Counseling latina mothers of preschool children about weight issues: Suggestions for a new framework
Counseling latina mothers of preschool children about weight issues: Suggestions for a new framework
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DOI：
10.1016/j.jada.2003.12.018
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发表时间：
2004-03-01
影响因子：
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通讯作者：
Ritchie, LD
中科院分区：
文献类型：
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作者：
Crawford, PB;Gosliner, W;Ritchie, LD
目的了解拉丁裔母亲对幼儿体重问题的健康观念和态度，并利用这些信息更新目前的营养教育方法。设计数据采用半结构化问卷，分8个焦点小组收集。受试者/背景在加利福尼亚的五个不同的妇女、婴儿和儿童特殊补充营养项目中招募了43名带着2至5岁孩子的拉丁裔母亲（和祖母）。将焦点小组的转录本导入QSR NUD*IST软件，便于对突发主题进行深入迭代分析。结果确定了15个紧急主题，并将其组织为与营养教育相关的四个功能领域：围绕体重的健康信念，超重的影响和原因，生活价值观和关注点，以及改变儿童饮食和活动模式的策略。从这个定性研究的信息表明，传统的营养咨询范式可能不有效的拉丁裔母亲。此外，文化信仰可能成为成功预防和治疗超重的障碍。为了确保提供符合文化要求的服务，教育工作者必须准备好根据客户的文化背景调整教育方法。其中一个关键问题是，母亲们很难承认自己的孩子超重，而且她们认为健康和体重之间的关系很差。某些文化价值观被认为是采取健康行为的障碍。母亲们能够确定改善营养教育的具体方式。应用/结论我们的研究结果表明，针对拉丁裔幼儿母亲的营养教育工作可以更好地解决人口的信仰体系和文化框架，比如确定积极的饮食行为，而不是关注孩子的体重。
Objective To assess Latina mothers' health beliefs and attitudes regarding early childhood weight issues and to use the information to update current nutrition education methods.Design Data were collected in eight focus group sessions using a semistructured questionnaire.Subjects/Setting Forty-three Latina mothers (and grandmothers) with children aged 2 to 5 years were recruited at five different Special Supplemental Nutrition Program for Women, Infants, and Children sites in California.Analysis Transcripts of focus groups were imported into QSR NUD*IST software, facilitating in-depth iterative analysis of emergent themes.Results Fifteen emergent themes were identified and organized into four functional domains relevant to nutrition education: health beliefs surrounding weight, impact and cause of overweight, life values and concerns, and strategies for making changes in children's eating and activity patterns. Information from this qualitative study demonstrates that the traditional nutrition counseling paradigm may not be effective with Latina mothers. In addition, cultural beliefs can be barriers to successful prevention and treatment of overweight. To ensure that culturally competent services are provided, educators must be prepared to adjust education approaches according to the cultural background of the clients. Key among the issues was mothers' difficulty acknowledging overweight among their children and their perception that health and weight were poorly associated. Certain cultural values were identified as barriers to adopting healthful behaviors. Mothers were able to identify specific ways in which nutrition education could be improved.Applications/Conclusions Our findings suggest that nutrition education efforts targeting Latina mothers of young children can be refrained to better address the belief system and cultural framework of the population, like identifying positive eating behaviors rather than focusing on a child's weight.