Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK.
Centre for Epidemiology Versus Arthritis, School of Biological Sciences, University of Manchester, Manchester, UK.
Obes Rev. 2020 Nov;21(11):e13058. doi: 10.1111/obr.13058. Epub 2020 Jun 30.
Refugee children are likely to become less active and eat more unhealthily after their resettlement in developed countries. This review aims to identify and synthesize research about factors that influence unhealthy behaviours related to obesity in this population. Six electronic databases were searched systematically to identify studies that sampled refugee children or parents of refugee children aged 2 to 16 years who have resettled in a developed country. Methodological and cultural study quality was assessed and factors associated with obesity-related health behaviours investigated. Twenty studies fulfilled the inclusion criteria. Five major themes, representing factors influencing health behaviours, were identified from the data synthesis process: Acculturation, Environmental, Socioeconomic, Cognitive, and Family. The analysis revealed that refugee's health behaviours are influenced by several complex factors that are common to immigrant groups but have a greater influence among refugees. The review also revealed parental practices influence the health behaviours of children, especially those aged 2 to 10 years. Research is needed to understand further the role that parents have in influencing health behaviours and weight trajectories of children following resettlement.
难民儿童在发达国家重新安置后可能变得不那么活跃，饮食也更不健康。本综述旨在确定和综合研究影响这一人群与肥胖相关的不健康行为的因素。系统地检索了六个电子数据库，以确定对在发达国家重新安置的 2 至 16 岁难民儿童或难民儿童父母进行抽样的研究。评估了方法学和文化研究质量，并调查了与肥胖相关的健康行为相关的因素。有 20 项研究符合纳入标准。从数据综合过程中确定了代表影响健康行为的五个主要主题：文化适应、环境、社会经济、认知和家庭。分析表明，难民的健康行为受到多种复杂因素的影响，这些因素在移民群体中很常见，但对难民的影响更大。该综述还表明，父母的做法会影响儿童的健康行为，尤其是 2 至 10 岁的儿童。需要进一步研究，以了解父母在重新安置后对儿童健康行为和体重轨迹的影响。
