A multilevel assessment of barriers to adoption of Dietary Approaches to Stop Hypertension (DASH) among African Americans of low socioeconomic status.

A multilevel assessment of barriers to adoption of Dietary Approaches to Stop Hypertension (DASH) among African Americans of low socioeconomic status.
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DOI:
10.1353/hpu.2011.0142
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发表时间:
2011-11
影响因子:
1.4
通讯作者:
Whitt-Glover MC
Whitt-Glover MC
中科院分区:
医学4区
文献类型:
--
作者:
Bertoni AG;Foy CG;Hunter JC;Quandt SA;Vitolins MZ;Whitt-Glover MC

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我们研究了生活在两个低收入社区的高血压非裔美国人(AA)对阻止高血压饮食方法(DASH)和食品环境的看法,并客观地评估了当地的食品店。与30名AA进行了焦点小组讨论;参与者讨论了DASH和社区中健康食品的可用性。会议记录和主题已确定。54家商店和114家餐馆使用营养环境措施调查(NEMS)进行了评估。共同的主题包括健康食品的供应、质量和成本较差;遵循DASH和喂养其他家庭成员之间的紧张关系;以及他们喜欢的食物和DASH之间缺乏一致性。与大多数白色地区相比,大多数AA人口普查区的食品店的NEMS得分较低(商店:-11.7,p=.01,餐馆:-8.3,p=.001)。在低收入AA中促进DASH的干预措施应反映社区的食品习俗,经济问题和食品供应。
We examined perceptions of Dietary Approaches to Stop Hypertension (DASH) and the food environment among African Americans (AA) with high blood pressure living in two low-income communities and objectively assessed local food outlets. Focus groups were conducted with 30 AAs; participants discussed DASH and the availability of healthy foods in their community. Sessions were transcribed and themes identified. Fifty-four stores and 114 restaurants were assessed using the Nutrition Environment Measures Survey (NEMS). Common themes included poor availability, quality, and cost of healthy foods; tension between following DASH and feeding other family members; and lack of congruity between their preferred foods and DASH. Food outlets in majority AA census tracts had lower NEMS scores (stores: −11.7, p=.01, restaurants: −8.3, p=.001) compared with majority White areas. Interventions promoting DASH among lower income AAs should reflect the food customs, economic concerns, and food available in communities.
DOI: 10.1016/j.amepre.2006.12.022
发表时间: 2007-04-01
影响因子: 5.5
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