Community-Based Participatory Research for Nutrition and Health Programs in the Caribbean: Using the Delphi Process to Create Sustainable Outcomes
Journal Title: Lupine Online Journal of Nursing & Health care - Year 2018, Vol 1, Issue 2
Abstract
Nutritional transition characterized by an increased preference for high energy foods with low nutrient density in the diet [1-3] has been documented in numerous nations of the Caribbean [4- 8]. Due to the cost and distance associated with transporting food to the islands, accessibility to adequate and quality food is often compromised [9]. This decline in dietary quality is reflected in recent increases in chronic disease such as hypertension and high blood pressure [10,11]. On less economically developed islands, the influence of nutritional transition on disease is compounded by socio-economic factors including higher levels of unemployment and poverty [12]. The Dominican island is the largest of the eastern Caribbean islands. Until recently, Dominica had remained relatively isolated from external cultural and economic influences. However, recent developments due to a decline in agriculture sector which served as the main source of employment have facilitated the rapid influx of western foods [13,14] coupled with a growing prevalence in physical inactivity (men 14.9%, women 36,6%) in the population [10]. Approximately 50% of the population is overweight, and 25% is obese [10,11]. The prevalence of high blood pressure and elevated glucose levels is higher than the regional averages and women appear to be at higher risk than their male counterparts [10]. Although there is a desperate need for nutritional and health intervention, there is very little information available for the Caribbean. This is further complicated by the diversity of culture and diet from nation to nation. This gap in knowledge, coupled with the demand for health intervention, highlights the urgency for pioneering population specific studies and programs to affect health outcomes in this region.
Authors and Affiliations
Elizabeth D Wall-Bassett, Jacqueline Lancaster-Prevost
Keywords
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- EP ID EP580791
- DOI 10.32474/LOJNHC.2018.01.000106
- Views 92
- Downloads 0
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