Department of Health Behavior, University of Kentucky, Lexington, KY 40536, USA.
J Nutr Educ Behav. 2013 Mar;45(2):147-53. doi: 10.1016/j.jneb.2011.07.006. Epub 2012 Jan 24.
Patterns of overweight and obesity have an unequal geographic distribution, and there are elevated rates in Appalachia. Perceptions of Appalachian youth toward healthful eating and influences on food choice were examined as part of formative research to address these disparities.
Eleven focus groups, averaging 6 youth (n = 68) and moderated by experienced local residents, were conducted with participants aged 8-17. Session transcripts were coded for thematic analysis, using measures to enhance rigor and transferability.
Participants discussed numerous internal and external factors affecting dietary choices. They expressed confidence in their own nutritional knowledge, and they stressed the importance of taste preferences, cost, convenience, social influences, and advertising on diet.
Appalachian youth awareness of the multiple influences on diet may create opportunities for multifaceted, ecologically based interventions. In particular, participants stressed the importance of social influences on diet and on successful nutrition programming.
超重和肥胖的模式在地理分布上存在不均衡现象，阿巴拉契亚地区的发病率较高。作为解决这些差异的形成性研究的一部分，调查了阿巴拉契亚青年对健康饮食的看法以及对食物选择的影响。
与 8-17 岁的参与者进行了 11 个焦点小组，每个小组平均有 6 名青少年（n = 68），并由经验丰富的当地居民主持。对会议记录进行了主题分析编码，采用了一些措施来增强严谨性和可转移性。
参与者讨论了影响饮食选择的众多内部和外部因素。他们对自己的营养知识充满信心，强调了口味偏好、成本、便利性、社会影响和广告对饮食的重要性。
阿巴拉契亚青年对饮食的多种影响的认识可能为多方面的、基于生态的干预措施创造机会。特别是，参与者强调了社会影响对饮食和成功的营养计划的重要性。
