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Concepts of Healthy Diet Among Urban, Low-Income, African Americans

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Abstract

We sought to explore concepts of healthy diet and to elicit recommendations to support healthier eating among urban, low-income, African Americans. We conducted semi-structured interviews with 33 self-identified African American adults (18–81 years of age, 15 male participants) from a low-income neighborhood in west Philadelphia, PA, during summer and fall 2008. Our qualitative approach was continuous, iterative and thematic considering gender, age category, and participants’ “mentions” of fast-food and fruit-and-vegetable intake from the preceding day. We found that participants shared concepts about broad nutritional principles consistent with national dietary recommendations, but disagreed about the healthfulness of specific foods—e.g. meat. On average—with little variation—participants reported eating >2 “mentions” more of fast foods the preceding day than fruits and vegetables (P < 0.001). Suggested strategies to help promote eating more produce included increasing exposure, advertising, affordability, and local availability (vice versa to limit fast-food consumption), and more education on the health effects of diet and how to find and prepare healthy foods. Women’s ideas reflected their roles in food shopping and food preparation; otherwise, participants’ ideas did not differ appreciably by gender or age. Overall, participants generally expressed sufficient understanding of nutritional principles to eat healthfully, but disagreed about the healthfulness of specific foods and described largely unhealthy dietary consumption from the preceding day. If poor dietary intake results from barriers to recognizing, purchasing, and preparing healthy foods, then participants’ suggestions to increase education and modify the environment may lead to improved diets and better health in the community.

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Acknowledgments

The authors would like to thank: Shiriki Kumanyika for her early input; Laurel Johnson for conducting interviews; community members, Tanya Thompson, Maurice Stewart, and Rev. Carlton Rogers their assistance, input, acceptance, and support; the NIH Health Disparities Loan Repayment Program and the Pisacano Leadership Foundation. The authors’ salaries and a research stipend from the Robert Wood Johnson Clinical Scholars Program funded this work.

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Authors and Affiliations

  1. Department of Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, 1300 Morris Park Ave, Mazer Building, Room 410, Bronx, NY, 10461, USA

    Sean C. Lucan & Alison Karasz

  2. Department of Anthropology, University of Pennsylvania, Philadelphia, PA, USA

    Frances K. Barg

  3. Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Frances K. Barg

  4. University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Christina S. Palmer

  5. Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Judith A. Long

  6. Veterans Affairs Center for Health Equity Research and Promotion (CHERP), Philadelphia, PA, USA

    Judith A. Long

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  1. Sean C. Lucan
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  2. Frances K. Barg
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Correspondence to Sean C. Lucan.

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Lucan, S.C., Barg, F.K., Karasz, A. et al. Concepts of Healthy Diet Among Urban, Low-Income, African Americans. J Community Health 37, 754–762 (2012). https://doi.org/10.1007/s10900-011-9508-x

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