Miura Shoko, Kunii Osamu, Wakai Susumu
Department of International Community Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Int J Food Sci Nutr. 2003 Jan;54(1):77-88. doi: 10.1080/096374803/000062010.
The deficiencies of micronutrients, in particular iron and vitamin A, are common in the Philippines, but their control measures through supplementation and fortification have shown several weaknesses. The present study examines the outcomes of a community-based approach including promotion of home gardening and a diversified dietary practice. A total of 152 mothers in two poor urban communities in Davao City, the Philippines were interviewed with a structured questionnaire. Participants were also asked to keep a brief 7-day self-administered household food record. Focus group discussions were conducted to obtain in-depth information on their attitudes toward home gardening and vegetable consumption. Home garden produce contributed to the diversification of carbohydrate consumed among participants. However, home garden produce reduced the consumption of protein-rich food. There was therefore no discernible improvement in the diets of participants from the consumption of home garden produce. In communities where there was no greengrocer, respondents shared the produce from home gardens. The community-based diet improvement program facilitated home gardening practices, which influenced the dietary practices of the urban poor. The monitoring of food consumption together with community-based programs needs to be expanded in urban poor communities. Our focus group discussion revealed that there was a cognition linking home gardening and vegetable consumption to poverty among some of the participants. More study is necessary on this finding.
在菲律宾，微量营养素缺乏，尤其是铁和维生素A缺乏的情况很常见，但其通过补充剂和强化食品进行控制的措施已显示出一些弱点。本研究考察了一种基于社区的方法的成效，该方法包括推广家庭园艺和多样化的饮食习惯。在菲律宾达沃市的两个贫困城市社区，共有152位母亲接受了结构化问卷调查。参与者还被要求记录一份简短的7天家庭自记饮食记录。开展了焦点小组讨论，以深入了解她们对家庭园艺和蔬菜消费的态度。家庭园圃产出有助于参与者碳水化合物摄入的多样化。然而，家庭园圃产出减少了富含蛋白质食物的消费。因此，参与者从家庭园圃产出消费中，饮食并未有明显改善。在没有蔬菜水果商的社区，受访者会分享家庭园圃产出。基于社区的饮食改善项目促进了家庭园艺实践，这影响了城市贫困人口的饮食习惯。在城市贫困社区，需要扩大对食物消费的监测以及基于社区的项目。我们的焦点小组讨论表明，一些参与者存在将家庭园艺和蔬菜消费与贫困联系起来的认知。对此发现还需要进行更多研究。
