“Test me and treat me”—attitudes to vitamin D deficiency and supplementation: a qualitative study

作者: Siddharth Kotta , Dev Gadhvi , Niki Jakeways , Maryum Saeed , Ratna Sohanpal

DOI: 10.1136/BMJOPEN-2014-007401

关键词: GerontologyVitaminPublic healthNursingvitamin D deficiencyFocus groupMedicineHealth services researchVitamin D and neurologyHealth policyQualitative research

摘要: Objective Lay interest in vitamin D and the potential benefits of supplementation is considerable, but little information exists concerning lay knowledge, beliefs attitudes towards to inform public health initiatives professional guidance. Design Qualitative focus group study. Participants 58 adults capturing diversity disease status, gender, age ethnicity. Setting A large general practice east London. Results Many respondents lacked knowledge about D, including dietary sources government recommendations. Most were positive sun exposure, confused by ambiguous messages risks sunshine. Medicalised views prominent, notably from those favour supplementation, who talked “doses”, “side effects” “regular testing.” Fortification food with was controversial, opposing utilitarian (better overall for majority) libertarian (freedom choose) views. Conclusions Knowledge limited. Clearer are needed exposure. Testing professionals, while potentially useful some high-risk groups, have contributed a medicalised view D. Health policy should address public9s need clear on effects take account divergent fortification. Professional guidance testing counter inappropriate medicalisation.

参考文章(42)
Amanda J Samanek, Emma J Croager, Peter Gies, Elizabeth Milne, Richard Prince, Anthony J McMichael, Robyn M Lucas, Terry Slevin, Estimates of beneficial and harmful sun exposure times during the year for major Australian population centres The Medical Journal of Australia. ,vol. 184, pp. 338- 341 ,(2006) , 10.5694/J.1326-5377.2006.TB00267.X
C H Cheetham, R. Freaney, M. J McKenna, L. Nashef, E. Lamb, J E Compston, Vitamin D deficiency. Time for a tablet containing high doses of vitamin D alone. BMJ. ,vol. 318, pp. 1284- ,(1999) , 10.1136/BMJ.318.7193.1284A
Heather B Del Valle, A Catharine Ross, Ann L Yaktine, Christine L Taylor, Dietary Reference Intakes for Calcium and Vitamin D ,(2013)
Catherine Pope, Sue Ziebland, Nicholas Mays, Analysing qualitative data BMJ. ,vol. 320, pp. 114- 116 ,(2000) , 10.1136/BMJ.320.7227.114
Ian D Cameron, Lesley D Gillespie, M Clare Robertson, Geoff R Murray, Keith D Hill, Robert G Cumming, Ngaire Kerse, Interventions for preventing falls in older people in care facilities and hospitals Cochrane Database of Systematic Reviews. ,vol. 2018, ,(2012) , 10.1002/14651858.CD005465.PUB3