Latina mothers' feeding practices and child obesity

拉丁裔母亲的喂养方式和儿童肥胖

• 批准号: 6795273
• 负责人: ANA CRISTINA TERRA DE SOUZA LINDSAY
• 金额: $ 8.2万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-06-01 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6795273
• 关键词: Hispanic Americans; behavioral /social science research tag; body weight; child (0-11); clinical research; culture; data collection methodology /evaluation; developmental nutrition; diet; diet route /schedule; epidemiology; female; focus groups; health disparity; human subject; interview; low socioeconomic status; nutrition related tag; obesity; parents; perception; questionnaires; socioenvironment; Hispanic Americans; behavioral /social science research tag; body weight; child (0-11); clinical research; culture; data collection methodology /evaluation; developmental nutrition; diet; diet route /schedule; epidemiology; female; focus groups; health disparity; human subject; interview; low socioeconomic status; nutrition related tag; obesity; parents; perception; questionnaires; socioenvironment

DESCRIPTION (provided by applicant): Increasing prevalence of childhood overweight is a major public health concern, evident in all age groups and social classes. Children from low-income, under-served minority families are at greatest risk. Rapid secular increases in overweight are of concern due to negative health and psychosocial effects during and beyond childhood, as about half of overweight children become obese adults. Health consequences of overweight and obesity include type-2 diabetes, adverse serum lipid and lipoprotein levels, hypertension, and some cancers, including those affecting the reproductive system. Altering trends in chronic disease will require substantive efforts to reduce incidence of childhood overweight, at very early ages. Strategies ultimately successful in addressing childhood overweight in under-served minorities also will require attention to cultural norms that may vary by race/ethnicity. This qualitative study will systematically examine Latina mothers' perceptions of maternal and infant weight status, child-feeding practices, and how these are related to dietary intake and the development of overweight in children. Furthermore, it will assess sociodemographic, social cultural and feeding environment influences on these relationships. An on-going, community-based intervention trial among low-income, multiethnic, postpartum women provides the base to recruit Latina mothers of young children and permits close collaboration with the public health partners in the translation and dissemination of the research results. The design of proposed research consists of qualitative research in 3 sequential phases including: 1) focus groups 2) in-depth interviews and 3) development and pre-testing a child-feeding questionnaire through cognitive interviewing techniques. This research will inform the design of a subsequent large-scale study of social-contextual determinants of childhood overweight in Latino populations and will have important long-term applications in developing nutrition education strategies for child health promotion that adequately account for the socio-cultural context of minority caregivers.

描述（由申请人提供）： 在所有年龄段和社会阶层中，童年超重的患病率提高是一个主要的公共卫生问题。来自低收入，服务不足的少数族裔家庭的儿童面临最大的风险。由于健康和童年期间的负面健康和社会心理影响，超重的长期增长引起了关注，因为大约一半的超重儿童成为肥胖的成年人。超重和肥胖的健康后果包括2型糖尿病，不良血清脂质和脂蛋白水平，高血压以及一些癌症，包括影响生殖系统的癌症。改变慢性病的趋势将需要实质性努力，以减少很早就超重的童年超重。最终成功解决少数群体中童年超重的策略也将需要注意可能因种族/种族而异的文化规范。这项定性研究将系统地研究拉丁裔母亲对母亲和婴儿体重状况，喂养子女的看法，以及这些与饮食摄入量以及儿童超重的发展有关。此外，它将评估社会人口统计学，社会文化和喂养环境对这些关系的影响。在低收入，多民族的产后妇女中，正在进行的基于社区的干预审判为招募拉丁裔母亲的基础提供了基础，并允许与公共卫生伙伴在研究结果的翻译和传播中与公共卫生伙伴进行密切合作。拟议研究的设计包括定性研究，包括：1）焦点小组2）深入访谈和3）通过认知访谈技术进行开发和预测试儿童喂养问卷。这项研究将为拉丁裔人口中童年超重的社会上下文决定因素的随后大规模研究提供介绍，并将在开发营养教育策略以促进儿童健康促进方面具有重要的长期应用，以充分说明少数党护理人员的社会文化背景。