健康饮食的决定因素和粮食安全资源机会：城市居住的美洲印第安人和阿拉斯加原住民老年人的观点。
Healthy Eating Determinants and Food Security Resource Opportunities: Urban-Dwelling American Indian and Alaska Native Older Adults Perspectives.
机构信息
Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.
Institute for Research and Education Advancing Community Health, Elson S. Floyd College of Medicine, Washington State University, Seattle, WA.
出版信息
J Nutr Educ Behav. 2022 Feb;54(2):186-193. doi: 10.1016/j.jneb.2021.09.015. Epub 2021 Dec 23.
OBJECTIVE
To explore the perspectives of urban-dwelling American Indian and Alaska Native (AI/AN) older adults regarding determinants of healthy eating, food insecurity, and opportunities for an urban clinic to improve resources.
METHODS
Semistructured interviews (n = 24) with older adults (aged ≥ 60 years) at 1 urban AI/AN serving clinic. Telephone-based interviews were audio-recorded, professionally transcribed, and analyzed using thematic analysis.
RESULTS
Four overarching themes were revealed: (1) hunger-mitigating resources exist but do not necessarily lessen food insecurity; (2) multiple layers of challenges related to social determinants of health present barriers to healthy nutrition for AI/AN older adults; (3) unique facilitators rooted in AI/AN culture can help decrease food insecurity; and (4) many clinic-based opportunities for programs to improve food insecurity exist.
CONCLUSIONS AND IMPLICATIONS
Findings provide a foundation for urban-serving AI/AN clinics to develop healthy eating resources for their older adult patients. Greater benefit would result from resources that build on cultural strengths and address older adult-specific challenges to healthy eating.
目的
探讨城市居住的美洲印第安人和阿拉斯加原住民（AI/AN）老年人对健康饮食、粮食不安全的决定因素的看法，以及城市诊所改善资源的机会。
方法
对 1 家城市 AI/AN 服务诊所的 24 名老年人（年龄≥60 岁）进行半结构式访谈。采用电话访谈方式进行录音，并由专业人员进行转录，使用主题分析法进行分析。
结果
揭示了四个总体主题：（1）缓解饥饿的资源虽然存在，但并不一定能减轻粮食不安全状况；（2）与健康决定因素相关的多层挑战给 AI/AN 老年人的健康营养带来障碍；（3）源于 AI/AN 文化的独特促进因素有助于减少粮食不安全；（4）诊所内有许多机会可以开展改善粮食不安全的项目。
结论和意义
研究结果为城市服务的 AI/AN 诊所为其老年患者制定健康饮食资源提供了基础。从利用文化优势和解决老年人健康饮食的具体挑战的资源中，将产生更大的效益。
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