Abstract：
OBJECTIVE: The purpose of this study was to explore the perspectives of Indigenous adults on consuming beverages with non-nutritive sweeteners.
METHODS: In this work, we used a community-based, participatory design in partnership with National Indigenous Diabetes Association, Four Arrows Regional Health Authority, and Fearless R2W. We conducted 74 qualitative interviews with Indigenous adults living in Manitoba, including Island Lake First Nations (n=39), Flin Flon (n=15), and the North End neighbourhood of Winnipeg (n=20). Data were indexed in NVivo, and transcripts were analyzed thematically.
RESULTS: Participants exclusively discussed beverages with non-nutritive sweeteners (BNNSs) as an alternative to regular pop or sugary drinks, which were widely available, accessible, and consumed. Why or how BNNSs were viewed as an alternative comprised 3 subthemes: an alternative for health reasons; divergent taste preferences; and an alternative with mysterious but negative health effects. Participants who reported regular consumption of BNNSs largely described consuming them to manage type 2 diabetes. Fewer participants discussed BNNS as a means of weight management or as a preventive health behaviour. Participants who did not report regular BNNS consumption described not liking the taste of BNNSs. Finally, many participants described negative health impacts of consuming BNNSs, and specifically aspartame, although few articulated what those negative impacts were.
CONCLUSIONS: Divergent perspectives among Indigenous adults regarding the health implications of consuming BNNSs may reflect ongoing scholarly debates. These findings have implications for the prevention and dietary management of type 2 diabetes in Indigenous communities.
METHODS: In this work, we used a community-based, participatory design in partnership with National Indigenous Diabetes Association, Four Arrows Regional Health Authority, and Fearless R2W. We conducted 74 qualitative interviews with Indigenous adults living in Manitoba, including Island Lake First Nations (n=39), Flin Flon (n=15), and the North End neighbourhood of Winnipeg (n=20). Data were indexed in NVivo, and transcripts were analyzed thematically.
RESULTS: Participants exclusively discussed beverages with non-nutritive sweeteners (BNNSs) as an alternative to regular pop or sugary drinks, which were widely available, accessible, and consumed. Why or how BNNSs were viewed as an alternative comprised 3 subthemes: an alternative for health reasons; divergent taste preferences; and an alternative with mysterious but negative health effects. Participants who reported regular consumption of BNNSs largely described consuming them to manage type 2 diabetes. Fewer participants discussed BNNS as a means of weight management or as a preventive health behaviour. Participants who did not report regular BNNS consumption described not liking the taste of BNNSs. Finally, many participants described negative health impacts of consuming BNNSs, and specifically aspartame, although few articulated what those negative impacts were.
CONCLUSIONS: Divergent perspectives among Indigenous adults regarding the health implications of consuming BNNSs may reflect ongoing scholarly debates. These findings have implications for the prevention and dietary management of type 2 diabetes in Indigenous communities.
摘要：
目的：本研究的目的是探讨土著成年人在饮用非营养性甜味剂饮料方面的观点。
方法：本研究与国家土著糖尿病协会合作，采用基于社区的参与式设计，四箭地区卫生局，无所畏惧的R2W我们对居住在马尼托巴省的土著成年人进行了74次定性访谈，包括岛湖原住民（n=39），弗林·弗隆（n=15），和温尼伯的北端社区（n=20）。数据在NVivo中索引，和转录本进行了主题分析。
结果：参与者专门讨论了含有非营养性甜味剂（BNNS）的饮料，作为常规汽水或含糖饮料的替代品，广泛可用，可访问,和消费。为什么或如何将BNNS视为替代方案包括3个子主题：出于健康原因的替代方案，不同的口味偏好，和一个神秘但负面的健康影响的替代品。报告定期食用BNNS的参与者在很大程度上描述了食用它们来管理2型糖尿病。更少的参与者将BNNS讨论为控制体重或预防性健康行为的一种手段。未报告常规BNNS消费的参与者描述不喜欢BNNS的味道。最后,许多参与者描述了消费BNSS对健康的负面影响，特别是阿斯巴甜,尽管很少有人阐明这些负面影响是什么。
结论：土著成年人关于消费BNNS对健康的影响的不同观点可能反映了正在进行的学术辩论。这些发现对土著社区2型糖尿病的预防和饮食管理具有重要意义。
方法：本研究与国家土著糖尿病协会合作，采用基于社区的参与式设计，四箭地区卫生局，无所畏惧的R2W我们对居住在马尼托巴省的土著成年人进行了74次定性访谈，包括岛湖原住民（n=39），弗林·弗隆（n=15），和温尼伯的北端社区（n=20）。数据在NVivo中索引，和转录本进行了主题分析。
结果：参与者专门讨论了含有非营养性甜味剂（BNNS）的饮料，作为常规汽水或含糖饮料的替代品，广泛可用，可访问,和消费。为什么或如何将BNNS视为替代方案包括3个子主题：出于健康原因的替代方案，不同的口味偏好，和一个神秘但负面的健康影响的替代品。报告定期食用BNNS的参与者在很大程度上描述了食用它们来管理2型糖尿病。更少的参与者将BNNS讨论为控制体重或预防性健康行为的一种手段。未报告常规BNNS消费的参与者描述不喜欢BNNS的味道。最后,许多参与者描述了消费BNSS对健康的负面影响，特别是阿斯巴甜,尽管很少有人阐明这些负面影响是什么。
结论：土著成年人关于消费BNNS对健康的影响的不同观点可能反映了正在进行的学术辩论。这些发现对土著社区2型糖尿病的预防和饮食管理具有重要意义。
