Public Health Nutrition, Department of Nutrition, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115, USA.
Public Health Nurs. 2011 Mar-Apr;28(2):107-18. doi: 10.1111/j.1525-1446.2010.00906.x. Epub 2010 Nov 24.
To examine maternal beliefs and practices related to weight status, child feeding, and child overweight in the Latino culture that may contribute to the rising rates of overweight among preschool Latino children in the United States.
This 2-phase qualitative study relies on data obtained in 6 focus groups with a total of 31 primarily Spanish-speaking, low-income mothers, followed by 20 individual, in-depth interviews with women participating in a health promotion educational program.
Child-feeding beliefs, practices, and weight status perceptions were elicited.
The findings indicated that most respondents reported personal struggles with weight gain, particularly during and after pregnancy, and were concerned that their children would become obese. Although subjects understood the health and social consequences related to overweight, many discussed the pressures of familial and cultural influences endorsing a "chubby child."
Education and interventions that incorporate "culturally mediated" pathways to address mothers' feeding practices are essential for the prevention and control of childhood overweight among low-income Latinos. Nurses should be aware of the social and cultural influences on Latina mothers' beliefs and practices related to weight status and feeding practices and address these in their education approaches to prevent childhood overweight and obesity with this population group.
探讨与体重状况、儿童喂养和儿童超重有关的母性观念和实践，这些观念和实践可能导致美国学龄前拉丁裔儿童超重率上升。
本项由两个阶段组成的定性研究依赖于 6 个焦点小组的数据，共有 31 名主要讲西班牙语的低收入母亲参加，随后对参加健康促进教育计划的妇女进行了 20 次单独的深入访谈。
得出儿童喂养观念、实践和体重状况感知的结论。
调查结果表明，大多数受访者报告说，她们个人在怀孕期间和之后体重增加有困难，而且担心她们的孩子会肥胖。尽管受访者了解超重与健康和社会后果有关，但许多人讨论了家庭和文化影响的压力，支持“胖乎乎的孩子”。
对于预防和控制低收入拉丁裔儿童的超重问题，教育和干预措施必须纳入“文化介导”途径来解决母亲的喂养实践。护士应该意识到社会和文化对拉丁裔母亲的体重状况和喂养实践观念和实践的影响，并在其教育方法中解决这些问题，以预防这一人群的儿童超重和肥胖。
