Nutritional strategies of Latino farmworker families with preschool children: identifying leverage points for obesity prevention.
Nutritional strategies of Latino farmworker families with preschool children: identifying leverage points for obesity prevention.
复制标题
有学龄前儿童的拉丁裔农场工人家庭的营养策略：确定预防肥胖的杠杆点。
DOI：
10.1016/j.socscimed.2014.10.029
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发表时间：
2014-12
影响因子：
5.4
通讯作者：
Arcury, Thomas A.
中科院分区：
文献类型：
--
作者：
Quandt, Sara A.;Grzywacz, Joseph G.;Trejo, Grisel;Arcury, Thomas A.
肥胖和超重是美国儿童面临的重大问题，尤其是西班牙裔儿童。本文重点关注西班牙裔农场工人移民家庭的孩子，因为农场工作是许多移民来到美国的门户。本文（1）描述了农民工家庭儿童喂养的营养策略模型； (2) 使用该模型来确定改善这些儿童营养状况的杠杆点。 2010-2011 年，我们用西班牙语对北卡罗来纳州招募的 33 名农场工人家庭中 2-5 岁孩子的母亲进行了深入访谈。目的样本根据农场工人身份（移民或季节性）、儿童年龄和儿童性别进行平衡。采访内容已被转录和翻译。使用了多个编码员和团队分析方法。营养战略集中在采购粮食、使用粮食和维护粮食安全等领域。这些领域的内容反映了环境因素（例如，农村隔离、共享住房）、背景因素（例如，对适当食物的信念、养育方式）和可用资源（例如，收入、政府计划）。环境隔离和资源获取有限减少了家庭粮食供应的数量和多样性。父母的行为（父母的牺牲、减少饮食多样性）试图缓冲孩子的情绪。使用政府食物来源对于符合条件的家庭很有价值。建议采用杠杆点来改变营养策略的组成部分并降低超重和肥胖的风险。需要进一步的前瞻性研究来验证所确定的营养策略，并测试杠杆点预防这一弱势群体儿童肥胖的能力。
Obesity and overweight are significant problems for children in the US, particularly for Hispanic children. This paper focuses on the children in families of immigrant Hispanic farmworkers, as farm work is the portal though which many immigrants come to the US. This paper (1) describes a model of the nutritional strategies of child feeding in farmworker families; and (2) uses this model to identify leverage points for efforts to improve the nutritional status of these children. In-depth interviews were conducted in Spanish with 33 mothers of 2–5 year old children in farmworker families recruited in North Carolina in 2010–2011. The purposive sample was balanced by farmworker status (migrant or seasonal), child age, and child gender. Interviews were transcribed and translated. Multiple coders and a team approach to analysis were used. Nutritional strategies centered on domains of procuring food, using food, and maintaining food security. The content of these domains reflected environmental factors (e.g., rural isolation, shared housing), contextual factors (e.g., beliefs about appropriate food, parenting style), and available resources (e.g., income, government programs). Environmental isolation and limited access to resources decrease the amount and diversity of household food supplies. Parental actions (parental sacrifices, reduced dietary variety) attempt to buffer children. Use of government food sources is valuable for eligible families. Leverage points are suggested that would change nutritional strategy components and lower the risk of overweight and obesity. Further prospective research is needed to verify the nutritional strategy identified and to test the ability of leverage points to prevent childhood obesity in this vulnerable population.
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