Petroka Katherine, Campbell-Bussiere Rania, Dychtwald Dan K, Milliron Brandy-Joe
1 Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, USA.
2 Friends Rehabilitation Program, Philadelphia, USA.
Nutr Health. 2017 Sep;23(3):167-175. doi: 10.1177/0260106017722724. Epub 2017 Jul 27.
As adults transition into older ages, meeting age-specific dietary recommendations can become increasingly challenging, especially for low-income seniors who reside in publicly subsidized rental housing.
The primary objectives of this study were to: 1) identify barriers and facilitators to healthy eating and self-management of nutrition-related chronic illnesses experienced by low-income seniors residing in a subsidized housing setting; and 2) assess the interest in community nutrition programming among low-income seniors residing in a subsidized housing setting.
A qualitative study design, using food focus groups and food pantry observations, was used. Participants included 24 male and female senior adults, between 65 and 75 years of age, residing in a subsidized housing community in Philadelphia, PA. This setting also included the unique features of a community garden and food pantry. Data were manually analyzed using a content analysis approach, which included familiarization, identification of themes, categorization and interpretation; and verified using NVivo 10.
Personal barriers, including food cost and accessibility, physical limitations, desire for convenience, and low self-efficacy to change dietary habits, inhibited motivation to change. External barriers in the food environment, including lack of transportation and distance of markets to access fresh produce, were commonly cited; as well as negative influences of the internal environment, such as the presence of vending machines, common cultural cooking and eating practices, and the lack of social cohesion. Facilitators focused on food preparation and recipe adaptation.
Participants expressed an interest in learning more about food, nutrition, and health through community-based programming.
随着成年人步入老年，遵循特定年龄段的饮食建议变得越来越具有挑战性，尤其是对于居住在公共补贴租赁住房中的低收入老年人而言。
本研究的主要目标是：1）确定居住在补贴住房环境中的低收入老年人在健康饮食和营养相关慢性病自我管理方面遇到的障碍和促进因素；2）评估居住在补贴住房环境中的低收入老年人对社区营养项目的兴趣。
采用定性研究设计，运用食物焦点小组和食品储藏室观察法。参与者包括24名年龄在65至75岁之间的成年男女，他们居住在宾夕法尼亚州费城的一个补贴住房社区。该社区还设有社区花园和食品储藏室等特色设施。使用内容分析法对数据进行人工分析，包括熟悉、主题识别、分类和解释；并使用NVivo 10进行验证。
个人障碍，包括食品成本和可及性、身体限制、对便利性的需求以及改变饮食习惯的自我效能感低，抑制了改变的动力。食品环境中的外部障碍，包括缺乏交通工具以及市场距离新鲜农产品较远，被普遍提及；内部环境的负面影响，如自动售货机的存在、常见的文化烹饪和饮食习俗以及缺乏社会凝聚力也被提及。促进因素集中在食物准备和食谱调整方面。
参与者表示有兴趣通过基于社区的项目更多地了解食物、营养和健康。
