Improving Food Literacy and Access Among Young Adult Cancer Survivors A Cross-Sectional Descriptive Study
Improving Food Literacy and Access Among Young Adult Cancer Survivors A Cross-Sectional Descriptive Study
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DOI：
10.1097/ncc.0000000000000992
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发表时间：
2022-03-01
期刊：
影响因子：
2.6
通讯作者：
Brooks, Vicki
中科院分区：
文献类型：
--
作者：
Alexander, Gina K.;Bashore, Lisa;Brooks, Vicki
背景：营养与慢性疾病之间的联系已经确立，但在世界各地年轻的儿童癌症幸存者(YAC)中，水果和蔬菜的消费量很低。确保公平获得新鲜农产品是一项重大的、持久的公共卫生挑战。目的描述青少年儿童新鲜农产品的获取方式、每日水果/蔬菜的摄入量以及营养教育偏好，并强调早期开展有指导的园艺干预措施。方法采用横断面描述性研究设计，通过一个大型儿科癌症中心的综合癌症生存计划，评估124名青年癌症患者的膳食摄入量、水果/蔬菜的获取情况以及对营养教育的偏好。结果71.8%的被调查者居住地点距超市步行10min以上，88.7%的被调查者未达到每日5份及以上水果蔬菜的推荐摄入量。共有91%的参与者表示营养很重要，81.5%的人希望改善饮食。大多数人(78.2%)可能会使用电脑或手机获取营养内容。为了建立健康的营养习惯，许多人寻求营养师(63.7%)或其他幸存者(41.9%)的支持。结论研究结果强调了宣传的必要性，以支持在青年会中公平获得新鲜农产品和技术强化的营养教育。实践的影响为了改善青少年儿童获得新鲜农产品的机会和提高食物素养，供应商可以与社区利益攸关方合作，在个人、家庭和社区层面建立可持续的、技术增强的和有指导的园艺干预能力。
Background The links between nutrition and chronic disease are well established, but consumption of fruits and vegetables is low among young adult childhood cancer survivors (YACS) worldwide. Ensuring equitable access to fresh produce is a significant, persistent public health challenge. Objective The purposes of this report are to describe patterns of access to fresh produce, daily intake of fruits/vegetables, and nutrition education preferences among a sample of YACS and to highlight early development of a mentored gardening intervention. Methods A cross-sectional descriptive study design was used to assess dietary intake, access to fruits/vegetables, and preferences for nutrition education among 124 YACS through a comprehensive cancer survivorship program in a large pediatric cancer center. Results Most participants (71.8%) live more than 10 minutes' walking distance from a supermarket, and 88.7% do not meet the recommended daily intake of 5 or more servings of fruit and vegetables. A total of 91% of participants express that nutrition is important, and 81.5% desire dietary improvement. Most (78.2%) are likely to use either their computer or cell phone for nutrition content. To establish healthy nutrition habits, many seek the support of a nutritionist (63.7%) or another survivor (41.9%). Conclusions Study findings underscore the need for advocacy to support equitable access to fresh produce and technology-enhanced nutrition education among YACS. Implications for Practice To improve access to fresh produce and food literacy among YACS, providers can collaborate with community stakeholders to build capacity for sustainable, technology-enhanced, and mentored gardening interventions at the individual, family, and community level.