Department of Social Medicine of School of Public Health and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Hangzhou Centre for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Inquiry. 2024 Jan-Dec;61:469580241273183. doi: 10.1177/00469580241273183.
With a significant increase in the obesity epidemic in China, addressing adolescent obesity should be highlighted as a priority. The current qualitative study aims to explore the perspectives of key stakeholders regarding adolescent obesity, providing guidance for developing effective obesity interventions for Chinese adolescents. A total of 12 focus group discussions were convened with a range of representative stakeholders including adolescents (n = 37), parents (n = 28), and school staff (n = 21) from sample schools. Semi-structured topic guides were used for data collection. All data were transcribed verbatim and analyzed thematically. From multiple stakeholder perspectives, we finally identified 3 overarching themes () and 8 sub-themes. While participants had mixed perceptions of status and prevalence of adolescent obesity, all acknowledged the serious health consequences associated with it. As significant modifiable risk factors, unhealthy diet and physical activity were identified to be prevalent among Chinese teenagers and lead to excessive weight gain. However, a variety of individual, environmental and sociocultural factors hindered the implementation of healthy lifestyles, affecting adolescent obesity prevention and control. Given adolescent obesity is a complex, multifactorial and multilevel public issue, comprehensive lifestyle interventions are recommended that synergistically engage multiple stakeholders across key communities to fight the ongoing obesity epidemic.
随着中国肥胖症的流行显著增加，解决青少年肥胖问题应作为优先事项予以强调。本研究旨在探讨利益相关者对青少年肥胖的看法，为制定针对中国青少年的有效肥胖干预措施提供指导。研究共召集了 12 次焦点小组讨论，参与者包括来自样本学校的青少年（n=37）、家长（n=28）和学校工作人员（n=21）等不同代表性的利益相关者。使用半结构式主题指南进行数据收集。所有数据均逐字转录并进行主题分析。从多个利益相关者的角度出发，我们最终确定了 3 个总体主题（）和 8 个子主题。尽管参与者对青少年肥胖的现状和流行程度存在不同看法，但他们都认识到其与严重健康后果之间的关联。不健康的饮食和缺乏体育锻炼被视为青少年肥胖的主要可改变风险因素，导致体重过度增加。然而，各种个体、环境和社会文化因素阻碍了健康生活方式的实施，影响了青少年肥胖的预防和控制。鉴于青少年肥胖是一个复杂的、多因素的和多层次的公共问题，建议采取综合的生活方式干预措施，协同动员关键社区的多个利益相关者共同应对当前的肥胖流行。
