Repository of Research and Investigative Information

Repository of Research and Investigative Information

Shahid Sadoughi University of Medical Sciences

Identifying the inhibitory factors of dietary salt reduction in women: a qualitative study, Yazd, Iran

(2020) Identifying the inhibitory factors of dietary salt reduction in women: a qualitative study, Yazd, Iran. International Journal of Human Rights in Health Care. pp. 485-498. ISSN 2056-4902

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Abstract

Purpose Increased dietary salt content is one of the effective factors of hypertension and a major public health challenge globally. Although the positive effects of dietary salt reduction on health are universally accepted, people can hardly reduce their salt intake. The purpose of this study is to identify the inhibitory factors of dietary salt reduction among 20-65-year-old women in Yazd City, Iran. Design/methodology/approach This study was conducted using a deductive content analysis approach based on the communication for the behavioral impact (COMBI) framework. The purposeful sampling method was applied with maximum variation in terms of different educational levels, age groups, occupational status and residential areas to select the participants. Snowball sampling was used to select health-care professionals. Furthermore, semi-structured interviews and focus-group discussions were conducted with 31 local women and 11 health-care professionals working in the City until data saturation was achieved. Data were analyzed using Graneheim and Landsman's method. Findings After data analysis, 617 initial codes were extracted over the perceived barriers. After merging similar codes, 223 codes were extracted. The barriers were classified into five main categories of family, personal, organizational, educational and socio-cultural barriers. Originality/value Based on the COMBI framework, the results demonstrated that the most important barriers for reducing salt intake were negative attitude toward restrictions on dietary salt intake, insufficient and incorrect beliefs about the health risk of salt, lack of family support, inadequate health literacy and low self-efficacy in Yazd City. Among these barriers, lack of family support was considered as the most effective factor in reducing salt consumption. So, by focusing on this area and providing the community with the required education, the amount of salt consumed by families can be reduced.

Item Type: Article
Keywords: Women Qualitative research Dietary salt Inhibitor barrier Sodium intake blood-pressure self-management health consumption disease sodium hypertension restriction association perceptions Health Care Sciences & Services
Page Range: pp. 485-498
Journal or Publication Title: International Journal of Human Rights in Health Care
Journal Index: WoS
Volume: 13
Number: 5
Identification Number: https://doi.org/10.1108/ijhrh-01-2020-0003
ISSN: 2056-4902
Depositing User: Mr mahdi sharifi
URI: http://eprints.ssu.ac.ir/id/eprint/28793

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