Identifying perceived barriers and enablers of healthy eating in college students in Hawai’i: a qualitative study using focus groups

Amore, Lucia P; Buchthal, Opal Vanessa; Banna, Jinan

doi:10.1186/s40795-019-0280-0

Cited by 47 publications

(34 citation statements)

References 33 publications

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“…This study proved that there are statistically significant relationships between understanding of the concept of a healthy diet and marital status, BMI, and education about food and nutrition, indicating that the students who understand the meaning of a healthy diet tend to be single, with a normal BMI, and have received nutritional education. Studies have shown that most students are not acquainted with necessary healthy foods of different categories and are in need of educational programs about healthy food and nutrition [19,24,40]. This is in line with a cross-sectional study conducted at Kuwait University to assess the body mass index, eating habits, attitudes, calculation of healthy eating scores, and gender differences among these domains.…”

Section: Discussionsupporting

confidence: 72%

“…Additionally, in most cases, students preferred to take snacks as their breakfast and lunch, and preferred to buy these snacks from restaurants or the university cafeteria [20]. A similar study evidenced that most students (83.6%) regularly eat three meals per day and understand the concept of a balanced diet, but only 7% follow this for their own diet, yet 51% showed a tendency towards learning more about healthy diets [24].…”

Section: Discussionmentioning

confidence: 85%

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Dietary Practices and Barriers to Adherence to Healthy Eating among King Faisal University Students

Abdelhafez

Akhter

Al-Sultan

et al. 2020

IJERPH

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Proper dietary practices should be developed during the student years that will continue into the future. This study aimed to identify the eating habits and dietary practices among King Faisal University (KFU) students, explore the barriers to adherence to healthy eating, associate the understanding of healthy diets with students’ characteristics, and determine the association between body mass index (BMI) and awareness of the concept of healthy diets, academic discipline, and enrollment in a nutrition course. In this cross-sectional study, students were selected randomly and a questionnaire was distributed using an electronic platform through KFU email. Out of 564 students, nearly half (45.7%) reported eating snacks as their main food, and some (38.3%) reported eating with their family twice daily. The students rarely reported eating with friends (73%) or eating dates (48.8%). Furthermore, many reported that they were not consuming a balanced diet (42.6%). Some students (46.3%) reported taking breakfast daily, and 49.1% reported eating meals regularly. There was low consumption of vegetables (29.3%) and fruits (26.2%) among the students. The barriers to adherence to healthy eating were the availability of fast food (73.2%), high cost of healthy food (72.7%), limited time (59%), and laziness (57.1%). Statistically significant data indicated that the students with a normal BMI were more aware of the concept of healthy diets, studied medical and applied sciences, and were enrolled in KFU nutrition courses.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 85%

Dietary Practices and Barriers to Adherence to Healthy Eating among King Faisal University Students

Abdelhafez

Akhter

Al-Sultan

et al. 2020

IJERPH

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“…A healthy lifestyle lowers CVD risk by 50% for high genetic risk persons and prolongs life expectancy [ 4 , 5 ]. The practice and adherence of a healthy lifestyle are affected by various factors such as; individual’s beliefs, attitudes, knowledge, cultural issues, accessibility, availability, affordability, parental support, income, peer pressure, institutional/physical environment (neighborhoods, worksites, and schools), regulations, policies (local, state, and federal), health care provider counseling, absence of sign and symptoms, stress/anxiety, and social media [ 6 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding cardiovascular disease in day-to-day living for African people: a qualitative metasynthesis

2021

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Background Globally, cardiovascular disease (CVD) accounts for 45% of all chronic non-communicable disease deaths and 31% of all deaths. CVD has remained the primary cause of death in the world for the past fifteen years. Compared to other continents, CVD and its risk factors are highly prevalent in Africa, but the continent also displays a low-level of knowledge and awareness of CVD, and poor perception of its risk factors. Little research has been done on the connection between the daily lived experiences of African people and the high prevalence and poor perception of CVD and its risk factors on the African continent. The aim of this study is to provide an in-depth understanding of the daily, lived experiences of African people and the connections between these experiences and the prevention, control, and management of CVD and its risk factors. Methods A systematic search was performed in PubMed, CINAHL, EMBASE, Psych INFO, and Web of Science databases to identify published English qualitative studies of CVD and its risk factors. Qualitative metasynthesis included structured techniques of data immersion and quality appraisal, thematic synthesis, and reciprocal translation. Results Seven studies met the inclusion criteria. Four major themes were identified from the metasynthesis: 1) understanding and beliefs about CVD; 2) perceived causes/risk factors for CVD; 3) understanding and belief about obesity; 4) perceived treatment options for CVD. The metasynthesis identified a consistent disconnect among African people between seeing CVD as a deadly and chronic disease and their perceptions of the minimal signs and symptoms of the disease in the early stages. This was further compounded by the gap between traditional healers and health care professionals. Conclusions Perceptions of CVD, its risk factors, and treatments were influenced by religious and cultural factors. Given the minimal signs and symptoms experienced in the early stages of the disease, there was a consistent disconnect among African people between seeing CVD as a deadly and chronic illness. Further investigations of the religious and cultural influences and educational programs related to these areas of disconnect are needed to improve the knowledge, attitudes, and beliefs of African people.

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“…Achieving health promotion in college students is rather challenging for at least four reasons. First, the on‐campus environment exposes college students to many hazardous habits, such as abusive drinking (Lorant, Nicaise, Soto, & d’Hoore, 2013) and unhealthy eating (Amore, Buchthal, & Banna, 2019). Second, the developmental transition into college leads to a decline in psychological well‐being and psychological distress that is higher than the distress experienced by nonstudents (Bewick, Koutsopoulou, Miles, Slaa, & Barkham, 2010; Conley, Kirsch, Dickson, & Bryant., 2014).…”

Section: Introductionmentioning

confidence: 99%

The association between mindfulness and health promotion in undergraduate nursing students: A serial multiple mediator analysis

Rababah

Al‐Hammouri

Drew

2020

Journal of Advanced Nursing

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Aim This study was conducted to examine the association between mindfulness and health promotion among undergraduate nursing students and explore the mediation effect of certain factors (perceived stress, depressive symptoms, self‐care agency, and impulsivity) on this relationship. Design Cross‐sectional quantitative design. Methods A total of 195 undergraduate nursing students from a public university in Jordan participated in this study. A demographic questionnaire was used in addition to using well‐established, validated tools to measure health promotion, mindfulness, perceived stress, depressive symptoms, impulsivity, and self‐care agency. Data were collected between March and November 2018. Data were analysed using PROCESS macros. Results The direct association between mindfulness and health promotion was positive but not statistically significant. Simple mediation analysis showed that perceived stress is the only statistically significant mediator (effect = 0.03; 95% CI: LL = 0.008, UL = 0.057). The serial multiple mediator analyses revealed that three combinations of the mediators made the mindfulness effect on health promotion statistically significant; perceived stress and self‐care agency (effect = −0.01, 95% CI: LL = −0.022, UL = −0.01); depressive symptoms and self‐care agency (effect = 0.016, 95% CI: LL = 0.006, UL = 0.03); and perceived stress with depressive symptoms and self‐care agency (effect = 0.006, 95% CI: LL = 0.002, UL = 0.013). Conclusions The results of this study add to the literature evidence concerning the mediation role of perceived stress, depressive symptoms, and self‐care agency on the relationship between mindfulness and health promotion among nursing students. Impact This study examined the complex relationship between mindfulness and health promotion. There is a mediation effect of nursing students’ perceived stress, depressive symptoms, and self‐care agency on the relationship between mindfulness and health promotion. Researchers interested in designing mindfulness‐based interventions to optimize health promotion of nursing students could benefit from the findings of this study.

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Identifying perceived barriers and enablers of healthy eating in college students in Hawai’i: a qualitative study using focus groups

Cited by 47 publications

References 33 publications

Dietary Practices and Barriers to Adherence to Healthy Eating among King Faisal University Students

Dietary Practices and Barriers to Adherence to Healthy Eating among King Faisal University Students

Understanding cardiovascular disease in day-to-day living for African people: a qualitative metasynthesis

The association between mindfulness and health promotion in undergraduate nursing students: A serial multiple mediator analysis

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