Lindsay Ana Cristina, Wallington Sherrie F, Greaney Mary L, Hasselman Maria H, Machado Marcia M T, Mezzavilla Raquel S, Detro Barbara M
Exercise and Health Sciences Department, Harvard School of Public Health, College of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA.
Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA.
Matern Child Health J. 2017 May;21(5):1085-1094. doi: 10.1007/s10995-016-2207-6.
Background Length of residence in the United States (US), changes in dietary and physical activity behaviors, and economic and social barriers contribute to high childhood obesity rates among children from immigrant families in the US. Brazilians comprise a fast-growing immigrant population group in the US, yet little research has focused on health issues affecting Brazilian children in immigrant families. Understanding sociocultural and environmental influences on parents' beliefs and practices related to child feeding and weight status is essential to altering obesity trends in this group. Methods Qualitative study consisting of five focus groups with a convenience sample of 29 Brazilian immigrant mothers. Results Analyses revealed that the sociocultural and environment transitions faced by Brazilian immigrant mothers' influence their beliefs and practices related to child feeding and weight status. Additionally, acculturation emerged as a factor affecting mothers' feeding practices and their children's eating habits, with mothers preferring Brazilian food environments and that their children preferring American food environments. Mothers viewed themselves as being responsible for promoting and maintaining their children's healthy eating and feeding behaviors, but changes in their social and cultural environments due to immigration and the pressures and demands of raising a family in a new country make this difficult. Conclusions Health promotion interventions to improve healthful eating and feeding practices of Brazilian children in immigrant families must account for social and cultural changes and daily life demands due to immigration as well as potential variation in the levels of acculturation between mothers and their children.
背景 在美国的居住时长、饮食和身体活动行为的变化以及经济和社会障碍，导致美国移民家庭儿童的儿童肥胖率居高不下。巴西人是美国快速增长的移民群体，但很少有研究关注影响移民家庭中巴西儿童的健康问题。了解社会文化和环境对父母与儿童喂养及体重状况相关的观念和行为的影响，对于改变该群体的肥胖趋势至关重要。方法 采用定性研究方法，对29名巴西移民母亲的便利样本进行了5个焦点小组访谈。结果 分析表明，巴西移民母亲所面临的社会文化和环境转变影响了她们与儿童喂养及体重状况相关的观念和行为。此外，文化适应成为影响母亲喂养行为及其子女饮食习惯的一个因素，母亲们更喜欢巴西的食物环境，而她们的孩子更喜欢美国的食物环境。母亲们认为自己有责任促进和维持孩子健康的饮食和喂养行为，但移民导致的社会和文化环境变化以及在新国家养育家庭的压力和需求使这变得困难。结论 旨在改善移民家庭中巴西儿童健康饮食和喂养行为的健康促进干预措施，必须考虑到移民带来的社会和文化变化、日常生活需求以及母亲与子女之间文化适应水平的潜在差异。
