ArticleBMC nephrology2014
Perceived barriers and facilitators of using dietary modification for CKD prevention among African Americans of low socioeconomic status: a qualitative study.
Article in BMC nephrology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Qualitative Perspectives from African American Adults with CKD on Community-Based Fruit and Vegetable Promotion.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Plant-Based Diets across the Spectrum of Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2025Review
- Barriers and Facilitators to Adherence to a Healthy Diet Across the Spectrum of Chronic Kidney Disease.Patient preference and adherence · 2025Article
- Self-Perceived Barriers and Facilitators to Dietary Approaches to Stop Hypertension Diet Adherence Among Black Americans With Chronic Kidney Disease: A Qualitative Study.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2023Article
- Key Focus Group Themes to Inform Weight Management Interventions in Deep South African Americans.Journal of nutrition education and behavior · 2022Article
- Association of albumin to creatinine ratio with urinary arsenic and metal exposure: evidence from NHANES 2015-2016.International urology and nephrology · 2022Article
- Palliative Care in Patients with End-Stage Renal Disease: A Meta Synthesis.International journal of environmental research and public health · 2021Article
- Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan.Frontiers in endocrinology · 2020Article
- Burden, access, and disparities in kidney disease.Pediatric nephrology (Berlin, Germany) · 2019Article
- Burden, access and disparities in kidney disease.Clinical kidney journal · 2019Article
- Burden, access, and disparities in kidney disease.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2019Article
- Burden, Access, and Disparities in Kidney Disease.Kidney diseases (Basel, Switzerland) · 2019Article
- Burden, Access, and Disparities in Kidney Disease.Kidney international reports · 2019Review
- Prevalence of Dietary Behavior and Determinants of Quality of Diet among Beneficiaries of Government Welfare Assistance in Poland.International journal of environmental research and public health · 2019Article
- Burden, access, and disparities in kidney disease.Journal of nephrology · 2019Article
- Burden, Access, and Disparities in Kidney Disease.Canadian journal of kidney health and disease · 2019Article
- Race/Ethnicity, Dietary Acid Load, and Risk of End-Stage Renal Disease among US Adults with Chronic Kidney Disease.American journal of nephrology · 2018Article
- Identifying and Prioritizing the Barriers and Facilitators to the Self-Management of Type 2 Diabetes Mellitus: A Community-Centered Approach.The patient · 2017Article
- Perceived Barriers and Potential Strategies to Improve Self-Management Among Adults with Type 2 Diabetes: A Community-Engaged Research Approach.The patient · 2016Article
- Closing the Gap: Supporting Patients' Transition to Self-Management after Hospitalization.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2016Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundFactors 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.
methodsWe 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.
resultsParticipants' 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.
conclusionsLow 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.
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