Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status

A qualitative study

Amber E. Johnson, Leigh Boulware, Cheryl A M Anderson, Tatpong Chit-ua-aree, Kimberly Kahan, LaPricia Lewis Boyér, Yang Liu, Deidra Crews

Research output: Contribution to journalArticle

Abstract

Background: Factors influencing the use of dietary interventions for modification of CKD risk among African Americans have not been well-explored. We assessed perceived barriers and facilitators of CKD prevention through dietary modifications among African Americans with low socioeconomic status (SES) and at high risk for CKD. Methods: We conducted a qualitative study involving three 90 minute focus groups of low SES (limited education, unemployed, uninsured, or income <$25,000/year) African American residents of Baltimore, Maryland (N = 17), who were aged 18-60 years, with no known history of CKD and (1) a family history of end stage renal disease and (2) self-reported diabetes, hypertension, cardiovascular disease, HIV or obesity. A trained moderator asked a series of 21 closed and open-ended questions. Group sessions were recorded, transcribed, and two independent investigators reviewed transcripts to identify common themes. Results: Participants' mean (SD) age was 39.8 (12.4) years. Most (59%) were female and earned <$5,000/year (71%). One quarter (24%) had self-reported diabetes and over half had hypertension (53%). Few (12%) perceived their CKD risk as high. Perceived barriers to CKD prevention through dietary change included the expense and unavailability of healthy foods, family member preferences, convenience of unhealthy foods, and inability to break lifelong habits. They identified vouchers for healthy foods, family-based interventions, nutritional counseling and group gatherings for persons interested in making dietary changes as acceptable facilitators of dietary CKD prevention efforts. Conclusions: Low SES African Americans at high risk for CKD had limited perception of their risk but they identified multiple barriers and potential facilitators of CKD prevention via dietary modifications which can inform future studies and public health interventions.

Original languageEnglish (US)
JournalBMC Nephrology
Volume15
Issue number1
DOIs
StatePublished - 2014

Fingerprint

Diet Therapy
Social Class
African Americans
Hypertension
Fast Foods
Food
Baltimore
Focus Groups
Chronic Kidney Failure
Habits
Counseling
Cardiovascular Diseases
Public Health
Obesity
Research Personnel
HIV
Education

Keywords

  • Chronic kidney disease
  • Diet
  • Disparities
  • Race
  • Renal

ASJC Scopus subject areas

  • Nephrology

Cite this

Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status : A qualitative study. / Johnson, Amber E.; Boulware, Leigh; Anderson, Cheryl A M; Chit-ua-aree, Tatpong; Kahan, Kimberly; Boyér, LaPricia Lewis; Liu, Yang; Crews, Deidra.

In: BMC Nephrology, Vol. 15, No. 1, 2014.

Research output: Contribution to journalArticle

Johnson, Amber E. ; Boulware, Leigh ; Anderson, Cheryl A M ; Chit-ua-aree, Tatpong ; Kahan, Kimberly ; Boyér, LaPricia Lewis ; Liu, Yang ; Crews, Deidra. / Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status : A qualitative study. In: BMC Nephrology. 2014 ; Vol. 15, No. 1.
@article{e65c5020573c4a59a9863666d83f4334,
title = "Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status: A qualitative study",
abstract = "Background: Factors influencing the use of dietary interventions for modification of CKD risk among African Americans have not been well-explored. We assessed perceived barriers and facilitators of CKD prevention through dietary modifications among African Americans with low socioeconomic status (SES) and at high risk for CKD. Methods: We conducted a qualitative study involving three 90 minute focus groups of low SES (limited education, unemployed, uninsured, or income <$25,000/year) African American residents of Baltimore, Maryland (N = 17), who were aged 18-60 years, with no known history of CKD and (1) a family history of end stage renal disease and (2) self-reported diabetes, hypertension, cardiovascular disease, HIV or obesity. A trained moderator asked a series of 21 closed and open-ended questions. Group sessions were recorded, transcribed, and two independent investigators reviewed transcripts to identify common themes. Results: Participants' mean (SD) age was 39.8 (12.4) years. Most (59{\%}) were female and earned <$5,000/year (71{\%}). One quarter (24{\%}) had self-reported diabetes and over half had hypertension (53{\%}). Few (12{\%}) perceived their CKD risk as high. Perceived barriers to CKD prevention through dietary change included the expense and unavailability of healthy foods, family member preferences, convenience of unhealthy foods, and inability to break lifelong habits. They identified vouchers for healthy foods, family-based interventions, nutritional counseling and group gatherings for persons interested in making dietary changes as acceptable facilitators of dietary CKD prevention efforts. Conclusions: Low SES African Americans at high risk for CKD had limited perception of their risk but they identified multiple barriers and potential facilitators of CKD prevention via dietary modifications which can inform future studies and public health interventions.",
keywords = "Chronic kidney disease, Diet, Disparities, Race, Renal",
author = "Johnson, {Amber E.} and Leigh Boulware and Anderson, {Cheryl A M} and Tatpong Chit-ua-aree and Kimberly Kahan and Boy{\'e}r, {LaPricia Lewis} and Yang Liu and Deidra Crews",
year = "2014",
doi = "10.1186/1471-2369-15-194",
language = "English (US)",
volume = "15",
journal = "BMC Nephrology",
issn = "1471-2369",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status

T2 - A qualitative study

AU - Johnson, Amber E.

AU - Boulware, Leigh

AU - Anderson, Cheryl A M

AU - Chit-ua-aree, Tatpong

AU - Kahan, Kimberly

AU - Boyér, LaPricia Lewis

AU - Liu, Yang

AU - Crews, Deidra

PY - 2014

Y1 - 2014

N2 - Background: Factors influencing the use of dietary interventions for modification of CKD risk among African Americans have not been well-explored. We assessed perceived barriers and facilitators of CKD prevention through dietary modifications among African Americans with low socioeconomic status (SES) and at high risk for CKD. Methods: We conducted a qualitative study involving three 90 minute focus groups of low SES (limited education, unemployed, uninsured, or income <$25,000/year) African American residents of Baltimore, Maryland (N = 17), who were aged 18-60 years, with no known history of CKD and (1) a family history of end stage renal disease and (2) self-reported diabetes, hypertension, cardiovascular disease, HIV or obesity. A trained moderator asked a series of 21 closed and open-ended questions. Group sessions were recorded, transcribed, and two independent investigators reviewed transcripts to identify common themes. Results: Participants' mean (SD) age was 39.8 (12.4) years. Most (59%) were female and earned <$5,000/year (71%). One quarter (24%) had self-reported diabetes and over half had hypertension (53%). Few (12%) perceived their CKD risk as high. Perceived barriers to CKD prevention through dietary change included the expense and unavailability of healthy foods, family member preferences, convenience of unhealthy foods, and inability to break lifelong habits. They identified vouchers for healthy foods, family-based interventions, nutritional counseling and group gatherings for persons interested in making dietary changes as acceptable facilitators of dietary CKD prevention efforts. Conclusions: Low SES African Americans at high risk for CKD had limited perception of their risk but they identified multiple barriers and potential facilitators of CKD prevention via dietary modifications which can inform future studies and public health interventions.

AB - Background: Factors influencing the use of dietary interventions for modification of CKD risk among African Americans have not been well-explored. We assessed perceived barriers and facilitators of CKD prevention through dietary modifications among African Americans with low socioeconomic status (SES) and at high risk for CKD. Methods: We conducted a qualitative study involving three 90 minute focus groups of low SES (limited education, unemployed, uninsured, or income <$25,000/year) African American residents of Baltimore, Maryland (N = 17), who were aged 18-60 years, with no known history of CKD and (1) a family history of end stage renal disease and (2) self-reported diabetes, hypertension, cardiovascular disease, HIV or obesity. A trained moderator asked a series of 21 closed and open-ended questions. Group sessions were recorded, transcribed, and two independent investigators reviewed transcripts to identify common themes. Results: Participants' mean (SD) age was 39.8 (12.4) years. Most (59%) were female and earned <$5,000/year (71%). One quarter (24%) had self-reported diabetes and over half had hypertension (53%). Few (12%) perceived their CKD risk as high. Perceived barriers to CKD prevention through dietary change included the expense and unavailability of healthy foods, family member preferences, convenience of unhealthy foods, and inability to break lifelong habits. They identified vouchers for healthy foods, family-based interventions, nutritional counseling and group gatherings for persons interested in making dietary changes as acceptable facilitators of dietary CKD prevention efforts. Conclusions: Low SES African Americans at high risk for CKD had limited perception of their risk but they identified multiple barriers and potential facilitators of CKD prevention via dietary modifications which can inform future studies and public health interventions.

KW - Chronic kidney disease

KW - Diet

KW - Disparities

KW - Race

KW - Renal

UR - http://www.scopus.com/inward/record.url?scp=84923876637&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84923876637&partnerID=8YFLogxK

U2 - 10.1186/1471-2369-15-194

DO - 10.1186/1471-2369-15-194

M3 - Article

VL - 15

JO - BMC Nephrology

JF - BMC Nephrology

SN - 1471-2369

IS - 1

ER -