Factors affecting low-income women's food choices and the perceived impact of dietary intake and socioeconomic status on their health and weight.
OBJECTIVE
To investigate factors affecting food choice and health beliefs among low-income women in the context of their weight and socioeconomic status.


METHODS
Two researchers conducted 14 90-minute focus groups, which were audiotaped.


METHODS
Libraries, homeless shelters, and a community center.


METHODS
Ninety-two low-income women (18-65 years) with at least 1 child aged 9-13 years in the household.


METHODS
Food choice and health beliefs of low-income women.


METHODS
Transcripts were coded and reconciled; common themes and subthemes were identified.


RESULTS
Over 75% of participants were overweight/obese (body mass index [BMI] > or = 25), and most were in charge of purchasing and preparing food for their families. Health concerns included diabetes, hypertension, and overweight/obesity, and most felt their health status had genetic or metabolic origins. Although many would like to regularly consume healthful food (eg, fresh fruits and vegetables), such food was perceived as unaffordable.


CONCLUSIONS
A disconnect between diet and health among low-income women calls for nutrition interventions that educate low-income families on inexpensive, healthful eating in a structured environment, and diet-disease relationships. Changes at a policy level should be considered to increase affordability and accessibility of healthful food in low-income neighborhoods and through federal food assistance programs.
Dammann
Kristen Wiig
KW
Department of Food Science and Nutrition, University of Minnesota, St. Paul, 55108-6099, USA.
Smith
Chery
C
D000328:Adult; D001835:Body Weight; D002755:Choice Behavior; D004032:Diet / Q000191:economics / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D052756:Nutritional Sciences / Q000193:education*; D009765:Obesity / Q000453:epidemiology / Q000209:etiology; D010465:Perception; D011203:Poverty; D011632:Public Assistance; D012923:Social Class; D012959:Socioeconomic Factors; D014481:United States; D014930:Women / Q000193:education / Q000523:psychology*