Attitudes to weight and weight management in the early teenage years: a qualitative study of parental perceptions and views.

Attitudes to weight and weight management in the early teenage years: a qualitative study of parental perceptions and views.
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DOI:
10.1111/hex.12182
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发表时间:
2015-10
期刊:
Health expectations : an international journal of public participation in health care and health policy
影响因子:
--
通讯作者:
Lawton J
Lawton J
中科院分区:
其他
文献类型:
--
作者:
Wills WJ;Lawton J

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由于大多数青少年在家庭中长大,父母可能会很好地帮助和支持他们的体重管理,从而预防或控制成年前的肥胖。本文探讨了父母对青少年子女体重的认知和看法,以及影响父母体重管理策略的因素。我们在英国苏格兰进行了两项定性研究,对13-15岁超重/肥胖和“正常”体重儿童的父母进行了深度访谈(n = 69)。父母对自己体重的担忧为理解他们对十几岁孩子的态度和行为提供了有用的背景。一些家长表示,他们担心孩子的体重,尽管青春期常常会让人对孩子的体重状况感到困惑。基因解释经常被用来解释青少年的体重或体型。人们表达了对向青少年提供体重管理建议的失望,一些家长担心,如果直接向他们提出体重问题,会给正在成长的孩子带来“麻烦”。父母对自己体重的看法,以及社会和道德规范对青少年超重或需要帮助控制体重的看法,可以有效地为以患者为中心的服务发展提供信息。父母/青少年的伙伴关系和支持父母创造一个健康的家庭,使青少年能够在其中做出更健康的选择,是干预发展的建议。该研究强调了在制定以家庭为基础的干预措施来解决青少年超重和肥胖问题时,将父母的看法考虑在内的重要性。
As most young teenagers grow up in families, parents might be well situated to facilitate and support their weight management and thereby prevent or manage obesity prior to adulthood. This paper explores parents' perceptions of, and views about, their teenage children's weight and the factors that influence parents' weight management strategies. We conducted two qualitative studies in Scotland, UK, involving in‐depth interviews with the parents of overweight/obese and ‘normal’ weight 13–15 year olds (n = 69). Parents' concerns about their own weight provided useful context for understanding their attitudes or actions with regards to their teenage child. Some parents described their teenager's weight as being of concern to them, although puberty often introduced confusion about a child's weight status. Genetic explanations were very often put forward as a way of making sense of teenage weight or body size. Frustration about advising teenagers about weight management was expressed, and some parents worried about giving their growing child a ‘problem’ if they directly raised concerns about weight with them. Parents' views about their own weight as well as social and moral norms about labelling a teenager as overweight or as needing help with their weight could usefully inform patient‐centred service development. Parent/teenage partnerships and supporting parents to create a healthy home in which teenagers can make healthier choices are suggestions for intervention development. The study highlights the importance of taking parents' perceptions into account when developing family‐based interventions to address teenage overweight and obesity.
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