"The reality is that on Universal Credit I cannot provide the recommended amount of fresh fruit and vegetables per day for my children": Moving from a behavioural to a systemic understanding of food practices [version 1; peer review: 2 approved].
"The reality is that on Universal Credit I cannot provide the recommended amount of fresh fruit and vegetables per day for my children": Moving from a behavioural to a systemic understanding of food practices [version 1; peer review: 2 approved].
复制标题
“现实情况是，在普遍信贷，我不能提供每天为我的孩子推荐的新鲜水果和蔬菜的数量”：从行为到食品实践的系统性理解[版本1;同行评审：2批准]。
DOI：
10.35241/emeraldopenres.14062.1
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发表时间：
2021-02-18
影响因子：
--
通讯作者：
Doherty B
中科院分区：
文献类型：
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作者：
Power M;Pybus KJ;Pickett KE;Doherty B
有证据表明，生活在贫困中的人经常经历营养不足，从而造成短期和长期的健康后果。虽然低收入家庭的饮食一直受到审查，但在英国，关于报告食品不安全和使用食品银行的家庭的饮食质量和食品做法的证据有限。我们探讨了低收入家庭中粮食不安全的生活经历和饮食质量的潜在驱动因素，借鉴了对小学适龄儿童家庭进行的两年参与性研究。我们报告了一项关于低收入、食物银行使用、饮食习惯和消费之间关系的混合方法研究，调查对象为612名参与者，其中包括136名自由文本回复和22名参与者的4个焦点小组。这项研究遵循平行混合方法设计：定性和定量数据分别收集，尽管两者都是通过参与性工作获得信息。定量数据采用二元和多项Logistic回归模型进行分析；定性数据按主题进行分析。低收入家庭和粮食不安全家庭难以负担得起维持健康饮食的接近公共卫生指导的水果和蔬菜消费水平，尽管人们对健康饮食的构成要素有很高的认识。参与者使用了多种策略，以确保在资金限制下尽可能多地消费水果、蔬菜和蛋白质。量化数据表明，较高的加工食品消费量与使用过食品库之间的关系，与收入和食品安全状况无关。研究结果表明，对低收入人群的饮食行为进行个人化的行为描述，并不能真实反映贫困人口的生活状况。因此，在解决低收入人群的粮食不安全和营养不良问题上，行为干预或教育干预可能不太有效；需要制定政策，重点关注结构性驱动因素，包括贫穷和获得粮食的地理条件。
Evidence suggests that people living in poverty often experience inadequate nutrition with short and long-term health consequences. Whilst the diets of low-income households have been subject to scrutiny, there is limited evidence in the UK on the diet quality and food practices of households reporting food insecurity and food bank use. We explore lived experiences of food insecurity and underlying drivers of diet quality among low-income families, drawing upon two years of participatory research with families of primary school age children. We report on a mixed-methods study of the relationship between low income, food bank use, food practices and consumption from a survey of 612 participants, including 136 free text responses and four focus groups with 22 participants. The research followed a parallel mixed-methods design: qualitative and quantitative data were collected separately, although both were informed by participatory work. Quantitative data were analysed using binary and multinomial logistic regression modelling; qualitative data were analysed thematically. Lower income households and those living with food insecurity struggle to afford a level of fruit and vegetable consumption that approaches public health guidance for maintaining a healthy diet, despite high awareness of the constituents of a healthy diet. Participants used multiple strategies to ensure as much fruit, vegetable and protein consumption as possible within financial constraints. The quantitative data suggested a relationship between higher processed food consumption and having used a food bank, independent of income and food security status. The findings suggest that individualised, behavioural accounts of food practices on a low-income misrepresent the reality for people living with poverty. Behavioural or educational interventions are therefore likely to be less effective in tackling food insecurity and poor nutrition among people on a low income; policies focusing on structural drivers, including poverty and geographical access to food, are needed.