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Glob Qual Nurs Res. 2016 Feb 03;3:2333393615622176. doi: 10.1177/2333393615622176. eCollection 2016.

Environmental, Behavioral, and Cultural Factors That Influence Healthy Eating in Rural Women of Childbearing Age: Findings From a PhotoVoice Study.

Global qualitative nursing research

Julia Mabry, Paige E Farris, Vanessa A Forro, Nancy E Findholt, Jonathan Q Purnell, Melinda M Davis

Affiliations

  1. Oregon Health & Science University, Portland, Oregon, USA.
  2. Veterans Administration Portland Health Care System, Portland, Oregon, USA.
  3. Oregon Health & Science University, La Grande, Oregon, USA.

PMID: 28462323 PMCID: PMC5342642 DOI: 10.1177/2333393615622176

Abstract

Despite increasing recognition of the role nutrition plays in the health of current and future generations, many women struggle to eat healthy. We used the PhotoVoice method to engage 10 rural women in identifying perceived barriers and facilitators to healthy eating in their homes and community. They took 354 photographs, selected and wrote captions for 62 images, and explored influential factors through group conversation. Using field notes and participant-generated captions, the research team categorized images into factors at the individual, relational, community/organizational, and societal levels of a socioecological model. Barriers included limited time, exposure to marketing, and the high cost of food. Facilitators included preparing food in advance and support from non-partners; opportunities to hunt, forage, and garden were also facilitators, which may be amplified in this rural environment. Nutritional interventions for rural women of childbearing age should be multi-component and focus on removing barriers at multiple socioecological levels.

Keywords: PhotoVoice; community capacity and development; diet, nutrition, malnutrition; maternal behavior; participatory action research (PAR); research, rural; women’s health

Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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