OBJECTIVES To determine how African-American caregivers living in a food desert navigate neighborhood resources to procure foods for their children and to identify actions to improve those resources. DESIGN Using the Photovoice approach, we conducted two sets of individual in-depth interviews with 16 African-American primary caregivers of children (total of 32 interviews) and one culminating workshop (n=10 participants). Data were systematically analyzed according to the Social Ecological Framework to evaluate the role of different environments in shaping individual decisions. SETTING Urban, low-income and geographically marginalized neighborhoods. RESULTS Despite the challenges of living in a food desert, caregivers perceived that they were providing the foods that they wanted for their children. These perceptions were based on their own health concerns, food customs, time and convenience, and responses to their children's food preferences. Caregivers were resourceful in how they procured these foods, searching for quality and better-priced foods. They relied on their friends, family, and local/national programs to mitigate the challenges of the food desert. Caregivers were interested in taking action to improve the underlying determinants of food access and choice (eg, affordable housing, job training, nutrition knowledge, food shopping experience). CONCLUSION These African-American caregivers procured foods they thought were best for their children by relying on their strong social relationships and national and local food programs to navigate the food desert. Public health nutrition interventions that aim to reduce diet-related disparities should look beyond the presence or absence of supermarkets in food deserts to address multisectoral determinants of access while shaping food choices.

中文翻译：

---

非裔美国人的看护人如何穿越食物沙漠来养活他们的孩子？影音叙事

目标 确定生活在食物沙漠中的非裔美国人看护人如何利用邻里资源为他们的孩子采购食物，并确定改善这些资源的行动。设计 使用 Photovoice 方法，我们对 16 名非洲裔美国儿童的主要照顾者（总共 32 次访谈）和一个最终研讨会（n=10 参与者）进行了两组个人深入访谈。根据社会生态框架系统地分析数据，以评估不同环境在塑造个人决策中的作用。设置 城市、低收入和地理边缘化社区。结果 尽管生活在食物沙漠中充满挑战，但看护人认为他们正在为孩子提供他们想要的食物。这些看法是基于他们自己的健康问题、饮食习惯、时间和便利以及对孩子的食物偏好的反应。护理人员在如何采购这些食物、寻找质量和价格更优惠的食物方面足智多谋。他们依靠他们的朋友、家人和地方/国家计划来缓解食物沙漠的挑战。看护者有兴趣采取行动改善食品获取和选择的潜在决定因素（例如，经济适用房、工作培训、营养知识、食品购物体验）。结论 这些非裔美国人的看护人依靠他们牢固的社会关系以及国家和地方食品计划来应对食物沙漠，从而采购了他们认为最适合孩子的食物。