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理解微量营养素获取的社会生态模式视角:探索社会经济因素的影响——定性探索。

Understanding Micronutrient Access through the Lens of the Social Ecological Model: Exploring the Influence of Socioeconomic Factors-A Qualitative Exploration.

机构信息

Athletic Training Education, College of Health Professions and Human Services, Kean University, Union, NJ 07083, USA.

出版信息

Nutrients. 2024 Jun 4;16(11):1757. doi: 10.3390/nu16111757.

Abstract

BACKGROUND

Micronutrient deficiencies disproportionately affect various populations, influenced by a complex interplay of socioeconomic factors. This study delves into the intricate relationship between socioeconomic status and micronutrient access, emphasizing the perceptions of affordability, availability, and the impact of social support networks.

METHODS

A qualitative research design was employed, using purposive sampling to enlist a diverse cohort of participants from varied socioeconomic backgrounds. The methodology comprised semi-structured interviews and focus groups to gather detailed insights into the participants' experiences and views on micronutrient access. The analysis framework was based on the Social Ecological Model (SEM), enabling an in-depth examination of individual, interpersonal, community, and societal influences.

RESULTS

With 30 participants, aged 20-70, representing a range of unique characteristics such as differing health conditions, cultural backgrounds, and economic statuses, the study uncovered five key themes: Individual-Level Factors, Interpersonal Relationships, Community Environment, Societal Factors, and Intersectionality. These themes illustrate how personal dietary habits, social networks, community resources, and broader socioeconomic policies converge to shape micronutrient access, emphasizing the complex interplay of overlapping social identities and structural barriers.

CONCLUSION

The findings highlight the need for holistic nutrition interventions that account for the extensive spectrum of socioeconomic determinants. This study not only enriches the theoretical underpinnings of the SEM but also provides actionable insights for crafting targeted strategies to enhance micronutrient access and ameliorate dietary inequities. It advocates for comprehensive public health initiatives attuned to the nuanced needs and hurdles faced by diverse demographic sectors.

摘要

背景

微量营养素缺乏在不同人群中不成比例地发生,受到复杂的社会经济因素相互作用的影响。本研究深入探讨了社会经济地位与微量营养素获取之间的复杂关系,强调了对可负担性、可得性以及社会支持网络影响的认知。

方法

采用定性研究设计,通过目的性抽样,招募了来自不同社会经济背景的多样化参与者群体。方法包括半结构化访谈和焦点小组,以深入了解参与者对微量营养素获取的经验和观点。分析框架基于社会生态学模型(SEM),能够深入检查个人、人际、社区和社会层面的影响。

结果

共有 30 名年龄在 20-70 岁之间的参与者,代表了一系列独特的特征,如不同的健康状况、文化背景和经济地位,研究揭示了五个关键主题:个人层面因素、人际关系、社区环境、社会因素和交叉性。这些主题说明了个人饮食习惯、社交网络、社区资源以及更广泛的社会经济政策如何相互作用,塑造了微量营养素的获取,强调了重叠的社会身份和结构性障碍的复杂相互作用。

结论

研究结果强调了需要进行整体营养干预,考虑到广泛的社会经济决定因素。本研究不仅丰富了 SEM 的理论基础,还为制定有针对性的策略提供了可行的见解,以增强微量营养素的获取并改善饮食不平等。它倡导制定全面的公共卫生计划,以适应不同人口群体的细微需求和面临的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42b5/11174576/3675ae3ca780/nutrients-16-01757-g001.jpg

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