Cohen Nevin, Cribbs Kristen
CUNY School of Public Health and Health Policy, Department of Health Policy and Management, 55 West 125th Street, room 605, New York, NY 10027, United States.
CUNY School of Public Health and Health Policy, Department of Health Policy and Management, United States.
J Aging Stud. 2017 Apr;41:75-83. doi: 10.1016/j.jaging.2017.05.002. Epub 2017 May 19.
Malnutrition during old age is a significant public health issue. Prevailing behavioral and structural senior malnutrition interventions have had marginal success, largely failing to reflect the realities of people's daily lives. This novel study employed Social Practice Theory (SPT) to explore the food practices of an under-researched, yet highly vulnerable, segment of the older adult population-Lesbian, Gay, Bisexual, and Transgender (LGBT) seniors. Four focus groups were conducted with 31 older adult clients and volunteers at a national LGBT social service and advocacy organization. Findings revealed that food practices-far from being mere expressions of individuals' choices or immutable habits-are entities composed of meanings, materials, and competences that are structured as they are performed repeatedly in a social context. Gaining insight into how and why diverse older adults perform food practices in light of obstacles common to aging has important implications for senior nutrition program and policy development.
老年期营养不良是一个重大的公共卫生问题。现行的针对老年人营养不良的行为和结构性干预措施取得的成效甚微,很大程度上未能反映人们日常生活的实际情况。这项新颖的研究运用社会实践理论(SPT),探索了老年人口中一个研究不足但高度脆弱的群体——女同性恋、男同性恋、双性恋和跨性别(LGBT)老年人的饮食行为。在一家全国性的LGBT社会服务和宣传组织中,对31位老年客户和志愿者进行了四个焦点小组访谈。研究结果表明,饮食行为远非仅仅是个人选择或一成不变的习惯的体现,而是由意义、物质和能力构成的实体,这些实体在社会背景中反复践行的过程中得以构建。深入了解不同的老年人如何以及为何鉴于衰老常见的障碍而践行饮食行为,对老年营养项目和政策的制定具有重要意义。