Vangeepuram Nita, Carmona Jane, Arniella Guedy, Horowitz Carol R, Burnet Deborah
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY.
Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY.
J Nutr Educ Behav. 2015 Nov-Dec;47(6):532-539.e1. doi: 10.1016/j.jneb.2015.08.006. Epub 2015 Sep 26.
To explore minority adolescents' perceptions of their diabetes risk, barriers and facilitators to adopting lifestyle changes, and ideas for adapting a youth diabetes prevention model.
The study was conducted at collaborating community sites in East Harlem, NY. Trained moderators facilitated focus groups, which were audio taped and transcribed. Participants were 21 Latino and African American adolescents aged 14-18 years with a family history of diabetes and no reported personal history of diabetes. The phenomenon of interest was youth input in adapting a diabetes prevention model. Two researchers independently coded transcripts, identified major themes, compared findings, and resolved differences through discussion and consensus.
Dominant themes included (1) the impact of diabetes on quality of life within adolescents' personal networks; (2) conflict between changing diet and activity and their current lifestyle; (3) lifestyle choices being dictated by cost, mood, body image, and environment, not health; and (4) family, social, and environmental pressures reinforcing sedentary behaviors and unhealthy diets.
Themes from youth focus groups were framed in the context of an existing youth diabetes prevention conceptual model, with results informing expansion of the model and identification and organization of potential intervention components.
探讨少数族裔青少年对自身糖尿病风险的认知、改变生活方式的障碍与促进因素，以及对调整青少年糖尿病预防模式的想法。
该研究在纽约市东哈莱姆区的合作社区地点开展。由经过培训的主持人主持焦点小组讨论，并进行录音和转录。参与者为21名年龄在14 - 18岁之间的拉丁裔和非裔美国青少年，他们有糖尿病家族史，但无个人糖尿病史报告。研究关注的现象是青少年对调整糖尿病预防模式的意见。两名研究人员独立对转录文本进行编码，确定主要主题，比较研究结果，并通过讨论和达成共识解决分歧。
主要主题包括：（1）糖尿病对青少年个人社交网络中生活质量的影响；（2）改变饮食和活动与他们当前生活方式之间的冲突；（3）生活方式的选择受成本、情绪、身体形象和环境而非健康因素的支配；（4）家庭、社会和环境压力强化了久坐行为和不健康饮食。
青少年焦点小组的主题是在现有的青少年糖尿病预防概念模型背景下形成的，研究结果为该模型的扩展以及潜在干预因素的识别和组织提供了信息。
