Campos Ana Paola, Robles Julian, Matthes Katherine E, Vu Maihan B, Alexander Ramine C, Goode Rachel W
Nutrition Research Institute, University of North Carolina at Chapel Hill, 500 Laureate Way, Kannapolis, NC 28081, USA.
Connected Health Applications and Interventions Core, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Children (Basel). 2025 Jul 5;12(7):887. doi: 10.3390/children12070887.
Childhood obesity disproportionately affects Hispanic families in the U.S. Although parenting practices and interventions appear to be viable approaches to lower the risk of childhood obesity, there is limited information on which parenting practices would be relevant and culturally appropriate for Hispanic families. This study aimed to document the health-related factors that impact Hispanic parenting practices to inform evidence-based parenting interventions to improve child health outcomes and reduce the risk of childhood obesity. We conducted cross-sectional, formative research guided by the COREQ checklist. Hispanic parents of elementary school-aged children were recruited using purposive and snowball sampling. Eligible parents completed a brief sociodemographic survey, the Comprehensive Feeding Practices Questionnaire (CFPQ), and an individual semi-structured interview. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using a coding-based thematic approach. Seventeen parents (88.2% female) participated in the study, and the majority reported Spanish as their preferred language (70.6%). According to parent-reported data, the children's (52.9% female) mean age was 8.4 ± 1.5 years, and over half were classified as having overweight or obesity. The CFPQ analysis indicated that parents scored highest on subscales related to encouraging healthy eating and eating variety, a finding that was reinforced by interview data. Qualitative analysis identified four key themes: 1. parenting roles, routines, and strategies for promoting culturally appropriate and healthy meals; 2. beliefs of children's health and weight; 3. beliefs on physical activity and screen time; and 4. environmental and social factors affecting access to healthy food and physical activity. Both quantitative and qualitative results emphasize that parents engage in healthy eating guidance and eating variety and are aware of the factors that impact parenting practices and their children's health. To improve child health outcomes and reduce the risk of childhood obesity among Hispanic families, parenting interventions need to be culturally responsive and address the factors that influence parenting practices. The findings from this study highlight four key areas to prioritize when designing or adapting parenting interventions to lower the risk of childhood obesity among Hispanic families.
儿童肥胖对美国的西班牙裔家庭影响尤为严重。尽管育儿方式和干预措施似乎是降低儿童肥胖风险的可行方法，但关于哪些育儿方式对西班牙裔家庭具有相关性且符合其文化特点的信息却很有限。本研究旨在记录影响西班牙裔育儿方式的健康相关因素，为基于证据的育儿干预措施提供依据，以改善儿童健康状况并降低儿童肥胖风险。我们依据COREQ清单开展了横断面的形成性研究。通过立意抽样和滚雪球抽样的方式招募了小学适龄儿童的西班牙裔家长。符合条件的家长完成了一份简短的社会人口学调查问卷、综合喂养行为问卷（CFPQ）以及一次个人半结构化访谈。定量数据采用描述性统计进行分析，定性数据采用基于编码的主题分析法进行分析。17位家长（88.2%为女性）参与了该研究，大多数家长表示他们更倾向的语言是西班牙语（70.6%）。根据家长报告的数据，孩子们（52.9%为女性）的平均年龄为8.4±1.5岁，超过半数被归类为超重或肥胖。CFPQ分析表明，家长在与鼓励健康饮食和多样化饮食相关的分量表上得分最高，这一结果在访谈数据中得到了强化。定性分析确定了四个关键主题：1. 促进符合文化特点且健康饮食的育儿角色、日常活动和策略；2. 对儿童健康和体重的看法；3. 对体育活动和屏幕时间的看法；4. 影响获取健康食品和体育活动机会的环境和社会因素。定量和定性结果均强调，家长参与健康饮食指导并注重饮食多样化，且意识到影响育儿方式及其子女健康的因素。为改善西班牙裔家庭中儿童的健康状况并降低儿童肥胖风险，育儿干预措施需要具备文化适应性，并解决影响育儿方式的因素。本研究的结果突出了在设计或调整育儿干预措施以降低西班牙裔家庭儿童肥胖风险时需要优先考虑的四个关键领域。
