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“我们知道自己应该吃什么,但并不总是这样做。” 澳大利亚农村居民的饮食方式及其影响因素的定性研究。

"We know what we should be eating, but we don't always do that." How and why people eat the way they do: a qualitative study with rural australians.

机构信息

Mitchell Institute, Victoria University, 300 Queen St, Melbourne, VIC, Australia.

MM Research, Melbourne, VIC, Australia.

出版信息

BMC Public Health. 2024 May 6;24(1):1240. doi: 10.1186/s12889-024-18432-x.


DOI:10.1186/s12889-024-18432-x
PMID:38711054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11071252/
Abstract

BACKGROUND: There is evidence that most people are aware of the importance of healthy eating and have a broad understanding regarding types of food that enhance or detract from health. However, greater health literacy does not always result in healthier eating. Andreasen's Social Marketing Model and Community-Based Social Marketing both posit that, in order to change health behaviours, it is crucial to understand reasons for current behaviours and perceived barriers and benefits to improved behaviours. Limited research has been conducted, however, that explores these issues with general populations. This study aimed to help address this gap in the evidence using a qualitative methodology. METHODS: Three group discussions were conducted with a total of 23 participants: (1) young women aged 18-24 with no children; (2) women aged 35-45 with primary school aged children; and (3) men aged 35-50 living with a partner and with pre- or primary school aged children. The discussions took place in a regional centre of Victoria, Australia. Transcriptions were thematically analysed using an inductive descriptive approach and with reference to a recent integrated framework of food choice that identified five key interrelated determinants: food- internal factors; food- external factors; personal-state factors; cognitive factors; and sociocultural factors. RESULTS: We found that food choice was complex, with all five determinants evident from the discussions. However, the "Social environment" sub-category of "Food-external factors", which included family, work, and social structures, and expectations (or perceived expectations) of family members, colleagues, friends, and others, was particularly prominent. Knowledge that one should practice healthy eating, which falls under the "Cognitive factor" category, while seen as an aspiration by most participants, was often viewed as unrealistic, trumped by the need and/or desire for convenience, a combination of Food-external factor: Social environment and Personal-state factor: Psychological components. CONCLUSIONS: We found that decisions regarding what, when, and how much to eat are seen as heavily influenced by factors outside the control of the individual. It appears, therefore, that a key to improving people's eating behaviours is to make it easy to eat more healthfully, or at least not much harder than eating poorly.

摘要

背景:有证据表明,大多数人都意识到健康饮食的重要性,并且对有助于或有损健康的食物类型有广泛的了解。然而,更高的健康素养并不总是导致更健康的饮食。Andreasen 的社会营销模型和基于社区的社会营销都认为,为了改变健康行为,了解当前行为的原因以及改善行为的感知障碍和益处至关重要。然而,很少有研究探讨这些问题与普通人群。本研究旨在使用定性方法帮助解决这一证据空白。

方法:与 23 名参与者进行了三次小组讨论:(1)18-24 岁、无子女的年轻女性;(2)35-45 岁、有小学生子女的女性;(3)与伴侣同住、有学龄前或小学学龄子女的 35-50 岁男性。讨论在澳大利亚维多利亚州的一个地区中心进行。使用归纳描述性方法对转录内容进行主题分析,并参考最近的食物选择综合框架,该框架确定了五个关键相互关联的决定因素:食物-内部因素;食物-外部因素;个人状态因素;认知因素;和社会文化因素。

结果:我们发现,食物选择是复杂的,讨论中都存在这五个决定因素。然而,“食物外部因素”的“社会环境”子类别,包括家庭、工作和社会结构以及家庭成员、同事、朋友和其他人的期望(或感知期望),尤为突出。大多数参与者都认为应该实践健康饮食,这属于“认知因素”范畴,但这被认为是一种愿望,往往不切实际,被便利性的需要和/或欲望所取代,这是“食物外部因素:社会环境”和“个人状态因素:心理成分”的结合。

结论:我们发现,关于吃什么、何时吃、吃多少的决定被认为受到个体无法控制的因素的极大影响。因此,改善人们的饮食习惯的关键似乎是让健康饮食变得更容易,或者至少不比吃不健康的食物难多少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24f6/11071252/988dbbdcc497/12889_2024_18432_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24f6/11071252/988dbbdcc497/12889_2024_18432_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24f6/11071252/988dbbdcc497/12889_2024_18432_Fig1_HTML.jpg

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本文引用的文献

[1]
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PLoS One. 2023

[2]
Improving the accuracy of self-reported height and weight in surveys: an experimental study.

BMC Med Res Methodol. 2022-9-19

[3]
Understanding Enablers and Barriers to the Implementation of Nutrition Standards in Publicly Funded Institutions in Victoria.

Nutrients. 2022-6-24

[4]
Exploring young Australians' understanding of sustainable and healthy diets: a qualitative study.

Public Health Nutr. 2022-7-7

[5]
Intuitive eating is positively associated with indicators of physical and mental health among rural Australian adults.

Aust J Rural Health. 2022-8

[6]
Barriers and Enablers for Healthy Food Systems and Environments: The Role of Local Governments.

Curr Nutr Rep. 2022-3

[7]
Clinician Perspectives of Barriers and Enablers to Implementing the Mediterranean Dietary Pattern in Routine Care for Coronary Heart Disease and Type 2 Diabetes: A Qualitative Interview Study.

J Acad Nutr Diet. 2022-7

[8]
Can Social Cognitive Theory Influence Breakfast Frequency in an Institutional Context: A Qualitative Study.

Int J Environ Res Public Health. 2021-10-27

[9]
2021 ESC Guidelines on cardiovascular disease prevention in clinical practice.

Eur J Prev Cardiol. 2022-2-19

[10]
Mapping the digital food environment: A systematic scoping review.

Obes Rev. 2022-1

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