Examining the Influence of Cultural Immersion on Willingness to Try Fruits and Vegetables among Children in Guam: The Traditions Pilot Study

Aflague, Tanisha F.; Guerrero, Rachael T. Leon; Delormier, Treena; Novotny, Rachel; Wilkens, Lynne R.; Boushey, Carol J.

doi:10.3390/nu12010018

Cited by 3 publications

(5 citation statements)

References 23 publications

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“…The consumption of traditional F&Vs (and likely other traditional foods) in American Samoa, despite westernization, also demonstrates the preservation and perpetuation of traditional practices as a leverage point to adopting a healthy diet in the Pacific. For high-income Pacific economies, such as CNMI, Guam, and Hawaii, placing more value on and increasing traditional ways of living may assist in promoting the regulation of imported foods and support increased consumption of locally grown produce to advance the nutrition transition to desired societal/behavioral change ( 1 , 4 , 13 , 19 ). These observations would support policies for cultural preservation, a self-sustaining local food system, and regulation of imports to achieve optimal food security.…”

Section: Discussionmentioning

confidence: 99%

Consumption of Traditional Fruits and Vegetables among Children in the US-Affiliated Pacific Region

Cruz

Wolfe

Yonemori

et al. 2022

Current Developments in Nutrition

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Background Traditional Pacific diets have many health benefits, including maintenance of a healthy weight and prevention of various diseases. Few studies have evaluated the frequency at which traditional diets are consumed in the Pacific, especially among children. Objective This study examined the frequency of traditional and acculturated fruit and vegetable (F&V) intake among children in the U.S.-Affiliated Pacific (USAP) region. Methods Diet records of 3,319 children ages 2 to 8 years old were analyzed for frequency of traditional or acculturated F&V intake within USAP jurisdictions of American Samoa, Commonwealth of the Northern Mariana Islands (CNMI), Federated States of Micronesia (FSM island states include Chuuk, Kosrae, Pohnpei, and Yap), Guam, Hawai‘i, Republic of the Marshall Islands (RMI), and Republic of Palau. Results Of the 95,304 food items recorded among participating children in the USAP jurisdictions, 15.2% were F&Vs. Of the ten jurisdictions, children in the islands of Chuuk, Kosrae, Yap, and Pohnpei recorded the highest frequencies of traditional F&V intake relative to their total F&V intake (67.8%, 64.8%, 56.7%, and 52.5%, respectively). American Samoa and RMI recorded moderate frequency of traditional F&V intake (38.9% and 46.4%, respectively), while children in Hawai‘i, Guam, and CNMI recorded the lowest frequencies of traditional F&V intake relative to their total F&V intake (10.4%, 12.4%, and 15.3%, respectively). Children in Hawai‘i, Guam, Palau, and CNMI recorded high frequencies of acculturated F&Vs intake (37.8%, 31.2%, 34.5% and 27.9%, respectively). Conclusions Overall, children in the USAP jurisdictions participating in this study recorded a low frequency of F&V intake. The differences in traditional F&V intake found between the USAP islands may be due to variation in economic income level and external influences on social and cultural norms among the island populations and variations of cost, accessibility, and convenience of each category of food to each island's population.

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Section: Discussionmentioning

confidence: 99%

Consumption of Traditional Fruits and Vegetables among Children in the US-Affiliated Pacific Region

Cruz

Wolfe

Yonemori

et al. 2022

Current Developments in Nutrition

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“…The traditional food systems of the Ka Tu are undermined by the government. However, studies have shown that there is a sense of pride and identity among indigenous peoples' traditional food systems which can protect the health of a community [66,67]. Programmes could engage agricultural and community actors to create communal vegetable gardens for patients or create cooking workshops with locally sourced products to overcome this.…”

Section: Discussion: Lessons For Decentralised Ncd Programmesmentioning

confidence: 99%

Structural Barriers to Health-provider Training Programmes for Ethnic Minorities: The Case of the Katu and Diabetes Management in Vietnam

Bec

Wells

Solomon

2020

ARJASS

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Background: Training of primary care practitioners is one of the most implemented interventions in medical international development programmes targeting non-communicable diseases (NCD). Yet in many cases their effectiveness is below expectations. One potential cause of this is that they struggle to account for local context, especially when working with ethnic minorities. Here we begin to address this gap through a qualitative case-study of how local contextual factors have impacted the success of a World Health Organization (WHO) healthcare training programme on Type 2 diabetes with an ethnic minority group in rural central Vietnam. Design: A qualitative case-study collected data during 2018. We conducted 25 semi-structured interviews, two focus groups, and participant observation with patients, healthcare professionals, and members of a local non-governmental organisation involved in the programme. We used thematic coding to identify important contextual factors and how they helped or hindered programme delivery. Next, we synthesised each of these themes in a narrative style, drawing on the rich detail provided by respondents. Results: We found that, despite using a notionally decentralised approach, the effectiveness of the training was hindered by social, political, and economic determinants of health which influenced the inhabitants’ relations to healthcare and diabetes. Particular barriers were the political perceptions of minorities, their economic access to services, the healthcare prejudices toward ethnic rural populations and the rigidity of medical training. Conclusions: Given the similarity of our case with other WHO NCD programmes, we view that our findings are of wider relevance to global public health policy and practice. We suggest that better recognising and addressing local contextual factors would make such programmes more polyvocal, grounded, and resilient, as well as enabling them to better support long-term transformative change in public health systems. We conclude by discussing methods for implementing this in practice.

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“…Children’s willingness to try new foods and FV were assessed using the validated Adapted WillTry tool for children 3–11 years in Guam [ 13 , 19 , 20 ]. Only FV data will be reported in this study, which were captured in one of four FV scales in the Adapted WillTry tool: local novel (6 items), local common (4 items), imported (3 items), and total FV (14 items) [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…Trained research staff conducted one-to-one interviews with children, where children self-reported their willingness to try new foods and FV. These methods have been tested in a similar population in Guam and described elsewhere [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

“…Early childhood interventions show a great potential to promote the development of long-term healthful habits, such as regular physical activity and healthy eating to prevent obesity [ 10 , 11 , 12 ]. One study in Guam found children’s willingness to try FV improved after receiving nutrition education [ 13 ]. In addition to knowledge, preference is another personal factor that determines children’s FV intake.…”

Section: Introductionmentioning

confidence: 99%

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Improving Willingness to Try Fruits and Vegetables and Gross Motor Skills in Preschool Children in Guam

et al. 2021

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Early childhood interventions have the potential to promote long-term healthy eating and physical activity habits to prevent obesity. However, research studies including indigenous young children are lacking. This study examined the effectiveness of the Food Friends®: Fun with New Foods™ and Get Movin’ with Mighty Moves™ (FFMM) curricula on willingness to try fruits and vegetables (FV) and gross motor (GM) skills among preschoolers in Guam. A pre-post community-based study included preschoolers from Head Start (HS), gifted and talented education (Pre-GATE), and Pre-Kindergarten programs during school years (SY) 2017–2018 and 2018–2019. In SY2017–2018, the intervention group had a significant increase in imported FV when compared with the other three groups. No significant differences between groups were found on the other FV scales. Regarding gross motor skills, no significant differences between groups were found. In SY2018–2019, the intervention group had a significant increase in all FV scales except imported FV when compared with the enhanced intervention group. With gross motor skills, no significant differences were found between groups on its progress. These results warrant FFMM adaptations for the prevention of obesity among Guam preschoolers.

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Examining the Influence of Cultural Immersion on Willingness to Try Fruits and Vegetables among Children in Guam: The Traditions Pilot Study

Cited by 3 publications

References 23 publications

Consumption of Traditional Fruits and Vegetables among Children in the US-Affiliated Pacific Region

Consumption of Traditional Fruits and Vegetables among Children in the US-Affiliated Pacific Region

Structural Barriers to Health-provider Training Programmes for Ethnic Minorities: The Case of the Katu and Diabetes Management in Vietnam

Improving Willingness to Try Fruits and Vegetables and Gross Motor Skills in Preschool Children in Guam

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