Alcazar Lani, Raber Margaret, Lopez Kimberly, Markham Christine, Sharma Shreela
University of Texas Health Science Center Houston, School of Public Health, 1200 Pressler Street, Houston, TX 77030, USA.
Baylor College of Medicine, Public Health Pediatrics, 1102 Bates Avenue, Houston, TX 77030, USA.
Appetite. 2017 Sep 1;116:115-122. doi: 10.1016/j.appet.2017.04.025. Epub 2017 Apr 26.
Hispanic families are at elevated risk for certain diet related illnesses including obesity and diabetes. Brighter Bites is a 16-week school-based program that delivers produce and nutrition education to high-need areas. The purpose of this study was to explore the adoption of Brighter Bites healthy eating strategies in low-income Spanish-speaking families as well as barriers to the sustainability of improved dietary behaviors using Photovoice. Two researchers worked with a predominately Hispanic, low-income public school to conduct the project. Spanish speaking parents participating in Brighter Bites were recruited and five mothers completed the study. Participants developed research questions, took documentary photos, attended group analysis sessions, and organized a community event. Photos from participants were gathered at two time points: i) during the Brighter Bites produce distributions, and ii) when the distributions were no longer in session. Participants organized resulting photos into themes during discussion groups that proceeded each photo-taking period. Themes that emerged during the produce distribution period included: cost savings, increased variety and accessibility of fresh produce, and ability to practice healthy eating. Themes that emerged when the weekly produce distributions were no longer in session included: increased costs, lack of variety, the continued effect of Brighter Bites, and innovative ways to cook with produce. Overall, participants were enthusiastic about the benefits they experienced with the program, but noted hardships in accessing nutritious food without the produce distributions in session. Innovative approaches are needed to create sustainable pathways to healthful food access after community nutrition interventions are complete.
西班牙裔家庭患某些与饮食相关疾病（包括肥胖症和糖尿病）的风险较高。“光明一口”是一项为期16周的校内项目，为高需求地区提供农产品和营养教育。本研究的目的是探讨低收入说西班牙语家庭对“光明一口”健康饮食策略的采用情况，以及使用照片发声法来了解改善饮食行为可持续性的障碍。两名研究人员与一所主要为西班牙裔的低收入公立学校合作开展该项目。招募了参与“光明一口”项目的说西班牙语的家长，五名母亲完成了研究。参与者提出研究问题、拍摄纪实照片、参加小组分析会议并组织了一次社区活动。在两个时间点收集了参与者的照片：一是在“光明一口”项目分发农产品期间，二是在分发活动不再进行时。参与者在每次拍照期间后的讨论小组中将所得照片整理成主题。农产品分发期间出现的主题包括：节省成本、新鲜农产品种类和可及性增加以及实践健康饮食的能力。每周农产品分发活动不再进行时出现的主题包括：成本增加、种类不足、“光明一口”项目的持续影响以及用农产品烹饪的创新方法。总体而言，参与者对他们从该项目中获得的益处充满热情，但指出在没有农产品分发活动时获取营养食品存在困难。在社区营养干预结束后，需要创新方法来创造获得健康食品的可持续途径。
