This study among an ethnically/racially diverse adolescent population was designed to identify the most important individual and environmental (home/family, peer, school, neighborhood, media) influences associated with intake of energy-dense snack foods. Surveys and food frequency questionnaires were completed in 2009-2010 by 2,540 adolescents (54% girls, mean age=14.5±2.0, 80% nonwhite) in Minneapolis-St. Paul, Minnesota schools as part of EAT 2010. Data representing characteristics of adolescents’ environments were collected from parents/caregivers, friends, school personnel, Geographic Information System sources, and online media (e.g. network websites). Daily servings of energy-dense snack food was estimated by reported consumption of 21 common snack food items, such as potato chips, cookies, and candy. Multiple regression models examined factors related to estimated daily servings and controlled for adolescent age, ethnicity/race, and socioeconomic status. The total variance in energy-dense snack food intake explained by individual and environmental characteristics was 28%. When the contexts were considered separately, individual attitudes and behaviors (e.g., snacking while watching television) were most predictive of snack food intake and explained 23% of variance; home/family (e.g., home food availability) and peer (e.g., friends’ snack food consumption) characteristics respectively explained 17% and 10% of variance; school, neighborhood, and media characteristics (e.g., classroom food policies) were least predictive of adolescent snack food intake and respectively explained 10%, 8%, and 8% of variance. Results emphasize the need for refining future studies of school, neighborhood, and media environments to explain additional variance in snack food consumption and the importance of working with adolescents, their families, and friends to address proximal factors as part of interventions designed to promote healthy snack food choices.
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