College of Nursing, University of Massachusetts Amherst, Amherst, U.S.A.
Ecol Food Nutr. 2021 Nov-Dec;60(6):682-696. doi: 10.1080/03670244.2021.1875457. Epub 2021 Jan 19.
Several consumers lack a clear understanding of what makes a healthy diet. This uncertainty may be worsened by immigration due to socio-cultural differences. The purpose of this study was to explore Sub-Saharan African (SSA) pregnant women's perceptions of a healthy diet and the sources of dietary information available to them in the context of immigration. We used narrative interviews and photo-food diaries, followed by photo-elucidated interviews to obtain data. Participants defined and illustrated a healthy diet as having four characteristics: (a) Familiar, (b) balanced, (c) made of fresh and organically grown ingredients, and (d) able to build the consumer's body. Participants indicated that the overwhelming nature of dietary information made it difficult to navigate. Participants trusted dietary recommendations offered by family and peers the most, while those offered by health care providers were reported to be difficult to understand or incorporate due to not being culturally specific. This paper highlights the importance of considering consumers' socio-cultural backgrounds and building partnerships between health care providers and the communities they serve to design culturally relevant dietary education.
一些消费者对于健康饮食的定义并不清晰。由于社会文化的差异，移民可能会使这种不确定性更加严重。本研究旨在探讨撒哈拉以南非洲（SSA）孕妇在移民背景下对健康饮食的看法，以及她们获取饮食信息的来源。我们使用叙事访谈和照片食物日记，随后进行照片阐释访谈来获取数据。参与者将健康饮食定义为具有四个特征：（a）熟悉，（b）均衡，（c）由新鲜和有机食材制成，以及（d）能够增强消费者的身体。参与者表示，压倒性的饮食信息使得他们难以驾驭。参与者最信任家人和同伴提供的饮食建议，而那些来自医疗保健提供者的建议则因缺乏文化针对性而难以理解或采纳。本文强调了考虑消费者社会文化背景的重要性，并倡导在医疗保健提供者和他们所服务的社区之间建立伙伴关系，以设计具有文化相关性的饮食教育。
