ArticleBMC nutrition2019
Identifying perceived barriers and enablers of healthy eating in college students in Hawai'i: a qualitative study using focus groups.
Article in BMC nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Perspectives on Fruit and Vegetable Consumption and Government Dietary Guidelines: Content Analysis of Comments on News Websites.Journal of medical Internet research · 2021Pooled it
- Interventions to Promote Healthy Meals in Full-Service Restaurants and Canteens: A Systematic Review and Meta-Analysis.Nutrients · 2021Pooled it
- Understanding cardiovascular disease in day-to-day living for African people: a qualitative metasynthesis.BMC public health · 2021Pooled it
- Exploring Eating Patterns and Cooking Habits Among Emerging Adult College Students to Inform a Pilot Meal Kit Program.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Determinants of food security status and perceived hunger affecting athletic performance among NCAA division I student-athletes at a minority-serving institution.Journal of American college health : J of ACH · 2026Article
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- Development and psychometric evaluation of the Spanish Cooking Self-Efficacy Questionnaire (SCSEQ) for Spanish University Students.PloS one · 2026Article
- Assessing barriers to dietary practices and healthy eating of female university students in nutrition programs, Jeddah, Saudi Arabia: a cross-sectional study.Frontiers in public health · 2026Article
- Barriers and Enablers of Healthy Eating Among University Students in Oaxaca de Juarez: A Mixed-Methods Study.Nutrients · 2025Article
- Community listening to understand determinants of healthy eating in an Australian priority community.Health promotion international · 2025Article
- How do they eat: a digital diet ethnography of dietary behavior determinants among New Zealand and Chinese university students.Frontiers in nutrition · 2025Article
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- Use of Interactive Food Labels to Increase Confidence in Preparing Produce among College Students.Nutrients · 2024Article
- Social marketing targeting healthy eating and physical activity in young adult university students: A scoping review.Heliyon · 2024Article
- "We know what we should be eating, but we don't always do that." How and why people eat the way they do: a qualitative study with rural australians.BMC public health · 2024Article
- Assessing the relationship between nutrition literacy and eating behaviors among nursing students: a cross-sectional study.BMC public health · 2024Article
- Self-reported meal planning practices among households in the Tshwane North area, Gauteng.Health SA = SA Gesondheid · 2024Article
- Acceptability, engagement, and preliminary efficacy of a college human physiology course with integrated mindfulness practice to support student wellbeing.Frontiers in psychology · 2024Article
- Barriers to Adherence to Healthy Diet and Recommended Physical Activity Perceived by the Polish Population.Journal of clinical medicine · 2023Article
- Who has a high level of food literacy, and who does not?: a qualitative study of college students in South Korea.Nutrition research and practice · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundTo design effective nutrition education interventions for college students, research is needed to determine the factors influencing food choices. The purpose of this study was to identify perceived barriers and enablers of healthy eating in college students ages 18-24 at the University of Hawai'i at Mānoa.
methodsPrior to conducting focus groups, an interview guide was developed based on a literature review of relevant studies. The interview guide was successfully tested in the first focus group and used in the rest of the focus groups. Eleven focus groups with group sizes of two to six were conducted (
resultsThe largest barriers according to level of influence in the socio-ecological model were nutrition knowledge deficit (individual), peer pressure (social environmental), unsupportive institutional environment (physical environmental), and cost (macrosystem). The largest enablers were nutrition knowledge (individual), parental influence (social environmental), an institutional environment with consistent healthy offerings (physical environmental), and social media (macrosystem). Some factors served as barriers for some participants and enablers for others, such as parental influence.
conclusionFactors such as individual knowledge and parental support were cited as having a positive influence in promoting healthy eating, while factors such as the cost of living and food availability at college serve as barriers even for motivated students. Results from this study identify potential areas of intervention, such as improving nutrition knowledge (individual), offering more healthy options (physical environmental), or reducing cost of food (macrosystem). However, more research is needed to identify which level of intervention may be most effective in changing food habits, and which barriers or enablers are deciding factors in determining this population's food choices.
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