Residents' perceptions of their local food environment in socioeconomically diverse neighborhoods: A photovoice study
Residents' perceptions of their local food environment in socioeconomically diverse neighborhoods: A photovoice study
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DOI：
10.1016/j.appet.2019.104543
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发表时间：
2020-04-01
期刊：
影响因子：
5.4
通讯作者：
Franco, Manuel
中科院分区：
文献类型：
--
作者：
Gravina, Leyre;Jauregi, Amets;Franco, Manuel
不健康的食物环境对居民饮食行为的影响以前已经有过记载。然而，不同地区的社会经济差异研究较少。前瞻性研究提供了相关知识，以便更好地为未来的营养干预措施提供信息。我们进行了一个参与式的Photovoice项目，在该项目中，居民解释了当地食品环境对西班牙毕尔巴鄂三个社区不同地区社会经济地位（SES）的饮食行为的影响。2017年4月至7月，共有23名居民参加了三个Photovoice小组。每个小组在6-9名参与者的小组中批判性地讨论了他们的照片（N = 110），共沿着6个小组会议。通过建立共识的过程，参与者确定了27个新兴类别，最终选择了39张相关照片，这些照片遵循六个概念主题，表征了当地的食品环境：1）不健康的饮食行为，2）文化多样性，3）零售转型，4）社会关系，5）不稳定性，6）健康饮食。虽然高食品质量和新鲜产品可能描绘了所有三个社区的一般健康食品环境，但与会者讨论了为什么一些居民仍然采取以过度饮酒为特征的不健康饮食行为（高社经地位地区），含糖食品（高和中等社会经济地位）和快餐（中等和低社会经济地位）。这种参与式的摄影声音方法有助于突出整个食品环境感知的重要相似性和差异性。任何城市的社会经济光谱。这种参与式方法有助于指导地方政策和干预措施，促进更健康的地方粮食环境。
The influence of unhealthy food environments on residents' eating behaviors has been previously documented. Yet, socioeconomic differences across areas are less studied. Participatory studies provide relevant knowledge to better inform future nutrition interventions. We conducted a participatory Photovoice project in which residents interpreted the influence of the local food environment on eating behaviors across three neighborhoods of contrasting area-level socioeconomic status (SES) in Bilbao, Spain. From April to July 2017, a total of 23 residents participated in the three Photovoice groups. Each group critically discussed their photographs (N = 110) in groups of 6-9 participants along six group sessions. Through a consensus-building process, participants identified 27 emerging categories choosing finally 39 related photographs, which followed six conceptual main themes characterizing their local food environment: 1) unhealthy eating behaviors, 2) cultural diversity, 3) retail transformation, 4) social relationships, 5) precariousness, and 6) healthy eating. Although high food quality and fresh products may portray a general healthy food environment in all three neighborhoods, participants discussed why some residents still adopt unhealthy eating behaviors characterized by an excessive consumption of alcohol (high-SES area), sugar loaded foods (high- and middle-SES) and fast food (middle and low-SES).This photovoice participatory methodology helps highlighting important similarities and differences regarding food environment perceptions in the whole socioeconomic spectrum of any given city. This type of participatory approach helps guiding local policies and interventions promoting healthier local food environments.