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多米尼加共和国艾滋病毒感染者对城市花园和同伴营养咨询的感知影响。

Perceived Impacts of Urban Gardens and Peer Nutritional Counseling for People Living With HIV in the Dominican Republic.

机构信息

Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, MA.

Department of Medicine, University of California, San Francisco, San Francisco, CA.

出版信息

J Nutr Educ Behav. 2024 Jul;56(7):478-488. doi: 10.1016/j.jneb.2024.03.006. Epub 2024 Apr 11.

Abstract

OBJECTIVE

Explore participants' perceptions of urban gardens and peer nutritional counseling intervention for people with HIV and food insecurity on antiretroviral therapy in the Dominican Republic.

METHODS

Semistructured endline interviews (n = 21) with intervention participants about their perceptions of diet, health, and quality of life. A codebook was applied to verbatim transcripts, and coded data were analyzed using matrices to identify themes.

RESULTS

Participants were mostly Dominican (86%; 14% Haitian); 57% were men; the mean age was 45 years. The most salient experiences described by intervention participants were improved dietary quality and diversity, improved food security, and saving money. Participants also emphasized improved social interactions, mental health, and emotional well-being.

CONCLUSIONS AND IMPLICATIONS

Urban gardens and peer nutritional counseling may improve participants' diet and psychosocial well-being. Nutrition programs with marginalized populations may need to improve access to healthy foods and build camaraderie and linkages to programs addressing structural factors.

摘要

目的

探索参与者对城市花园和同伴营养咨询干预的看法,这些干预措施针对的是多米尼加共和国接受抗逆转录病毒治疗且存在食物不安全问题的艾滋病毒感染者。

方法

对干预参与者进行半结构式终线访谈(n=21),了解他们对饮食、健康和生活质量的看法。将代码本应用于逐字记录,并使用矩阵分析编码数据,以确定主题。

结果

参与者主要是多米尼加人(86%;14%海地人);57%为男性;平均年龄为 45 岁。干预参与者描述的最突出的经历是改善了饮食质量和多样性、改善了粮食安全并节省了开支。参与者还强调了改善社会互动、心理健康和情绪健康。

结论和意义

城市花园和同伴营养咨询可能会改善参与者的饮食和社会心理幸福感。针对边缘化人群的营养计划可能需要改善获得健康食品的机会,并建立友谊和联系,以解决结构性因素。

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