Soltero Erica G, Navabi Neeku, Castro Felipe G, Ayers Stephanie L, Mendez Jenny, Thompson Deborah I, Shaibi Gabriel Q
USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates St., Houston, TX 77030, USA.
Center for Health Promotion and Disease Prevention, Arizona State University, 500 N. 3rd St., Phoenix, AZ 85004, USA.
Children (Basel). 2021 May 18;8(5):406. doi: 10.3390/children8050406.
Given that health behaviors occur within the context of familial social relationships, a deeper understanding of social factors that influence health behaviors in Latinx families is needed to develop more effective diabetes prevention programming. This qualitative study identified perceived family-level social factors that influence health behaviors in Latinx adolescents (12-16 years; = 16) and young adults (18-24 years; = 15) with obesity and explored differences in perceptions across sex and age. Participants completed an in-depth interview that was recorded, transcribed, and coded using thematic content analysis. Emergent themes central to health behaviors included: perceived parental roles and responsibilities, perceived family social support for health behaviors, and familial social relationships. Mom's role as primary caregiver and dad's role as a hard worker were seen as barriers to engaging in health behaviors among adolescent females and young adults, males and females. Adolescents perceived receiving more support compared to young adults and males perceived receiving more support compared to females. Health behaviors in both age groups were shaped through early familial social interactions around physical activity. These insights suggest that traditional gender roles, social support, and social interaction around health behaviors are critical components for family-based diabetes prevention programs in high-risk Latinx youth and young adults.
鉴于健康行为发生在家庭社会关系的背景下，为了制定更有效的糖尿病预防计划，需要更深入地了解影响拉丁裔家庭健康行为的社会因素。这项定性研究确定了影响肥胖的拉丁裔青少年（12至16岁；n = 16）和年轻人（18至24岁；n = 15）健康行为的家庭层面的社会因素，并探讨了性别和年龄在认知上的差异。参与者完成了一次深入访谈，访谈内容被录音、转录并使用主题内容分析法进行编码。对健康行为至关重要的新出现的主题包括：感知到的父母角色和责任、感知到的家庭对健康行为的社会支持以及家庭社会关系。母亲作为主要照顾者的角色以及父亲作为努力工作者的角色被视为青少年女性、年轻男性和女性参与健康行为的障碍。与年轻人相比，青少年感知到获得了更多支持；与女性相比，男性感知到获得了更多支持。两个年龄组的健康行为都通过围绕体育活动的早期家庭社会互动而形成。这些见解表明，传统性别角色、社会支持以及围绕健康行为的社会互动是针对高风险拉丁裔青年和年轻人的家庭糖尿病预防计划的关键组成部分。
