Rydén Petra J, Sydner Ylva Mattsson
Department of Food and Nutrition, Umeå University, Umeå, Sweden.
Scand J Caring Sci. 2011 Sep;25(3):583-90. doi: 10.1111/j.1471-6712.2010.00867.x. Epub 2011 Jan 19.
Changing to healthier dietary habits is quite difficult to implement and even more difficult to sustain. As the majority of people have some or all their meals with others, it is likely that their social relationships influence the dietary change process and its sustainability. Thus, the aim of this research was to explore and describe experiences of dietary change and its sustainability in the context of an individual's social relationships.
Semi-structured interviews were conducted individually with fourteen individuals who had previously been participants in a 3-month dietary intervention study using a Mediterranean diet. Thematic analysis was used on verbatim transcripts of the interviews.
Social relationships were the main barrier to sustainability - in particular social relationships within the household where various coping strategies were needed on an everyday basis. Social relationships outside the household were also difficult to manage as dietary change challenged existing traditions and norms of what to eat. The changer was thereby forced to risk social disapproval or to deviate from the diet.
Social relationships within and outside the household complicated the accomplishment of healthy dietary changes. Hence, it is important to acknowledge the social context of the changer when dietary change is to be implemented.
改变为更健康的饮食习惯实施起来相当困难，维持下去更是难上加难。由于大多数人会与他人一起用餐，他们的社会关系很可能会影响饮食改变过程及其可持续性。因此，本研究的目的是探讨和描述在个人社会关系背景下饮食改变及其可持续性的经历。
对14名曾参与一项为期3个月的采用地中海饮食的饮食干预研究的个体进行了单独的半结构化访谈。对访谈的逐字记录进行了主题分析。
社会关系是可持续性的主要障碍——尤其是家庭内部的社会关系，每天都需要各种应对策略。家庭外部的社会关系也难以管理，因为饮食改变挑战了关于吃什么的现有传统和规范。因此，改变者被迫冒着社会不认可的风险，或者偏离饮食计划。
家庭内外的社会关系使健康饮食改变的实现变得复杂。因此，在实施饮食改变时，认识到改变者的社会背景很重要。
