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

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）： 儿童超重患病率的增加是一个主要的公共卫生问题，在所有年龄组和社会阶层中都很明显。来自低收入、服务不足的少数族裔家庭的儿童面临的风险最大。由于儿童期及以后的负面健康和社会心理影响，超重的长期快速增长令人担忧，因为大约一半的超重儿童会成为肥胖成年人。超重和肥胖对健康的影响包括 2 型糖尿病、不良血清脂质和脂蛋白水平、高血压和一些癌症，包括影响生殖系统的癌症。改变慢性病的趋势需要做出实质性努力，以减少儿童早期超重的发生率。最终成功解决服务不足的少数群体儿童超重问题的策略还需要关注可能因种族/民族而异的文化规范。这项定性研究将系统地研究拉丁裔母亲对母婴体重状况、儿童喂养方式的看法，以及这些与饮食摄入和儿童超重发展的关系。此外，它将评估社会人口、社会文化和喂养环境对这些关系的影响。正在进行的一项针对低收入、多民族产后妇女的基于社区的干预试验为招募幼儿的拉丁裔母亲提供了基础，并允许与公共卫生合作伙伴密切合作翻译和传播研究结果。拟议研究的设计包括三个连续阶段的定性研究，包括：1）焦点小组2）深入访谈和3）通过认知访谈技术开发和预测试儿童喂养问卷。这项研究将为后续针对拉丁裔人群儿童超重的社会背景决定因素的大规模研究的设计提供信息，并将在制定充分考虑社会文化背景的促进儿童健康的营养教育战略方面具有重要的长期应用少数族裔照顾者。