Adolescent Obesity Prevention in Saudi Arabia: Co-identifying Actionable Priorities for Interventions.
Adolescent Obesity Prevention in Saudi Arabia: Co-identifying Actionable Priorities for Interventions.
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DOI：
10.3389/fpubh.2022.863765
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发表时间：
2022
影响因子：
5.2
通讯作者：
Harding, Seeromanie
中科院分区：
文献类型：
--
作者：
Almughamisi, Manal;O'Keeffe, Majella;Harding, Seeromanie
在沙特阿拉伯王国，儿童肥胖是一个严重的问题，但目前还没有已知的社区干预措施。这项研究的目的是利用参与性方法，了解学生、学校工作人员、教育部代表和家长对以学校为基础预防青春期女孩肥胖的重要和可行干预机会的看法。这项研究是在吉达的两所女子中学(13-15岁)进行的，这两所中学是在教育部的支持下特意确定的。对19名成年人进行了群体概念图绘制，这是一种混合方法，其中包括教育部和学校的工作人员、学校食堂供应商和母亲。成年人对两个提示做出了回应(P)；P1“沙特青少年肥胖的影响因素是……”和P2“校本课程的内容应侧重于……”对学生(n=15名学生)使用了PhotoVoice增强的概念图，以捕捉青少年对什么影响他们的饮食和体育活动习惯的观点。学生们使用自己的照片生成了声明。利益相关者，包括成人和学生，将这些陈述归类为主题，并对每个陈述进行相对重要性和可行性评级。多维尺度和层次聚类分析被用来产生来自学生和成人的输入的概念图。成年人针对P1生成了35条声明，并确定了影响青少年肥胖症的五个主题，包括“家庭环境”、“生活方式”、“学校环境”、“社区”和“生物学”。他们生成了42份与P2有关的声明，并确定了四个主题，包括“教育部支持”、“学校环境”、“公共卫生计划”和“更广泛的环境影响”。学生们从39张图片中产生了42个陈述。他们确定了五个影响他们饮食和身体活动习惯的主题--“政府的角色”、“学校环境”、“家庭环境”、“零售环境”和“文化习惯”。这两个小组确定了几项共同的重要和可行的行动，重点是在教育部的支持下改善学校环境，特别是提供食物。来自成年人的相应声明范例是“在食堂提供健康食品”、“去掉巧克力和糖果”和“教育孩子关于健康食品的知识”，来自学生的声明是“在食堂提供水果和蔬菜”、“从食堂去掉巧克力”、“健康饮食不应该很贵”。缺乏与学生强调在学校和更广泛的环境(如零售环境)中获得健康食品和体育活动有关的函件，而成年人则强调以学校为基础的教育和食物供应。经过进一步协商，两个利益攸关方团体同意改善食堂获得健康食品的机会。学生、学校和教育部工作人员共同同意，以食堂为基础的干预措施对于改善饮食习惯是重要和可行的，从而有助于预防青春期女孩肥胖。这是沙特阿拉伯第一次对学生使用参与式方法进行干预发展。共同开发的方法可能对改善他们的学校食物环境有价值。
Childhood obesity is a serious issue in the Kingdom of Saudi Arabia, but there is no known community intervention. The aim of the study was to use a participatory approach to obtain the perspectives of students, school staff and Ministry of Education (MoE) representatives and parents on important and feasible intervention opportunities for school-based obesity prevention for adolescent girls. The study was conducted in two intermediate schools for girls (13–15 years old) in Jeddah that were purposefully identified with the support of the MoE. Group concept mapping, a mixed method approach, was conducted with 19 adults which included staff from the MoE and schools, school canteen suppliers and mothers. Adults generated statements in response to two prompts (P); P1 “The factors influencing adolescent obesity in Saudi are...” and P2 “The content of school-based programmes should focus on....” Photovoice-enhanced concept mapping was used with students (n = 15 students) to capture adolescent perspectives on what influences their dietary and physical activity habits. Students generated statements' using their own photographs. Stakeholders, both adult and students, sorted the statements into themes and rated each statement for relative importance and feasibility. Multidimensional scaling and hierarchical cluster analyses were used to produce concept maps with the input from students and adults. Adults generated 35 statements in response to P1 and identified five themes that influenced adolescent obesity including “Home Environment,” “Lifestyle,” “School Environment,” “Community,” “Biology.” They generated 42 statements in relation to P2 and identified four themes including “Ministry of Education Support,” “School Environment,” “Public health programmes” and “Wider environmental influences.” Students generated 42 statements from 39 pictures. They identified five themes that influenced their dietary and physical activity habits—“Role of Government,” “School Environment,” “Home Environment,” “Retail Environment” and “Cultural Practices.” Both groups identified several common important and feasible actions with a strong emphasis on improving the school environment, in particular food provision, with MoE support. Exemplar corresponding statements from adults were “Offer healthy foods in the canteen,” “Remove chocolates and sweets” and “Educate children about healthy foods” and from students were “Offer fruit and vegetables in the canteen,” “Remove chocolates from the canteen,” “Healthy meals should not expensive.” Lack of correspondence related to students' emphasis on access to both healthy foods and physical activity in schools and the wider environment (e.g. retail environments), while adults emphasized school-based education and food provision. After further consultations, both stakeholder groups agreed on improving access to healthy foods in the canteen. Students and school and MoE staff jointly agreed that a canteen-based intervention was important and feasible to improve dietary habits and thus help to prevent obesity among adolescent girls. This was the first time a participatory approach was used with students for intervention development in Saudi Arabia. A co-development approach may have value to improve their school food environments.
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影响因子：
37.8
作者：
Barnett, Tracie A.;Kelly, Aaron S.;Vos, Miriam B.
通讯作者：
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影响因子：
3.2
作者：
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通讯作者：
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影响因子：
3.2
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通讯作者：
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影响因子：
2
作者：
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通讯作者：
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影响因子：
1.8
作者：
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通讯作者：
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