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首页> 外文期刊>Journal of community health >Childhood Obesity Perceptions Among African American Caregivers in a Rural Georgia Community: A Mixed Methods Approach
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Childhood Obesity Perceptions Among African American Caregivers in a Rural Georgia Community: A Mixed Methods Approach

机译：乔治亚州农村社区的非洲裔美国看护者对儿童肥胖的看法：混合方法

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Given the pivotal role of African American caregiver's perceptions of childhood obesity in rural areas, the inclusion of caregiver's perceptions could potentially reduce childhood obesity rates. The objective of the current study was to explore childhood obesity perceptions among African Americans in a rural Georgia community. This concurrent mixed methods study utilized two theoretical frameworks: Social Cognitive Theory and Social Ecological Model. Using a convenience sample, caregivers ages 22-65 years completed a paper-based survey (n = 135) and a face-to-face interview (n = 12) to explore perceptions of obesity risk factors, health complications, weight status, built environment features, and obesity prevention approaches. Descriptive statistics were generated and a six-step process was used for qualitative analysis. Participants commonly cited behavioral risk factors; yet, social aspects and appearance of the community were not considered contributing factors. Chronic diseases were reported as obesity health complications. Caregivers had a distorted view of their child's weight status. In addition, analysis revealed that caregivers assessed child's weight and height measurements by the child's appearance or a recent doctor visit. Environmental barriers reported by caregivers included safety concerns and insufficient physical activity venues and programs. Also, caregivers conveyed parents are an imperative component of preventing obesity. Although this study found caregivers were aware of obesity risk factors, health complications, built environment features, and prevention approaches their obesity perceptions were not incorporated into school or community prevention efforts. Findings suggest that children residing in rural areas are in need of tailored efforts that address caregiver perceptions of obesity.
机译：鉴于非裔美国人看护者对农村地区儿童肥胖的理解具有举足轻重的作用，将看护者的认知纳入其中可能会降低儿童肥胖率。本研究的目的是探索乔治亚州农村社区中非裔美国人对儿童肥胖的认识。这项并发的混合方法研究利用了两个理论框架：社会认知理论和社会生态模型。使用便利性样本，年龄在22-65岁之间的护理人员完成了纸质调查（n = 135）和面对面访谈（n = 12），以探索对肥胖风险因素，健康并发症，体重状况的看法，环境特征和预防肥胖的方法。生成描述性统计数据，并使用六步过程进行定性分析。参与者通常提到行为危险因素;但是，社会方面和社区的外观并未被视为促成因素。据报道，慢性病是肥胖症的健康并发症。照料者对其孩子的体重状况产生了扭曲的看法。此外，分析表明，看护者通过孩子的外表或最近就诊的医生评估了孩子的体重和身高。护理人员报告的环境障碍包括安全隐患以及体育活动场所和程序不足。同样，照顾者转送的父母是预防肥胖的必不可少的组成部分。尽管这项研究发现护理人员知道肥胖危险因素，健康并发症，环境特征和预防方法，但他们对肥胖的认识并未纳入学校或社区的预防工作中。研究结果表明，居住在农村地区的儿童需要有针对性的努力，以解决照料者对肥胖的看法。

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