Increasing access to healthful foods: a qualitative study with residents of low-income communities
Increasing access to healthful foods: a qualitative study with residents of low-income communities
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DOI：
10.1186/1479-5868-12-s1-s5
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发表时间：
2015-07-27
影响因子：
8.7
通讯作者：
Yaroch, Amy
中科院分区：
文献类型：
--
作者：
Evans, Alexandra;Banks, Karen;Yaroch, Amy
背景资料：获得健康食品的机会不足已被确定为生活在低收入社区的个人健康饮食行为的重大障碍。本研究的目的是收集低收入的社区成员的意见，他们的食品购买的选择和他们的看法，最有效的方式来增加获得健康食品在他们的community.Methods：西班牙语和英语的焦点小组进行了低收入，种族多元化的社区。参与者被问及他们的知识、影响食品购买决策的因素以及他们对增加健康食品获取机会的解决方案的看法。结果：共有148人参加了13个焦点小组。大多数参与者是女性和种族多样性（63%西班牙裔，17%非洲裔美国人，16%高加索人和4%“其他”）。超过75%的参与者报告每月收入低于1999美元。参与者报告了高水平的知识和对健康食品的偏好。影响健康购物行为的最重要的障碍包括健康食品价格高，健康食品的地理位置不佳，健康食品的质量差，以及附近零售店的整体质量缺乏。建议的解决办法包括在他们的社区建立新的连锁超市。在便利店实施的战略被认为是无效的。农民的市场，有具体的规定，社区花园被视为有益的补充solutions.Conclusion：从重点小组的结果提供了重要的投入，从需求评估的角度来看，从社区，确定差距的访问，并提供潜在的有效的解决方案，为未来提供方向。
Background: Inadequate access to healthful foods has been identified as a significant barrier to healthful dietary behaviors among individuals who live in low-income communities. The purpose of this study was to gather low-income community members' opinions about their food purchasing choices and their perceptions of the most effective ways to increase access to healthful foods in their communities.Methods: Spanish and English focus groups were conducted in low-income, ethnically-diverse communities. Participants were asked about their knowledge, factors influencing their food purchasing decisions, and their perceptions regarding solutions to increase access to healthful foods.Results: A total of 148 people participated in 13 focus groups. The majority of participants were female and ethnically diverse (63% Hispanic, 17% African American, 16% Caucasian, and 4% "other"). More than 75% of the participants reported making less than $1999 USD per month. Participants reported high levels of knowledge and preference for healthful foods. The most important barriers influencing healthful shopping behaviors included high price of healthful food, inadequate geographical access to healthful food, poor quality of available healthful food, and lack of overall quality of the proximate retail stores. Suggested solutions to inadequate access included placement of new chain supermarkets in their communities. Strategies implemented in convenience stores were not seen as effective. Farmers' markets, with specific stipulations, and community gardens were regarded as beneficial supplementary solutions.Conclusion: The results from the focus groups provide important input from a needs assessment perspective from the community, identify gaps in access, and offer potential effective solutions to provide direction for the future.