Division of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, 6708 WE, Wageningen, the Netherlands; Strategic Communication Group, Wageningen University & Research, Hollandseweg 1, 6707 KN, Wageningen, the Netherlands.
Faculty of Humanities: Language, Literature and Communication, VU University Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, the Netherlands.
Appetite. 2021 Jun 1;161:105135. doi: 10.1016/j.appet.2021.105135. Epub 2021 Jan 22.
Profound understanding of healthy eating beliefs in populations with a low socioeconomic position (SEP) can benefit attempts to improve diet quality in this population, but literature on this subject is fragmented. The purpose of this scoping review was to systematically map healthy eating beliefs and the meaning of food and eating in populations with a low SEP. Systematic search of electronic databases yielded 35 relevant publications that were included in a qualitative synthesis. Populations with a low SEP perceived healthy eating as important, although they expressed various meanings of 'healthy' and 'good' eating. Lack of time and money posed perceived barriers to healthy eating, as well as social influences, and desired identities that can be expressed by specific foods. Traditions were important influences on food and eating practices. Eating behavior was perceived as one's own responsibility and desirably within one's own control. Parents expressed the role of food to regulate children's (eating) behavior. In conclusion, perceived limited control over what is eaten due to various barriers as described by populations with a low SEP, may also be viewed as competing values. Deeper understanding of reasons and thoughts underlying healthy eating beliefs and what it means to eat 'well' is largely lacking in this domain. The findings call for an in-depth exploration of the origin and construction of beliefs regarding 'healthy' and 'good' eating in populations with a low SEP.
深入了解社会经济地位较低人群的健康饮食信念，可以有助于改善这一人群的饮食质量，但这方面的文献较为分散。本研究旨在系统地绘制社会经济地位较低人群的健康饮食信念，以及食物和饮食的意义。通过系统检索电子数据库，共获得 35 篇相关文献，纳入定性综合分析。社会经济地位较低的人群认为健康饮食很重要，尽管他们对“健康”和“良好”饮食有不同的理解。缺乏时间和金钱被认为是健康饮食的障碍，同时也受到社会影响和想要通过特定食物来表达的身份认同的影响。传统是食物和饮食行为的重要影响因素。饮食行为被认为是个人自己的责任，并且理想情况下是可以自己控制的。父母表达了食物对调节孩子（饮食）行为的作用。总之，由于社会经济地位较低的人群所描述的各种障碍，他们对所吃食物的控制感有限，这也可能被视为相互竞争的价值观。在这一领域，对健康饮食信念背后的原因和想法，以及“吃得好”的意义，缺乏深入的理解。研究结果呼吁深入探讨社会经济地位较低人群对“健康”和“良好”饮食的信念的起源和构建。
