Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status: a qualitative study.
Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status: a qualitative study.
复制标题
DOI：
10.1186/1471-2369-15-194
复制
发表时间：
2014-12-06
期刊：
影响因子：
2.3
通讯作者：
Crews DC
中科院分区：
文献类型：
--
作者：
Johnson AE;Boulware LE;Anderson CA;Chit-ua-aree T;Kahan K;Boyér LL;Liu Y;Crews DC
Factors influencing the use of dietary interventions for modification of CKD risk among African Americans have not been well-explored. We assessed perceived barriers and facilitators of CKD prevention through dietary modifications among African Americans with low socioeconomic status (SES) and at high risk for CKD. We conducted a qualitative study involving three 90 minute focus groups of low SES (limited education, unemployed, uninsured, or income < $25,000/year) African American residents of Baltimore, Maryland (N = 17), who were aged 18-60 years, with no known history of CKD and (1) a family history of end stage renal disease and (2) self-reported diabetes, hypertension, cardiovascular disease, HIV or obesity. A trained moderator asked a series of 21 closed and open-ended questions. Group sessions were recorded, transcribed, and two independent investigators reviewed transcripts to identify common themes. Participants’ mean (SD) age was 39.8 (12.4) years. Most (59%) were female and earned < $5,000/year (71%). One quarter (24%) had self-reported diabetes and over half had hypertension (53%). Few (12%) perceived their CKD risk as high. Perceived barriers to CKD prevention through dietary change included the expense and unavailability of healthy foods, family member preferences, convenience of unhealthy foods, and inability to break lifelong habits. They identified vouchers for healthy foods, family-based interventions, nutritional counseling and group gatherings for persons interested in making dietary changes as acceptable facilitators of dietary CKD prevention efforts. Low SES African Americans at high risk for CKD had limited perception of their risk but they identified multiple barriers and potential facilitators of CKD prevention via dietary modifications which can inform future studies and public health interventions. The online version of this article (doi:10.1186/1471-2369-15-194) contains supplementary material, which is available to authorized users.
登录
查看更多内容
DOI：
10.1053/j.ajkd.2012.05.010
发表时间：
2012-11
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Crews DC;McClellan WM;Shoham DA;Gao L;Warnock DG;Judd S;Muntner P;Miller ER;Powe NR
通讯作者：
Powe NR
DOI：
10.1016/j.jand.2012.08.011
发表时间：
2013-02-01
影响因子：
4.8
作者：
Hiza, Hazel A. B.;Casavale, Kellie O.;Davis, Carole A.
通讯作者：
Davis, Carole A.
DOI：
10.1053/j.ajkd.2009.12.032
发表时间：
2010-06
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Crews DC;Charles RF;Evans MK;Zonderman AB;Powe NR
通讯作者：
Powe NR
影响因子：
3.2
作者：
Casagrande SS;Franco M;Gittelsohn J;Zonderman AB;Evans MK;Fanelli Kuczmarski M;Gary-Webb TL
通讯作者：
Gary-Webb TL
影响因子：
1.4
作者：
Bertoni AG;Foy CG;Hunter JC;Quandt SA;Vitolins MZ;Whitt-Glover MC
通讯作者：
Whitt-Glover MC