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A systematic literature review and future research agenda to study consumer acceptance of novel foods and beverages 研究消费者对新型食品和饮料接受程度的系统文献综述和未来研究议程。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-04 DOI: 10.1016/j.appet.2024.107655

In response to the rising global demand for healthier and more sustainable food resources, novel and unconventional food and beverages are being developed and incorporated into our diets. However, existing literature provides a limited understanding of consumers’ acceptance of these innovations. This study undertakes a systematic literature review to examine the dynamics between consumers and novel foods and beverages. The objectives are to uncover the factors that influence consumer choices of these products, identify future research needs, and contribute to the development of effective marketing strategies for novel food and beverage adoption.

This systematic review analyses 99 research papers, selected from an initial pool of 4,280, sourced from Scopus and Web of Science databases. The papers were published between 2011 and 2023 in journals listed by Australian Business Deans Council and classified as Q1 in the SJR journal ranking. The articles have been reviewed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) protocol and TCCM (Theory, Context, Characteristics and Methodology) framework.

The findings highlight a reliance on data-driven methods and suggest that integrating relevant theories could enhance future research outcomes. Most studies focused on the acceptance of technology-based innovations in developed countries, indicating a need to explore novel foods and beverages in developing regions. Consumer-related factors, especially psychological aspects, were the primary focus, suggesting opportunities to investigate additional variables, such as product-related and situational factors, that influence acceptance. Finally, the predominance of quantitative research indicates a potential benefit in incorporating qualitative and multi-method approaches to gain deeper insights into consumer attitudes and motivations.

为了满足全球日益增长的对更健康、更可持续的食品资源的需求,人们正在开发新的、非传统的食品和饮料,并将其纳入我们的饮食中。然而,现有文献对消费者接受这些创新的了解有限。本研究通过系统的文献综述来研究消费者与新型食品和饮料之间的动态关系。其目的是揭示影响消费者选择这些产品的因素,确定未来的研究需求,并为制定采用新型食品和饮料的有效营销策略做出贡献。本系统综述分析了 99 篇研究论文,这些论文是从最初的 4,280 篇论文中筛选出来的,来源于 Scopus 和 Web of Science 数据库。这些论文发表于 2011 年至 2023 年期间,刊载于澳大利亚商学院院长委员会列出的期刊中,并在 SJR 期刊排名中被列为 Q1。文章采用 PRISMA(系统综述和元分析的首选报告项目)协议和 TCCM(理论、背景、特征和方法)框架进行审核。研究结果凸显了对数据驱动方法的依赖,并表明整合相关理论可以提高未来的研究成果。大多数研究侧重于发达国家对技术创新的接受程度,这表明有必要在发展中地区探索新型食品和饮料。与消费者相关的因素,尤其是心理方面的因素,是研究的主要重点,这表明有机会研究影响接受度的其他变量,如与产品相关的因素和情境因素。最后,定量研究占主导地位表明,采用定性和多种方法深入了解消费者的态度和动机具有潜在的好处。
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引用次数: 0
Unraveling the complexity and instability of negative emotional eating: A latent transition analysis 揭示消极情绪饮食的复杂性和不稳定性:潜在转变分析
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-02 DOI: 10.1016/j.appet.2024.107657

The manifestations of emotional eating are complicated, encompassing both over- and under-eating. However, little is understood about how emotional over- and under-eating constitute individuals' eating patterns and how these patterns change over time. Employing latent transition analysis, a longitudinal and person-centered approach, this study examined the patterns and stability of emotional eating. Over six months, 755 participants completed two waves of self-reported questionnaires. Results revealed four distinct latent profiles: Low Emotional Eaters (11.5–15.8%), Emotional Eating-Undereaters (31.1–40.5%), Emotional Eating-Overeaters (15.9–18.3%), and Combined-Emotional Eaters (29.7–37.2%). Approximately 50% of participants in each profile maintained their behavioral patterns over time, with transitions often shifting towards Combined-Emotional Eaters. Individuals in the profile of Emotional Eating-Overeaters exhibited the highest level of anxiety, depression, stress, and disordered eating. Gender, self-esteem level, and self-esteem instability were associated with profile membership and transition probabilities. These findings highlight the presence of distinct and relatively unstable patterns of negative emotional eating, indicating the potential distinction between trait and state emotional eating. Recognizing these inherent characteristics is crucial for future studies and intervention programs addressing negative emotional eating.

情绪化进食的表现很复杂,既包括进食过量,也包括进食不足。然而,人们对情绪化过度进食和进食不足如何构成个人进食模式以及这些模式如何随时间变化知之甚少。本研究采用纵向和以人为本的方法--潜伏转变分析,对情绪化饮食的模式和稳定性进行了研究。在六个月的时间里,755 名参与者完成了两波自我报告问卷。结果显示了四种不同的潜在特征:低情绪进食者(11.5%-15.8%)、情绪进食-不进食者(31.1%-40.5%)、情绪进食-暴食者(15.9%-18.3%)和综合情绪进食者(29.7%-37.2%)。在每种特征中,约有 50%的参与者在一段时间内保持其行为模式,但往往会向综合情感型进食者过渡。情绪化进食-暴食者的焦虑、抑郁、压力和饮食紊乱程度最高。性别、自尊水平和自尊不稳定性与特征成员资格和过渡概率相关。这些发现凸显了消极情绪饮食的独特和相对不稳定的模式,表明了特质和状态情绪饮食之间的潜在区别。认识到这些固有特征对于未来针对消极情绪饮食的研究和干预计划至关重要。
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引用次数: 0
Consumers’ categorizations of dairy products and plant-based milk, yogurt, and cheese alternatives 消费者对乳制品以及植物性牛奶、酸奶和奶酪替代品的分类。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-02 DOI: 10.1016/j.appet.2024.107658

Plant-based dairy alternatives have many benefits in terms of sustainability, animal welfare, and health, but they can only be successful in the market if consumers perceive them as suitable substitutes for conventional dairy. Consumers' expectations for new products are strongly influenced by the food categories into which they place these products. The present study aims to reveal consumers' categorizations of plant-based dairy products to gain insights into their potential as dairy substitutes. In a free sorting task, 100 participants from the German-speaking part of Switzerland sorted a variety of plant-based and conventional animal-based dairy products into groups, indicating their spontaneous similarity perceptions. Additionally, we assessed the participants' characteristics and attitudes toward plant-based dairy products to test potential differences in categorization strategies among consumer groups. Multidimensional scaling and cluster analysis showed that consumers' mental representations of plant-based dairy and conventional animal-based dairy were clearly separated across a wide range of product types. This pattern was even observed among consumers who ate less meat, had higher exposure to vegan dietary styles, and had less negative attitudes toward dairy alternatives. The results suggest that taxonomic distinctions based on plant or animal origin dominate consumers' perceptions and are likely to hinder the substitution of dairy with plant-based dairy. Nevertheless, they also imply that plant-based products that manage to emphasize shared goals and functional properties akin to conventional dairy products are more likely to form a common goal–derived category in consumers’ minds and thus have better prospects as substitutes.

植物乳制品替代品在可持续性、动物福利和健康方面有许多好处,但只有当消费者认为它们适合替代传统乳制品时,它们才能在市场上取得成功。消费者对新产品的期望在很大程度上受到他们将这些产品归入的食品类别的影响。本研究旨在揭示消费者对植物乳制品的分类,从而深入了解植物乳制品作为乳制品替代品的潜力。在一项自由排序任务中,来自瑞士德语区的 100 名参与者将各种植物性乳制品和传统动物性乳制品分门别类,以显示其自发的相似性认知。此外,我们还对参与者的特征和对植物乳制品的态度进行了评估,以检验不同消费群体在分类策略上的潜在差异。多维标度和聚类分析显示,消费者对植物基乳制品和传统动物基乳制品的心理表征在广泛的产品类型中被明显区分开来。这种模式甚至在那些吃肉较少、接触素食较多、对乳制品替代品的负面态度较少的消费者中也能观察到。研究结果表明,基于植物或动物来源的分类区分在消费者的认知中占主导地位,很可能会阻碍以植物乳制品替代乳制品。然而,这些结果也意味着,那些能够强调与传统乳制品相似的共同目标和功能特性的植物性产品更有可能在消费者心目中形成一个由共同目标衍生出来的类别,从而具有更好的替代前景。
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引用次数: 0
The role of conventional meat unnaturalness in cultured meat acceptance: A test of holistic mindset 传统肉类的不自然性在养殖肉类接受度中的作用:整体心态测试
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-01 DOI: 10.1016/j.appet.2024.107656

The eventual reality of a cultured meat market is increasingly uncertain, primarily due to low consumer acceptance levels influenced by perceptions of unnaturalness towards cultured meat. Previous research has shown limited success in increasing acceptance through naturalness messages. In this research, we employ a counter-messaging strategy that highlights the unnaturalness of conventional meat and show that it is effective at increasing willingness to try cultured meat among a particular consumer segment. Across two experimental studies, we show that this counter-messaging strategy is successful at increasing willingness to try cultured meat among holistic mindset consumers—i.e., those holding beliefs to the effect that considering the whole is fundamental to understanding the parts of a phenomenon. We establish this effect by both measuring (Study 1) and priming (Study 2) analytic-holistic mindset and also establish the mechanism driving this interactive effect (Study 2): positively-valenced feelings. Our findings are informative theoretically, extending mindset and counter-messaging theory to the context of cultured meat and, practically, offering crucial pointers to stakeholders interested in the promotion of cultured meat.

养殖肉类市场的最终现实越来越不确定,主要原因是消费者对养殖肉类不自然的看法影响了他们的接受程度。以往的研究表明,通过自然性信息提高接受度的成功率有限。在这项研究中,我们采用了一种反信息策略,强调传统肉类的非自然性,并证明这种策略能有效提高特定消费群体对养殖肉类的尝试意愿。在两项实验研究中,我们表明这种反信息策略能够成功地提高具有整体观念的消费者--即持有整体观念的消费者--尝试养殖肉类的意愿。我们通过测量(研究 1)和引导(研究 2)分析-整体心态来确立这种效果,同时还确立了驱动这种互动效果的机制(研究 2):积极的情感。我们的研究结果在理论上很有启发性,将心态和反信息理论延伸到了养殖肉类的语境中,在实践中也为有意推广养殖肉类的利益相关者提供了重要的指导。
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引用次数: 0
Risk it for a biscuit: Food safety behaviours and food insecurity of older adults 为了一块饼干而冒险:老年人的食品安全行为和食品不安全问题。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-31 DOI: 10.1016/j.appet.2024.107650

Foodborne disease presents a significant public health issue, costing the UK economy £9 billion annually, with many incidences being due to food-related behaviours in the home. Adults aged 60 and over account for around a quarter of the population in England and Wales and are at a greater risk of foodborne disease and may suffer a much higher burden. Research into risky food behaviours has previously focused on larger cohorts and typically treats the over 60's as one homogenous group. The current paper aims to identify the characteristics associated with risky food-related practices related to cooking, cleaning, chilling, cross-contamination, and use-by date adherence. The current research analysed data from the Official Statistics survey, Food and You 2: Wave 6 (2022–23). A series of binary logistic regression models examined the characteristics associated with risky food-related practices. We demonstrate that the characteristics associated with risky behaviours are not uniform, with different factors being associated with specific behaviours. We suggest that risky behaviours cannot be targeted efficiently with a one size fits all approach. This research provides an evidence base for policy makers to target risky food behaviours in this understudied vulnerable group.

食源性疾病是一个重大的公共卫生问题,每年给英国经济造成 90 亿英镑的损失,其中许多病例是由于家庭中与食物有关的行为造成的。在英格兰和威尔士,60 岁及以上的成年人约占总人口的四分之一,他们罹患食源性疾病的风险更大,可能承受的负担也更重。以前对危险食物行为的研究主要集中在较大的群体上,通常将 60 岁以上的人群视为一个同质群体。本论文旨在确定与烹饪、清洁、冷藏、交叉污染和遵守使用期限有关的风险食品相关做法的特征。本研究分析了来自官方统计调查 "食物与你 2:第 6 波(2022-23 年)"的数据。一系列二元逻辑回归模型检验了与风险食品相关做法有关的特征。我们证明,与危险行为相关的特征并不一致,不同的因素与特定行为相关。我们认为,不能用 "一刀切 "的方法来有效地针对危险行为。这项研究为政策制定者提供了证据基础,以针对这一研究不足的弱势群体的危险食物行为。
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引用次数: 0
Efficacy of a cognitive training based on inhibitory spillover and attribute conditioning: No weight and food intake reductions in adults with overweight and obesity 基于抑制溢出和属性调节的认知训练的效果:超重和肥胖成年人的体重和食物摄入量均未减少。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-30 DOI: 10.1016/j.appet.2024.107648

Background

Overeating and obesity have been linked to deficient self-control and recent evidence suggests that the inhibitory spillover effect (ISE) may be an effective means to improve self-control. Specifically, it was shown that the ISE increases self-control by transfer of self-control capacity from one domain to another unrelated domain. Against this backdrop, our aim was to reduce hedonic food intake and body weight in non-dieting participants with overweight and obesity by transferring inhibitory control abilities from a food-unrelated domain to the food domain by means of an attribute conditioning procedure in a novel cognitive training (vs. a placebo training) comprising 8-sessions delivered over four weeks.

Method

In total, 93 adults with overweight and obesity were included in a two-arm randomized controlled trial and assigned to the computerized cognitive training or a placebo training (active control condition). Food intake in a bogus taste test and body weight were assessed prior to and after the training. Weight was additionally assessed at 3-months follow-up.

Results

There was no improvement in food intake and weight reduction.

Discussion

The cognitive training based on the ISE and attribute conditioning (ISAC) is not yet ready for application. Future studies need to identify the factors critical for a successful implementation of conditioning procedures aiming to associate food stimuli with self-control in overweight and obesity.

背景:暴饮暴食和肥胖与自我控制能力不足有关,而最近的证据表明,抑制溢出效应(ISE)可能是提高自我控制能力的有效手段。具体来说,研究表明,抑制溢出效应通过将自我控制能力从一个领域转移到另一个不相关的领域来提高自我控制能力。在此背景下,我们的目的是通过一种新的认知训练(与安慰剂训练相比),将抑制控制能力从与食物无关的领域转移到食物领域,从而减少超重和肥胖的非节食参与者的享乐性食物摄入量和体重:方法:在一项双臂随机对照试验中,共纳入了 93 名超重和肥胖成人,他们被分配接受计算机化认知训练或安慰剂训练(积极对照条件)。在训练前和训练后,对假味测试中的食物摄入量和体重进行了评估。另外,在3个月的随访中还对体重进行了评估:结果:食物摄入量没有改善,体重也没有减轻:讨论:基于 ISE 和属性调节(ISAC)的认知训练尚未准备好应用。未来的研究需要确定成功实施调节程序的关键因素,以便将食物刺激与超重和肥胖症患者的自我控制联系起来。
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引用次数: 0
“Miffy eats the rainbow!” – A colorful modeling- and reward-based intervention to increase willingness to taste fruit and vegetables in 3–7-year-old children "米菲吃彩虹!"- 这是一项以多彩模型和奖励为基础的干预措施,旨在提高 3-7 岁儿童品尝水果和蔬菜的意愿。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-30 DOI: 10.1016/j.appet.2024.107654

Diets rich in fruit and vegetables (F&Vs) improve cognitive functioning and reduce the risk of non-communicable diseases in children. Nevertheless, 59% of Dutch children do not meet recommended intake levels. Given the importance of color in children's food choices, the concept of “eat the rainbow” presents a promising approach. This project aimed to evaluate the effects of a modeling- and reward-based intervention to stimulate the consumption of colorful foods to increase willingness to taste different F&Vs among children aged 3–7 years. 164 children from Dutch elementary schools participated in a nested cluster randomized multi-arm parallel design study. During two morning school breaks, children were invited to choose from ten F&Vs in five different colors. Their willingness to taste and ad libitum intake were recorded. The first session served as a baseline with no intervention, while the second session involved either the Miffy intervention (modeling- and reward-based), a reward-only intervention (reward-based), or a control session. In the Miffy intervention, children listened to a story about Miffy eating the rainbow before tasting F&Vs and they received colored stickers (e.g., red sticker for tomatoes, green sticker for celery) upon tasting them. In the reward-only intervention, children received a sticker upon tasting a food. The Miffy group showed a higher probability (P(tasted) = 0.39) of tasting a food product compared to the control group (P(tasted) = 0.29; OR = 0.63, p = .04). No significant differences were observed between the Miffy and reward-only groups or between the reward-only and control groups. Both interventions did not significantly impact intake or liking of the foods. The Miffy-themed intervention demonstrates potential to enhance children's willingness to taste F&Vs, primarily due to the use of non-food incentives.

富含水果和蔬菜(F&Vs)的膳食可以改善儿童的认知功能,降低罹患非传染性疾病的风险。然而,59% 的荷兰儿童没有达到建议的摄入量。鉴于颜色在儿童食物选择中的重要性,"吃出彩虹 "的概念是一种很有前景的方法。该项目旨在评估以示范和奖励为基础的干预措施的效果,以刺激3-7岁儿童食用色彩丰富的食物,从而提高他们品尝不同食品和饮料的意愿。来自荷兰小学的 164 名儿童参加了一项嵌套随机区组设计研究。在两个上午的课间休息时间,儿童受邀从 10 种不同颜色的食品和饮料中进行选择。他们的品尝意愿和自由摄入量均被记录在案。第一个环节作为基线,不采取任何干预措施,第二个环节则包括米菲干预措施(以示范和奖励为基础)、纯奖励干预措施(以奖励为基础)或对照环节。在米菲干预中,儿童在品尝食物和饮料之前先听米菲吃彩虹的故事,品尝后会收到彩色贴纸(如红色贴纸代表西红柿,绿色贴纸代表芹菜)。在纯奖励干预中,儿童在品尝食物时会收到一张贴纸。与对照组(P(tasted) = 0.29; OR = 0.63, p = .035)相比,米菲组品尝到食品的概率更高(P(tasted) = 0.39)。米菲组和纯奖励组之间以及纯奖励组和对照组之间均未发现明显差异。两种干预措施对食物的摄入量和喜爱程度都没有明显影响。以米菲为主题的干预措施显示出了提高儿童品尝食品和饮料意愿的潜力,这主要归功于非食品激励措施的使用。
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引用次数: 0
Trauma exposure proximity associated with eating disorder diagnosis in women with food insecurity 食物无保障妇女的创伤暴露邻近性与饮食紊乱诊断有关。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-30 DOI: 10.1016/j.appet.2024.107653

Trauma exposure is a risk factor for both food insecurity (FI) and increased eating disorder (ED) pathology. The purpose of this study was to explore the relation between trauma and ED diagnosis in a sample of women experiencing FI. A cross-sectional analysis of surveys from 99 women with self-reported FI (54% White; mean [SD] age = 40.26 [14.33] years) in the United States was employed. Participants completed online surveys including the Life Events Checklist (LEC) questionnaire, General Anxiety Disorder-7, Patient Health Questionnaire-9, and an interview comprised of the Household Food Security Survey Module (HFSSM) and Eating Disorder Diagnostic Interview (EDDI). LEC traumatic events were weighted by proximity: events experienced directly were weighted by a factor of 3, witnessed by 2, learned about by 1, and summed to a total weighted score. ED diagnosis in the past 12 months was assessed via the EDDI using DSM-5 diagnostic criteria. A binary logistic regression model tested associations between weighted trauma score, FI, and ED diagnosis. Weighted trauma score significantly predicted any ED diagnosis (OR = 1.039, p = .016), but FI severity did not (OR = .746, p = .101). These results suggest trauma proximity predicts ED diagnosis beyond that of FI severity and may be an important component of the association between FI and ED pathology. Future work may consider evaluating longitudinal symptoms of trauma and trauma severity in relation to FI.

遭受心理创伤是导致食物无保障(FI)和饮食失调(ED)病症增加的风险因素。本研究的目的是在经历过 FI 的女性样本中探索创伤与 ED 诊断之间的关系。研究采用横断面分析法,对美国 99 名自述有 FI 的女性(54% 为白人;平均 [SD] 年龄 = 40.26 [14.33] 岁)进行了调查。参与者完成了在线调查,包括生活事件清单(LEC)问卷、一般焦虑症-7、患者健康问卷-9,以及由家庭食品安全调查模块(HFSSM)和进食障碍诊断访谈(EDDI)组成的访谈。LEC 创伤事件按距离远近加权:直接经历的事件加权系数为 3,目睹的事件加权系数为 2,了解到的事件加权系数为 1,加总后得出加权总分。过去 12 个月中的 ED 诊断根据 DSM-5 诊断标准通过 EDDI 进行评估。二元逻辑回归模型检验了加权创伤得分、FI 和 ED 诊断之间的关联。加权创伤得分可明显预测任何 ED 诊断(OR = 1.039,p = .016),但 FI 严重程度却不能(OR = 0.746,p = .101)。这些结果表明,创伤邻近程度对 ED 诊断的预测超出了 FI 严重程度的预测,并且可能是 FI 与 ED 病理关联的一个重要组成部分。未来的工作可能会考虑评估与FI相关的纵向创伤症状和创伤严重程度。
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引用次数: 0
Measuring the association between the opening of a new multi-national restaurant with young people's eating behaviours 衡量一家新跨国餐厅的开业与年轻人饮食行为之间的关联。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-30 DOI: 10.1016/j.appet.2024.107651

Out-of-home eating (takeaway, take-out and fast-foods) is associated with intakes of higher energy and fat, and lower intakes of micronutrients, and is associated with excess weight gain. In 2017, a unique opportunity arose to measure the association between the opening of a new multi-national fast-food restaurant (McDonald's) and consumption of fast-food on young people aged 11–16. This study uses a repeated cross-sectional design to explore group level change over time with respect to out-of-home eating behaviours of young people. Two secondary schools in Redcar and Cleveland agreed to participate and facilitated the completion of a questionnaire on their pupils eating behaviours at three timepoints a) prior to the new restaurant opening, b) three months post-opening and c) nine months post opening. Reported frequency of visits to McDonald's showed a statistically significant increase in visits between 3 and 9 months of the restaurant opening. This research asks and explores the question of whether the introduction of a new multi-national fast-food restaurant influences eating habits of young people attending schools near the new outlet.

外出就餐(外卖、外带和快餐)与较高的能量和脂肪摄入量以及较低的微量营养素摄入量有关,并且与体重超常增长有关。2017 年,一个独特的机会出现了,那就是测量一家新开业的跨国快餐店(麦当劳)与 11-16 岁青少年快餐消费之间的关联。本研究采用重复横截面设计,探讨青少年外出就餐行为随时间推移在群体层面的变化。雷德卡和克利夫兰的两所中学同意参与这项研究,并协助完成了一份关于学生饮食行为的调查问卷,问卷的三个时间点分别为:a) 新餐厅开业前;b) 开业后三个月;c) 开业后九个月。据报告,在餐厅开业后的 3 至 9 个月期间,学生们光顾麦当劳的频率在统计学上有明显增加。这项研究提出并探讨了一个问题:一家新的跨国快餐店的开业是否会影响在新店附近学校就读的青少年的饮食习惯。
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引用次数: 0
Barriers to healthy eating practices among school-aged children in Armenia: A qualitative study 亚美尼亚学龄儿童健康饮食习惯的障碍:定性研究
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-29 DOI: 10.1016/j.appet.2024.107649

The aim of this study was to use diverse perspectives of stakeholders to explore barriers to healthy eating, and attitudes, norms, and practices contributing to unhealthy food choices among school-aged children in Armenia. A qualitative study was carried out through focus group discussions and in-depth interviews, using the Theory of Planned Behavior. The study was conducted in 21 public schools located in three provinces (marzes) of Armenia: Shirak, Lori, and Tavush, and the capital city Yerevan. These study areas were chosen purposefully to target more vulnerable regions and have a geographically diverse sample. Purposive sampling techniques were used to choose the study participants. Five groups were targeted: high school students, school principals, teachers, school cafeteria staff members, and mothers of school children. Overall, 10 focus group discussions, and 51 in-depth interviews were conducted with a total of 94 participants. The study explored two main themes underlying unhealthy eating behaviors among school-aged children in Armenia – suboptimal preferences and restricted opportunities. Three subthemes were identified within the theme of suboptimal preferences: preferences/tastes, attitudes, and role models/normative referent, and another three subthemes within the theme of restricted opportunities: choice restrictions, time constraints, and financial barriers. The study found that most of the constructs of theory of planned behavior, such as general attitudes, preferences, perceived norms and perceived behavioral control, impacted unhealthy eating behaviors of school-aged children in Armenia. The recommendations for practice included enhancing the appeal of healthy foods, highlighting the significance of breakfast and healthy eating in educational activities utilizing role models, expanding and empowering school canteens, including higher grade students in school feeding programs, and extending school breaks to provide sufficient time for healthy eating.

这项研究的目的是利用利益相关者的不同观点来探讨亚美尼亚学龄儿童健康饮食的障碍,以及导致他们选择不健康食物的态度、规范和做法。研究采用计划行为理论(Theory of Planned Behavior),通过焦点小组讨论和深入访谈进行定性研究。研究在亚美尼亚三个省(marzes)的 21 所公立学校进行:这些学校位于亚美尼亚的三个省(marzes):希拉克省、洛里省、塔武什省和首都埃里温市。选择这些研究地区是有目的的,目的是针对更脆弱的地区和具有地域多样性的样本。在选择研究参与者时使用了有目的的抽样技术。研究对象包括五个群体:高中生、校长、教师、学校食堂工作人员和在校学生的母亲。总共进行了 10 次焦点小组讨论和 51 次深入访谈,共有 94 人参加。该研究探讨了亚美尼亚学龄儿童不健康饮食行为的两大根源--次优偏好和机会受限。在次优偏好主题中确定了三个次主题:偏好/口味、态度和榜样/规范参照;在限制机会主题中确定了另外三个次主题:选择限制、时间限制和经济障碍。研究发现,计划行为理论中的大部分构念,如一般态度、偏好、感知规范和感知行为控制,都会影响亚美尼亚学龄儿童的不健康饮食行为。实践建议包括增强健康食品的吸引力,在教育活动中利用榜样强调早餐和健康饮食的重要性,扩大学校食堂并增强其能力,将高年级学生纳入学校供餐计划,以及延长课间休息时间以提供充足的健康饮食时间。
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