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Assessment of Nutrition Education Needs Related to Increasing Dietary Calcium Intake in Low-Income Vietnamese Mothers Using Focus Group Discussions
Affiliation:1. Louisiana State University Agricultural Center, Louisiana Agricultural Experiment Station, School of Human Ecology, Baton Rouge, Louisiana 70803-4300;2. Woman''s Hospital, Baton Rouge, Louisiana 70815;3. Nutrition Consultant, Baton Rouge, Louisiana 70810;4. Louisiana State University, College of Agriculture, School of Human Ecology, Baton Rouge, Louisiana 70803;5. Texas Agricultural Extension Service, Texas A&M University, College Station, Texas 77843-2471;1. New York State Department of Health, Bureau of Environmental & Occupational Epidemiology, Empire State Plaza, Corning Tower, Room 1203, Albany, NY, 12237, United States;2. University at Albany, School of Public Health, Department of Epidemiology & Biostatistics, One University Place, Rensselaer, NY, 12144, United States;3. University of Rochester, School of Medicine and Dentistry, Departments of Public Health Sciences and Emergency Medicine, 265 Crittenden Blvd, Box 420644, Rochester, NY, 14642, United States;1. The University of Melbourne, Melbourne School of Population and Global Health, Centre for Epidemiology and Biostatistics, Melbourne, Victoria, Australia;2. Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Programa de Pós-Graduação em Reabilitação e Desempenho Funcional, Diamantina, MG, Brazil;3. Deakin University, School of Medicine, Centre for Molecular and Medical Research, Geelong, Victoria, Australia;4. Royal Children''s Hospital, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia;5. The University of Melbourne, Department of Paediatrics, Melbourne, Victoria, Australia;6. Universidade Federal de Minas Gerais (UFMG), Departamento de Fisioterapia, Belo Horizonte, MG, Brazil;7. The University of Sydney, Faculty of Health Sciences, Musculoskeletal Health Research Group, Sydney, New South Wales, Australia;1. Department of Environmental Engineering, Technical University of Denmark, Miljøvej, B113, DK-2800 Kgs. Lyngby, Denmark;2. Department of Environment, University of the Aegean, Xenia Building, University Hill, 81100 Mytilene, Greece;3. Department of Micro- and Nanotechnology, Technical University of Denmark, Ørsteds Plads, B 345E, DK-2800 Kgs. Lyngby, Denmark
Abstract:American women are not meeting their recommended dietary intake for calcium, with the lowest levels of intake being reported by low-income and minority women. Five focus group discussions were conducted with 34 low-income Vietnamese mothers (ages 25 to 47) to assess their nutrition education needs related to dietary calcium. Using the PRECEDE-PROCEED theoretical model, factors related to increasing dietary calcium intake were identified. Knowledge and attitudes related to calcium sources, barriers preventing recommended calcium intake, and preferred methods of receiving nutrition information were determined. Most participants did not consume the recommended number of dairy foods per day. Barriers to increasing dietary calcium intake were identified including taste, cost, time, unfamiliarity with dairy products, and, to a lesser extent, lactose intolerance. Many mothers did not know the diseases related to a low calcium intake. Misconceptions about the fat and calcium content of dairy products were common. Videotapes and print materials that include pictures of high-calcium foods were identified as desirable delivery methods for nutrition education. Friends, physicians, and the media were common vehicles of nutrition information. Children seemed to have a greater influence on their mothers’ food purchasing and preparation choices than did husbands.
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