Food, food choice and nutrition promotion in a remote Australian Aboriginal community
Food, food choice and nutrition promotion in a remote Australian Aboriginal community
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DOI：
10.1071/py14033
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发表时间：
2014-01-01
影响因子：
1.3
通讯作者：
Brimblecombe, Julie
中科院分区：
文献类型：
--
作者：
Colles, Susan L.;Maypilama, Elaine;Brimblecombe, Julie
生活在偏远澳大利亚的土著人民的当代饮食以高脂肪和高糖的加工食品为特征。在新的食品体系中，有证据表明，许多原住民用自己的语言理解食品，但无法获得有关商店购买食品的消费者信息，父母觉得自己不足以成为榜样。在一个偏远的澳大利亚土著社区，有目的的抽样确定了参加以食物为基础的主题的半结构化访谈的成年人，这些主题涉及当代食物系统、父母对儿童食物选择的指导以及人们学习的渠道。使用解释性内容分析来确定显著主题。在讨论中，人们更多地认同饮食品质或饮食模式，而不是营养素，他们看重的是让他们感觉“清淡”的均衡、新鲜的饮食。人们已经掌握了“好的”储存食品的基本知识，并希望通过实践和社交技能，特别是烹饪技能，来增加对包装和罐装食品的熟悉和体验。关于当代食物的教育是从关键的家庭榜样和家庭以外的社区组织获得的，包括学校，而不是小册子和活动挂图。选择自由是一种根深蒂固的价值观；挑战儿童自主性的照顾者使用战略性分散注意力，或者寻求不完全否定儿童的更健康的替代方案。促进社区健康和福祉的信息共享和能力建设的文化安全方法，需要政策制定者、初级医疗保健机构、更广泛的社区组织和家庭之间的合作和分担责任。
Contemporary diets of Aboriginal people living in remote Australia are characterised by processed foods high in fat and sugar. Within the 'new' food system, evidence suggests many Aboriginal people understand food in their own terms but lack access to consumer information about store-purchased foods, and parents feel inadequate as role models. In a remote Australian Aboriginal community, purposive sampling identified adults who participated in semistructured interviews guided by food-based themes relating to the contemporary food system, parental guidance of children's food choice and channels through which people learn. Interpretive content analysis was used to identify salient themes. In discussions, people identified more closely with dietary qualities or patterns than nutrients, and valued a balanced, fresh diet that made them feel 'light'. People possessed basic knowledge of 'good' store foods, and wanted to increase familiarity and experience with foods in packets and cans through practical and social skills, especially cooking. Education about contemporary foods was obtained from key family role models and outside the home through community-based organisations, including school, rather than pamphlets and flip charts. Freedom of choice was a deeply held value; carers who challenged children's autonomy used strategic distraction, or sought healthier alternatives that did not wholly deny the child. Culturally safe approaches to information sharing and capacity building that contribute to the health and wellbeing of communities requires collaboration and shared responsibility between policy makers, primary healthcare agencies, wider community-based organisations and families.