Department of Medicine, Boston University, Boston, MA 02118, USA.
Nutr Res. 2012 Oct;32(10):757-63. doi: 10.1016/j.nutres.2012.09.008. Epub 2012 Oct 22.
Nontraditional college students (older, part-time, and/or working) have less healthful nutrition and physical activity behaviors compared to traditional students, yet few health promotion efforts focus on nontraditional students. The purpose of this study was to use qualitative methods to explore factors affecting nutrition and physical activity behaviors of nontraditional students. Fourteen semi-structured individual interviews were conducted with nontraditional undergraduate students attending a large university. The sample had a median age of 25 (range, 21-64), 57% were men, 43% were racial/ethnic minorities, and 57% were employed (mean 22 hours/week). Data were coded using a systematic team-based approach. Consistent themes (mentioned by 4+ students) were identified and categorized into three domains: home, work, and school. Home (themes: neighborhood characteristics, family, partners), work (theme: work environment), and school (themes: cafeteria, vending machines) factors consistently influenced positive nutrition behaviors. Similarly, home (themes: neighborhood including safety, friends from home, partner,), work (theme: work environment), and school (themes: not having a car, campus structure, campus gym, friends at school) factors consistently influenced positive physical activity. Financial resources and perceptions of autonomy had influence across domains. Results indicate consistent influences on nutrition and physical activity behaviors across home, work, and school domains for nontraditional college students. Study findings suggest possible, and sometimes unconventional, intervention strategies to promote healthful eating and physical activity. For example, when cafeteria meal plans are not offered and financial constraints limit eating at the cafeteria, encouraging healthful choices from vending machines could be preferable to not eating at all.
非传统大学生(年龄较大、兼职或工作)的营养和体育锻炼行为比传统学生更不健康,但很少有健康促进工作关注非传统学生。本研究旨在采用定性方法探讨影响非传统大学生营养和体育锻炼行为的因素。对一所大型大学的 14 名非传统本科学生进行了半结构化个人访谈。样本的中位数年龄为 25 岁(范围为 21-64 岁),57%为男性,43%为少数族裔,57%有工作(平均每周工作 22 小时)。使用系统的团队方法对数据进行编码。确定了一致的主题(4 名以上学生提到),并将其分类为三个领域:家庭、工作和学校。家庭(主题:邻里特征、家庭、伴侣)、工作(主题:工作环境)和学校(主题:自助餐厅、自动售货机)因素一致影响积极的营养行为。同样,家庭(主题:包括安全、家乡朋友、伴侣的邻里)、工作(主题:工作环境)和学校(主题:没有汽车、校园结构、校园健身房、学校朋友)因素一致影响积极的体育锻炼。财务资源和自主权的认知对所有领域都有影响。结果表明,非传统大学生的营养和体育锻炼行为在家庭、工作和学校三个领域存在一致的影响。研究结果表明,在促进健康饮食和体育锻炼方面,可能存在甚至有时是非传统的干预策略。例如,当不提供自助餐厅用餐计划且经济拮据限制在自助餐厅用餐时,鼓励从自动售货机选择健康食品可能比完全不吃要好。