Théodore Florence L, Juárez-Ramírez Clara, Rosales-Galindo Sandra, Reartes Peñafiel Diana Laura, Salazar-Sánchez Moisés, Monroy Figueroa Jerónimo, Villanueva-Borbolla María Ángeles, Corona de la Peña Laura Elena
Centre for Research on Nutrition and Health-National Institute of Public Health of México, Tlalpan, México.
Center for Health Systems Research-National Institute of Public Health of Mexico, Tlalpan, Mexico.
Int J Health Plann Manage. 2025 Jul;40(4):975-986. doi: 10.1002/hpm.3937. Epub 2025 Apr 27.
The aim of the research presented in this article was to understand children's daily approach to food in a marginalised neighbourhood of Mexico City as a proximal determinant of health to help improve the design of health and food services and programmes that support children in food insecure conditions.
A qualitative-ethnographic study was conducted by a multidisciplinary team. Data collection involved various methods and techniques: revision of secondary sources; ethnographic observation; individual interviews with key actors; focus group with the children's parents/caregivers; information generated by 30 children through drawings, collective activities, and spontaneous comments related to food during 10 workshop sessions.
Our research sheds light on the intricate ways of children's perception and engagement with food and food culture in their everyday lives. Through firsthand accounts from people within children's immediate circles, we gained insight into the multifaceted dynamics shaping food preferences and the family's challenge to access nutritious options considering time constraints and scarce financial resources.
Effective food governance must consider how the history of territories has shaped people's food preferences, as well as understand the constraints of children's families in bringing about changes in food choices. There is a need to improve communication between managers and planners of health services and social programmes for children.
本文所呈现的研究旨在了解墨西哥城一个边缘化社区中儿童日常的饮食方式，将其作为健康的近端决定因素，以帮助改进健康和食品服务以及支持粮食不安全状况下儿童的项目设计。
一个多学科团队开展了一项定性民族志研究。数据收集涉及多种方法和技术：二手资料修订；民族志观察；与关键行为者的个人访谈；与儿童父母/照顾者的焦点小组讨论；30名儿童在10次工作坊期间通过绘画、集体活动以及与食物相关的自发评论产生的信息。
我们的研究揭示了儿童在日常生活中对食物及饮食文化的感知和参与的复杂方式。通过儿童身边人的第一手叙述，我们深入了解了塑造食物偏好的多方面动态，以及考虑到时间限制和资金资源稀缺，家庭在获取营养选择方面面临的挑战。
有效的食品治理必须考虑地域历史如何塑造了人们的食物偏好，以及理解儿童家庭在改变食物选择方面的限制因素。有必要改善儿童健康服务和社会项目的管理者与规划者之间的沟通。
