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Latina mothers' feeding practices and child obesity

拉丁裔母亲的喂养方式和儿童肥胖

基本信息

批准号：
6899339
负责人：
ANA CRISTINA TERRA DE SOUZA LINDSAY
金额：
$ 8.2万
依托单位：
HARVARD SCHOOL OF PUBLIC HEALTH
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-06-01 至 2007-05-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Increasing prevalence of childhood overweight is a major public health concern, evident in all age groups and social classes. Children from low-income, under-served minority families are at greatest risk. Rapid secular increases in overweight are of concern due to negative health and psychosocial effects during and beyond childhood, as about half of overweight children become obese adults. Health consequences of overweight and obesity include type-2 diabetes, adverse serum lipid and lipoprotein levels, hypertension, and some cancers, including those affecting the reproductive system. Altering trends in chronic disease will require substantive efforts to reduce incidence of childhood overweight, at very early ages. Strategies ultimately successful in addressing childhood overweight in under-served minorities also will require attention to cultural norms that may vary by race/ethnicity. This qualitative study will systematically examine Latina mothers' perceptions of maternal and infant weight status, child-feeding practices, and how these are related to dietary intake and the development of overweight in children. Furthermore, it will assess sociodemographic, social cultural and feeding environment influences on these relationships. An on-going, community-based intervention trial among low-income, multiethnic, postpartum women provides the base to recruit Latina mothers of young children and permits close collaboration with the public health partners in the translation and dissemination of the research results. The design of proposed research consists of qualitative research in 3 sequential phases including: 1) focus groups 2) in-depth interviews and 3) development and pre-testing a child-feeding questionnaire through cognitive interviewing techniques. This research will inform the design of a subsequent large-scale study of social-contextual determinants of childhood overweight in Latino populations and will have important long-term applications in developing nutrition education strategies for child health promotion that adequately account for the socio-cultural context of minority caregivers.

描述（由申请人提供）：儿童期超重的日益普遍是一个主要的公共卫生问题，在所有年龄组和社会阶层都很明显。来自低收入、得不到充分服务的少数民族家庭的儿童面临的风险最大。由于在儿童期及以后对健康和心理社会产生的负面影响，超重现象长期迅速增加令人关切，因为大约一半的超重儿童会成为肥胖的成年人。超重和肥胖的健康后果包括2型糖尿病、不良的血清脂质和脂蛋白水平、高血压和一些癌症，包括影响生殖系统的癌症。要改变慢性病的趋势，就需要作出实质性的努力，在很小的年龄就减少儿童超重的发生率。最终成功解决服务不足的少数群体儿童超重问题的战略还需要注意可能因种族/族裔而异的文化规范。这项定性研究将系统地研究拉丁美洲母亲的母亲和婴儿的体重状况，儿童喂养的做法，以及这些是如何相关的饮食摄入量和超重的儿童的发展的看法。此外，它将评估社会人口，社会文化和喂养环境对这些关系的影响。一个正在进行的，以社区为基础的干预试验，低收入，多种族，产后妇女提供了基础，招募拉丁裔母亲的幼儿，并允许密切合作，与公共卫生合作伙伴的翻译和传播的研究结果。本研究的设计包括三个连续阶段的质性研究，包括：1）焦点小组，2）深度访谈和3）通过认知访谈技术开发和预测试儿童喂养问卷。这项研究将告知设计随后的大规模研究的社会背景的决定因素在拉丁美洲人口的儿童超重，并将有重要的长期应用在制定营养教育战略，促进儿童健康，充分考虑到少数照顾者的社会文化背景。