University of Oklahoma - Tulsa Schusterman Center, College of Public Health, 4502 E. 41st Street, Tulsa, OK 74135-2512, USA.
University of Oklahoma - Tulsa Schusterman Center, College of Public Health, 4502 E. 41st Street, Tulsa, OK 74135-2512, USA.
Appetite. 2018 Sep 1;128:14-20. doi: 10.1016/j.appet.2018.05.019. Epub 2018 May 17.
In rural American Indian (AI) communities, access to affordable, healthy foods is often limited. Understanding AI food choice considerations when selecting foods, such as sensory appeal, cost, or health, is an important yet understudied topic for eliminating persistent AI health disparities. In partnership with the Chickasaw Nation and Choctaw Nation of Oklahoma, we administered a modified version of the Food Choice Values (FCV) Questionnaire to a cross-sectional sample of 83 AI patrons shopping at tribally-owned convenience stores ≥3 times per week. The FCV Questionnaire uses 25 items to assess eight FCV subscales related to buying and eating food, including sensory appeal; safety; accessibility; convenience; health/weight control; organic; tradition; and comfort. We compared mean scores for each FCV subscale by demographic groups using t-tests and ANOVA. We used confirmatory factor analysis (CFA) to examine how well the data from this population fit FCV subscale constructs. We then used cluster analysis, MANOVA, and discriminant analysis to characterize distinct segments of the population based on patterns of FCV endorsement. Appeal, safety, and access FCVs were most strongly endorsed across the sample. Prioritization of FCVs varied by age, gender, income, and education. Our cluster analysis identified four groups, or segments, each with distinct patterns of FCV endorsement: limited endorsement of any FCVs (23.3%); safety and sensory appeal (32.9%); health/weight control (17.8%); and broad endorsement of FCVs (26.0%). These groups varied by age and employment status. Findings from this analysis informed the design and implementation of a healthy retail intervention comprised of new healthful foods and beverages, product placement and marketing strategies within four tribally-owned and operated convenience stores. Public health interventions aimed at reducing nutrition-related disparities in rural AI populations may benefit from assessing food choice considerations.
在美国印第安人（AI）农村社区，获得负担得起的健康食品往往受到限制。了解 AI 在选择食品时的考虑因素，如感官吸引力、成本或健康，对于消除持续存在的 AI 健康差距是一个重要但研究不足的话题。我们与奇卡索族和奥克拉荷马州乔克托族合作，对每周在部落拥有的便利店购物≥3 次的 83 名 AI 顾客进行了一项经过修改的食品选择价值观（FCV）问卷的横断面调查。FCV 问卷使用 25 个项目来评估与购买和食用食品相关的八个 FCV 分量表，包括感官吸引力；安全性；可及性；便利性；健康/体重控制；有机；传统；和舒适。我们使用 t 检验和 ANOVA 比较了每个 FCV 分量表的平均得分按人口统计学分组。我们使用验证性因素分析（CFA）来检验该人群的数据与 FCV 分量表结构的拟合程度。然后，我们使用聚类分析、MANOVA 和判别分析根据 FCV 认可的模式来描述人群的不同部分。吸引力、安全性和可及性 FCV 在整个样本中得到了最强烈的认可。FCV 的优先级因年龄、性别、收入和教育程度而异。我们的聚类分析确定了四个群体，或部分，每个群体都有独特的 FCV 认可模式：任何 FCV 的认可有限（23.3%）；安全和感官吸引力（32.9%）；健康/体重控制（17.8%）；以及广泛认可的 FCV（26.0%）。这些群体因年龄和就业状况而异。这项分析的结果为一项健康零售干预措施的设计和实施提供了信息，该干预措施包括四种部落拥有和运营的便利店中的新健康食品和饮料，以及产品放置和营销策略。旨在减少农村 AI 人群中与营养相关的差异的公共卫生干预措施可能会受益于评估食品选择的考虑因素。
