Perceptions of Factors Influencing Healthful Food Consumption Behavior in the Lower Mississippi Delta: Focus Group Findings

McGee, Bernestine B.; Richardson, Valerie; Johnson, Glenda S.; Thornton, Alma; Johnson, Crystal; Yadrick, Kathleen; Ndirangu, Murugi; Goolsby, Susan; Watkins, D.R.; Simpson, Pippa; Hyman, Edith; Stigger, Flavelia; Bogle, Margaret L.; Kramer, Tim R.; Strickland, Earline; McCabe‐Sellers, Beverly

doi:10.1016/j.jneb.2006.12.013

Cited by 40 publications

(46 citation statements)

References 29 publications

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“…''fat back'') provide examples. Many participants reported eating these very same foods the previous day, however, and other researchers have noted that while African Americans recognize such foods as unhealthy, they feel that avoiding them would mean giving up part of their cultural heritage [25,26]. Cultural traditions of frying, or flavoring foods with animal fats (e.g.…”

Section: Discussionmentioning

confidence: 99%

Concepts of Healthy Diet Among Urban, Low-Income, African Americans

et al. 2011

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We sought to explore concepts of healthy diet and to elicit recommendations to support healthier eating among urban, low-income, African Americans. We conducted semi-structured interviews with 33 self-identified African American adults (18-81 years of age, 15 male participants) from a low-income neighborhood in west Philadelphia, PA, during summer and fall 2008. Our qualitative approach was continuous, iterative and thematic considering gender, age category, and participants' "mentions" of fast-food and fruit-and-vegetable intake from the preceding day. We found that participants shared concepts about broad nutritional principles consistent with national dietary recommendations, but disagreed about the healthfulness of specific foods-e.g. meat. On average-with little variation-participants reported eating >2 "mentions" more of fast foods the preceding day than fruits and vegetables (P < 0.001). Suggested strategies to help promote eating more produce included increasing exposure, advertising, affordability, and local availability (vice versa to limit fast-food consumption), and more education on the health effects of diet and how to find and prepare healthy foods. Women's ideas reflected their roles in food shopping and food preparation; otherwise, participants' ideas did not differ appreciably by gender or age. Overall, participants generally expressed sufficient understanding of nutritional principles to eat healthfully, but disagreed about the healthfulness of specific foods and described largely unhealthy dietary consumption from the preceding day. If poor dietary intake results from barriers to recognizing, purchasing, and preparing healthy foods, then participants' suggestions to increase education and modify the environment may lead to improved diets and better health in the community.

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Section: Discussionmentioning

confidence: 99%

Concepts of Healthy Diet Among Urban, Low-Income, African Americans

et al. 2011

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“…Essa inadequação no consumo de frutas e hortaliças perpassa por questões individuais, socioculturais, econômicas, agrícolas e ambientais 2 , sendo preço, tempo e sabor identificados como as principais barreiras [7][8][9][10][11][12][13][14][15][16] . Entretanto, alguns fatores têm-se mostrado capazes de estimular a ingestão desses alimentos, entre eles sua ação promotora da saúde, manutenção do peso saudá-vel, preferência alimentar e apoio famíliar 9,[12][13][14][15][16][17] .…”

Section: N T R O D U ç ã Ounclassified

“…Entretanto, alguns fatores têm-se mostrado capazes de estimular a ingestão desses alimentos, entre eles sua ação promotora da saúde, manutenção do peso saudá-vel, preferência alimentar e apoio famíliar 9,[12][13][14][15][16][17] .…”

Section: N T R O D U ç ã Ounclassified

“…Na literatura, vários estudos discutiram a escassez de tempo como barreira ao consumo de frutas e hortaliças [7][8][9][10][11][12][13][14][15][16] , o que não ocorreu em relação à preguiça 10,16 . Além de poucos, os estudos que observaram a preguiça como um obstá-culo não promoveram uma análise sobre o tema que permitisse entender melhor em que circunstâncias ocorria.…”

Section: I S C U S S ã Ounclassified

“…Assim como observado em inúmeros estudos 9,[12][13][14][15][16][17] , a saúde foi apontada como um dos principais motivadores para o consumo de frutas e hortaliças. Contudo, nem sempre este argumento foi suficiente para criar o hábito de se ingerir frutas, já que são reconhecidas outras opções de lanche considerados saudáveis, como barra de cereal e iogurte, e o desejo de exercer um efeito importante sobre a escolha alimentar.…”

Section: I S C U S S ã Ounclassified

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Barreiras e fatores promotores do consumo de frutas e hortaliças entre usuários do Programa Academia da Saúde

2016

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RESUMO Objetivo: Investigar barreiras e fatores promotores do consumo de frutas e hortaliças entre usuários do Programa Academia da Saúde. Métodos: Estudo qualitativo conduzido em seis polos do Programa Academia da Saúde em Belo Horizonte, Minas Gerais. Foram realizadas entrevistas semiestruturadas com 62 usuários. A análise de conteúdo foi desenvolvida com auxílio dosoftware NVivo10. Resultados: As principais barreiras identificadas foram: comércio inadequado, baixo poder aquisitivo, preço, carência de iniciativas públicas, falta de tempo, preguiça, fruta ser considerada apenas uma alternativa alimentar e não realizar o jantar. Os fatores promotores mais citados foram: saúde, prevenção/controle de doenças, gostar, hortaliça ser considerada como parte da refeição, criação e origem familiar, melhoria da situação financeira, comércio próximo e estratégias de compra. Conclusão: É necessário ampliar o acesso às frutas e às hortaliças por meio do fortalecimento das iniciativas públicas para aumento da produção e diminuição dos preços desses alimentos e ampliação do comércio local. As intervenções educativas devem focar a construção de outros sentidos para o consumo que não se restrinjam ao discurso saúde-doença e soluções viáveis que facilitem o consumo de frutas e hortaliças no cotidiano, seja pela proposição de estratégias de aquisição de frutas e hortaliças ou pela ampliação de habilidades culinárias para preparações mais práticas.

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The Effect of Changes in Health Beliefs Among African-American and Rural White Church Congregants Enrolled in an Obesity Intervention: A Qualitative Evaluation

et al. 2015

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Church interventions can reduce obesity disparities by empowering participants with knowledge and skills within an established community. The purpose of this study was to evaluate the Biomedical/Obesity Reduction Trial (BMORe) and investigate changes in health beliefs among obese adult participants. Ten pre-/post-intervention focus groups applying the Health Belief Model conducted in two African-American churches in Tennessee (n = 20) and South Carolina (n = 20), and one rural Appalachian church in Kentucky (n = 21). Two independent coders using NVivo analyzed transcribed audio data and notes. Participants' health status of being overweight/obese and having comorbidities of diabetes and high blood pressure motivated enrollment in BMORe. Initially participants voiced low self-efficacy in cooking healthy and reading food labels. BMORe made participants feel “empowered” after 12 weeks compared to initially feeling “out of control” with their weight. Participants reported improvements in emotional health, quality of life, and fewer medications. During post-intervention focus groups, participants reported increased self-efficacy through family support, sharing healthy eating strategies, and having accountability partners. Solidarity and common understanding among BMORe participants led focus group attendees to comment how their peers motivated them to stay in the program for 12 weeks. Long-term barriers include keeping the weight off by maintaining habits of exercise and healthy eating. Implementation of pre-/post-intervention focus groups is an innovative approach to evaluate an obesity intervention and track how changes in health beliefs facilitated behavior change. This novel approach shows promise for behavioral interventions that rely on participant engagement for sustained effectiveness.

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Perceptions of Factors Influencing Healthful Food Consumption Behavior in the Lower Mississippi Delta: Focus Group Findings

Cited by 40 publications

References 29 publications

Concepts of Healthy Diet Among Urban, Low-Income, African Americans

Concepts of Healthy Diet Among Urban, Low-Income, African Americans

Barreiras e fatores promotores do consumo de frutas e hortaliças entre usuários do Programa Academia da Saúde

The Effect of Changes in Health Beliefs Among African-American and Rural White Church Congregants Enrolled in an Obesity Intervention: A Qualitative Evaluation

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