Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Int J Environ Res Public Health. 2018 Mar 31;15(4):644. doi: 10.3390/ijerph15040644.
Children from disadvantaged areas are hard to reach for interventions aimed at promoting healthy lifestyles. We conducted a participatory needs assessment, in which researchers collaborated with a community in a disadvantaged area in Amsterdam to gain an understanding of the health-related issues of children within this community. Qualitative data was collected through: three to four participatory group meetings with three groups of 9-12-year-old children ( = 5-9 per group); nine interviews with professionals working with youth; two interviews with parents and their children; and informal meetings including 31 parents. All transcriptions or summaries were coded and analyzed. Childhood overweight/obesity was indicated as the main health issue. A lack of physical activity and unhealthy dietary behavior were identified as the main risk factors, with underlying determinants such as culture, habits, finances, and social norms. Identified needs included more supervised, low-priced sports activities at a nearby location and more education on adopting a healthy diet. Our participatory health needs assessment resulted in a comprehensive overview of the most relevant risk factors and determinants of childhood overweight/obesity and needs from the community's perspective. This knowledge aids in the development of better tailored, and thereby potentially more effective, interventions.
对于旨在促进健康生活方式的干预措施，来自弱势地区的儿童难以接触到。我们进行了一项参与式需求评估，研究人员与阿姆斯特丹一个弱势社区合作，了解该社区儿童的与健康相关问题。通过以下方式收集定性数据：与三组 9-12 岁儿童（每组 5-9 人）进行三到四次参与式小组会议；与从事青年工作的专业人员进行九次访谈；与父母及其子女进行两次访谈；以及包括 31 位父母在内的非正式会议。所有转录或摘要都进行了编码和分析。超重/肥胖被认为是主要的健康问题。缺乏身体活动和不健康的饮食行为被确定为主要风险因素，其潜在决定因素包括文化、习惯、财务和社会规范。确定的需求包括在附近提供更多有监督的、价格低廉的体育活动，以及更多关于健康饮食的教育。我们的参与式健康需求评估从社区的角度全面了解了儿童超重/肥胖的最相关风险因素和决定因素，以及社区的需求。这些知识有助于制定更具针对性、潜在更有效的干预措施。
