Supporting the nutrition-related health and well-being of people experiencing socio-economic disadvantage: Findings from a national survey

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics Pub Date : 2024-07-11 DOI:10.1111/jhn.13340

Verena T. Vaiciurgis, Annabel K. Clancy, Karen E. Charlton, Anita Stefoska-Needham, Eleanor J. Beck

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引用次数: 0

Abstract

Background

People experiencing socio-economic disadvantage face significantly higher rates of diet-related health inequities. This study aimed to explore barriers, opportunities and potential solutions in providing food and nutrition services to people experiencing socio-economic disadvantage from the perspective of services providers. The present study is part of a broad co-design model to improve service provision for people experiencing socio-economic disadvantage.

Methods

A cross-sectional online survey involving 33 open and closed-ended questions was distributed to Australian governmental and non-governmental organisations providing nutrition-related support to people experiencing socio-economic disadvantage aged 16 years and over. Data were analysed using frequency distributions and conceptual content analyses.

Results

Sixty-eight responses were analysed. Services are predominantly offered by charitable organisations (90%), funded through private donations (66%) and reliant on volunteers (100%). Barriers to supporting clients’ nutrition needs include financial constraints, limited community engagement, understaffing, insufficient resources and knowledge gaps. Opportunities and solutions for enhancing support include increasing government funding, advocacy initiatives, stronger community collaboration and more holistic, customised services. Proposed recommendations include establishing purpose-built facilities or wrap-around services to expand access to health services, life skills, training and educational programs.

Conclusions

Services face challenges including volunteer reliance, limited resources and inadequate government support, hindering food provision. Client barriers include transportation costs and lack of social support. With dedicated financial support, services can offer comprehensive assistance, including community spaces, staffing, health and social services and training. Community partnerships can maximise funding impact. Solutions must address overall well-being and broader social determinants such as income inequality and housing.

Abstract Image

查看原文本刊更多论文

支持社会经济弱势人群与营养相关的健康和福祉：一项全国性调查的结果。

背景：社会经济处境不利的人群面临着与饮食相关的更高比例的健康不平等。本研究旨在从服务提供者的角度探讨为社会经济弱势人群提供食品和营养服务的障碍、机遇和潜在解决方案。本研究是广泛的共同设计模式的一部分，旨在改善为社会经济弱势人群提供的服务：方法：向为 16 岁及以上社会经济弱势人群提供营养相关支持的澳大利亚政府和非政府组织分发了一份横向在线调查，其中包括 33 个开放式和封闭式问题。采用频率分布和概念内容分析对数据进行了分析：对 68 份回复进行了分析。服务主要由慈善机构提供（90%），资金来自私人捐款（66%），并依赖志愿者（100%）。满足服务对象营养需求的障碍包括财政限制、社区参与有限、人员不足、资源不足和知识差距。加强支持的机会和解决方案包括增加政府资金、开展宣传活动、加强社区合作以及提供更全面的定制服务。提出的建议包括建立专门的设施或配套服务，以扩大获得保健服务、生活技能、培训和教育计划的机会：服务面临的挑战包括对志愿者的依赖、资源有限以及政府支持不足，这些都阻碍了食品供应。服务对象面临的障碍包括交通费用和缺乏社会支持。有了专门的资金支持，服务机构就能提供全面的援助，包括社区空间、人员配备、健康和社会服务以及培训。社区伙伴关系可以最大限度地发挥资金的影响。解决方案必须解决整体福祉和更广泛的社会决定因素，如收入不平等和住房问题。

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.