Dammann Kristen Wiig, Smith Chery
Department of Food Science and Nutrition, University of Minnesota, St. Paul, 55108-6099, USA.
J Nutr Educ Behav. 2009 Jul-Aug;41(4):242-53. doi: 10.1016/j.jneb.2008.07.003.
To investigate factors affecting food choice and health beliefs among low-income women in the context of their weight and socioeconomic status.
Two researchers conducted 14 90-minute focus groups, which were audiotaped.
Libraries, homeless shelters, and a community center.
Ninety-two low-income women (18-65 years) with at least 1 child aged 9-13 years in the household.
Food choice and health beliefs of low-income women.
Transcripts were coded and reconciled; common themes and subthemes were identified.
Over 75% of participants were overweight/obese (body mass index [BMI] > or = 25), and most were in charge of purchasing and preparing food for their families. Health concerns included diabetes, hypertension, and overweight/obesity, and most felt their health status had genetic or metabolic origins. Although many would like to regularly consume healthful food (eg, fresh fruits and vegetables), such food was perceived as unaffordable.
A disconnect between diet and health among low-income women calls for nutrition interventions that educate low-income families on inexpensive, healthful eating in a structured environment, and diet-disease relationships. Changes at a policy level should be considered to increase affordability and accessibility of healthful food in low-income neighborhoods and through federal food assistance programs.
在低收入女性的体重及社会经济地位背景下，调查影响其食物选择和健康观念的因素。
两名研究人员开展了14次90分钟的焦点小组讨论，并进行了录音。
图书馆、收容所和一个社区中心。
92名低收入女性（年龄在18 - 65岁之间），家中至少有一名9 - 13岁的孩子。
低收入女性的食物选择和健康观念。
对文字记录进行编码和核对；确定共同的主题和子主题。
超过75%的参与者超重/肥胖（体重指数[BMI]≥25），且大多数人负责为家人购买和准备食物。健康问题包括糖尿病、高血压和超重/肥胖，大多数人认为她们的健康状况有遗传或代谢方面的原因。尽管许多人希望经常食用健康食品（如新鲜水果和蔬菜），但这类食品被认为价格过高。
低收入女性饮食与健康之间的脱节，需要开展营养干预措施，在结构化环境中对低收入家庭进行关于廉价健康饮食及饮食与疾病关系的教育。应考虑在政策层面做出改变，以提高低收入社区健康食品的可承受性和可及性，并通过联邦食品援助计划来实现。
