加纳海岸角初中生食品决策的驱动因素和对未来学校食品环境的期望：一项影像语音研究

IF 3.8 Q2 NUTRITION & DIETETICS

Current Developments in Nutrition Pub Date : 2025-03-24 DOI:10.1016/j.cdnut.2025.106009

Elise C Reynolds , Christiana Nsiah-Asamoah , Harriet Okronipa , Nicholas F Russell , Madina Habib , Christine P Stewart

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引用次数: 0

摘要

食物决策是一个复杂和动态的过程，影响饮食和最终的健康。青少年在决定食物时考虑许多不同的食物环境因素。这些因素可能因环境而异。在加纳上初中（JHS）的青少年经常与学校的食物环境互动，因为他们没有机会参加国家学校膳食计划。目的本研究的目的是了解影响青少年食物决策的因素，以及青少年如何从自己的角度与学校食物环境相互作用。其次，我们试图引出青少年对未来学校食品环境的想法。方法在加纳海岸角的4所jhs中平均选择40名青少年。我们使用Photovoice与每所学校进行了5次研讨会，以获取照片和想法。为青少年提供数码相机和每周摄影提示，然后每周进行半结构化的小组讨论。我们根据青少年的意见对照片和讨论进行了主题分析。在研究结束时，青少年通过摄影展向当地利益相关者展示了他们的发现。结果青少年报告了在政策、环境、人际和个人层面影响其食物决策的因素，反映了社会生态模型。这些因素包括学校政策（30条编码参考）、食品卫生和安全（374条）、食品供应（83条）、与供应商的关系（62条）、同伴影响（36条）、营养价值（42条）、味道（41条）、饱腹感（25条）、外观（30条）和可负担性（160条），其中卫生、安全和可负担性是最常被提到的。青少年想要参与决定学校的饮食环境。在这种情况下，青少年的食品决策通常是由食品卫生、安全和可负担性驱动的。支持青少年自主做出与食物有关的决定，并将他们纳入改变学校食物环境的决策中，可以增强青少年的食物决策能力，并改善学校食物环境，使其符合青少年的需求和愿望。

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Drivers of Food Decision Making and Aspirations for the Future of the School Food Environment among Junior High School Students in Cape Coast, Ghana: a Photovoice Study

Background

Food decision making is a complex and dynamic process that influences diet and ultimately health. Adolescents consider many different food environment-level factors when making decisions about food. These factors may vary by context. Adolescents attending junior high school (JHS) in Ghana frequently interact with their school food environments because they do not have access to a national school meal program.

Objectives

The objective of this study was to understand the factors that influence adolescent food-related decisions and how adolescents interact with their school food environments from their own perspectives. Secondarily, we sought to elicit adolescent ideas for the future of their school food environment.

Methods

Forty adolescents were purposively selected equally across 4 JHSs in Cape Coast, Ghana. We used Photovoice to elicit photographs and ideas across 5 workshops with each school. Adolescents were provided with digital cameras and weekly photography prompts followed by semistructured group discussions each week. We thematically analyzed photographs and discussions with input from the adolescents. Adolescents presented their findings to local stakeholders through a photograph exhibition at the end of the study.

Results

Adolescents reported factors influencing their food decisions at the policy, environmental, interpersonal, and individual levels, mirroring the socioecological model. These factors included school policies (30 coded references), food hygiene and safety (374), food availability (83), relationships with vendors (62), peer influence (36), nutritional value (42), taste (41), satiety (25), appearance (30), and affordability (160), with hygiene, safety, and affordability being most frequently mentioned. Adolescents wanted to be involved in decisions around their school food environments.

Conclusions

Adolescent food decision making in this context is often driven by food hygiene and safety and affordability. Supporting adolescent autonomy for food-related decisions and including them in decision making to change school food environments could empower adolescents in their food decisions and improve school food environments to match with adolescents’ needs and desires.

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