Evidence map›Paper›PMID 34022846›Full record

ArticleBMC public health2021

Facilitators and barriers to healthy eating in a worksite cafeteria: a qualitative study.

Dalia Stern, Ilian Blanco, Lucy A Olmos, Joel J Valdivia, Archana Shrestha, Josiemer Mattei, Donna Spiegelman

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 4 countries.

Dalia SternCONACyT-Center for Research on Population Health, National Institute of Public Health, Cuernavaca, 7ª Cerrada Fray Pedro de Gante # 50, Col. Sección XVI Tlalpan, 14080, Mexico City, Mexico. dalia.stern@insp.mx.ORCID 0000-0003-3779-6543
Ilian BlancoCenter for Research on Population Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Lucy A OlmosCenter for Research on Population Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Joel J ValdiviaCenter for Research on Population Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Archana ShresthaDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Josiemer MatteiDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Donna SpiegelmanDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Harvard University · USInstituto Nacional de Salud Pública · MXNational Institute of Public Health · SI

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Comprehensive Translational Science Analytics Tools for the Global Health AgendaDP1ES025459 · NIEHS · YALE UNIVERSITY · PI SPIEGELMAN, DONNA L · 2014 to 2018
$4.1M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK111022NIEHS NIH HHS DP1 ES025459
6 · The paper itself

Abstract

backgroundWorksite-based nutrition interventions can serve as access points to facilitate healthy eating and translate existing knowledge of cardiometabolic disease prevention. We explored perceptions, facilitators, and barriers for healthy eating in a cafeteria at a large worksite in Mexico City.

methodsWe conducted an exploratory qualitative study in a large department store in Mexico City with ~ 1500 employees. We conducted eight focus group discussions (FGD) with 63 employees stratified by job category (sales, maintenance, shipping, restaurant, cafeteria, administrative staff, and sales managers). Employees were invited to participate in the FGD if they were at the store at the day and time of the FGD for their job type. FGDs were audio-recorded, transcribed verbatim and analyzed using the thematic method. This process involved the researches´ familiarizing themselves with the data, generating initial codes, searching for themes, reviewing the themes, defining and naming themes, and then interpreting the data.

resultsEmployees defined healthy eating as eating foods that are fresh, diverse, and prepared hygienically. The most commonly reported facilitators of healthy eating at the worksite were availability of affordable healthy food options and employees' high health awareness. Major barriers to healthy eating included unavailability of healthy foods, unpleasant taste of food, and preference for fatty foods and meat. For lower-wage workers, affordability was a major concern. Other barriers included lack of time to eat work and long working hours.

conclusionA broad range of factors affect healthy eating at the cafeteria, some related to nutrition and some related to the employees type of job. Availability of healthy, hygienic, and tasty food at an affordable price could lead to healthier food choices in the worksite cafeteria. These strategies, along with work schedules that allow sufficient time for healthy eating, may help improve dietary behaviors and health of employees.

Indexed as

Diet, HealthyFood ServicesFood PreferencesHumansMexicoWorkplaceBarriersCafeteriaCardiometabolic diseasesFacilitatorsHealthy eatingWorksite

Identifiers

PMID34022846
PMCPMC8141192
OpenAlexW3164625505

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.