Parent perspectives on preschoolers' movement and dietary behaviours: a qualitative study in Soweto, South Africa.
Parent perspectives on preschoolers' movement and dietary behaviours: a qualitative study in Soweto, South Africa.
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DOI：
10.1017/s1368980020003730
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发表时间：
2021-08
影响因子：
3.2
通讯作者：
Draper CE
中科院分区：
文献类型：
--
作者：
Klingberg S;van Sluijs EM;Draper CE
在南非，儿童肥胖症日益受到关注，需要采取干预措施，促进与儿童肥胖有关的健康行为。城市低收入家庭的幼儿尤其容易患上过度肥胖。目前的研究旨在描述南非城市小镇学龄前儿童的父母如何看待儿童的运动和饮食行为，以及相关的障碍和促进者。研究采用了情境主义的定性设计，在家庭环境中进行了深入访谈，并使用反身性主题分析进行了分析。实地笔记被用来说明调查结果的背景。一个以低收入为主的城市城镇的四个居民区。通过幼儿园招募了16名学龄前儿童的父母(14名母亲，2名父亲)。制定了四个主题：儿童的自主性和父母控制的限度；平衡信任和恐惧；屏幕的吸引力；以及为人父母的愿望和压力。健康行为的障碍包括儿童的食物偏好、消费不健康食物的愿望和压力、其他成年人给儿童零食、缺乏安全的玩耍场所、不健康的食物环境和潜在的结构性因素。促进者包括固定的程序、学龄前环境、安全的游戏场所和健康食品的供应。索韦托的低收入家庭面临许多不容易通过公共卫生干预措施解决的结构性挑战，但针对人际和组织方面的行为干预措施可能有机会实现积极的变化，例如睡前作息时间和学龄前零食。南非需要对学龄前儿童的运动和饮食行为以及相关干预措施进行更多研究。
Childhood obesity is of increasing concern in South Africa, and interventions to promote healthy behaviours related to obesity in children are needed. Young children in urban low-income settings are particularly at risk of excess adiposity. The current study aimed to describe how parents of preschool children in an urban South African township view children’s movement and dietary behaviours, and associated barriers and facilitators. A contextualist qualitative design was utilised with in-depth interviews conducted in the home setting and analysed using reflexive thematic analysis. Field notes were used to contextualise findings. Four neighbourhoods in a predominantly low-income urban township. Sixteen parents (fourteen mothers, two fathers) of preschool-age children were recruited via preschools. Four themes were developed: children’s autonomy and the limits of parental control; balancing trust and fears; the appeal of screens; and aspirations and pressures of parenthood. Barriers to healthy behaviours included children’s food preferences, aspirations and pressures to consume unhealthy foods, other adults giving children snacks, lack of safe places to play, unhealthy food environments and underlying structural factors. Facilitators included set routines, the preschool environment, safe places to play and availability of healthy foods. Low-income families in Soweto face many structural challenges that cannot easily be addressed through public health interventions, but there may be opportunities for behavioural interventions targeting interpersonal and organisational aspects, such as bedtime routines and preschool snacks, to achieve positive changes. More research on preschoolers’ movement and dietary behaviours, and related interventions, is needed in South Africa.