Storekeeper perspectives on improving dietary intake in 12 rural remote western Alaska communities: the "Got Neqpiaq?" project.

Storekeeper perspectives on improving dietary intake in 12 rural remote western Alaska communities: the "Got Neqpiaq?" project.
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在12个农村偏远的阿拉斯加社区中,店主改善饮食摄入量的观点:“ neqpiaq?”项目。

DOI:
10.1080/22423982.2021.1961393
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发表时间:
2021-01-01
影响因子:
1.3
通讯作者:
Thomas TK
Thomas TK
中科院分区:
医学4区
文献类型:
--
作者:
Koller KR;Flanagan CA;Nu J;Lee FR;Desnoyers C;Walch A;Alexie L;Bersamin A;Thomas TK

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水果和蔬菜的低摄入量和含糖饮料的高摄入量仍然是阿拉斯加偏远农村原住民(AN)社区的公共卫生问题。对阿拉斯加育空-Kuskokwim地区12个社区的22名店主进行了关键的线人采访,探讨了阻碍或促进饮食改变以选择更健康食物的潜在因素。我们选择这些网站作为多层次干预的一部分,旨在引入更传统的AN维生食品,增加水果和蔬菜的摄入量,并减少参加学前教育计划的幼儿的SSB消费(Clinicaltrials.gov #NCT03601299)。这些社区的店主同意,季节性和航班时间表是决定商业食品供应的主要因素。几位店主指出,联邦食品援助方案规定了哪些食品可以用该方案提供的资金购买,社区政策对不太健康的食品设定了限制,这促使顾客购买更健康的产品。事实上,店主很乐意执行政府援助计划指导方针,公司政策和部落决议,这表明店主在改善社区营养摄入方面发挥着重要作用。
Low intake of fruits and vegetables and high intake of sugar-sweetened beverages persists as a public health concern in rural remote Alaska Native (AN) communities. Conducting key informant interviews with 22 storekeepers in 12 communities in the Yukon-Kuskokwim region of Alaska, we explored potential factors impeding or facilitating dietary change towards healthier food choices. We selected these sites as part of a multi-level intervention aimed at introducing more traditional AN subsistence foods, increasing fruit and vegetable intake, and decreasing SSB consumption among young children enrolled in Head Start (preschool) programmes (Clinicaltrials.gov #NCT03601299). Storekeepers in these communities agreed that seasonality and flight schedules were primary factors determining commercial foods’ availability. Several storekeepers noted that federal food assistance programmes that specify which food items may be purchased with funds received from the programme and community policies that set limits on less healthy items promote customer purchases of healthier products. The fact that storekeepers are comfortable enforcing government assistance programme guidelines, company policies, and tribal resolutions suggests an important role storekeepers play in improving nutritional intake in their communities.
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