Cultural Aspects of Latino Early Childhood Obesity

拉丁裔儿童早期肥胖的文化方面

• 批准号: 6666097
• 负责人: LAUREN CLARK
• 金额: $ 7.66万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-15 至 2005-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6666097
• 关键词: Hispanic Americans; adolescence (12-20); behavioral /social science research tag; body composition; body physical activity; body weight; child (0-11); clinical research; culture; data collection methodology /evaluation; dietary constituent; disease /disorder prevention /control; experimental designs; family structure /dynamics; focus groups; generation difference; health behavior; health disparity; human subject; longitudinal human study; maternal behavior; nutrient intake activity; nutrition related tag; obesity; population survey; racial /ethnic difference

DESCRIPTION (provided by applicant): Childhood obesity in the U.S. has reached a 20-25% prevalence. Latinos have higher rates of obesity across the lifespan, contributing to an ethnic disparity in rates of obesity-related morbidity and mortality. Obesity in childhood tracks into adulthood, making early childhood a key developmental time period for prevention. This study will use qualitative focus group methodology and freelisting to: (1) describe the characteristics Latino mothers use to identify and categorize infants as "obese" and "overweight;" (2) assess the kinds of behaviors, foods, feeding patterns, and other risks believed by Latino family members to contribute to early childhood obesity; (3) ascertain what Latino mothers and father would consider appropriate interventions for young children considered "obese" or "overweight" by health care professionals; (4) identify whom Latinos would consider appropriate persons to intervene in nutrition and activity issues for children; and (5) explore various program characteristics preferred by Latino families for a future obesity prevention program; and (6) identify differences among less- and more-acculturated Latino families regarding early childhood obesity issues, food and feeding practices, and intervention preferences. The study is a qualitatively-driven exploration of cultural dimensions of childhood obesity, cultural knowledge about what constitutes "obesity" and "overweight," and the kinds of feeding and nutrition knowledge parents share about young children. Analysis of focus group data will identify cultural models of childhood obesity, cultural knowledge about feeding practices and other factors that contribute to childhood obesity, beliefs about healthful feeding practices, and avenues for intervention congruent with Latino families' preferences. Based on this pilot work, a culturally competent primary prevention program will be designed to prevent Latino early childhood obesity and overweight, and promote healthful nutrition and feeding.

描述（由申请人提供）：美国儿童肥胖症的患病率已达到 20-25%。拉丁美洲人一生中肥胖率较高，导致肥胖相关发病率和死亡率存在种族差异。儿童时期的肥胖症会一直延续到成年期，因此幼儿期成为预防肥胖的关键发育时期。本研究将使用定性焦点小组方法和自由列表来：（1）描述拉丁裔母亲用来识别和分类婴儿“肥胖”和“超重”的特征； (2) 评估拉丁裔家庭成员认为导致儿童早期肥胖的行为、食物、喂养方式和其他风险； (3) 确定拉丁裔母亲和父亲认为对医疗保健专业人员认为“肥胖”或“超重”的幼儿采取哪些适当的干预措施； (4) 确定拉丁裔认为哪些人适合干预儿童的营养和活动问题； (5) 探索拉丁裔家庭在未来肥胖预防计划中所偏好的各种计划特征； (6) 确定文化程度较低和文化程度较高的拉丁裔家庭在儿童早期肥胖问题、食物和喂养方式以及干预偏好方面的差异。这项研究是对儿童肥胖的文化维度、关于什么构成“肥胖”和“超重”的文化知识以及父母分享的关于幼儿的喂养和营养知识的类型的定性驱动探索。对焦点小组数据的分析将确定儿童肥胖的文化模式、有关喂养方式的文化知识和其他导致儿童肥胖的因素、对健康喂养方式的信念以及符合拉丁裔家庭偏好的干预途径。基于这项试点工作，将设计一个符合文化的初级预防计划，以预防拉丁裔幼儿肥胖和超重，并促进健康的营养和喂养。