Document Detail

A multilevel assessment of barriers to adoption of Dietary Approaches to Stop Hypertension (DASH) among African Americans of low socioeconomic status.
MedLine Citation:
PMID:  22080704     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We examined perceptions of Dietary Approaches to Stop Hypertension (DASH) and the food environment among African Americans (AA) with high blood pressure living in two low-income communities and objectively assessed local food outlets.
METHODS: Focus groups were conducted with 30 AAs; participants discussed DASH and the availability of healthy foods in their community. Sessions were transcribed and themes identified. Fifty-four stores and 114 restaurants were assessed using the Nutrition Environment Measures Survey (NEMS).
RESULTS: Common themes included poor availability, quality, and cost of healthy foods; tension between following DASH and feeding other family members; and lack of congruity between their preferred foods and DASH. Food outlets in majority AA census tracts had lower NEMS scores (stores: -11.7, p=.01, restaurants: -8.3, p=.001) compared with majority White areas.
CONCLUSIONS: Interventions promoting DASH among lower income AAs should reflect the food customs, economic concerns, and food available in communities.
Alain G Bertoni; Capri G Foy; Jaimie C Hunter; Sara A Quandt; Mara Z Vitolins; Melicia C Whitt-Glover
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of health care for the poor and underserved     Volume:  22     ISSN:  1548-6869     ISO Abbreviation:  J Health Care Poor Underserved     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-14     Completed Date:  2012-05-01     Revised Date:  2013-09-16    
Medline Journal Info:
Nlm Unique ID:  9103800     Medline TA:  J Health Care Poor Underserved     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1205-20     Citation Subset:  IM    
Division of Public Health Sciences, Wake Forest University School of Medicine, USA.
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MeSH Terms
African Americans / psychology*
Diet / psychology
Dietary Fats
Focus Groups
Food* / economics
Health Behavior
Hypertension / diet therapy,  ethnology*,  prevention & control*
Middle Aged
North Carolina
Residence Characteristics
Social Environment
Socioeconomic Factors*
Grant Support
Reg. No./Substance:
0/Dietary Fats

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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