College of Health Sciences, University of Kentucky, 900 South Limestone Street, Room 209C, Lexington, KY 40536-0200, USA.
Int J Environ Res Public Health. 2024 Nov 7;21(11):1480. doi: 10.3390/ijerph21111480.
Diet is one modifiable risk factor for hypertension. The low-sodium DASH (Dietary Approaches to Stop Hypertension) eating plan has been shown to significantly reduce the risk of hypertension and cardiovascular disease. However, there is a lack of available health information on the economic feasibility and cultural acceptability of DASH for low-income African American (AA) populations who are at the most risk for hypertension. An integrative review was conducted to summarize empirical literature on the economic feasibility and cultural acceptability of the DASH plan for low-income AAs using these databases: PubMed, EMBASE, CINAHL Complete, AGRICOLA, Web of Science Core Collection, ProQuest's Dissertations, Theses Citation Index, and Google Scholar. Study elements from articles in the final analysis were extracted. Eleven (11) published works met the study's inclusion criteria. Major themes were the availability and access of healthy foods, economic impact of obtaining healthy foods, material resources for cooking, food literacy, and the cultural acceptability of the DASH plan. These findings suggest that cost and cultural familiarity inhibit low-income AAs from benefiting from the DASH plan. Additional research is needed to develop and pilot test low-cost, culturally sensitive DASH eating plans for low-income AAs.
饮食是高血压的一个可改变的风险因素。低钠 DASH（停止高血压的饮食方法）饮食计划已被证明可显著降低高血压和心血管疾病的风险。然而，对于处于高血压风险最高的低收入非裔美国人（AA）群体，关于 DASH 的经济可行性和文化可接受性的可用健康信息有限。本研究采用 PubMed、EMBASE、CINAHL Complete、AGRICOLA、Web of Science Core Collection、ProQuest 的 Dissertations、Theses Citation Index 和 Google Scholar 这些数据库，对低收入 AA 人群 DASH 计划的经济可行性和文化可接受性的实证文献进行了综合回顾，以总结相关信息。从最终分析的文章中提取了研究要素。有 11 项已发表的研究符合研究纳入标准。主要主题包括健康食品的供应和可及性、获得健康食品的经济影响、烹饪的物质资源、食品素养以及 DASH 计划的文化可接受性。这些发现表明，成本和文化熟悉程度阻碍了低收入 AA 人群从 DASH 计划中受益。需要进一步研究为低收入 AA 人群开发和试点低成本、文化敏感的 DASH 饮食计划。
