J Nutr Educ Behav. 2025 Dec 22:S1499-4046(25)00500-7. doi: 10.1016/j.jneb.2025.11.013. Online ahead of print.
ABSTRACT
OBJECTIVE: We evaluated influences on nutrition behaviors and barriers and facilitators to accessing nutrition resources for autistic adolescents and young adults (AYAs) aged 15-25 years.
DESIGN: Zoom semistructured interviews (30-60 minutes) using a modified community-based participatory research approach.
SETTING: Urban, suburban, and rural areas in New Mexico.
PARTICIPANTS: Seven autistic AYAs aged 18-25 years (43% male), 7 caregivers, and 7 service providers.
PHENOMENON OF INTEREST: Influences on nutrition behaviors and access to nutrition resources, guided by the social ecological model.
ANALYSIS: Thematic analysis, validated through iterative coding and review by researchers and a community advisory board.
RESULTS: Themes common across groups included lack of tailored nutrition programs addressing social and sensory needs, difficulties navigating traditional food environments, and financial constraints limiting access to nutrient-dense foods. Participants emphasized the value of flexible, adaptive formats-especially online and group-based-and the importance of routine, sensory considerations, and familiar foods. Caregivers and providers highlighted external influences of the school food environment and peers, and a lack of awareness of available resources.
CONCLUSIONS AND IMPLICATIONS: Findings highlight the need for structured, sensory-inclusive nutrition programs that integrate community-based and digital resources, emphasize self-efficacy, and address environmental and social influences to promote long-term healthy eating habits for autistic AYAs.
PMID:41427911 | DOI:10.1016/j.jneb.2025.11.013