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Latino Parents Beliefs and Practices Related to Obesity Prevention in Young Children

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Discussion of written survey on family/environmental influences on eating ... Restoring some pre-immigration eating patterns. Overlooked role of father in food choices ... – PowerPoint PPT presentation

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Title: Latino Parents Beliefs and Practices Related to Obesity Prevention in Young Children


1
Latino Parents Beliefs and Practices Related to
Obesity Prevention in Young Children
  • University of Southern California
  • Department of Family Medicine
  • LANet

2
Purpose
  • Identify culturally specific knowledge,
    attitudes, beliefs and behaviors held by Latino
    parents concerning their young childrens health,
    weight and nutrition.
  • To allow us to design/modify a culturally
    appropriate intervention for primary care
    setting.

3
Background
  • LANet providers identified pediatric obesity at
    high-priority topic for their practice the
    network March 2005 Forum
  • Formed working group deArtola, Sarter, Vega,
    Labugen, Bart, Knox, Hahn, Luke, Spruit-Metz,
    Woerhle, Mitchell
  • 26.3 of Latino children 2-5 at risk of
    overweight, 13.1 actually overweight (2000)

4
Identified gaps in the literature
  • few studies of what immigrant parents
    think/believe/do related to obesity prev w/young
    children
  • few studies of how behaviors change
    post-immigration
  • few ped obesity prev interv for use in primary
    care based on this information

5
Methods
  • Qualitative, exploratory design
  • 8 focus groups, up to 8 subjects each
  • Recruited in wait room/flyer 50 incentive
  • Informed written consent, data de-identified
  • Groups led by trained bi-lingual facilitator
    using guide developed by research team
  • Proceedings audio taped and later transcribed

6
Interview Guide
  • Self-introductions, first name/where born/when
    moved to US
  • Changes in eating habits since immigration
  • Discussion of written survey on
    family/environmental influences on eating
  • Health care provider interactions

7
Data Analysis (underway now)
  • All team members to read transcripts
  • Recurrent concepts/themes identified while
    reading until saturation reached
  • Three reads for 1) themes, 2) process, 3)
    overall gestalt
  • Group discussion and agreement
  • Summary statement

8
Sample
  • Lorena to get for us

9
Overview/themes (preliminary)
  • Four main themes are emerging about impact of
    immigration
  • Changes in food amount type
  • Disruption of family meal
  • Father as a key influence
  • Less integrated/naturally occurring exercise
  • And --- yes, doctors should

10
To start..
  • Participants were relatively well
    informed/sophisticated about food/nutrition
    (contrary to stereotype)
  • Veggies good
  • Reduce grease/fat
  • In Mx, we get our vitamins from the trees we
    pick fruit fresh here everything is
    processed/packaged you dont know how fresh or
    what is in it.

11
Food consumed pre immigration
  • Less protein (I mixed flour w/eggs they go
    farther)
  • Food fresher more intimate picked fruit, got
    meat fresh not packaged/processed
  • Less refridge (put milk in sand)
  • Cooked w/ grease

12
Changes in food post immigration
  • Grease more/less
  • More meat
  • Vegetables, fruit more/less
  • Less whole grains, more refined carbohydrates
  • Less beans
  • More processed food, less fresh/natural food
  • More fast food/restaurant food
  • Food tastes worse
  • Food more plentiful, portions larger

13
Child Feeding
  • Love and food go together
  • Home cooking
  • Avoid grease
  • Beans, rice, vegetables, fruits
  • Chicken, enchiladas, tacos, quesadillas

14
Changes in processes/rituals around meal
  • Pre-immigration family eats together breakfast,
    lunch dinner important part of family ritual
    children released from school for lunch
  • Post-immigration both parents work multiple
    jobs --- no time to eat together-- children eat
    at one time, mother another, father another ---
    important ramifications for feeding but also
    family functioning

15
Changes in exercise (not directly queried)
  • walked more
  • In Mx, children outside more/active here not
    safe, latch-key, parents exhausted so family
    activity curtailed/replaced w/ tv
  • Here drive or use public transport distances
    too great, not safe outside

16
Who influences childs eating?
  • Expected
  • Mother/Caregiver
  • School
  • TV
  • Unexpected
  • Father plays critical role mother cooks to his
    taste. Mother has dif menu for children
    butchildren observe/emulate/eat again w/ father

17
Communication with Doctor
  • Majority indicated little to none
  • Only answers my questions
  • About weight, but not nutrition
  • Fear, lack of trust, disappointment
  • Information given by doctor
  • Flour is good
  • Less grease, no candy or soda, dilute juices,
    feed hamburgers
  • Nearly all felt doctor should be educating them
  • Radio (Spanish 97.5 Nutrition Dangerous
    Curves) TV movie Oversize Me

18
Next steps
  • Finish analysis
  • Article to Annals of Family Medicine
  • Design intervention based on findings
  • Role of family meal how to restore or coping w/
    disrupted rituals
  • Restoring some pre-immigration eating patterns
  • Overlooked role of father in food choices
  • Other ???? still in process of analyzing
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