食物不安全与健康饮食行为对降低美国印第安人和阿拉斯加原住民青少年和年轻成年女性妊娠糖尿病风险的关系：定性探索。
Relationship Between Food Insecurity and Healthy Eating Behavior for Gestational Diabetes Risk Reduction Among American Indian and Alaska Native Adolescent and Young Adult Females: A Qualitative Exploration.
机构信息
Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA.
出版信息
J Nutr Educ Behav. 2024 Sep;56(9):622-630. doi: 10.1016/j.jneb.2024.06.004.
OBJECTIVE
To understand the perspectives of key informant experts regarding the relationship between food insecurity and gestational diabetes mellitus risk reduction behaviors among young American Indian and Alaska Native females.
METHODS
Participants were adult key informants with expertise in food/nutrition and health within Tribal communities (N = 58) across the US. Data were collected through 1:1 interviews using a semistructured moderator guide and analyzed using thematic content analysis methods.
RESULTS
Three themes included (1) diet and nutrition habits are formed through intergenerational food preferences and are driven by lasting implications of colonization; (2) young people are influenced by what their peers eat and the food environment, including outside of the home; and (3) the methods used to understand household food insecurity and nutrition habits in the parent study were likely limited.
CONCLUSIONS AND IMPLICATIONS
Findings provide guidance as to where nutrition education and interventions may best support young Native females.
目的
了解主要知情专家对食物不安全与年轻美国印第安人和阿拉斯加原住民女性中降低妊娠糖尿病风险行为之间关系的看法。
方法
参与者为具有部落社区内食物/营养和健康专业知识的成年主要知情专家（N=58）。通过使用半结构化主持人指南的 1:1 访谈收集数据，并使用主题内容分析方法进行分析。
结果
三个主题包括：（1）饮食和营养习惯是通过代际食物偏好形成的，受到殖民化的持久影响的驱动；（2）年轻人受到同龄人所吃食物和食物环境的影响，包括家庭以外的环境；（3）在母研究中用于了解家庭食物不安全和营养习惯的方法可能受到限制。
结论和意义
研究结果为营养教育和干预措施在哪里最能支持年轻的本土女性提供了指导。
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