Family Health Care Nursing, University of California San Francisco, San Francisco, CA 94143, USA.
Cancer Center Division, University of Arizona, Tucson, AZ 85721, USA.
Int J Environ Res Public Health. 2023 Nov 3;20(21):7015. doi: 10.3390/ijerph20217015.
American Indian (AI) adolescents who practice healthy behaviors of sleep, nutrition, physical activity, and limited screen time can lower their lifetime risk of diet-sensitive disease. Little is known about how AI parenting practices influence the health behaviors of youth. The objective of this qualitative study was to explore how a group of AI parents of youths at risk of disease influenced their youth's health behaviors after a family intervention. A secondary objective was to understand the role of AI parents in supporting and sustaining health behavior change in their youths following the intervention. Semi-structured in-depth interviews were conducted with AI parents ( = 11) and their young adolescents, 10-15 years old ( = 6). Parents reported facilitators to how they enacted healthy lifestyle behaviors, including family togetherness, routines, youth inclusion in cooking, and motivation due to a health condition in the family. Barriers to enacting healthy behaviors included a lack of time, a lack of access to health resources, negative role modeling, and the pervasiveness of screen media. Three major themes about the role of AI parenting emerged inductively from the interview data: "Parenting in nontraditional families", "Living in the American grab-and-go culture", and "Being there and teaching responsibility". The importance of culture in raising youths was emphasized. These findings inform strategies to promote long-term adherence to behavior changes within the intervention. This study contributes to public health conversations regarding approaches for AI youths and families, who are not well represented in previous health behavior research.
美国印第安裔（AI）青少年如果养成健康的睡眠、营养、身体活动和限制屏幕时间的习惯，就可以降低其终生患饮食相关疾病的风险。关于 AI 父母的养育方式如何影响青少年的健康行为，人们知之甚少。本定性研究的目的是探讨一组患有疾病风险的 AI 青少年父母在接受家庭干预后如何影响其子女的健康行为。次要目的是了解 AI 父母在干预后如何支持和维持其青少年的健康行为改变。对 11 名 AI 父母及其 10-15 岁的青少年（n=6）进行了半结构化深入访谈。父母报告了他们实施健康生活方式行为的促进因素，包括家庭团聚、日常生活规律、让孩子参与烹饪以及家庭中健康状况带来的动力。实施健康行为的障碍包括时间不足、缺乏健康资源、负面榜样以及屏幕媒体的普遍存在。从访谈数据中归纳出 AI 父母角色的三个主要主题：“非传统家庭中的育儿”、“生活在美国快餐文化中”和“在场并教授责任感”。研究强调了文化在养育青少年方面的重要性。这些发现为促进干预措施中行为改变的长期坚持提供了策略。本研究为关于 AI 青少年和家庭的公共卫生对话做出了贡献，而这些群体在之前的健康行为研究中代表性不足。
