Volume 6, Issue 4 (2018)                   Health Educ Health Promot 2018, 6(4): 149-154 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Abdi N, Zamani-Alavijeh F, Taghdisi M, Sadeghi R, Shojaeezadeh D, Shahsavari S et al . Barriers and Strategies of Overcoming Barriers in Healthy Nutritional Behaviors from Women's Perspective. Health Educ Health Promot 2018; 6 (4) :149-154
URL: http://hehp.modares.ac.ir/article-5-15960-en.html
1- Social Determinants of Health Research Center”, Kurdistan University of Medical Sciences, Iran
2- Health Education & Promotion Department, Health Faculty, Isfahan University of Medical Sciences, Isfahan, Iran
3- Health Promotion & Education Department, Health Faculty, Iran University of Medical Sciences, Tehran, Iran
4- Health Promotion & Education Department, Health Faculty, Tehran University of Medical Sciences, Tehran, Iran , sadeghi_roya@yahoo.co.uk
5- Health Promotion & Education Department, Health Faculty, Tehran University of Medical Sciences, Tehran, Iran
6- Public Health Department, Health Faculty, Kurdistan University of Medical Sciences, Sanandaj, Iran
7- Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract:   (6538 Views)
Aims: Health and behavior are closely related subjects because lots of diseases are rooted in individuals’ unhealthy behaviors and habits. The current study aimed at identifying barriers and strategies of overcoming barriers in healthy nutritional behaviors in women.
Participants and Methods: This qualitative study was conducted in 2014 based on content analysis. The participants were 50 married women with the age range of 18 to 50 years old referring to 4 healthcare centers in Sanandaj, who were selected by purposive sampling. Using semi-structured interviews, the data were collected through group discussions and individual in-depth interviews. A thematic analysis approach was applied for data analyses and MAXQDA 10 software was employed to analyze the data.
Findings: Of the total interviews and discussion groups, 200 initial codes were obtained and they were grouped into 4 categories, including individual barriers, social barriers, overcoming individual barriers, and overcoming social barriers. Lack of awareness and healthy cooking skills, unhealthy diet of parents as a negative role model, laziness of wives and women, lack of time, lack of mental relaxation, illiteracy economic issues, and the role of government were mentioned by the participants as individual and social barriers.
Conclusion: Barriers in healthy nutritional behaviors from women's perspective are devided into individual and social barriers and some strategies are mentioned to overcome these barriers, including learning required skills in terms of healthy diet/nutrition, raising awareness, time management, monitoring the contaminated foods by the government, providing public information, training through media, and resolving economic problems.
Full-Text [PDF 416 kb]   (1628 Downloads)    
Article Type: Original Article | Subject: Health Communication
Received: 2017/08/19 | Accepted: 2018/06/2 | Published: 2018/11/30
* Corresponding Author Address: Health Promotion & Education Department, Health Faculty, Tehran University of Medical Sciences, Poursina Street, Qods Street, Enghelab Street, Tehran, Iran. Postal Code: 1417613151

References
1. Park J. Health services principals. Shojaee Tehrani H, translator. Tehran: Samat; 2004. p. 42. [Persian] [Link]
2. Tashiro J. Exploring health promoting lifestyle behaviors of Japanese college women: Perceptions, practices, and issues. Health Care Women Int. 2002;23(1):59-70. [Link] [DOI:10.1080/073993302753428438]
3. Mirzaeian S, Ghiasvand R, Sadeghian F, Sheikhi M, Khosravi ZS, Askari G, et al. Assessing the micronutrient and macronutrient intakes in female students and comparing them with the set standard values. J Educ Health Promot. 2013. 31;2:1. [Link]
4. Ramezani Tehrani F, Farahmand M, Amiri P, Ghanbarian A, Azizi F. Barriers of healthy nutrition from the perspective men in Tehran: A qualitative study. Payesh. 2012;11(5):725-35. [Persian] [Link]
5. Farquhar SA, Parker EA, Schulz AJ, Israel BA. Application of qualitative methods in program planning for health promotion interventions. Health Promot Pract. 2006;7(2):234-42. [Link] [DOI:10.1177/1524839905278915]
6. Sylvetsky AC, Hennink M, Comeau D, Welsh JA, Hardy T, Matzigkeit L, et al. Youth understanding of healthy eating and obesity: A focus group study. J Obes. 2013;2013:670295. [Link] [DOI:10.1155/2013/670295]
7. Parker S, Hunter T, Briley C, Miracle S, Hermann J, Van Delinder J, et al. Formative assessment using social marketing principles to identify health and nutrition perspectives of Native American women living within the Chickasaw Nation boundaries in Oklahoma. J Nutr Educ Behav. 2011;43(1):55-62. [Link] [DOI:10.1016/j.jneb.2010.07.002]
8. Coveney J. A qualitative study exploring socio-economic differences in parental lay knowledge of food and health: Implications for public health nutrition. Public Health Nutr. 2005;8(3):290-7. [Link] [DOI:10.1079/PHN2004682]
9. Bouwman LI, Te Molder H, Koelen MM, Van Woerkum CM. I eat healthfully but I am not a freak, Consumers' everyday life perspective on healthful eating. Appetite. 2009;53(3):390-8. [Link] [DOI:10.1016/j.appet.2009.08.005]
10. Dibsdall LA, Lambert N, Frewer LJ. Using interpretative phenomenology to understand the food-related experiences and beliefs of a select group of low-income UK women. J Nutr Educ Behav. 2002;34(6):298-309. [Link] [DOI:10.1016/S1499-4046(06)60112-7]
11. Chapman K, Ogden J. A qualitative study exploring how mothers manage their teenage children's diets. Vulnerable Child Youth Stud. 2009;4(1):90-100. [Link] [DOI:10.1080/17450120802613161]
12. Gans KM, Joan Lovell H, Fortunet R, Mc Mahon C, Carton-Lopez S, Lasater TM. Implications of qualitative research for nutrition education geared to selected Hispanic audiences. J Nutr Educ. 1999;31(6):331-8. [Link] [DOI:10.1016/S0022-3182(99)70486-3]
13. Farooqi A, Nagra D, Edgar T, Khunti K. Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: A focus group study. Fam Pract. 2000;17(4):293-7. [Link] [DOI:10.1093/fampra/17.4.293]
14. Nakkash R, Afifi Soweid RA, Nehlawi MT, Shediac-Rizkallah MC, Hajjar TA, Khogali M. The development of a feasible community-specific cardiovascular disease prevention program: Triangulation of methods and sources. Health Educ Behav. 2003;30(6):723-39. [Link] [DOI:10.1177/1090198103255521]
15. Folta SC, Goldberg JP, Lichtenstein AH, Seguin R, Reed PN, Nelson ME. Factors related to cardiovascular disease risk reduction in midlife and older women: A qualitative study. Prev Chronic Dis. 2008;5(1):A06. [Link]
16. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005 Nov;15(9):1277-88. [Link] [DOI:10.1177/1049732305276687]
17. Polit DF, Beck CT. Nursing Research: Principle and Method. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2004. [Link]
18. Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992;47(9):1102-14. [Link] [DOI:10.1037/0003-066X.47.9.1102]
19. Weinstein ND, Rothman AJ, Sutton SR. Stage theories of health behavior: conceptual and methodological issues. Health Psychol. 1998;17(3):290-9. [Link] [DOI:10.1037/0278-6133.17.3.290]
20. Keshavarz Z, Simbar M, Ramezankhani A. Effective factors on nutritional behavior of female workers based on integrated model of planned behavior and self-efficacy: A qualitative approach. Hakim Health Syst Res J. 2010;13(3):199-209. [Persian] [Link]
21. Seagert J, Young EA. Nutrition knowledge and health food consumption. Nutr Behav. 1983;1(2):103-13. [Link]
22. Sabzmakan L, Morowatisharifabad MA, Mohammadi E, Mazloomy-Mahmoodabad SS, Rabiei K, Naseri MH, et al. Behavioral determinants of cardiovascular diseases risk factors: A qualitative directed content analysis. ARYA Atheroscler. 2014;10(2):71-81. [Link]
23. Pierre N, Receveur O, Macaulay AC, Montour L. Identification of barriers and facilitators of healthy food choices among children aged 6 to 12 years: From the Kahnawake schools diabetes prevention project. Ecol Food Nutr. 2007;46(2):101-23. [Link] [DOI:10.1080/03670240701285020]
24. Wilson DK, St George SM, Trumpeter NN, Coulon SM, Griffin SF, Wandersman A, et al. Qualitative developmental research among low income African American adults to inform a social marketing campaign for walking. Int J Behav Nutr Phys Act. 2013;10:33. [Link] [DOI:10.1186/1479-5868-10-33]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.