Caught in a 'spiral'. Barriers to healthy eating and dietary health promotion needs from the perspective of unemployed young people and their service providers
Caught in a 'spiral'. Barriers to healthy eating and dietary health promotion needs from the perspective of unemployed young people and their service providers
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DOI：
10.1016/j.appet.2014.11.010
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发表时间：
2015-02-01
期刊：
影响因子：
5.4
通讯作者：
Knox, Barbara Stewart
中科院分区：
文献类型：
--
作者：
Davison, Jenny;Share, Michelle;Knox, Barbara Stewart
在欧洲，没有接受教育、就业或培训的年轻人（NEET）的数量正在增加。鉴于来自弱势背景的年轻人往往饮食营养质量差，这项探索性研究试图了解16-20岁失业年轻人健康饮食和饮食健康促进需求的障碍和促进因素。与年轻人（n = 14）举行了三次焦点小组讨论。六个人访谈和一个配对访谈服务提供者（n = 7）。对数据进行了记录、逐字记录和专题内容分析。主题，然后适合社会认知理论（SCT）。尽管了解健康饮食的原则，但人们认为，相互关联的社会、经济和相关心理问题的“螺旋式上升”使食物和健康对年轻人来说没有什么价值，也不受重视。年轻人讲述的并经服务提供者证实的故事是，他们缺乏个人和替代性的食物体验。快餐店的扩散和接近，以及与“垃圾”食品相比，“健康”食品的高感知成本，使年轻人的自我效能感和对健康食品选择的控制感较低。相反，通过消费垃圾食品和药物来表达。青年人和服务提供者都同意，为了使饮食健康促进工作取得成功，需要解决社会问题，并通过青年人自己（个人和集体）的积极参与来鼓励机构。(C)2014爱思唯尔有限公司版权所有。
The number of young people in Europe who are not in education, employment or training (NEET) is increasing. Given that young people from disadvantaged backgrounds tend to have diets of poor nutritional quality, this exploratory study sought to understand barriers and facilitators to healthy eating and dietary health promotion needs of unemployed young people aged 16-20 years. Three focus group discussions were held with young people (n = 14). Six individual interviews and one paired interview with service providers (n = 7). Data were recorded, transcribed verbatim and thematically content analysed. Themes were then fitted to social cognitive theory (SCT). Despite understanding of the principles of healthy eating, a 'spiral' of interrelated social, economic and associated psychological problems was perceived to render food and health of little value and low priority for the young people. The story related by the young people and corroborated by the service providers was of a lack of personal and vicarious experience with food. The proliferation and proximity of fast food outlets and the high perceived cost of 'healthy' compared to 'junk' food rendered the young people low in self-efficacy and perceived control to make healthier food choices. Agency was instead expressed through consumption of junk food and drugs. Both the young people and service providers agreed that for dietary health promotion efforts to succeed, social problems needed to be addressed and agency encouraged through (individual and collective) active engagement of the young people themselves. (C) 2014 Elsevier Ltd. All rights reserved.