Sociocultural influences on dietary behavior and meal timing among Native Hawaiian and Pacific Islander women at risk of endometrial cancer: a qualitative investigation.

Sociocultural influences on dietary behavior and meal timing among Native Hawaiian and Pacific Islander women at risk of endometrial cancer: a qualitative investigation.
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DOI:
10.1007/s10552-022-01628-0
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发表时间:
2023-01
影响因子:
2.3
通讯作者:
Rogers, C. R.
Rogers, C. R.
中科院分区:
医学4区
文献类型:
--
作者:
Playdon, M.;Rogers, T. N.;Brooks, E.;Petersen, E. M.;Tavake-Pasi, F.;Lopez, J. A.;Quintana, X.;Aitaoto, N.;Rogers, C. R.

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确定社会文化对有子宫内膜癌风险的夏威夷和太平洋岛民(NHPI)原住民的饮食行为、身体形象、体重减轻以及对配餐干预设计和菜单的文化适当性的看法。犹他州的一位社区冠军招募了六个90分钟的视频会议焦点小组,由犹他州的一名社区冠军招募(n = 35)。符合条件的女性年龄为18岁,有患子宫内膜癌的风险(即体重指数 ≥  ≥ 25千克/平方米,有非胰岛素依赖型糖尿病或复杂的非典型子宫内膜增生症病史),具有能够下载手机应用程序的工作手机,可以在白天使用手机,并且不是夜班工作人员。在焦点小组中提出了12个半结构化问题。使用基于Hatch的九步法的归纳定性方法,分析了去识别的记录数据。最重要的主题包括经济因素、文化影响、饮食选择和时机,以及对健康的看法。副主题包括可负担性、避免浪费、被淹没的时间表和文化影响。人们对身材和减肥的看法受到家庭、社区和社交媒体的影响,这些信息可能是相互矛盾的。重要的干预因素包括令人满意的、方便的预制食物,而障碍包括为家庭成员做饭的需要。针对NHPI妇女代谢健康的饮食干预措施应考虑影响这一人群的食物选择和进餐时间的多种社会文化和经济因素,包括负担能力、忙碌的时间表和移民适应。促进身体和精神健康之间的联系,而不是减肥,是接触到这一人群的关键途径。
Determine sociocultural influences on dietary behavior, body image, weight loss, and perceptions of the cultural appropriateness of a meal-timing intervention design and menu among Native Hawaiian and Pacific Islander (NHPI) women at risk of endometrial cancer. Six 90-min videoconference focus groups among NHPI women (n = 35) recruited by a community champion in Utah. Eligible women were aged ≥ 18 years at risk of endometrial cancer (i.e., BMI ≥ 25 kg/m2, history of non-insulin-dependent diabetes or complex atypical endometrial hyperplasia) had a working cell phone capable of downloading a phone app, could use their cell phone during the day, and were not night-shift workers. Twelve semi-structured questions were posed during the focus groups. Using inductive qualitative methods based on Hatch’s 9-step approach, de-identified transcript data were analyzed. Overarching themes included economic factors, cultural influences, meal choice and timing, and perceptions of health. Subthemes included affordability, waste avoidance, inundated schedules, and cultural influences. Perceptions of body size and weight loss were influenced by family, community, and social media, whose messages could be conflicting. Important intervention components included satisfying, convenient pre-made meals, while barriers included the need to cook for family members. Dietary interventions targeting metabolic health among NHPI women should consider the multitude of sociocultural and economic factors that influence food choices and meal timing in this population, including affordability, hectic schedules, and immigrant adjustment. Promoting the link between physical and mental well-being as opposed to weight loss is a key approach to reaching this population.
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