title: Factors influencing food choices of adolescents: findings from focus-group discussions with adolescents.
abstract: OBJECTIVE
  To assess adolescents' perceptions about factors influencing their food choices and eating behaviors.
  
  
  METHODS
  Data were collected in focus-group discussions.
  
  
  METHODS
  The study population included 141 adolescents in 7th and 10th grade from 2 urban schools in St Paul, Minn, who participated in 21 focus groups.
  
  
  METHODS
  Data were analyzed using qualitative research methodology, specifically, the constant comparative method.
  
  
  RESULTS
  Factors perceived as influencing food choices included hunger and food cravings, appeal of food, time considerations of adolescents and parents, convenience of food, food availability, parental influence on eating behaviors (including the culture or religion of the family), benefits of foods (including health), situation-specific factors, mood, body image, habit, cost, media, and vegetarian beliefs. Major barriers to eating more fruits, vegetables, and dairy products and eating fewer high-fat foods included a lack of sense of urgency about personal health in relation to other concerns, and taste preferences for other foods. Suggestions for helping adolescents eat a more healthful diet include making healthful food taste and look better, limiting the availability of unhealthful options, making healthful food more available and convenient, teaching children good eating habits at an early age, and changing social norms to make it "cool" to eat healthfully.
  
  
  CONCLUSIONS
  The findings suggest that if programs to improve adolescent nutrition are to be effective, they need to address a broad range of factors, in particular environmental factors (e.g., the increased availability and promotion of appealing, convenient foods within homes schools, and restaurants).
authors.affiliation: Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454, USA.
authors.forename: D
authors.initials: D
authors.lastname: Neumark-Sztainer
authors.forename: M
authors.initials: M
authors.lastname: Story
authors.forename: C
authors.initials: C
authors.lastname: Perry
authors.forename: M A
authors.initials: MA
authors.lastname: Casey
mesh_terms: D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena; D000329:Advertising; D001294:Attitude to Health; D005260:Female; D017144:Focus Groups; D005518:Food Preferences; D006801:Humans; D006815:Hunger; D008297:Male; D018673:Nutrition Policy; D010290:Parents; D012727:Sex Characteristics; D013997:Time Factors