Constructs of health and environment inform child obesity prevention in American Indian communities
Constructs of health and environment inform child obesity prevention in American Indian communities
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DOI：
10.1038/oby.2007.71
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发表时间：
2008-02-01
期刊：
影响因子：
6.9
通讯作者：
Brown, David
中科院分区：
文献类型：
--
作者：
Adams, Alexandra K.;Harvey, Heather;Brown, David
目标：肥胖预防工作在美洲印第安人 (AI) 人群中取得的成功有限。通过深入了解父母健康信念、环境限制和健康生活方式选择之间的联系，可以设计更有效的预防计划。方法和程序：进行焦点小组会议（n = 42 名参与者），以探讨威斯康星州三个部落社区的父母对儿童健康、饮食和身体活动的看法。焦点小组的问题源自对营养和身体活动周围环境障碍的初步访谈和观察。结果：焦点小组产生了两个广泛的主题领域：儿童健康主题和环境主题。健康主题包括对儿童健康的看法（强调情绪健康）、对养育子女的看法以及对儿童安全风险的评估。环境（社会和物质）主题包括个人支持网络的评估、当地设施和项目的评估以及家庭关系的价值观。开发了与儿童营养和身体活动相关的家庭行为临时模型，以更好地理解这些主题以及它们之间的潜在紧张关系。讨论：了解人工智能社区健康和环境的独特文化结构可以为社区级预防研究的决策提供信息。所提出的模型是在这些人工智能社区中设计健康生活方式干预措施的有用起点。这种模式也可能适用于其他少数族裔社区。
Objective: Obesity prevention efforts have had limited success in American Indian (AI) populations. More effective prevention programs might be designed using insights into linkages between parental health beliefs, environmental constraints and healthy lifestyle choices.Methods and Procedures: Focus group sessions (n = 42 participants) were conducted to explore parental perspectives on children's health, diet and physical activity in three Wisconsin Tribal communities. Focus group questions were derived from preliminary interviews and observations on environmental barriers surrounding nutrition and physical activity.Results: Two broad thematic areas emerged from the focus groups: child health themes and environmental themes. Health themes included views of child health (emphasizing emotional health), views on parenting, and assessment of risks to child safety. Environmental (social and physical) themes included assessments of personal support networks, assessments of local facilities and programs, and values regarding household relationships. A provisional model of family behaviors related to child nutrition and physical activity was developed to better understand these themes and the potential tensions among them.Discussion: Understanding the unique cultural constructs of health and environment of AI communities can inform decision making in community-level prevention research. The proposed model served as a useful starting point for designing healthy lifestyle interventions in these AI communities. This model may also be applicable to other minority communities.