Discipline of Nutrition and Dietetics, Charles Perkins Centre, University of Sydney, Sydney 2006, Australia.
Nutrients. 2021 Nov 1;13(11):3918. doi: 10.3390/nu13113918.
The unyielding obesity epidemic in adolescents from Middle Eastern (ME) backgrounds warrants culturally-responsive and co-designed prevention measures. This study aimed to capture the opinions of ME parents residing in Australia on the crisis and their enablers and barriers to healthy eating interventions given their influence on adolescent eating behaviors. Twenty-six semi-structured interviews were conducted with ME mothers, aged 35-59 years, and most residing in low socioeconomic areas ( = 19). A reflexive thematic analysis using the Capability, Opportunity, Motivation-Behaviour model and Theoretical Domain Framework was conducted. Parents expressed confidence in knowledge of importance of healthy eating, but were reluctant to believe behaviours were engaged in outside of parental influence. Time management skills are needed to support working mothers and to minimize reliance on nearby fast-food outlets, which was heightened during COVID-19 with home-delivery. Time constraints also meant breakfast skipping was common. A culture of feeding in light of diet acculturation and intergenerational trauma in this diaspora was also acknowledged. Parents pleaded for upstream policy changes across government and school bodies to support parental efforts in the form of increased regulation of fast-food and subsidization of healthy products. Opportunities for weight-inclusive programs including parenting workshops underpinned by culturally-responsive pedagogy were recommended.
中东（ME）背景的青少年肥胖问题持续存在，需要采取有文化响应和共同设计的预防措施。本研究旨在了解居住在澳大利亚的 ME 父母对这一危机的看法，以及他们对健康饮食干预的促进因素和障碍，因为他们对青少年的饮食行为有影响。对 26 名 35-59 岁的 ME 母亲进行了半结构化访谈，她们大多数居住在低社会经济地区（n=19）。使用能力、机会、动机-行为模型和理论领域框架进行了反思性主题分析。父母表示对健康饮食重要性的知识有信心，但不愿意相信在父母的影响之外会有行为发生。需要时间管理技能来支持有工作的母亲，并尽量减少对附近快餐店的依赖，这在 COVID-19 期间随着送货上门而加剧。时间限制也意味着经常不吃早餐。在这种移民群体中，饮食文化适应和代际创伤导致的喂养文化也得到了承认。父母呼吁政府和学校机构进行上游政策改革，以支持父母的努力，例如加强对快餐的监管和对健康产品的补贴。还建议开展体重包容计划，包括基于文化响应教学法的育儿讲习班。
