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首页> 外文学位 >Childhood obesity in the United States of America with a special focus on Native American reservation -dwelling youths: The problem, the treatments, and how psychology can help.
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Childhood obesity in the United States of America with a special focus on Native American reservation -dwelling youths: The problem, the treatments, and how psychology can help.

机译：美利坚合众国的儿童肥胖症特别关注居住在美国原住民的青年：问题，治疗方法以及心理学如何提供帮助。

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摘要

Childhood obesity has become a significant public health problem in the United States over the last several decades. Obese children are at increased risk of chronic physical health problems, mental disorders, and social stigmatization. Several factors affect the development and maintenance of childhood obesity, including poor diet, lack of exercise, biological elements, emotional factors, social and cultural influences, and socioeconomic status. Several treatments have been employed to treat and prevent childhood obesity. These include: inpatient and outpatient programs, school-based interventions, summer camps, medication regimes, and surgery. Professionals assert that programs that involve the parents in the treatment offer the greatest levels of success.;Childhood obesity also has a significant impact on an often overlooked segment of the United States population, Native American reservation dwelling youths. Rates of obesity and health related consequences, such as diabetes, in these communities far outnumber those of the Euro-American population. However, treatment options for Native American youths are sorely lacking and sometimes inappropriate.;This dissertation reviews the available literature on childhood obesity in the United States, including definitions of obesity, prevalence rates, physical, emotional and social consequences of the problem, contributing factors, and available treatments for childhood obesity. The author then reviews the history of Native American tribes and the development of reservation communities. Next, present-day status of Native American communities is discussed including a review of the problem of childhood obesity in these communities, which covers onset and maintenance, beliefs about wellness, and problems with health care delivery. Current treatment options and success rates are then discussed.;In the final section the author makes treatment recommendations and makes recommendations for how social psychologists, health psychologists, community psychologists, and school psychologists can aid in community treatment and prevention efforts. The author emphasizes that interventions must maintain cultural congruency to be effective and that providers must be willing to attempt interventions outside the cultural confines of their discipline. Native American health professionals critiqued the treatment recommendation section. A synthesis of their feedback was incorporated and commented on by the author.
机译：在过去的几十年中，儿童肥胖已成为美国的重要公共健康问题。肥胖儿童患慢性身体健康问题，精神疾病和社会污名化的风险增加。有几个因素影响儿童肥胖的发展和维持，包括饮食不良，缺乏运动，生物学因素，情感因素，社会和文化影响以及社会经济状况。已经采用了几种疗法来治疗和预防儿童肥胖。其中包括：住院和门诊计划，学校干预，夏令营，药物治疗和手术。专业人士断言，让父母参与治疗的计划可以最大程度地取得成功。儿童肥胖症对美国人口中经常被忽视的一部分-美国原住民居住的年轻人-也具有重大影响。在这些社区中，肥胖和与健康相关的后果（例如糖尿病）的发生率远远超过了欧美人口。然而，美国土著年轻人的治疗选择却十分缺乏，有时甚至是不合适的。本论文回顾了美国有关儿童肥胖的现有文献，包括肥胖的定义，患病率，问题的身体，情感和社会后果，影响因素。 ，以及儿童肥胖的可用治疗方法。然后作者回顾了美洲原住民部落的历史和保留社区的发展。接下来，将讨论美国原住民社区的当前状况，包括对这些社区中儿童肥胖问题的回顾，内容涵盖发病和维持，对健康的看法以及医疗保健提供方面的问题。然后讨论了当前的治疗方案和成功率。在最后一节中，作者提出了治疗建议，并就社会心理学家，健康心理学家，社区心理学家和学校心理学家如何协助社区治疗和预防工作提出了建议。作者强调指出，干预措施必须保持文化一致性才能有效，提供者必须愿意尝试在其学科的文化范围之外进行干预。美国原住民卫生专业人员对治疗推荐部分进行了批评。他们的反馈意见已纳入作者的评论之中。

著录项

  • 作者

    Henson, Katherine E.;

  • 作者单位

    Alliant International University, San Francisco Bay.;

  • 授予单位 Alliant International University, San Francisco Bay.;
  • 学科 Health Sciences Public Health.;Psychology Clinical.
  • 学位 Psy.D.
  • 年度 2005
  • 页码 137 p.
  • 总页数 137
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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