Changing Perceptions of the Role of Food Assistance Programs in the Development and Prevention of Obesity in Lima, Peru

Abstract

Abstract Objectives The purpose of this study is to assess the perceived role of food assistance programs (FAPs) in the development and prevention of overweight/obesity (OW/OB) in two low-income districts of Lima, Peru and analyze how these perceptions have changed across time. Methods In 2009, we conducted focus groups with FAP beneficiaries and in-depth interviews with FAP administrators (N = 34) from three common FAPs in two low-income districts of Lima, Peru. These data captured participants’ perceptions of OW/OB and their recommendations to address them. We conducted grounded theory analysis on this dataset to identify dominant themes and structure a second round of data collection. In January-February 2021, we are conducting in-depth interviews with FAP beneficiaries and administrators from the same programs and districts (current N = 16, expected N = 36). We will conduct grounded theory analysis on the second dataset and cross-analyze the two datasets to measure differences and similarities. Results In 2009, nearly all FAP beneficiaries and half of FAP administrators identified OW/OB as a public health problem in their community. They expressed need for more nutrition education, potentially through FAPs. Most FAP administrators and some beneficiaries also recommended offering healthier food in one particular FAP (Community Kitchens). Preliminary results from 2021 reveal that nearly all FAP beneficiaries and administrators perceived OW/OB to be a problem in their community. Educational resources about OW/OB were limited and participants continued to recommend increased outreach, potentially through FAPs. Most beneficiaries of Community Kitchens cited the need for healthier food options. Conclusions From 2009 to 2021, more FAP beneficiaries and administrators perceived OW/OB to be a problem in their communities; however, resources to address this problem remained limited. Our findings suggest the need for increased nutrition education through FAPs and adjustments to foods available in specific FAPs. Funding Sources Tulane University.