Barriers and Facilitators to Fruit and Vegetable Consumption Among Rural Indian Women of Reproductive Age
Barriers and Facilitators to Fruit and Vegetable Consumption Among Rural Indian Women of Reproductive Age
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DOI：
10.1177/0379572118816459
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发表时间：
2019-03-01
影响因子：
1.9
通讯作者：
Fall, Caroline H. D.
中科院分区：
文献类型：
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作者：
Kehoe, Sarah H.;Dhurde, Varsha;Fall, Caroline H. D.
背景资料：在包括印度在内的中低收入国家，营养素缺乏一直是育龄妇女的一个严重公共卫生问题，对孕产妇和儿童健康以及人力资本成果产生不利影响。水果和蔬菜是微量营养素的重要来源，这些食物的消费量低于建议。目的：这项研究的目的是确定印度马哈拉施特拉邦农村社区育龄妇女消费水果和蔬菜的障碍和促进因素。方法：从印度马哈拉施特拉邦Wardha市周围的8个村庄招募18至40岁的妇女。我们采用定性方法，进行了9次焦点小组讨论和12次一对一访谈。当没有新的信息出现时，停止数据收集。我们使用归纳主题编码来分析数据。结果如下：妇女知道水果和蔬菜对健康有益，并表示希望为自己和孩子增加这些食物的摄入量。七个主要主题被确定为水果和蔬菜消费的障碍或促进因素：（1）个人因素，（2）家庭动态，（3）社会和文化规范，（4）工作量，（5）时间压力，（6）环境因素，（7）成本。结论：印度农村妇女很少食用水果和蔬菜，并表示她们想多吃。确定了影响水果和蔬菜摄入量的几个潜在的可改变因素。对这些社区的水果和蔬菜进行价值链分析对于确定干预和增加消费的机会至关重要。
Background: Micronutrient deficiencies have been a serious public health problem among women of reproductive age in low- and middle-income countries including India, adversely affecting maternal and child health and human capital outcomes. Fruit and vegetables are important sources of micronutrients, and consumption of these foods is less than recommendations. Objective: The objective of this study was to identify perceived barriers and facilitators to fruit and vegetable consumption among women of reproductive age living in rural communities in the State of Maharashtra, India. Methods: Women aged 18 to 40 years were recruited from 8 villages surrounding the city of Wardha, Maharashtra, India. We used qualitative methods and held 9 focus group discussions and 12 one-to-one interviews. The data collection was stopped when no new information emerged. We used inductive thematic coding to analyze the data. Results: Women knew that fruit and vegetables were beneficial to health and expressed that they wanted to increase the intake of these foods for themselves and their children. Seven main themes were identified as being barriers or facilitators to fruit and vegetable consumption: (1) personal factors, (2) household dynamics, (3) social and cultural norms, (4) workload, (5) time pressures, (6) environmental factors, and (7) cost. Conclusions: Rural Indian women consumed fruit and vegetables infrequently and said they would like to consume more. Several potentially modifiable factors affecting the intake of fruit and vegetables were identified. Value chain analyses of fruit and vegetables in these communities will be important to identify opportunities to intervene and increase consumption.