Adolescents' understanding of obesity: a qualitative study from rural South Africa.
Adolescents' understanding of obesity: a qualitative study from rural South Africa.
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DOI：
10.1080/16549716.2021.1968598
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发表时间：
2021-01-01
影响因子：
2.6
通讯作者：
Kahn K
中科院分区：
文献类型：
--
作者：
Seabi TM;Wagner RG;Norris SA;Tollman SM;Twine R;Dunger DB;Kahn K
南非的肥胖率正在上升，尤其是青春期女性的肥胖率。过多的高能量饮食和缺乏身体活动是导致这种增加的因素之一。鉴于这些因素主要是行为因素，了解年轻人对肥胖的看法有助于更有针对性的行为干预。然而，人们对南非农村青少年如何看待肥胖却知之甚少。本研究的目的是探讨南非农村青少年对肥胖的看法，包括他们对其原因、后果和解决方案的理解。这项定性研究是在南非东北部农村地区的 MRC/Wits 农村公共卫生和健康转型研究单位（Agincourt）研究区内进行的。 2018 年，我们与 14-19 岁的男性青少年 (n = 16) 和女性青少年 (n = 15) 进行了三场焦点小组讨论。使用主题分析和用于构建研究结果的社会认知理论对数据进行了分析。参与者对肥胖提出了相互矛盾的看法，有积极的观点，也有消极的观点。肥胖的原因被认为是多因素的，包括遗传、饮食、缺乏体力活动和艾滋病毒治疗。青少年建议通过药物治疗和住院治疗来解决肥胖问题。在讨论解决肥胖问题的干预措施时，青少年表示需要更多信息，这表明作为干预措施的一部分，向自己及其家人提供信息非常重要。南非农村青少年对肥胖有着复杂的看法，部分原因可能是当前正在进行的营养转型，他们并不认为个人行为是肥胖的驱动因素或缓解因素。需要采取包括其他家庭成员参与在内的复杂干预措施来改变青少年对个人角色的看法，并最终改变个人和家庭行为以预防肥胖。
Levels of obesity are rising in South Africa, notably among adolescent females. Excessive energy-dense diets and physical inactivity are among the factors contributing to this increase. Given that these factors are largely behavioural, understanding young people’s views of obesity can contribute to more targeted behavioural interventions. Yet little is known of how rural South African adolescents view obesity. The aim of this study was to explore rural South African adolescents’ views of obesity, including their understanding of its causes, consequences, and solutions. This qualitative study took place within the MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) study area, in rural northeast South Africa. Three focus group discussions were held with male (n = 16) and female adolescents (n = 15), aged 14–19 years in 2018. Data were analysed using thematic analysis and the Social Cognitive Theory used to frame the findings. Participants presented conflicting views of obesity, with both positive and negative opinions expressed. Causes of obesity were seen to be multifactorial, including genetics, diet, lack of physical activity, and HIV treatment. Adolescents proposed medication and hospitalisation as ways to address obesity. When discussing interventions to address obesity, adolescents expressed the need for more information, suggesting that providing information to both themselves and their family members as part of interventions would be important. Rural South African adolescents have a complex perspective of obesity, likely driven in part by the current nutrition transition underway and do not inherently see individual behaviour as a driver or mitigator of obesity. Complex interventions including the involvement of other household members are needed to change adolescents’ views on the role of the individual, and ultimately, change both individual and household behaviour to prevent obesity.
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影响因子：
3.7
作者：
Mollerup PM;Gamborg M;Trier C;Bøjsøe C;Nielsen TR;Baker JL;Holm JC
通讯作者：
Holm JC
影响因子：
4.5
作者：
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通讯作者：
Taylor, Myra
影响因子：
7.1
作者：
Koethe, John R.;Heimburger, Douglas C.
通讯作者：
Heimburger, Douglas C.
影响因子：
1.1
作者：
Biggs, Chara;Spooner, Elizabeth
通讯作者：
Spooner, Elizabeth
影响因子：
4.5
作者：
Kimani-Murage EW;Kahn K;Pettifor JM;Tollman SM;Dunger DB;Gómez-Olivé XF;Norris SA
通讯作者：
Norris SA