Document Detail


Barriers and facilitators of dietary sodium restriction amongst Bangladeshi chronic kidney disease patients.
MedLine Citation:
PMID:  21114553     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: People of Bangladeshi origin have the highest mortality ratio from coronary heart disease of any minority ethnic group in UK and their rate of kidney disease is three- to five-fold higher than that of the European UK population. However, there is little information regarding their dietary customs or knowledge, beliefs and attitudes towards health and nutrition. This multi-method qualitative study aimed to identify: (i) barriers and facilitators to dietary sodium restriction; (ii) traditional and current diet in the UK; and (iii) beliefs and attitudes towards development of hypertension, and the role of sodium.
METHODS: Methods included focus group discussions, vignettes and food diaries. Twenty female chronic kidney disease patients attended four focus group discussions and maintained food diaries; ten responded to vignettes during telephone interviews. Triangulation of the results obtained from the three methods identified categories and themes from qualitative thematic analysis.
RESULTS: Identified barriers to sodium restriction were deeply-rooted dietary beliefs, attitudes and a culturally-established taste for salt. Facilitators of change included acceptable strategies for cooking with less salt without affecting palatability. Dietary practices were culturally determined but modified by participants' prosperity in the UK relative to their previous impoverished agrarian lifestyles in Bangladesh.
CONCLUSIONS: Cultural background and orientation were strong determinants of the group's dietary practices and influenced their reception and response to health communication messages. Efforts to understand their cultural mores, interpret and convey health-promotion messages in culturally-appropriate ways met with a positive response.
Authors:
I de Brito-Ashurst; L Perry; T A B Sanders; J E Thomas; M M Yaqoob; H Dobbie
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-11-29
Journal Detail:
Title:  Journal of human nutrition and dietetics : the official journal of the British Dietetic Association     Volume:  24     ISSN:  1365-277X     ISO Abbreviation:  J Hum Nutr Diet     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904840     Medline TA:  J Hum Nutr Diet     Country:  England    
Other Details:
Languages:  eng     Pagination:  86-95     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Journal compilation © 2010 The British Dietetic Association Ltd.
Affiliation:
Department of Nutrition & Dietetics, Royal Brompton & Harefield NHS Foundation Trust, London, UK. i.ashurst@rbht.nhs.uk
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