A Qualitative Study on the Perceptions of African-American Family Strengths, Health and Childhood Obesity

A Qualitative Study on the Perceptions of African-American Family Strengths, Health and Childhood Obesity PDF Author: Chiquita A. Briley
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ISBN:
Category :
Languages : en
Pages : 352

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A Qualitative Study on the Perceptions of African-American Family Strengths, Health and Childhood Obesity

A Qualitative Study on the Perceptions of African-American Family Strengths, Health and Childhood Obesity PDF Author: Chiquita A. Briley
Publisher:
ISBN:
Category :
Languages : en
Pages : 352

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Perceptions of Weight-related Health in African American Families

Perceptions of Weight-related Health in African American Families PDF Author: Amy Kristen Foster
Publisher:
ISBN:
Category : African American children
Languages : en
Pages : 384

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A Look at African-American Maternal Beliefs and Perceptions Regarding Childhood Obesity

A Look at African-American Maternal Beliefs and Perceptions Regarding Childhood Obesity PDF Author: Cecilia Gingell
Publisher:
ISBN:
Category :
Languages : en
Pages : 124

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African American Fathers' Perceptions of Childhood Overweight

African American Fathers' Perceptions of Childhood Overweight PDF Author: Vanessa Michelle Byrd
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Childhood overweight/obesity (CHO) is a serious health concern for children and adolescents. Despite increased efforts to prevent CHO, prevalence rates have actually increased. Evidence suggests that parents are critical to successful interventions to reduce CHO among children. While research efforts aimed at parental inclusion have increased, limited research has been conducted to investigate fathers' perception of CHO, or their influences on their children's health. The objective of this two-phase study was to answer three research questions: a) How does the extant literature operationalize African American parental perceptions of childhood overweight/obesity? b) What are African American fathers' perceptions of CHO? and c) How do African American fathers perceive CHO in relation to their own child's weight status? Evidence-based studies reveal that fathers have the potential to play a significant role in CHO prevention. Phase one (literature review) revealed that published studies on parental perception of CHO either exclude fathers, include them only in data collection, and/or report no results specific to paternal perception. Thus, an exploratory qualitative study was needed to explore African American fathers' perceptions of CHO. In phase two (qualitative study), four fathers were interviewed about their perceptions of CHO and how they contextualize this problem. The results indicated fathers believe that weight categories are racially & culturally insensitive and do not account for individual health status or differences in body/bone structure, and that parents with overweight children are financially disadvantaged, irresponsible and overworked. Fathers also indicated that colloquial terms (e.g., chunky, husky, big-boned, thick) were commonly substituted medical definitions for overweight and that child/teen sports participation was motivated by health, as well as non-health related benefits (e.g., competitiveness, educational scholarships). Further, fathers' identification of CHO is subjective and includes visual means and parental assessment of health status (e.g., child mobility/activity levels). Implications of this study are that additional studies are needed to clarify fathers' roles in CHO and that future studies should consider complex familial structures, as well as reframe prevention efforts to focus on optimal child health as opposed to weight labeling and focusing on parents' accuracy in identifying weight categories.

Associations Among African American Parent Education, Perceptions, Behaviors, and Child Weight Status

Associations Among African American Parent Education, Perceptions, Behaviors, and Child Weight Status PDF Author: Tracey Marie Barnett
Publisher:
ISBN:
Category : African American children
Languages : en
Pages : 144

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Purpose: Obesity in children and adolescents is a worldwide epidemic that is anticipated to worsen over time (Budd & Volpe, 2006; Chatterjee, Blakely, & Barton, 2005; Hossain, Kawar, & El Nahas, 2007). Within the past 30 years, the prevalence of childhood obesity in the United States has more than doubled among children and quadrupled in adolescents (Ogden, Carroll, Kit, & Flegal, 2014). People often have inaccurate perceptions of their body size and weight status and this may play a key role in the prevalence of obesity especially for ethnic minorities (Gillard, Lackland, Mountfored, & Egan, 2007; Hendley, et al., 2011). In order to combat child obesity, it is imperative for future research to explore the phenomenon of parent education, behaviors, perceptions and the impact on child weight status within a strong theoretical conceptual model. The purpose of this dissertation is to build a theoretical conceptual model and testable model to understand the associations among African American parent education, behaviors, and perceptions of their child's body size and the impact on their child's weight status. Methods: The School Physical Activity and Nutrition survey (SPAN) was developed using a repeated cross-sectional study design to estimate changes in body mass index (BMI) by three major racial/ethnic groups (African Americans, Hispanics, and whites/others) in Texas public school children (Hoelscher, Day, Lee, Frankowski, Kelder, Ward & Scheurer, 2003). For this study, only African American 4th grade students (n=372) and their parents (n=372) will be used. Data analyses included descriptive statistics, multiple regression, moderation, and mediation analysis. Results: Findings suggest that a parent's level of education had a direct impact on health knowledge and discrimination. Parent perceptions of their child's body size was directly associated with child weight status, but parent weight status moderated this relation. The number of children living in the home had a direct impact socioeconomic status (SES), SES had a direct impact on stress, and stress had a direct impact on parenting rules and discipline. The more physical activity parents did with their children, the lower their child's weight status, however, parent weight status mediated this relation. Lastly, as the consumption of more healthy foods increased, so did the child's weight status. Implications: The findings of this study offer a comprehensive picture of how parent education, perceptions and behaviors impact child weight status. These results highlight suggested areas that may be used by social work practitioners, researchers, and policy makers when working African American parents and their children. This study also suggests a final robust theoretical conceptual model of theory and evidence-based literature to guide future research.

Dissertation Abstracts International

Dissertation Abstracts International PDF Author:
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 810

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A Needs Assessment

A Needs Assessment PDF Author: Susan L. Trach
Publisher:
ISBN:
Category : African American children
Languages : en
Pages : 54

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The incidence of pediatric obesity is increasing in America and along with it, increasing health risks. African-American children from low-income households are particularly at risk for becoming obese, especially during adolescence. More than 70% of the children treated at Albert Einstein Medical Center in Philadelphia are from low-income, African-American homes. Thirty percent of these clients are overweight or obese. In order to develop an effective weight-management program for this high-risk population, a pilot qualitative study/needs assessment was conducted. For this study, physicians identified patients between 10 and 18 years old who were greater than 120% of their Ideal Body Weight, with Body Mass Indexes equal to, or greater than, the 95th percentile and referred them to the clinic dietitian. Consent to perform the needs assessment was obtained from 5 females and 1 male, all between the ages of 15 and 18 years old. Subjects were assessed using a food-frequency questionnaire, a diet-history form and a needs-assessment questionnaire. Questions covered eating habits, activity level, nutrition knowledge, family history of weight problems, potential for family involvement and attitudes toward being overweight. The results showed a high intake of high-fat foods and sweetened beverages and low levels of physical activity in subjects. High levels of sedentary activity, such as watching television, were also noted. Nutrition knowledge was not extensive, but was comparable to other teens in America. In addition, all subjects had other family members who were also overweight (i.e., parents or siblings), yet family support was perceived as being good with potential for parental involvement. Lastly, inconsistent with previous research regarding attitudes towards weight loss in African-Americans, all subjects were very interested in losing weight. From this preliminary study, it appears as though a weight-management program for African-American adolescents should included culturally appropriate nutrition-education and behavioral-modification components for both patients and their families, as well as ways to help increase physical activity and limit sedentary activities. The clinical team for such a program will likely need to include clinic physicians, a nutritionist, a psychologist and physical-education instructors. Because this initial study was too small to be generalizable to the entire clinic population, continued research will be needed to verify these findings and conclusions. Future studies should also look at younger children and differences in children related to gender.

Preventing Childhood Obesity

Preventing Childhood Obesity PDF Author: Dayna S. Alexander
Publisher:
ISBN:
Category :
Languages : en
Pages : 206

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Author's abstract: Preventing childhood obesity is a global priority due to adverse health risks and financial burdens. With childhood obesity rates stabilizing it is difficult to determine which factors alone (i.e., genetic, environmental, behavioral, or demographic) increase susceptibility to childhood obesity. Parents influence childhood obesity risk factors through their parenting styles and behaviors. Social behavioral theories and public health evidence demonstrate including parents in childhood obesity efforts could assist in reducing childhood obesity rates. The objective of this study was to assess perceptions of childhood obesity among African Americans with children enrolled in a rural elementary school in the Deep South. The concurrent mixed methods study utilized a fifty-nine item questionnaire and fourteen semi-structured interview guide to collect information on perceptions of risk factors, health complications, weight status of the child, the built environment, and prevention strategies. Using a convenience sample, participants ages 22-65, completed a paper-based survey (n=135) and participated in a face-to-face interview (n=12). Descriptive statistics were obtained from the surveys. A six-step process was used for qualitative analysis. Participants commonly cited behavioral risk factors as a contributing cause of childhood obesity; yet, they did not believe social aspects and appearance of the community were contributing factors. Also diabetes, hypertension, and stroke were health complications reported by participants. Analysis of the surveys and interviews revealed that participants assessed their child's weight and height status by child's appearance or the child's recent doctor visit. In addition, few participants had a distorted view of their child's weight status. Barriers reported by participants included safety and insufficient physical activity venues and programs. Furthermore, participants believed parents played a vital role in the prevention of childhood obesity. Findings suggest that programs and interventions would be effective by focusing on parental concerns in rural communities. In addition, engaging parents in the design, implementation, and evaluation of these efforts would be beneficial. Obesity prevention efforts must address parent's individual choices, lifestyles, and the external environment of the rural community.

Parent and Child Physical Activity Behaviors and Encouragement Among a Sample of African American Families

Parent and Child Physical Activity Behaviors and Encouragement Among a Sample of African American Families PDF Author: Jennifer Cotto
Publisher:
ISBN:
Category :
Languages : en
Pages : 67

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Since 1980 the prevalence of obesity has nearly doubled worldwide, with at least 2.8 million yearly adult deaths attributed to obesity-related complications (“WHO | Obesity and overweight,” n.d.). Results from the 2011-2012 National Health and Nutrition Examination Survey (NHANES) indicate that 31.80% of children, 2 to 19 years of age, were overweight or obese, with African American children having the second highest prevalence (20.20%) when compared to their Asian (8.60%), Caucasian (14.10%) and Hispanic (22.40%) peers (Ogden, Carroll, Kit, & Flegal, 2014). Similarly, African American adults ( 20 yeas-old) had the highest obesity prevalence (47.80%) when compared to their Asian (10.90%), Caucasian (33.40%) and Hispanic (42.00%) peers (Ogden et al., 2014). Physical Activity (PA) has been established as a promising method in weight management and obesity prevention (“Physical Activity for Everyone,” n.d.). However, the majority of adults and children are not physically active (“CDC - Facts - Data - Physical Activity - DNPAO,” n.d.), this is especially evident among minority populations (National Center for Health Statistics (US), 2012; “NHIS - Advance Data Reports,” n.d.). Specifically in 2007, 62.10% of African American children did not get the daily recommended amount of vigorous PA, which was only second to Hispanic children (69.30%) (National Center for Health Statistics (US), 2012). African American adults are also less physically active when compared to their Caucasians and Hispanic peers (“NHIS - Advance Data Reports,” n.d.). Therefore, it is of outmost importance to find ways to reduce this trend and increase PA behaviors, defined as PA frequency, perceived support for PA, and PA barriers, within African American families. Researchers have shown that PA behaviors in both children and adults are associated with the parent-child relationship (Chang, Nitzke, Guilford, Adair, & Hazard, 2008; Edwardson & Gorely, 2010; Fawcett, Garton, & Dandy, 2009; Hamilton & White, 2010; Hinkle, Kirschenbaum, Pecora, & Germann, 2011; Lopez-Dicastillo, Grande, & Callery, 2013; Madsen, McCulloch, & Crawford, 2009; McElroy, 2002; Puglisi, Okely, Pearson, & Vialle, 2010; Wilson, Lawman, Segal, & Chappell, 2011). This is even more meaningful within the African American community given their interdependent and collectivist family culture (McAdoo, 2007). Therefore, the present study focused on describing African American primary parents (or caregivers) PA behaviors and how parental factors are associated with children’s perception of parental support for PA and their weight status. Similar to previous research, it was found that parental behaviors such as parental modeling (Madsen et al., 2009), parental perceived support for their child’s PA (Edwardson & Gorely, 2010; Wilson et al., 2011) and parental stated barriers for their child to be physically active (Adachi-Mejia et al., 2010; Hamilton & White, 2010; Lopez-Dicastillo et al., 2013; Puglisi et al., 2010; Thompson, 2010) were associated with their children’s perception of parental support for PA. However, little support was found for associations between the child’s weight status and their primary parents’ PA behaviors and weight status. Consequently, future research studies focused on African American parents and or children’s PA behaviors should include the nuclear and extended family members, given that PA behaviors are learned and encouraged or discouraged within the family. In addition, measuring the family members PA behaviors can help explore the bi-directional relationship that each family member has on each other’s PA behaviors.

Relationship Between Family Income And Obesity

Relationship Between Family Income And Obesity PDF Author: Charles D. Boison, PhD
Publisher: Book Venture Publishing LLC
ISBN: 1641663553
Category : Health & Fitness
Languages : en
Pages : 156

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Book Description
American participants living in Durham, North Carolina (NC). Studies have shown low income African Americans are disproportionately affected by chronic diseases, such as obesity, diabetes, hypertension, and high cholesterol, due to poor eating habits or diets. Some studies have also reported higher rates of obesity amongst high income earners. The purpose of this research is to address the inconsistency, as well as fill the gap in the literature on this topic.