A Qualitative Study of Puerto Rican Parent and ChildPerceptions Regarding Eating Patterns.

OBJECTIVE

To identify barriers that prevent healthy eating practices in Puerto Rican early adolescents (EAs).

DESIGN

Qualitative data collected via focus groups. A total of 7 focus groups were conducted: 5 with EAs and 2 with parents and caregivers (PCs).

SETTING

Urban and rural Puerto Rico.

PARTICIPANTS

Early adolescents aged 12-14years (n = 52) and PCs (n = 17).

PHENOMENON OF INTEREST

Factors that prevent healthy eating behavior in EAs in Puerto Rico.

ANALYSIS

Verbatim transcripts from focus group interviews were coded for concept frequency, extension, and content analysis.

RESULTS

The 3 main factors that influenced participants' eating habits, according to EAs' and PCs' answers, were stores that sold less healthful foods on or near school and the community, parental influence in the development of unhealthy eating habits, and the low cost of unhealthy foods.

CONCLUSIONS AND IMPLICATIONS

When EAs chose what to eat, primary food choices were based on taste preferences, physical access, economic cost, and influence of PCs, whereas health effects had little consideration. Nutrition education programs have to meet taste preferences and provide eating options that are affordable, accessible, and easy to prepare to achieve healthy food practices among EAs.