Conflicts between adolescents and their caregivers living in slums of Mumbai, India in relation to junk food consumption and physical activity.

Conflicts between adolescents and their caregivers living in slums of Mumbai, India in relation to junk food consumption and physical activity.
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DOI:
10.1017/s1368980020001640
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发表时间:
2021-11
影响因子:
3.2
通讯作者:
TALENT collaboration
TALENT collaboration
中科院分区:
医学3区
文献类型:
--
作者:
Chopra HV;Gandhi MJ;Sahariah SA;Weller S;Potdar RD;Barker M;Kehoe SH;Fall CH;Hardy-Johnson P;TALENT collaboration

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从青少年及其照顾者的角度,探讨对孟买贫民窟青少年饮食和体力活动的影响。来自孟买的三名调查人员进行了六次焦点小组讨论(FGD)。这项研究在孟买郊区的贫民窟进行。36名青少年(10-12岁和15-17岁)和23名照顾者通过方便抽样被招募。调查结果突显了青少年和照顾者之间围绕青少年垃圾食品消费和体育活动机会的复杂谈判。照顾者学习了准备受欢迎的垃圾食品的食谱,以鼓励青少年多吃家里做的食物,少吃外面的食物,但青少年仍然更喜欢在外面吃。对于青少年来说,与朋友一起吃垃圾食品的社交方面是一种重要而愉快的经历。照顾者觉得他们无法控制青少年的食物选择,而青少年则觉得他们的饮食是由父母决定的。青少年想要参加体育活动,但却被鼓励专注于学业。性别也是身体活动的一个关键驱动因素,由于文化和宗教因素以及父母对其安全的担忧,女孩不太优先使用户外空间。这些发现表明,青少年和照顾者在青少年饮食方面有不同的议程。与男孩相比,青春期女孩进行健康运动的机会更少,而且更久坐不动。青少年和照顾者需要参与设计有效的干预措施,例如为女孩提供活动空间,以及鼓励健康饮食或体育活动的智能手机游戏。
To explore influences on the diet and physical activity of adolescents living in Mumbai slums, from the perspectives of adolescents and their caregivers. Three investigators from Mumbai conducted six focus group discussions (FGDs). The study was conducted in suburban Mumbai slums. 36 adolescents (aged 10-12 and 15-17 years) and 23 caregivers were recruited through convenience sampling. The findings highlighted the complex negotiations between adolescent and caregivers surrounding adolescent junk food consumption and physical activity opportunities. Caregivers learned recipes to prepare popular junk foods to encourage adolescents to eat more home-cooked, and less ‘outside’ food, yet adolescents still preferred to eat outside. To adolescents, the social aspect of eating junk food with friends was an important and enjoyable experience. Caregivers felt that they had no control over adolescents’ food choices whereas adolescents felt their diets were dictated by their parents. Adolescents wanted to be physically active but were encouraged to focus on their academic studies instead. Gender was also a key driver of physical activity, with girls given less priority to use outside spaces due to cultural and religious factors, and parental fears for their safety. These findings show that adolescents and caregivers have different agendas regarding adolescent diet. Adolescent girls have less opportunity for healthy exercise, and are more sedentary, than boys. Adolescents and caregivers need to be involved in designing effective interventions such as making space available for girls to be active, and smartphone games to encourage healthy eating or physical activity.