Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
J Nutr Educ Behav. 2013 Nov-Dec;45(6):652-60. doi: 10.1016/j.jneb.2013.05.009. Epub 2013 Jul 31.
To understand environmental factors influencing the food-related habits of low-income urban African American adolescents.
Qualitative research was conducted between February and April, 2010, using in-depth interviews, focus groups, and direct observation.
The study was conducted in low-income, predominantly African American neighborhoods of Baltimore City.
A total of 20 adolescents were interviewed in 18 in-depth interviews (n = 13) and 2 focus groups (n = 7). Participants were recruited from Baltimore City recreation centers and were eligible if they were African American and aged 10-16 years.
The food-related habits of low-income, African American, urban adolescents and reported perceptions of their food environments.
Interviews were audio recorded, transcribed, coded, and analyzed for emerging themes.
Six thematic categories emerged and were organized into 4 environmental contexts: the neighborhood context (accessibility of food and safety of neighborhood), the school context (school food environment), the family context (family health history, role modeling, and monitoring) and the peer context (peer behaviors).
Future efforts to reduce the obesity epidemic among low-income African American adolescents should address the social environment of the family; however, positive behavior change may not be sustainable without neighborhood or school food environment modifications.
了解影响低收入城市非裔美国青少年与食物相关的习惯的环境因素。
2010 年 2 月至 4 月期间进行了定性研究，采用深入访谈、焦点小组和直接观察。
研究在巴尔的摩市低收入、主要是非裔美国人社区进行。
共有 20 名青少年接受了 18 次深入访谈（n=13）和 2 次焦点小组访谈（n=7）。参与者从巴尔的摩市娱乐中心招募，如果他们是非裔美国人和 10-16 岁，就有资格参加。
低收入、非裔美国、城市青少年的与食物相关的习惯，以及他们对食物环境的感知。
访谈进行了录音、转录、编码和分析，以得出主题。
出现了 6 个主题类别，并组织成 4 个环境背景：社区背景（食物的可及性和社区的安全性）、学校背景（学校食物环境）、家庭背景（家庭健康史、榜样和监督）和同伴背景（同伴行为）。
未来减少低收入非裔美国青少年肥胖流行的努力应该解决家庭的社会环境；然而，如果不改变邻里或学校的食物环境，积极的行为改变可能无法持续。
