Hackshaw-McGeagh Lucy, Jamie Kimberly, Beynon Rhona, O'Neill Roisin
NIHR Bristol Biomedical Research Centre Nutrition Theme, University of Bristol, Bristol, UK.
School of Applied Social Sciences, Durham University, Durham, UK.
Health Educ J. 2018 Apr;77(3):277-292. doi: 10.1177/0017896917745106. Epub 2017 Dec 20.
Evidence suggests that younger mothers engage in poorer health behaviours, resulting in increased cancer risk. We aimed to better understand the health behaviours of younger mothers and the factors that influence their lifestyle choices, in order to improve cancer prevention within this population.
A multiple focus group, photo-elicitation-aided approach was used, in which young mothers ( = 27; aged 16-24 years) were provided with cameras and asked to capture 'a week in your life'. Photographs were developed and participants invited to an initial focus group where photographs were used to elicit discussion, exploring participants' health behaviours. Data were thematically analysed particularly identifying themes relating to barriers and facilitators of positive health behaviours. Participants were later invited to participate in a second focus group, to explore and validate identified themes further.
Themes emerged from the data relating to (1) the mothers' personal perceptions of health, (2) health-related behaviours and (3) beliefs about cancer and its causes. Barriers to positive health behaviours included a lack of money, childcare and cookery skills; facilitators included the social media, commercial weight loss programmes and local community organisations.
Study findings provide insight into the health behaviours and life choices of young mothers. They help illustrate health perceptions in relation to cancer risk, providing an understanding of how their daily routine and circumstance influence young women's decisions and lifestyle behaviour choices and highlighting barriers to, and facilitators of, positive health behaviours. Data hold potential to inform future health-related research among young mothers, particularly relating to cancer prevention intervention.
有证据表明，年轻母亲的健康行为较差，导致患癌风险增加。我们旨在更好地了解年轻母亲的健康行为以及影响其生活方式选择的因素，以便在这一人群中加强癌症预防。
采用多焦点小组、照片辅助激发法，为年轻母亲（n = 27；年龄16 - 24岁）提供相机，让她们拍摄“一周生活”。照片冲洗出来后，邀请参与者参加初始焦点小组，用照片引发讨论，探讨参与者的健康行为。对数据进行主题分析，特别确定与积极健康行为的障碍和促进因素相关的主题。随后邀请参与者参加第二个焦点小组，进一步探讨和验证已确定的主题。
数据中出现的主题涉及（1）母亲对健康的个人认知，（2）与健康相关的行为，以及（3）对癌症及其病因的看法。积极健康行为的障碍包括缺钱、缺乏育儿和烹饪技能；促进因素包括社交媒体、商业减肥项目和当地社区组织。
研究结果深入了解了年轻母亲的健康行为和生活选择。它们有助于阐明与癌症风险相关的健康认知，理解她们的日常生活和环境如何影响年轻女性的决策和生活方式行为选择，并突出积极健康行为的障碍和促进因素。这些数据有可能为未来针对年轻母亲的健康相关研究提供信息，特别是与癌症预防干预有关的研究。
