000			03884nam a22006497a 4500
008			190621s20192019 xxu||||| |||| 00| 0 eng d
022			_a1368-9800
040			_aOvid MEDLINE(R)
099			_a31124770
245			_aCharacterizing the local food environment and grocery-store decision making among a large American Indian community in the north-central USA: qualitative results from the Healthy Foods Healthy Families Feasibility Study.
251			_aPublic Health Nutrition. 22(14):2653-2661, 2019 10.
252			_aPublic Health Nutr. 22(14):2653-2661, 2019 10.
252			_zPublic Health Nutr. :1-9, 2019 May 24
253			_aPublic health nutrition
260			_c2019
260			_fFY2020
265			_saheadofprint
265			_sppublish
266			_d2019-06-21
268			_aPublic Health Nutrition. :1-9, 2019 May 24
269			_fFY2019
520			_aCONCLUSIONS: Cost and access were the major perceived barriers to healthy eating in this large rural AI community. Recommended interventions included: (i) family-friendly and culturally relevant cooking classes; (ii) healthy food-budgeting skills training; and (iii) approaches that engage the entire community.
520			_aDESIGN: This qualitative study consisted of focus groups with primary household shoppers and key-informant interviews with food retailers, local government food assistance programme directors and a dietitian. An inductive, constant comparison approach was used to identify major themes.
520			_aOBJECTIVE: Perceptions of social-contextual food environments and associated factors that influence food purchases are understudied in American Indian (AI) communities. The purpose of the present study was to: (i) understand the perceived local food environment; (ii) investigate social-contextual factors that influence family food-purchasing choices; and (iii) identify diet intervention strategies.
520			_aPARTICIPANTS: Four focus groups (n 31) and seven key-informant interviews were conducted in February and May 2016.
520			_aRESULTS: Perceptions of both the higher cost of healthy foods and limited access to these foods influenced the types of foods participants purchased. Dependence on government assistance programmes and the timing of benefits also contributed to the types of foods purchased. Participants described purchasing foods based on the dietary needs and preferences of their children. Suggestions for improving the purchase and consumption of healthy foods included: culturally relevant and family-centred cooking classes and workshops focused on monthly food budgeting. Participants also emphasized the importance of involving the entire community in healthy eating initiatives.
520			_aSETTING: A large AI reservation community in the north-central USA.
546			_aEnglish
650			_a*Consumer Behavior
650			_a*Diet
650			_a*Food Preferences/px [Psychology]
650			_a*Food Supply
650			_a*Indians, North American/px [Psychology]
650			_aAdolescent
650			_aAdult
650			_aChild
650			_aDecision Making
650			_aDiet, Healthy
650			_aFeasibility Studies
650			_aFemale
650			_aFocus Groups
650			_aFood Preferences/eh [Ethnology]
650			_aHumans
650			_aInterviews as Topic
650			_aMale
650			_aMiddle Aged
650			_aQualitative Research
650			_aRural Population
650			_aUnited States
650			_aYoung Adult
651			_aMedStar Health Research Institute
657			_aJournal Article
700			_aHoward, Barbara V
790			_aBeresford S, Best LG, Brown MC, Fretts AM, Howard B, Huber C, O'Leary M, Shrestha U
856			_uhttps://dx.doi.org/10.1017/S1368980019001095 _zhttps://dx.doi.org/10.1017/S1368980019001095
942			_cART _dArticle
999			_c4319 _d4319