Attitudes, beliefs, and barriers related to milk consumption in older, low-income women

J Nutr Educ Behav. 2014 Nov-Dec;46(6):554-9. doi: 10.1016/j.jneb.2013.11.018. Epub 2014 Feb 4.

Abstract

Objective: To determine attitudes, beliefs, and barriers related to adequate milk consumption in low-income women ages ≥ 60 years.

Methods: Nine focus groups were conducted with a convenience sample of 59 women at congregate meal sites in a metropolitan area. Grounded in Social Cognitive Theory, focus group questions were used to explore personal, behavioral, and environmental factors associated with milk consumption.

Results: Key response themes indicated a positive attitude for the taste of milk (except for low-fat), a primary belief that milk was important for bones and health, and a primary barrier of gastrointestinal side effects.

Conclusions and implications: Knowledge regarding the benefits of milk and the dislike of its taste were not the primary reason for the lack of consumption. Instead, gastrointestinal side effects seemed to be the major barrier to adequate consumption. Future nutrition campaigns should test strategies for lactose intolerance management when communicating with low-income older women.

Keywords: calcium; low-income population; milk; older adults; women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Animals
  • Diagnostic Self Evaluation
  • Diet / adverse effects*
  • Diet / economics
  • Elder Nutritional Physiological Phenomena*
  • Female
  • Focus Groups
  • Food Assistance
  • Food Services
  • Gastroenteritis / etiology*
  • Gastroenteritis / prevention & control
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Indiana
  • Lactase / deficiency*
  • Lactase / economics
  • Lactose Intolerance / diagnosis
  • Lactose Intolerance / diet therapy*
  • Lactose Intolerance / economics
  • Lactose Intolerance / physiopathology
  • Middle Aged
  • Milk / adverse effects*
  • Milk / economics
  • Poverty
  • Self Care*
  • Urban Health

Substances

  • Lactase

Supplementary concepts

  • Lactose Intolerance, Adult Type