550</spage><epage>555</epage><pages>550-555</pages><issn>1368-9800</issn><issn>1475-2727</issn><eissn>1475-2727</eissn><abstract>The present study examines the receptivity to and potential effects of menu labelling on food choices of low-income and minority individuals - a group often at disproportionate risk for preventable, lifestyle-related health conditions (e.g. obesity, diabetes and CVD). We conducted a cross-sectional survey to examine the knowledge, attitudes and potential response to menu labelling in an urban public health clinic population. United States. A total of 639 clinic patients were recruited in the waiting rooms of six, large public health centres in Los Angeles County (2007-2008). These centres provide services to a largely uninsured or under-insured, low-income, Latino and African-American population. Among those approached and who met eligibility criteria, 88 % completed the survey. Of the 639 respondents, 55 % were overweight or obese based on self-reported heights and weights; 74 % reported visiting a fast food restaurant at least once in the past year, including 22 % at least once a week; 93 % thought that calorie information was 'important'; and 86 % thought that restaurants should be required to post calorie information on their menu boards. In multivariate analyses, respondents who were obese, female, Latino and supportive of calorie postings were more likely than others to report that they would choose food and beverages with lower calories as a result of menu labelling. These findings suggest that clinic patients are receptive to this population-based strategy and that they would be inclined to change their food selections in response to menu labelling.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19706217</pmid><doi>10.1017/S1368980009991303</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1368-9800
ispartof Public health nutrition, 2010-04, Vol.13 (4), p.550-555
issn 1368-9800
1475-2727
1475-2727
language eng
recordid cdi_proquest_miscellaneous_745687181
source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
African Americans
Age groups
Aged
attitudes and opinions
Calories
Clinics
consumer attitudes
Consumer Health Information - methods
Cross-Sectional Studies
eating out
energy content
Energy Intake
Fast food
fast food restaurants
Fast Foods
Female
Food
Food choices
Food Labeling
Food Preferences - ethnology
gender differences
Health Knowledge, Attitudes, Practice
Health Promotion
health services
Hispanic Americans
human nutrition
Humans
Interventions
Knowledge
Labeling
Latinos
Los Angeles
Low income groups
low income households
Male
men
Menu labelling
Middle Aged
minorities
Multivariate analysis
nationalities and ethnic groups
Nutrition
nutrition information
nutrition knowledge
nutrition labeling
Obesity
Obesity - prevention & control
Overweight
Public health
Questionnaires
Restaurants
Sexually transmitted diseases
Socioeconomic Factors
STD
Surveys and Questionnaires
Urban population
Variables
women
Young Adult
Young adults
title Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T13%3A37%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Knowledge,%20attitudes%20and%20potential%20response%20to%20menu%20labelling%20in%20an%20urban%20public%20health%20clinic%20population&rft.jtitle=Public%20health%20nutrition&rft.au=Piron,%20Jennifer&rft.date=2010-04-01&rft.volume=13&rft.issue=4&rft.spage=550&rft.epage=555&rft.pages=550-555&rft.issn=1368-9800&rft.eissn=1475-2727&rft_id=info:doi/10.1017/S1368980009991303&rft_dat=%3Cproquest_cross%3E733712617%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=223085216&rft_id=info:pmid/19706217&rft_cupid=10_1017_S1368980009991303&rfr_iscdi=true