Showell Nakiya N, Cole Katie Washington, Johnson Katherine, DeCamp Lisa Ross, Bair-Merritt Megan, Thornton Rachel L J
1 Johns Hopkins University School of Medicine, Baltimore, MD, USA.
2 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Clin Pediatr (Phila). 2017 Nov;56(13):1235-1243. doi: 10.1177/0009922816684599. Epub 2016 Dec 26.
This study explores the relationship between neighborhood characteristics and caregiver preferences for establishing diet and physical activity behaviors among low-income African American and Hispanic young children (2-5 years). Primary caregivers of young children were recruited from 2 urban pediatric clinics to participate in focus groups (n = 33). Thematic analysis of transcripts identified 3 themes: neighborhood constraints on desired behaviors, caregivers' strategies in response to neighborhoods, and caregivers' sense of agency in the face of neighborhood constraints. This study elucidates the dynamic relationship between neighborhoods and caregiver preferences, their interrelated impacts on establishment of diet and physical activity behaviors among young children, and the important role of caregiver agency in establishing behaviors among young children. To effectively address obesity disparities among young children, primary care behavioral interventions must leverage and support such resilient caregiver responses to neighborhood constraints in order to optimally address racial/ethnic and socioeconomic disparities in obesity among young children.
本研究探讨了邻里特征与低收入非裔美国人和西班牙裔幼儿（2至5岁）的照顾者在建立饮食和身体活动行为方面的偏好之间的关系。幼儿的主要照顾者是从两家城市儿科诊所招募来参加焦点小组的（n = 33）。对访谈记录的主题分析确定了三个主题：邻里对期望行为的限制、照顾者应对邻里环境的策略以及照顾者在面对邻里限制时的能动性意识。本研究阐明了邻里环境与照顾者偏好之间的动态关系、它们对幼儿饮食和身体活动行为建立的相互关联影响，以及照顾者能动性在幼儿行为建立中的重要作用。为了有效解决幼儿肥胖差异问题，初级保健行为干预必须利用并支持照顾者对邻里限制的这种弹性反应，以便最佳地解决幼儿肥胖方面的种族/民族和社会经济差异。
