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Molina P, Coloma MJ, Gálvez P, Stecher MJ, Vizcarra M, Schwingel A. Food Parenting Practices Promoted by Childcare and Primary Healthcare Centers in Chile: What Influences Do These Practices Have on Parents? A Qualitative Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1875. [PMID: 38136077 PMCID: PMC10741564 DOI: 10.3390/children10121875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 11/15/2023] [Accepted: 11/22/2023] [Indexed: 12/24/2023]
Abstract
Chile, like many other countries in the world, is experiencing a high prevalence of childhood overweight. Among the factors influencing children's eating behaviors are the food parenting practices promoted by community organizations. More information is needed on the influences of these recommendations on the parenting practices of parents of preschoolers. This study examined what types of food parenting practices are promoted in childcare and primary healthcare centers and how these recommendations influence subsequent parental behavior. Interviews using photo-elicitation were conducted with 25 parents of Chilean preschoolers. The interviews were analyzed using inductive thematic analysis. Five themes were identified to describe food parenting practices promoted by community organizations and the influences that these practices had on parents of preschoolers. Healthcare centers were found to educate parents and provided a structured feeding. However, parents found their advice regarding dietary restriction challenging to follow. Childcare centers also provided information about healthy diet, food monitoring, and diversifying the child's diet in a way that was perceived as adequate. While childcare centers encouraged structured and autonomous food parenting practices in a positive and supportive manner, healthcare centers tended to provide more restrictive guidance that posed challenges for parents struggling with preschool nutritional care.
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Affiliation(s)
- Paulina Molina
- Departamento de Nutrición, Facultad de Medicina, Universidad de Chile, Independencia, Región Metropolitana, Santiago 8380453, Chile; (P.M.); (P.G.)
| | - María José Coloma
- Department of Viceral Surgery and Medicine, Inselspital, University of Bern, 3010 Bern, Switzerland;
| | - Patricia Gálvez
- Departamento de Nutrición, Facultad de Medicina, Universidad de Chile, Independencia, Región Metropolitana, Santiago 8380453, Chile; (P.M.); (P.G.)
| | | | - Marcela Vizcarra
- Centro de Investigación del Comportamiento Alimentario, Escuela de Nutrición y Dietética, Facultad de Farmacia, Universidad de Valparaíso, Valparaíso 2360102, Chile
- Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Fourth St., Champaign, IL 61820, USA;
| | - Andiara Schwingel
- Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Fourth St., Champaign, IL 61820, USA;
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McClain AC, Johnson CM, DiRado-Owens C, Dickin KL. How do Latina/o Parents Interpret and Respond to the US Household Food Security Survey Module? A Qualitative Cognitive Interviewing Study. J Acad Nutr Diet 2023; 123:S25-S45. [PMID: 37730305 PMCID: PMC10581700 DOI: 10.1016/j.jand.2023.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 07/07/2023] [Accepted: 07/12/2023] [Indexed: 09/22/2023]
Abstract
BACKGROUND The US Latino/a population disproportionately lives in poverty and experiences household food insecurity, especially households with children. The Household Food Security Survey Module (FSSM) was originally developed among rural White women. Despite wide use in English and Spanish, how well the FSSM captures the food insecurity experiences of Latino/a households is not well known. OBJECTIVE This study explored how Latino/a caregivers understood, interpreted, and perceived FSSM items and responses, and how well quantitative FSSM responses captured their reported food insecurity experiences. DESIGN Trained researchers conducted in-depth cognitive interviews in a qualitative study. PARTICIPANTS AND SETTING Interviews were conducted between October 2021 and August 2022 with Latino/a adults (N = 62) experiencing food insecurity while caring for a child (aged 18 years or younger) in the same household, and living in California, New York, or Texas. STATISTICAL ANALYSIS PERFORMED Qualitative analysis using iterative summaries for data reduction focused on item interpretation, response patterns, and cross-cutting themes. RESULTS Participants generally understood FSSM items as intended. The most salient findings were themes that applied across multiple FSSM items rather than wording issues with specific items. Underreporting of food insecurity was linked to nonaffirmative ("never") responses to items referencing not having enough money for food while describing reliance on nonmonetary resources (eg, food assistance or food pantries); emotional sensitivity to discussing food insecurity, particularly as it related to children; stigma and emotions related to skipping meals; and limited response options that participants believed did not reflect their experiences. These issues influenced multiple items, impeding ease of responding and leading to inaccurate responses in English- and Spanish-language versions. CONCLUSIONS Assessing coping strategies and providing more acceptable response options could enhance FSSM validity. Considering emic perspectives of Latino/a caregivers and how food access experiences differ from quantitative survey measures of food security could strengthen policy and programs.
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Affiliation(s)
- Amanda C McClain
- School of Exercise and Nutritional Sciences, San Diego State University, San Diego, California.
| | - Cassandra M Johnson
- School of Family and Consumer Sciences, Texas State University, San Marcos, Texas
| | | | - Katherine L Dickin
- Department of Public and Ecosystem Health, Cornell University, Ithaca, New York
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Johnson CM, Allicock MA, Sharkey JR, Umstattd Meyer MR, Gómez L, Prochnow T, Laviolette C, Beltrán E, Garza LM. Promotoras de Salud in a Father-Focused Nutrition and Physical Activity Program for Border Communities: Approaches and Lessons Learned from Collaboration. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11660. [PMID: 36141933 PMCID: PMC9517298 DOI: 10.3390/ijerph191811660] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 09/06/2022] [Accepted: 09/09/2022] [Indexed: 06/16/2023]
Abstract
Promotoras de salud (promotoras) have been a valuable part of community research for Latino families, such as in the recruitment or delivery of health promotion programs. However, there has been limited discussion of how to integrate a promotora model into a father-focused program to support nutrition and physical activity within Latino families. This manuscript's purpose is to describe how to engage and collaborate with promotoras in a father-focused, family-centered program for Latino families living in colonias near the U.S.-Mexico border. As part of a longstanding community-academic partnership, the authors outline approaches and lessons learned from collaboration with promotoras during the design (including formative work and training), implementation, and evaluation of a behavioral program-¡Haz Espacio para Papi! (HEPP, Make Room for Daddy!). Promotoras' contributions supported the entire program, from design through evaluation. The team of all-female promotoras created a balance between the needs and preferences of the community and the goals and requirements of the research. While there is considerable time and human capital required for collaboration, the mutual benefits can make this work meaningful to all involved.
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Affiliation(s)
- Cassandra M. Johnson
- Nutrition and Foods Program, School of Family and Consumer Sciences, Texas State University, San Marcos, TX 78666, USA
| | - Marlyn A. Allicock
- Department of Health Promotion and Behavioral Sciences, School of Public Health-Dallas Regional Campus, The University of Texas Health Science Center at Houston, Dallas, TX 75207, USA
| | - Joseph R. Sharkey
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA
| | - M. Renée Umstattd Meyer
- Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76706, USA
| | - Luis Gómez
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA
| | - Tyler Prochnow
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA
| | - Chelsey Laviolette
- Nutrition and Foods Program, School of Family and Consumer Sciences, Texas State University, San Marcos, TX 78666, USA
| | - Elva Beltrán
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA
| | - Luz M. Garza
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX 77843, USA
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Flores I, Consoli AJ, Gonzalez JC, Sanchez EL, Barnett ML. " Todo Se Hace de Corazón:" An Examination of Role and Identity Among Latina Promotoras de Salud. JOURNAL OF LATINX PSYCHOLOGY 2022; 10:5-24. [PMID: 35112070 PMCID: PMC8802993 DOI: 10.1037/lat0000194] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Promotoras de salud are community health workers that mostly help the underserved members of Latinx communities. They seek to reduce health disparities through community engagement and work that is voluntary or mostly unpaid. While there is evidence that promotoras aid in prevention, follow-up care, and treatment adherence, little is known about promotoras themselves, specifically, the impact that fulfilling their roles has on their views of themselves and their service identities. Fourteen Spanish-speaking, Latina promotoras were interviewed individually about their experiences and their motivation for the role. Four themes emerged from the content analysis of the participant responses: "Uno Nace Siendo Promotora:" One is Born Being a Promotora, "Poner Esa Semillita:" To Plant a Seed by Sharing Knowledge, "Es un Regalo Ser Promotora:" It is a Gift to be a Promotora, and "Se Hace por Amor pero también Hay Necesidad:" A Labor of Love but there are Needs too. The findings show that assuming and enacting the promotora role had positive benefits, both personal and professional, despite the often-limited recognition they received. The findings have multiple implications for the development of health and prevention programs, particularly for those that involve promotoras de salud.
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Affiliation(s)
- Iliana Flores
- Department of Counseling, Clinical, and School Psychology, University of California, Santa Barbara
| | - Andrés J Consoli
- Department of Counseling, Clinical, and School Psychology, University of California, Santa Barbara
| | - J C Gonzalez
- Department of Counseling, Clinical, and School Psychology, University of California, Santa Barbara
| | - Erika Luis Sanchez
- Department of Counseling, Clinical, and School Psychology, University of California, Santa Barbara
| | - Miya L Barnett
- Department of Counseling, Clinical, and School Psychology, University of California, Santa Barbara
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Johnson CM, Sharkey JR, Umstattd Meyer MR, Gómez L, Allicock MA, Prochnow T, Beltrán E, Martinez L. Designing for Multilevel Behavior Change: A Father-Focused Nutrition and Physical Activity Program for Mexican-Heritage Families in South Texas Border Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910117. [PMID: 34639420 PMCID: PMC8508574 DOI: 10.3390/ijerph181910117] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 09/17/2021] [Accepted: 09/19/2021] [Indexed: 11/16/2022]
Abstract
Fathers significantly influence family functioning, as coparents and partners, and must be part of family-based approaches to behavioral health interventions or programs. But little is known regarding how to support Latino fathers in health promotion within their family systems, specifically for Latino families living in border communities. Program development was embedded in a larger community-based grant and part of a longstanding academic-community collaboration. An interdisciplinary research team applied theories related to health behavior, family systems, behavior change, and community engagement to develop a father-focused and family-centered behavioral program for Mexican-heritage fathers and children living near the Texas-Mexico border to support changes in nutrition and physical activity at the individual and family levels. Promotoras de salud (trained community health workers) delivered the program through group sessions, check-in calls, and at-home activities. Group session activities were designed to engage family triads and dyads using experiential education related to nutrition and physical activity, like cooking lessons and active play, over a six-week period. Future research can use the program approach and curricula as a roadmap for designing context-specific and culturally-relevant programs for Latino families. Additional research is needed to explore how approaches like this can support families and their health goals.
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Affiliation(s)
- Cassandra M. Johnson
- Nutrition and Foods Program, School of Family and Consumer Sciences, Texas State University, San Marcos, TX 78666, USA
- Correspondence: ; Tel.: +1-(512)-245-9196
| | - Joseph R. Sharkey
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
| | - M. Renée Umstattd Meyer
- Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76706, USA;
| | - Luis Gómez
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
| | - Marlyn A. Allicock
- The University of Texas Health Science Center, Department of Health Promotion and Behavioral Sciences, Houston School of Public Health-Dallas Regional Campus, Dallas, TX 75207, USA;
| | - Tyler Prochnow
- Department of Health and Kinesiology, College of Education and Human Development, Texas A&M University, College Station, TX 77843, USA;
| | - Elva Beltrán
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
| | - Luz Martinez
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
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[Family influences on maternal feeding practices of preschool children from vulnerable families in the Metropolitan Region of Chile]. Aten Primaria 2021; 53:102122. [PMID: 34144427 PMCID: PMC8220171 DOI: 10.1016/j.aprim.2021.102122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 04/20/2021] [Accepted: 04/21/2021] [Indexed: 11/26/2022] Open
Abstract
Objetivo Explorar las influencias de integrantes del grupo familiar en las prácticas de alimentación de madres hacia preescolares, en familias de barrios vulnerables en la Región Metropolitana de Santiago, Chile. Diseño Estudio cualitativo. Lugar Nueve jardines infantiles de la Región Metropolitana, Santiago, Chile. Participantes Veinticuatro madres y un padre de hijos preescolares. Método Se realizaron 25 entrevistas semiestructuradas con técnica de foto-elicitación y su posterior análisis temático inductivo de las influencias familiares. Resultados Las participantes describieron que las influencias familiares sobre las prácticas de alimentación que aplicaban en sus hijos preescolares dependían de la estructura familiar y de la cercanía entre familiares. Algunas de estas influencias afectan directamente la conducta alimentaria del niño, especialmente en familiares que cohabitan juntos, mientras que otras estaban mediadas por las relaciones generadas entre padres y otros miembros de la familia. El padre, en familias biparentales, y abuelos del preescolar son los familiares más influyentes. Los padres participan en la alimentación del niño y generalmente se alinean a las prácticas de alimentación con la madre. Los abuelos enriquecen la experiencia alimentaria de preescolares ofreciendo preparaciones caseras, expresando afecto con los alimentos, incluso opciones poco saludables, y apoyando a padres a diversificar y estructurar la alimentación del niño. Conclusiones El impacto de familiares y sus dinámicas en las prácticas alimentarias parentales y la alimentación de preescolares varían según la cercanía o cohabitación entre familiares. El desarrollo de estrategias de prevención y tratamiento de obesidad infantil debería considerar un enfoque familiar en familias vulnerables.
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Milasan LH, Bingley AF, Fisher NR. The big picture of recovery: a systematic review on the evidence of photography-based methods in researching recovery from mental distress. Arts Health 2020; 14:165-185. [PMID: 33252304 DOI: 10.1080/17533015.2020.1855453] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Background: In the context of a growing body of literature on incorporating visual media in researching well-being and mental health, this systematic review examined the evidence of using photography-based research methods in exploring recovery from mental distress, their outcomes, but also limitations and challenges encountered by researchers.Methodology: Six cross-disciplinary electronic databases (CINAHL, MEDLINE, Web of Science, Scopus, PsycINFO, Arts & Humanities) were systematically searched resulting in a total of 15 qualitative and mixed-methods studies included in a thematic synthesis.Results: Photo-elicitation and photovoice were identified as the main photographic methods employed in recovery research along with less common, but nonetheless creative, techniques. Four key themes were identified through thematic analysis in photography-based recovery studies: enhanced understanding, collaboration and empowerment, situatedness, and storytelling. The results of this review revealed photography as a valuable methodological tool with potential to contribute to conceptualising recovery from the stance of research participants, but also facilitate and support their recovery processes.Conclusions: Recovery research can benefit from the use of photographic methods that are widely accessible, versatile, and interactive. They may offer mental health researchers alternative ways to explore individuals' perspective on recovery in ways that are creative, empowering, and supportive of their recovery.
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Affiliation(s)
- Lucian H Milasan
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
| | - Amanda F Bingley
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
| | - Naomi R Fisher
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
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Berkel C, Smith JD, Bruening MM, Jordan N, Fu E, Mauricio AM, Grimm KJ, Winslow E, Ray K, Bourne A, Dishion TJ. The Family Check-Up 4 Health: Study protocol of a randomized type II hybrid effectiveness-implementation trial in integrated primary care (the healthy communities 4 healthy students study). Contemp Clin Trials 2020; 96:106088. [PMID: 32707101 PMCID: PMC7374139 DOI: 10.1016/j.cct.2020.106088] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 07/13/2020] [Accepted: 07/17/2020] [Indexed: 12/31/2022]
Abstract
BACKGROUND Parenting interventions like the Family Check-Up have demonstrated effects on child physical and behavioral health outcomes. However, access to these programs is limited, particularly for populations experiencing health disparities. Primary care settings have become recognized as a potential delivery system in which these programs may be implemented at scale. The purpose of this trial is to test the effectiveness of the Family Check-Up 4 Health (FCU4Health) program, an adaptation of the FCU for primary care, and assess program implementation in an integrated primary care setting. METHODS We will conduct a hybrid type 2 effectiveness-implementation trial in partnership with a primary care clinic in a low-income, majority Latino community. Families with 2- to 5-year-old children will be eligible to participate. Families will be randomized to receive the intervention (n = 130) or services as usual (n = 70) and will be assessed annually over three years. Outcomes are informed by the RE-AIM framework (i.e., reach, effectiveness, adoption, implementation, and maintenance). Effectiveness outcomes include child health behaviors (e.g., Dietary Screener Questionnaire), behavioral health (e.g., Strengths and Difficulties Questionnaire), and parenting (e.g., Proactive Parenting). Early stage implementation outcomes are also included (e.g., cost, acceptability, appropriateness, and feasibility). Effectiveness outcomes will be assessed via intent-to-treat (ITT) analyses. Implementation outcomes will be primarily descriptive with comparisons to prior trials of FCU4Health and the original FCU. PROJECTED OUTCOMES This trial will provide evidence related to the potential of integrated primary care settings to deliver evidence-based preventive interventions with a dual focus on behavioral and physical health.
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Affiliation(s)
- Cady Berkel
- REACH Institute, Arizona State University, Tempe, AZ, USA; Phoenix Children's Hospital, Phoenix, AZ, USA.
| | - Justin D Smith
- Center for Prevention Implementation Methodology (Ce-PIM), Department of Psychiatry and Behavioral Sciences, Department of Preventive Medicine, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Meg M Bruening
- Department of Nutrition, Arizona State University, Tempe, AZ, USA
| | - Neil Jordan
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Emily Fu
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | | | - Kevin J Grimm
- Department of Psychology, Arizona State University, Tempe, AZ, USA
| | - Emily Winslow
- REACH Institute, Arizona State University, Tempe, AZ, USA
| | - Kristen Ray
- Bayless Integrated Healthcare, Phoenix, AZ, USA
| | - Annette Bourne
- Southwest Maricopa Regional Council, First Things First, Peoria, AZ, USA
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Vizcarra M, Palomino AM, Iglesias L, Valencia A, Gálvez Espinoza P, Schwingel A. Weight Matters-Factors Influencing Eating Behaviors of Vulnerable Women. Nutrients 2019; 11:nu11081809. [PMID: 31390758 PMCID: PMC6723940 DOI: 10.3390/nu11081809] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 07/31/2019] [Accepted: 08/02/2019] [Indexed: 11/16/2022] Open
Abstract
Women from low socioeconomic backgrounds are more affected by obesity than men. The influence of weight as a determinant of women's eating behaviors has seldom been studied, especially in Latin America. In this study, we analyzed the food choices of vulnerable women according to their weight status. We conducted photo-elicitation interviews with 31 women from low-income neighborhoods in Santiago, Chile. Weight and height were measured and participants were divided into normal weight (n = 9), overweight (n = 15), and obese groups (n = 7) according to World Health Organization (WHO) body mass index (BMI) categories (p < 0.001). Quantitative and qualitative approaches were used for the analysis. Women in overweight and obese groups described more about their families, temporality, financial issues, and food perception. When weight groups were analyzed separately, more factors explaining eating behaviors were found (mental and physical health, body dissatisfaction, gender role, and obstacles for eating healthy) in the obese group. Results suggest that women with obesity or overweight based their diets on more internal and external factors than did normal weight women. This study contributes to our understanding of why changing behaviors can be difficult in women with obesity. Health care providers should consider these factors in the implementation of programs to address the need for a healthy diet for overweight and obese women.
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Affiliation(s)
- Marcela Vizcarra
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA
| | - Ana María Palomino
- Department of Nutrition, College of Medicine, Universidad de Chile, Santiago 8380453, Chile
- Department of Primary Care and Family Health, College of Medicine, Universidad de Chile, Santiago 8900085, Chile
| | - Lorena Iglesias
- Department of Nutrition, College of Medicine, Universidad de Chile, Santiago 8380453, Chile
| | - Alejandra Valencia
- Department of Nutrition, College of Medicine, Universidad de Chile, Santiago 8380453, Chile
| | | | - Andiara Schwingel
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA
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McClain AC, Dickin KL, Dollahite J. Life course influences on food provisioning among low-income, Mexican-born mothers with young children at risk of food insecurity. Appetite 2019; 132:8-17. [DOI: 10.1016/j.appet.2018.09.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Revised: 07/18/2018] [Accepted: 09/18/2018] [Indexed: 11/28/2022]
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Pettinger C, Letherby G, Parsons JM, Withers L, Cunningham M, Whiteford A, D’Aprano G, Ayres R, Sutton C. Employing participatory methods to engage an under-researched group: Opportunities and challenges. METHODOLOGICAL INNOVATIONS 2018. [DOI: 10.1177/2059799118769820] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In this article, we report on our experience of working on an exploratory project where the primary objective was to involve homeless service users with food-based participatory qualitative approaches. The project FLM aimed to explore food experiences and behaviours in a sample of users of homelessness services in a south west UK coastal city, in order to create solutions to improve their wellbeing. A mixture of qualitative methods was used, including observations, photo-elicitation and focus group discussions. We aimed to be participatory and ‘creative’ in our approach and in our analysis. Here, we focus on detailing and critiquing our approach to the collection and analysis of data.
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Affiliation(s)
- Clare Pettinger
- Dietetics, School of Health Professions, Plymouth University, Plymouth, UK
| | - Gayle Letherby
- Sociology, School of Health Professions, Plymouth University, Plymouth, UK
| | - Julie M Parsons
- Sociology, School of Government, Plymouth University, Plymouth, UK
| | - Lyndsey Withers
- Peninsula School of Medicine and Dentistry, Plymouth University, Plymouth, UK
| | - Miranda Cunningham
- Occupational Therapy, School of Health Professions, Plymouth University, Plymouth, UK
| | - Andrew Whiteford
- Social Work, School of Health Professions, Plymouth University, Plymouth, UK
| | - Gia D’Aprano
- Dietetics, School of Health Professions, Plymouth University, Plymouth, UK
| | - Richard Ayres
- Peninsula School of Medicine and Dentistry, Plymouth University, Plymouth, UK
| | - Carole Sutton
- Sociology, School of Government, Plymouth University, Plymouth, UK
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Triandafilidis Z, Ussher JM, Perz J, Huppatz K. Young Australian women's accounts of smoking and quitting: a qualitative study using visual methods. BMC WOMENS HEALTH 2018; 18:5. [PMID: 29301518 PMCID: PMC5755039 DOI: 10.1186/s12905-017-0500-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 12/19/2017] [Indexed: 11/21/2022]
Abstract
Background Although the overall rate of smoking in Australia continues to decline, the rate of decline has begun to slow. Rates of smoking among young women in Australia have been a particular concern, which has led to the development of targeted public health campaigns. Poststructuralist theory has successfully been used in research to explore the way in which young women experience smoking. However, there is an absence of poststructuralist analysis of young women’s experiences of quitting. This study aims to address this gap. Methods We carried out 27 interviews with young Australian women smokers and ex-smokers. Eighteen of those women then participated in a photography activity and follow-up interviews. A Foucauldian discourse analysis of the data was conducted. Results Through our analysis, we identified three discourses: ‘The irresponsibility of smoking: Quitting as responsible’, ‘The difficulties of quitting: Smoking as addictive’, and ‘Making a decision to quit: Smoking as a choice’. In relation to these discourses, participants took up contradictory positions of responsibility and resistance, addiction and agency. Taking up these positions had implications for young women’s subjectivity, and the way they engaged with tobacco controls and cessation support. Conclusions The analysis highlights the complex and contradictory nature of young women’s experiences with smoking and quitting. The study’s findings are considered in relation to the improvement of tobacco control policies and cessation support programmes targeted at young women.
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Affiliation(s)
- Zoi Triandafilidis
- Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith South, NSW, 2751, Australia.
| | - Jane M Ussher
- Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith South, NSW, 2751, Australia
| | - Janette Perz
- Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith South, NSW, 2751, Australia
| | - Kate Huppatz
- School of Social Sciences and Psychology, Western Sydney University, Locked Bag 1797, Penrith South, NSW, 2751, Australia
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Fernández-Prieto I, Canet O, Giné-Garriga M. Physical Activity Perceptions in Adolescents: A Qualitative Study Involving Photo Elicitation and Discussion Groups. JOURNAL OF ADOLESCENT RESEARCH 2017. [DOI: 10.1177/0743558417712612] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Adolescence is a key period in life when most of the healthy habits that will affect health during adulthood are established. Numerous interventions based on the acquisition of regular physical activity (PA) in the adolescent population have so far yielded no success, mainly in the long term. Qualitative phenomenological research was used to identify adolescents’ perceived barriers and motivations to regular PA practice, and how they form the concept of PA through thought and action. This study constitutes an explicative design using photo elicitation (PE) and discussion group (DG) techniques to explore different aspects and meanings associated with PA, as well as their perceptions toward PA practice. The study was conducted on adolescents from a randomly selected district in Barcelona (Catalonia), Spain. Through the use of PE, a total of 67 photographs were analyzed. A DG was conducted with a group of 10 teenagers. Input from the DG was examined using interpretative phenomenological analysis. The findings show that social, familial, and environmental factors become motivational elements for the regular practice of PA. The findings observed relevant aspects linked to general barriers and to particular ones associated with young women. This study also considered implications for future interventions.
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Affiliation(s)
| | - Olga Canet
- Universitat Ramon Llull, Barcelona, Spain
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Raskind IG, Woodruff RC, Ballard D, Cherry ST, Daniel S, Haardörfer R, Kegler MC. Decision-making processes shaping the home food environments of young adult women with and without children. Appetite 2017; 113:124-133. [DOI: 10.1016/j.appet.2017.02.027] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Revised: 02/17/2017] [Accepted: 02/18/2017] [Indexed: 10/20/2022]
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Wall-Bassett ED, Robinson MA, Knight S. "Moving Toward Healthy": Insights Into Food Choices of Mothers in Residential Recovery. Glob Qual Nurs Res 2017; 3:2333393616680902. [PMID: 28462350 PMCID: PMC5342855 DOI: 10.1177/2333393616680902] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 10/07/2016] [Accepted: 10/11/2016] [Indexed: 11/26/2022] Open
Abstract
This study utilized participatory and potentially empowering qualitative research methods of photo-elicitation and face-to-face interviews to investigate food choices of mothers living with their children in a residential substance use disorder recovery program. Face-to-face interviews were conducted with nine women (25–40 years) living in a residential substance use disorder recovery program in the Southeastern United States. Each audio recorded and transcribed interview was coded individually before collectively developing a consensual version of the codebook and identifying themes. The recovering women in this study expressed a new or renewed desire to “eat healthy” and voiced concerns about the nutritional value of foods. Food choices were influenced by their children’s nutritional needs and food preferences, their own food preferences and habits, the financial resources available to them, their personal food preparation self-efficacy and skills, and the limitations inherent in residential recovery. Understanding food choices benefits both recovering parents and their children.
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Affiliation(s)
| | | | - Sharon Knight
- East Carolina University, Greenville, North Carolina, USA
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Patricia GE, Vizcarra M, Palomino AM, Valencia A, Iglesias L, Schwingel A. The photo-elicitation of food worlds: A study on the eating behaviors of low socioeconomic Chilean women. Appetite 2017; 111:96-104. [DOI: 10.1016/j.appet.2016.12.040] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Revised: 11/14/2016] [Accepted: 12/29/2016] [Indexed: 01/08/2023]
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Lora KR, Cheney M, Branscum P. Hispanic Mothers' Views of the Fathers' Role in Promoting Healthy Behaviors at Home: Focus Group Findings. J Acad Nutr Diet 2017; 117:914-922. [PMID: 28238895 DOI: 10.1016/j.jand.2017.01.005] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Accepted: 01/04/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Overweight and obesity prevention interventions rarely take into account the unique role of fathers in promoting healthy home environments. OBJECTIVE To use qualitative methodology to examine the views of Hispanic mothers of children aged 2 to 5 years regarding fathers' roles in promoting healthy behaviors at home. DESIGN Nine focus groups were conducted in Spanish with Hispanic mothers of preschool-aged children (N=55) from October to December 2015. PARTICIPANTS/SETTINGS Hispanic mothers were recruited from churches, community agencies, and preschools located in five Zip codes in the southwest part of Oklahoma City, OK. ANALYSIS Questions examined the views of Hispanic mothers regarding fathers' roles in promoting healthy behaviors at home. Focus groups were audiorecorded, transcribed in Spanish, translated into English, and coded and analyzed for themes by two coders using NVivo version 10 software. RESULTS Four themes were identified: fathers' disagreement with mothers about food preferences and preparation, fathers' support for child's healthy eating, fathers' support for child's physical activity, and fathers' lack of support for a healthy home food environment. Fathers' traditional expectations about the type of foods and portion sizes adults should eat conflicted with mothers' meal preparations. Mothers reported that, although they favored eating low-calorie meals, the meals fathers preferred eating were high-calorie meals (eg, quesadillas). In general, fathers supported healthy eating and physical activity behaviors for their children. Supportive behaviors for children included preparing healthy meals, using healthier cooking methods, grocery shopping with their children for healthy foods, and asking the child to participate in household chores and/or play sports. Fathers' unsupportive behaviors included bringing high-calorie foods, such as pizza, and sugary drinks into the home, using sweets and savory foods for emotion regulation, and displaying an indulgent parental feeding style. CONCLUSIONS Mothers' views of fathers' perceived roles in child eating and physical activity, and maintaining a healthy eating environment, have important implications for the success of promoting healthy behaviors in the homes of Hispanic families.
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Winkler MR, Moore ED, Bennett GG, Armstrong SC, Brandon DH. Parent-adolescent influences on everyday dietary practices: Perceptions of adolescent females with obesity and their mothers. MATERNAL AND CHILD NUTRITION 2017; 13. [PMID: 28097807 DOI: 10.1111/mcn.12416] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Revised: 11/08/2016] [Accepted: 11/15/2016] [Indexed: 11/29/2022]
Abstract
Parents demonstrate an important influence on adolescent obesity and dietary behavior; yet, family-based obesity interventions continue to exhibit limited success among adolescents. To further inform family-based approaches for adolescent obesity treatment, we examined the perceptions of adolescent females with obesity and their mothers of the influences experienced within the parent-adolescent relationship that affect everyday dietary practices. We conducted six focus group interviews (three adolescent female and three mother) among 15 adolescent (12-17 years old) females with obesity and 12 of their mothers. Content analysis techniques were used to analyze the transcribed interviews. Adolescent females with obesity discussed a diverse set of parental influences (controlling, supporting and cultivating, overlooking and tempting, acquiescing, providing, attending, and not providing and avoiding) on their daily dietary practices. Among mother focus groups, mothers discussed specific intentional and unintentional types of influences from children that affected the food and drink they consumed, prepared, and acquired. Findings provide a fuller view of the varied social influences on everyday dietary practices within the parent-adolescent relationship. They indicate the importance of examining both parent-to-child and child-to-parent influences and begin to illuminate the value of attending to the social circumstances surrounding dietary behaviors to strengthen family-based obesity treatment approaches.
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Affiliation(s)
- Megan R Winkler
- School of Nursing, Duke University, Durham, North Carolina, USA
| | | | - Gary G Bennett
- Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, USA.,Duke Global Health Institute, Duke University, Durham, North Carolina, USA
| | | | - Debra H Brandon
- School of Nursing, Duke University, Durham, North Carolina, USA.,School of Medicine, Duke University, Durham, North Carolina, USA
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Schwingel A, Linares DE, Gálvez P, Adamson B, Aguayo L, Bobitt J, Castañeda Y, Sebastião E, Marquez DX. Developing a Culturally Sensitive Lifestyle Behavior Change Program for Older Latinas. QUALITATIVE HEALTH RESEARCH 2015; 25:1733-1746. [PMID: 25595148 DOI: 10.1177/1049732314568323] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Despite the burgeoning U.S. Latino population and their increased risk of chronic disease, little emphasis had been placed on developing culturally sensitive lifestyle interventions in this area. This article examines older Latinas' sociocultural context relative to health with the goal of developing a culturally sensitive health behavior intervention. Photo-elicitation indicated two emerging themes that influenced lifestyle choices: family caregiving and religion. Researchers partnered with a faith-based organization to develop and implement a 6-month lifestyle intervention for Latinas ages 50 and older: Abuelas en Acción (AEA). At completion, interviews were conducted to understand women's experiences and the influence AEA had on their lifestyles and health. Findings suggest that religious content empowered and deeply affected women; however, the intergenerational content presented significant challenges for instruction, retention, and implementation. We discuss findings in relation to the health intervention literature and provide suggestions for future interventions drawing on religion, family, and health behavior change.
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Affiliation(s)
| | | | | | - Brynn Adamson
- University of Illinois at Urbana-Champaign, Illinois, USA
| | - Liliana Aguayo
- University of Illinois at Urbana-Champaign, Illinois, USA
| | - Julie Bobitt
- University of Illinois at Urbana-Champaign, Illinois, USA
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Maternal Attitudes and Behaviors Regarding Feeding Practices in Elementary School-Aged Latino Children: A Pilot Qualitative Study on the Impact of the Cultural Role of Mothers in the US-Mexican Border Region of San Diego, California. J Acad Nutr Diet 2015; 115:S34-41. [PMID: 25911519 DOI: 10.1016/j.jand.2015.02.028] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/26/2013] [Indexed: 01/19/2023]
Abstract
This study aimed to explore the attitudes and behaviors of Latino mothers around feeding their children. Using qualitative methods, we conducted four focus groups in Spanish with 41 Latino mothers of elementary school-age children in San Diego County, CA. Latino mothers' mean age was 41 years; 90% were foreign-born; and 74% had a high school education or less. We explored cultural viewpoints around feeding and cooking and feeding strategies used. Focus groups were analyzed based on a priori and emergent themes. The following themes around feeding emerged: feeding attitudes central to the maternal responsibility of having well-fed children and feeding behaviors that centered on cooking methods, supportive behaviors, and reinforcement strategies for "eating well." These findings increase our understanding of the Latino maternal role to feed children and can help to inform more culturally appropriate research to effectively address nutritional issues and obesity prevention in Latino children.
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21
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The influence of parental encouragement and caring about healthy eating on children’s diet quality and body weights. Public Health Nutr 2015; 19:822-9. [DOI: 10.1017/s1368980015002049] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
AbstractObjectiveIn order to mitigate childhood obesity, evidence on what influences children’s health behaviours is needed to inform new health promotion strategies. The present study investigated the association between parental practices and their child’s diet and body weight status.DesignGrade 5 students and their parents completed health surveys. Parents were asked how much they ‘encourage their child to eat healthy foods’ and how much they ‘personally care about healthy eating’. Children’s diet quality and vegetable and fruit intake were assessed using an FFQ. Children’s heights and weights were measured to determine body weight status. Mixed-effects regression models were used to determine the influence of parental responses on the outcomes of interest.SettingElementary schools across the province of Alberta, Canada.SubjectsGrade 5 students (aged 10 and 11 years;n8388) and their parent(s).ResultsMost parents reported caring about healthy eating and encouraging their child to eat healthy foods at least quite a lot. Children whose parents who cared or encouraged ‘very much’ compared with ‘quite a lot’ were more likely have better diet quality and were less likely to be overweight. Children whose parents both cared and encouraged ‘very much’ compared with ‘quite a lot’ scored an average of 2·06 points higher on the diet quality index (β=2·06; 95 % CI 1·45, 2·66).ConclusionsHealth promotion strategies that aim for a high level of parental interest and encouragement of their children to eat healthy foods may improve diet quality and prevent overweight among children.
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22
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Hoeft KS, Guerra C, Gonzalez-Vargas MJ, Barker JC. Rural Latino caregivers' beliefs and behaviors around their children's salt consumption. Appetite 2015; 87:1-9. [PMID: 25481770 PMCID: PMC4347893 DOI: 10.1016/j.appet.2014.11.031] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2014] [Revised: 10/31/2014] [Accepted: 11/30/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND Prevalence of high blood pressure has been increasing in U.S. children, with implications for long term health consequences. Sodium consumption, a modifiable risk factor for high blood pressure, is above recommended limits and increasing. Very little is known about Latino caregiver beliefs and behaviors around their children's salt consumption. METHODS In California's Central Valley, qualitative interviews in Spanish investigated low-income caregivers' views and understandings of their children's dietary salt consumption. Thirty individual interviews and 5 focus groups were conducted (N=61). Interview transcripts were translated and transcribed, coded and thematically analyzed. RESULTS Seven primary topic areas around children's salt intake and its impact on health were identified: children's favorite foods, children's dietary salt sources, superiority of home-cooked foods, salty and sweet foods, managing salt for health, developing children's tastes, and adding salt added at the table. Parents recognize common sources of sodium such as "junk food" and processed food and made efforts to limit their children's consumption of these foods, but may overlook other significant sodium sources, particularly bread, cheese, prepared soups and sports drinks. Caregivers recognize excess salt as unhealthy for children, but don't believe health problems (like high blood pressure) can occur in young children. Nevertheless, they made efforts to limit how much salt their children consumed through a variety of strategies; school meals were a source of high sodium that they felt were outside of their control. CONCLUSION Latino caregivers are concerned about their children's salt intake and attempt to limit consumption, but some common sources of sodium are under-recognized.
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Affiliation(s)
- Kristin S. Hoeft
- Department of Preventive and Restorative Dental Sciences & Center to Address Disparities in Children’s Oral Health (CAN DO), University of California, San Francisco, Box 0850, 3333 California Street, Suite 485, San Francisco, CA 94143, United States
| | - Claudia Guerra
- Departments of Anthropology, History & Social Medicine & Preventive and Restorative Dental Sciences & Center to Address Disparities in Children’s Oral Health (CAN DO), University of California, San Francisco, Box 0128, 1450 3 Street, Room HD556, San Francisco, CA 94158, United States
| | - M. Judy Gonzalez-Vargas
- Department of Preventive and Restorative Dental Sciences & Center to Address Disparities in Children’s Oral Health (CAN DO), University of California, San Francisco, Box 0850, 3333 California Street, Suite 485, San Francisco, CA 94143, United States
| | - Judith C. Barker
- Departments of Anthropology, History & Social Medicine and Preventive & Restorative Dental Sciences & Center to Address Children’s Oral Health Disparities, University of California, San Francisco, 3333 California Street, Laurel Heights Suite 485, San Francisco, CA 94143-0850, United States, Tel: 415-476-7241, Fax: 415-476-6715
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23
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Martinez SM, Rhee K, Blanco E, Boutelle K. Maternal attitudes and behaviors regarding feeding practices in elementary school-aged Latino children: a pilot qualitative study on the impact of the cultural role of mothers in the US-Mexican border region of San Diego, California. J Acad Nutr Diet 2013; 114:230-237. [PMID: 24315129 DOI: 10.1016/j.jand.2013.09.028] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Accepted: 09/26/2013] [Indexed: 01/19/2023]
Abstract
This study aimed to explore the attitudes and behaviors of Latino mothers around feeding their children. Using qualitative methods, we conducted four focus groups in Spanish with 41 Latino mothers of elementary school-age children in San Diego County, CA. Latino mothers' mean age was 41 years; 90% were foreign-born; and 74% had a high school education or less. We explored cultural viewpoints around feeding and cooking and feeding strategies used. Focus groups were analyzed based on a priori and emergent themes. The following themes around feeding emerged: feeding attitudes central to the maternal responsibility of having well-fed children and feeding behaviors that centered on cooking methods, supportive behaviors, and reinforcement strategies for "eating well." These findings increase our understanding of the Latino maternal role to feed children and can help to inform more culturally appropriate research to effectively address nutritional issues and obesity prevention in Latino children.
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25
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Torres ME, Meetze EG, Smithwick-Leone J. Latina voices in childhood obesity: a pilot study using Photovoice in South Carolina. Am J Prev Med 2013; 44:S225-31. [PMID: 23415187 DOI: 10.1016/j.amepre.2012.11.020] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2012] [Revised: 11/26/2012] [Accepted: 11/30/2012] [Indexed: 10/27/2022]
Abstract
BACKGROUND South Carolina has one of the highest rates of obesity in the nation and, proportionately, more Latino children aged 2-5 years are obese compared to black and white children in the state. PURPOSE Latina mothers will identify the barriers and opportunities for physical activity for Latino children in West Columbia SC and propose policy recommendations. METHODS This is a qualitative pilot study with 12 Latina mothers using Photovoice to identify barriers and opportunities for physical activity for their children. Community stakeholder and school staff interviews (eight) also were conducted. Latinas discussed the data collected and developed potential solutions to the problems. Data collection and analysis took place in the city of West Columbia during 2010-2011. Content analysis of focus groups and interview transcripts were conducted using descriptive qualitative coding techniques. RESULTS Latina mothers positively described their neighborhoods as their homes but also identified several environmental barriers to physical activity including lack of transportation, not being able to speak English, lack of knowledge of their children's opportunities at school, and feelings of discrimination due to anti-immigration sentiments in the state. Mothers also proposed to improve their family diets, advocate for better equipment in public parks, building of community sidewalks, and increasing neighborhood police presence. CONCLUSIONS Latina mothers demonstrated knowledge about factors related to childhood obesity and proposed solutions to the problems and worked to organize their communities to present alternatives to policymakers. This study underscores the importance of including community input when planning programs addressing childhood obesity.
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Affiliation(s)
- Myriam E Torres
- Department of Epidemiology and Biostatistics and Consortium for Latino Immigration Studies, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29201, USA.
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26
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Empowerment of Promotoras as Promotora–Researchers in the Comidas Saludables & Gente Sana en las Colonias del Sur de Tejas (Healthy Food and Healthy People in South Texas Colonias) Program. J Prim Prev 2013; 34:41-57. [DOI: 10.1007/s10935-013-0296-1] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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27
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Johnson CM, Sharkey JR, Dean WR, St John JA, Castillo M. Promotoras as research partners to engage health disparity communities. J Acad Nutr Diet 2013; 113:638-42. [PMID: 23375463 DOI: 10.1016/j.jand.2012.11.014] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2012] [Accepted: 11/20/2012] [Indexed: 11/24/2022]
Affiliation(s)
- Cassandra M Johnson
- Center for Health Promotion and Disease Prevention, The University of North Carolina at Chapel Hill, NC, USA
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Umstattd Meyer MR, Sharkey JR, Patterson MS, Dean WR. Understanding contextual barriers, supports, and opportunities for physical activity among Mexican-origin children in Texas border colonias: a descriptive study. BMC Public Health 2013; 13:14. [PMID: 23297793 PMCID: PMC3558355 DOI: 10.1186/1471-2458-13-14] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2012] [Accepted: 01/06/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The increasing numbers of colonias along the U.S.-Mexico border are characterized by disproportionately poor families of Mexican-origin, limited access to resources and health services, and heightened risk for obesity and diabetes. Despite consistent evidence supporting physical activity (PA) in prevention of chronic diseases, many individuals of Mexican-origin, including children, fail to meet PA recommendations. Environmental influences on PA, founded in ecological and social cognitive perspectives, have not been examined among children living in colonias. The purpose of this study was to identify and better understand (1) household and neighborhood environmental PA resources/supports, (2) perceived barriers to engaging in PA, and (3) PA offerings, locations, and transportation characteristics for Mexican-origin children living in colonias. METHODS Data for this study were collected by promotora-researchers (indigenous community health workers trained in research methods) using face-to-face interviews conducted in Spanish. The sample consists of 94 mother-child dyads from Texas border colonias in Hidalgo County. Interviews included questionnaire items addressing PA barriers, household and neighborhood environmental support assessments conducted with each dyad, and open-ended questions that were coded to identify availability and locations of PA opportunities and transportation options. Descriptive statistics were calculated and differences between genders, birth countries, and BMI categories of children were determined using chi-square tests. RESULTS All children were of Mexican-origin. The most frequently reported barriers were unleashed dogs in the street, heat, bad weather, traffic, no streetlights, and no place like a park to exercise. Prominent locations for current PA included schools, home, and parks. Common PA options for children were exercise equipment, running, playing, and sports. Environmental assessments identified exercise equipment (bicycles/tricycles, balls, etc.…), paved/good streets, yard/patio space, and social norms as the most frequent household or neighborhood resources within these colonias. Differences in PA barriers, options, and environmental resources for genders, birth countries, and BMI categories were detected. CONCLUSIONS This study suggests that PA environmental resources, barriers, and opportunities for colonias children are similar to previous studies and distinctively unique. As expected, built resources in these communities are limited and barriers exist; however, knowledge of PA opportunities and available PA resources within colonias households and neighborhoods offers insight to help guide future research, policy, and PA initiatives.
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Affiliation(s)
- M Renée Umstattd Meyer
- Baylor University, Department of Health, Human Performance, and Recreation, One Bear Place 97313, Waco, TX, 76798, USA
| | - Joseph R Sharkey
- Program for Research in Nutrition and Health Disparities, Department of Health Promotion and Community Health Sciences, Texas A&M School of Rural Public Health, TAMU, 1266, College Station, TX, 77843-1266, USA
| | - Megan S Patterson
- Baylor University, Department of Health, Human Performance, and Recreation, One Bear Place 97313, Waco, TX, 76798, USA
| | - Wesley R Dean
- Program for Research in Nutrition and Health Disparities, Department of Health Promotion and Community Health Sciences, Texas A&M School of Rural Public Health, TAMU, 1266, College Station, TX, 77843-1266, USA
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Dean WR, Sharkey JR, Johnson CM, St John J. Cultural repertoires and food-related household technology within colonia households under conditions of material hardship. Int J Equity Health 2012; 11:25. [PMID: 22587790 PMCID: PMC3442973 DOI: 10.1186/1475-9276-11-25] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2011] [Accepted: 04/20/2012] [Indexed: 01/21/2023] Open
Abstract
UNLABELLED BSTRACT: INTRODUCTION Mexican-origin women in the U.S. living in colonias (new-destination Mexican-immigrant communities) along the Texas-Mexico border suffer from a high incidence of food insecurity and diet-related chronic disease. Understanding environmental factors that influence food-related behaviors among this population will be important to improving the well-being of colonia households. This article focuses on cultural repertoires that enable food choice and the everyday uses of technology in food-related practice by Mexican-immigrant women in colonia households under conditions of material hardship. Findings are presented within a conceptual framework informed by concepts drawn from sociological accounts of technology, food choice, culture, and material hardship. METHODS Field notes were provided by teams of promotora-researchers (indigenous community health workers) and public-health professionals trained as participant observers. They conducted observations on three separate occasions (two half-days during the week and one weekend day) within eight family residences located in colonias near the towns of Alton and San Carlos, Texas. English observations were coded inductively and early observations stressed the importance of technology and material hardship in food-related behavior. These observations were further explored and coded using the qualitative data package Atlas.ti. RESULTS Technology included kitchen implements used in standard and adapted configurations and household infrastructure. Residents employed tools across a range of food-related activities identified as forms of food acquisition, storage, preparation, serving, feeding and eating, cleaning, and waste processing. Material hardships included the quality, quantity, acceptability, and uncertainty dimensions of food insecurity, and insufficient consumption of housing, clothing and medical care. Cultural repertoires for coping with material hardship included reliance on inexpensive staple foods and dishes, and conventional and innovative technological practices. These repertoires expressed the creative agency of women colonia residents. Food-related practices were constrained by climate, animal and insect pests, women's gender roles, limitations in neighborhood and household infrastructure, and economic and material resources. CONCLUSIONS This research points to the importance of socioeconomic and structural factors such as gender roles, economic poverty and material hardship as constraints on food choice and food-related behavior. In turn, it emphasizes the innovative practices employed by women residents of colonias to prepare meals under these constraints.
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Affiliation(s)
- Wesley R Dean
- Program for Research in Nutrition and Health Disparities, Department of Health Promotion & Community Health Sciences, School of Rural Public Health, TAMU 1266, College Station, TX 77843, USA.
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Sharkey JR, Dean WR, Johnson CM. Use of vendedores (mobile food vendors), pulgas (flea markets), and vecinos o amigos (neighbors or friends) as alternative sources of food for purchase among Mexican-origin households in Texas border colonias. J Acad Nutr Diet 2012; 112:705-10. [PMID: 22709775 PMCID: PMC3378981 DOI: 10.1016/j.jand.2011.12.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Accepted: 11/22/2011] [Indexed: 11/24/2022]
Abstract
There is a paucity of studies acknowledging the existence of alternative food sources, and factors associated with food purchasing from three common alternative sources: vendedores (mobile food vendors), pulgas (flea markets), and vecinos/amigos (neighbors/friends). This analysis aims to examine the use of alternative food sources by Mexican-origin women from Texas-border colonias and determine factors associated with their use. The design was cross-sectional. Promotora-researchers (promotoras de salud trained in research methods) recruited 610 Mexican-origin women from 44 colonias and conducted in-person surveys. Surveys included participant characteristics and measures of food environment use and household food security. Statistical analyses included separate logistic regressions, modeled for food purchase from mobile food vendors, pulgas, or neighbors/friends. Child food insecurity was associated with purchasing food from mobile food vendors, while household food security was associated with using pulgas or neighbors/friends. School nutrition program participants were more likely to live in households that depend on alternative food sources. Efforts to increase healthful food consumption such as fruits and vegetables should acknowledge all potential food sources (traditional, convenience, nontraditional, and alternative), especially those preferred by colonia residents. Current findings support the conceptual broadening of the retail food environment, and the importance of linking use with spatial access (proximity) to more accurately depict access to food sources.
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Affiliation(s)
- Joseph R. Sharkey
- School of Rural Public Health, Texas A&M Health Science Center, MS 1266, College Station, TX 77843-1266
| | - Wesley R. Dean
- Program for Research in Nutrition and Health Disparities, Texas Nutrition and Obesity Policy Research and Evaluation Network Collaborating Center, School of Rural Public Health, Texas A&M Health Science Center, MS 1266, College Station, TX 77843-1266,
| | - Cassandra M. Johnson
- UNC Center for Health Promotion and Disease Prevention, Department of Nutrition, UNC Gillings School of Global Public Health, CB #7461, Chapel Hill, NC 27599-7461,
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