Weighing up the future: a meta-ethnography of household perceptions of the National Child Measurement Programme in England
Weighing up the future: a meta-ethnography of household perceptions of the National Child Measurement Programme in England
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DOI：
10.1080/09581596.2023.2169599
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发表时间：
2023-02-09
影响因子：
2.8
通讯作者：
Swinglehurst，Deborah
中科院分区：
文献类型：
--
作者：
Hawking，Meredith K. D.;Dezateux，Carol;Swinglehurst，Deborah
英国国家儿童测量计划（NCMP）是一项国家授权的公共卫生计划。它为公共卫生成果框架中的儿童超重指标提供数据，这是政府减少儿童肥胖方法的一部分。借鉴家庭成员的经验的元民族志综合方案，我们将NCMP概念化为一种“未来的技术”，以产生新的见解，它如何（重新）形状和（重新）想象过去，现在和未来的责任和做法超重的儿童，父母和照顾者，在潜在的有害方式。对于被NCMP归类为超重的儿童来说，NCMP是一个情感上重要的事件，推动了新的身体实践，新的食物实践和与同龄人关系的改变。本文概述了父母如何抵制和重新制定该计划及其结果，以保护他们的孩子免受体重集中的未来。他们认为欺凌、饮食失调和心理健康后果的潜在风险比未来超重的风险更重要。我们展示了被归类为超重的儿童的父母如何在同龄人中保持他们对“负责任”和“良好”养育的要求，同时将儿童肥胖的责任转移到其他“不负责任”的父母身上，从而再现了NCMP和相关研究的“行为改变”信息中固有的道德化和责任化话语。最后，我们认为这一方案的一个核心矛盾，以及使用NCMP人口水平监测数据来（重新）塑造个人和社会层面的生活-它所帮助的儿童最有可能因此而受到伤害。
The English National Child Measurement Programme (NCMP) is a nationally mandated public health programme. It provides data for child excess weight indicators in the Public Health Outcomes Framework, part of the government’s approach to reducing childhood obesity. Drawing on a meta-ethnographic synthesis of household members’ experiences of the programme, we conceptualise the NCMP as a ‘technique of futuring’ to generate new insights into how it (re)shapes and (re)imagines past, present, and future responsibilities and practices for overweight children, parents, and carers, in potentially harmful ways. For children categorised by the NCMP as overweight, the NCMP is an emotionally significant event, driving new bodily practices, new food practices and changed relationships with peers. This paper outlines how parents come to resist and reframe the programme and its results, to protect their children from a weight-focused future. They consider the potential risks of bullying, dysfunctional eating, and mental health consequences more important than future risks of overweight. We show how parents of children categorised as overweight preserve their claim to ‘responsible’ and ‘good’ parenting amongst peers, whilst shifting the blame for childhood obesity to other, ‘irresponsible’ parents, thus reproducing moralising and responsibilising discourses inherent within the ‘behaviour change’ messaging of the NCMP and associated research. Finally, we consider a central paradox of this programme and the use of NCMP population level monitoring data to (re)shape lives at the individual and social level – the children it sets out to help are the most likely to experience harm as a result of it.