Macnab A J, Mukisa R
1Stellenbosch Institute for Advanced Study (STIAS),Wallenberg Research Centre at Stellenbosch University,Stellenbosch 7600,South Africa.
J Dev Orig Health Dis. 2018 Feb;9(1):15-19. doi: 10.1017/S2040174417000423. Epub 2017 Jun 22.
A challenge for implementing DOHaD-defined health promotion is how to engage the at-risk population. The WHO Health Promoting School (HPS) model has proven success engaging youth and improving health behaviors. Hence, we introduced DOHaD concepts to 151 pupils aged 12-15 years in three HPS programs in rural Uganda, inquired what factors would make DOHaD-related health promotion resonate with them, and discussed how they recommended making learning about DOHaD acceptable to youth. Economic factors were judged the most compelling; with nutrition and responsive care elements next in importance. Suggested approaches included: teach how good health is beneficial, what works and why, and give tools to use to achieve it, and make information positive rather than linked to later harm. Involve youth in making DOHaD learning happen, make being a parent sound interesting, and include issues meaningful to boys. These are the first data from youth charged with addressing their engagement in the DOHaD agenda.
实施发育起源健康与疾病(DOHaD)所定义的健康促进面临的一个挑战是如何让高危人群参与进来。世界卫生组织健康促进学校(HPS)模式已证明在吸引青少年并改善健康行为方面取得了成功。因此,我们在乌干达农村的三个健康促进学校项目中,向151名12至15岁的学生介绍了发育起源健康与疾病的概念,询问哪些因素会使与发育起源健康与疾病相关的健康促进与他们产生共鸣,并讨论了他们对于如何让青少年接受发育起源健康与疾病知识学习的建议。经济因素被认为是最具说服力的;营养和响应性照护因素次之。建议的方法包括:讲授健康的益处、有效的方法及原因,并提供实现健康的工具,且使信息积极向上,而非与日后的危害相关联。让青少年参与到发育起源健康与疾病知识学习中来,使为人父母听起来有趣,并纳入对男孩有意义的问题。这些是来自青少年关于他们参与发育起源健康与疾病议程的首批数据。