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运用德尔菲法获取拉丁裔社区关于幼儿肥胖主要影响因素的社区意见。

Use of the Delphi Technique to Obtain Community Input on Leading Contributors to Early Childhood Obesity in Latino Communities.

作者信息

Andersen Leisha M, Boles Richard E, Kaar Jill L, Gance-Cleveland Bonnie, Gauthier Kristine I, Cason-Wilkerson Rochelle, Federspiel Deborah, Valenzuela Maria, Thompson Darcy A

机构信息

1 University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

2 University of Massachusetts, Amherst, MA, USA.

出版信息

Hisp Health Care Int. 2018 Sep;16(3):113-119. doi: 10.1177/1540415318798839. Epub 2018 Sep 12.

Abstract

INTRODUCTION

In the United States, Latino children are disproportionately affected by childhood obesity and related comorbidities. Stakeholder engagement has the potential to heighten the efficacy of interventions, thereby reducing the disparate prevalence of obesity among Latino children. The objective of this study was to identify stakeholders' opinions on factors influencing early childhood obesity in Latino children aged 0 to 5 years.

METHOD

This study used the Delphi technique to gather and prioritize stakeholders' opinions about the factors and barriers considered most influential in early (age 0-5 years) childhood obesity intervention or prevention within the Latino community. Three sequential phases were used. Participants included Latina women as well as staff from community organizations serving Denver metropolitan's Latino population.

RESULTS

Study results revealed that stakeholders value the role of the child's primary care provider in the identification of overweight children and desire more educational support to reduce intake of nonnutritious foods. Participants further determined that obesity-related knowledge gaps and affordability of healthy foods and activities were the largest barriers to helping Latino children maintain healthy weights.

CONCLUSION

Use of this stakeholder-informed data could assist in the development of future culturally tailored interventions aimed at reducing the rates of early childhood obesity in the Latino population.

摘要

引言

在美国,拉丁裔儿童受儿童肥胖症及相关合并症的影响尤为严重。利益相关者的参与有可能提高干预措施的效果,从而降低拉丁裔儿童肥胖症的不同患病率。本研究的目的是确定利益相关者对影响0至5岁拉丁裔儿童早期肥胖的因素的看法。

方法

本研究采用德尔菲技术,收集并排列利益相关者对拉丁裔社区中被认为对早期(0至5岁)儿童肥胖干预或预防最具影响力的因素和障碍的看法。采用了三个连续阶段。参与者包括拉丁裔女性以及为丹佛大都市拉丁裔人口服务的社区组织的工作人员。

结果

研究结果显示,利益相关者重视儿童初级保健提供者在识别超重儿童方面的作用,并希望获得更多教育支持以减少非营养食品的摄入量。参与者进一步确定,与肥胖相关的知识差距以及健康食品和活动的可承受性是帮助拉丁裔儿童保持健康体重的最大障碍。

结论

利用这些基于利益相关者的数据有助于制定未来针对文化特点的干预措施,旨在降低拉丁裔人口中儿童早期肥胖的发生率。

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