Perceptions of eating practices and physical activity among Malaysian adolescents in secondary schools: a qualitative study with multi-stakeholders
Perceptions of eating practices and physical activity among Malaysian adolescents in secondary schools: a qualitative study with multi-stakeholders
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DOI：
10.1017/s1368980020002293
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发表时间：
2021-06-01
影响因子：
3.2
通讯作者：
Majid, Hazreen Abdul
中科院分区：
文献类型：
--
作者：
Mohammadi, Shooka;Su, Tin Tin;Majid, Hazreen Abdul
目的：运用质的研究方法，对马来西亚青少年进行形成性研究，了解他们对健康饮食和体育活动(PA)的认知、障碍和促进者。设计：8个焦点小组和12个深度访谈的定性研究。焦点小组和访谈被逐字记录和转录。研究背景：马来西亚别拉克州和雪兰阁州的四所中学(两所城市学校和两所乡村学校)。参与者：对76名13-14岁的青少年进行了焦点小组调查，并对4名校长、4名PA教育教师和4名食堂经营者进行了深入访谈。结果：利益相关者认为青少年的误解、健康选择的有限、不健康的食物偏好和负担能力是阻碍学校健康饮食的重要挑战。低质量的体育课、有限的青少年参与和教师在课堂上的承诺被认为是阻碍青少年在学校积极活动的障碍。负担能力是农村学校青少年面临的主要挑战。利益相关者认为，未来的校本干预应改善健康食品的可获得性和补贴，为青少年和体育教师提供健康教育/培训，加强青少年对体育的积极参与，并建立社会支持机制，促进与PA的接触。结论：这些发现为开展学校生活方式干预以改善马来西亚青少年的健康饮食和加强PA提供了重要的启示。
Objective:To conduct formative research using qualitative methods among stakeholders of secondary schools to explore their perceptions, barriers and facilitators related to healthy eating and physical activity (PA) among Malaysian adolescents.Design:A qualitative study involving eight focus groups and twelve in-depth interviews. Focus groups and interviews were recorded and transcribed verbatim. An inductive thematic analysis approach was used to analyse the data.Setting:Four secondary schools in Perak and Selangor states (two urban and two rural schools) in Malaysia.Participants:Focus groups were conducted with seventy-six adolescents aged 13-14 years, and in-depth interviews were conducted with four headmasters, four PA education teachers and four food canteen operators.Results:Stakeholders thought that adolescents' misperceptions, limited availability of healthy options, unhealthy food preferences and affordability were important challenges preventing healthy eating at school. Low-quality physical education (PE) classes, limited adolescent participation and teachers' commitment during lessons were perceived as barriers to adolescents being active at school. Affordability was the main challenge for adolescents from rural schools. Stakeholders perceived that a future school-based intervention should improve the availability and subsidies for healthy foods, provide health education/training for both adolescents and PE teachers, enhance active adolescent participation in PE and develop social support mechanisms to facilitate engagement with PA.Conclusions:These findings provide important insights into developing school-based lifestyle interventions to improve healthy eating and strengthening PA of Malaysian adolescents.