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Research Article| Volume 50, ISSUE 10, P959-967, November 2018

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Factors Affecting Nutrition and Physical Activity Behaviors of Hispanic Families With Young Children: Implications for Obesity Policies and Programs

  • Jamie Stang
    Correspondence
    Address for correspondence: Jamie Stang, PhD, MPH, RD, Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 South 2nd St, Ste 300, Minneapolis, MN 55454; Phone: (612) 626-0351; Fax: (612) 626-9328;
    Affiliations
    Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN
    Search for articles by this author
  • Zobeida Bonilla
    Affiliations
    Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN
    Search for articles by this author
Published:September 29, 2017DOI:https://doi.org/10.1016/j.jneb.2017.08.005

      Abstract

      Objective

      To determine preferred policies and programs to prevent obesity and diabetes as identified by parents and caregivers of 3- to 5-year-old Latino children.

      Design

      Constructs from the Social Ecological Model were used to develop 10 focus group and key informant interview questions.

      Setting

      Community venues and schools in St Paul, MN.

      Participants

      A total of 64 parents and caregivers and 20 key informants provided comments.

      Intervention(s)

      Community-based participatory research methods were used to gather opinions regarding appropriate and preferred methods to prevent obesity and diabetes among Latino youth. Native Spanish-speaking investigators who were members of the community conducted 7 focus groups (60–90 minutes each) and 20 key informant interviews.

      Main Outcome Measures

      Themes and subthemes of preferences based on participant comments.

      Analysis

      Transcript-based, long-table qualitative analysis.

      Results

      Five themes were identified: (1) cultural beliefs and practices are inconsistent with obesity prevention; (2) cost and convenience; (3) positive parenting practices; (4) we want to learn more about being healthy; and (5) gardens, parks, gyms, and school meals. At least 1 theme fell within each of the Social Ecological Model domains.

      Conclusions and Implications

      Our results suggest that parents of young Hispanic children prefer that obesity and diabetes prevention programs address multiple levels of influence.

      Key Words

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      References

        • Narayan K.M.
        • Boyle J.P.
        • Thompson T.J.
        • Sorensen S.W.
        • Williamson D.F.
        Lifetime risk for diabetes mellitus in the United States.
        Child Obes. 2003; 290: 1884-1890
        • The N.S.
        • Richardson A.S.
        • Gordon-Larsen P.
        Timing and duration of obesity in relation to diabetes: findings from an ethnically diverse, nationally representative sample.
        Diabetes Care. 2013; 36: 865-872
        • Ogden C.L.
        • Carroll M.D.
        • Kit B.K.
        • Flegal K.M.
        Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010.
        JAMA. 2012; 307: 483-490
        • Ong K.K.
        • Loos R.J.
        Rapid infancy weight gain and subsequent obesity: systematic reviews and hopeful suggestions.
        Acta Paediatr. 2006; 95: 904-908
        • Arauz Boudreau A.D.
        • Kurowski D.S.
        • Gonzalez W.I.
        • Dimond M.A.
        • Oreskovic N.M.
        Latino families, primary care, and childhood obesity: a randomized controlled trial.
        Am J Prev Med. 2013; 44: S247-S257
        • Elder J.P.
        • Arredondo E.M.
        • Campbell N.
        • et al.
        Individual, family, and community environmental correlates of obesity in Latino elementary school children.
        J Sch Health. 2010; 80: 20-30
        • Santiago-Torres M.
        • Cui Y.
        • Adams A.K.
        • et al.
        Familial and individual predictors of obesity and insulin resistance in urban Hispanic children.
        Pediatr Obes. 2016; 11: 54-60
        • Crawford P.B.
        • Gosliner W.
        • Anderson C.
        • et al.
        Counseling Latina mothers of preschool children about weight issues: suggestions for a new framework.
        J Am Diet Assoc. 2004; 104: 387-394
        • Kaufman L.
        • Karpati A.
        Understanding the sociocultural roots of childhood obesity: food practices among Latino families of Bushwick, Brooklyn.
        Soc Sci Med. 2007; 64: 2177-2188
        • Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition Physical Activity and Obesity
        Health equity resource toolkit for state practitioners addressing obesity disparities.
        • Crespo N.C.
        • Elder J.P.
        • Ayala G.X.
        • et al.
        Results of a multi-level intervention to prevent and control childhood obesity among Latino children: the Aventuras Para Ninos Study.
        Ann Behav Med. 2012; 43: 84-100
        • Perez-Morales M.E.
        • Bacardi-Gascon M.
        • Jimenez-Cruz A.
        Childhood overweight and obesity prevention interventions among Hispanic children in the United States: systematic review.
        Nutr Hosp. 2012; 27: 1415-1421
        • Quandt S.A.
        • Grzywacz J.G.
        • Trejo G.
        • Arcury T.A.
        Nutritional strategies of Latino farmworker families with preschool children: identifying leverage points for obesity prevention.
        Soc Sci Med. 2014; 123: 72-81
        • Ayala G.X.
        • Ibarra L.
        • Binggeli-Vallarta A.
        • et al.
        Our Choice/Nuestra Opcion: the Imperial County, California, Childhood Obesity Research Demonstration study (CA-CORD).
        Child Obes. 2015; 11: 37-47
        • Wallerstein N.B.
        • Duran B.
        Using community-based participatory research to address health disparities.
        Health Promot Pract. 2006; 7: 312-323
        • Minnesota State Demographers Office
        Minnesota on the Move: Migration Patterns & Implications.
        • Krueger R.A.
        • Casey M.A.
        Focus Groups: A Practical Guide for Applied Research.
        5th ed. Sage, Thousand Oaks, CA2015
        • Lincoln Y.S.
        • Guba E.G.
        Naturalistic Inquiry.
        Sage, Beverly Hills, CA1985
        • Khan L.K.
        • Sobush K.
        • Keener D.
        • et al.
        Recommended community strategies and measurements to prevent obesity in the United States.
        MMWR Recomm Rep. 2009; 58: 1-26
        • Institute of Medicine, Committee on Obesity Prevention Policies for Young Children
        Early Childhood Obesity Prevention Policies.
        National Academies Press, Washington, DC2011
        • World Health Organization
        Population-Based Approaches to Childhood Obesity Prevention.
        World Health Organization, Geneva, Switzerland2012
        • Tiedje K.
        • Wieland M.L.
        • Meiers S.J.
        • et al.
        A focus group study of healthy eating knowledge, practices, and barriers among adult and adolescent immigrants and refugees in the United States.
        Int J Behav Nutr Phys Act. 2014; 11: 63
        • Goldman N.
        • Pebley A.R.
        • Creighton M.J.
        • Teruel G.M.
        • Rubalcava L.N.
        • Chung C.
        The consequences of migration to the United States for short-term changes in the health of Mexican immigrants.
        Demography. 2014; 51: 1159-1173
        • Jackson M.I.
        • Kiernan K.
        • McLanahan S.
        Immigrant-native differences in child health: does maternal education narrow or widen the gap?.
        Child Dev. 2012; 83: 1501-1509
        • Martinson M.L.
        • McLanahan S.
        • Brooks-Gunn J.
        Race/ethnic and nativity disparities in child overweight in the United States and England.
        Ann Am Acad Pol Soc Sci. 2012; 643: 219-238
        • McCormack G.R.
        • Friedenreich C.
        • Shiell A.
        • Giles-Corti B.
        • Doyle-Baker P.K.
        Sex- and age-specific seasonal variations in physical activity among adults.
        J Epidemiol Community Health. 2010; 64: 1010-1016
        • Tucker P.
        • Gilliland J.
        The effect of season and weather on physical activity: a systematic review.
        Public Health. 2007; 121: 909-922
        • Wieland M.L.
        • Tiedje K.
        • Meiers S.J.
        • et al.
        Perspectives on physical activity among immigrants and refugees to a small urban community in Minnesota.
        J Immigr Minor Health. 2015; 17: 263-275
        • Merchant A.T.
        • Dehghan M.
        • Akhtar-Danesh N.
        Seasonal variation in leisure-time physical activity among Canadians.
        Can J Public Health. 2007; 98: 203-208
      1. Special Supplemental Nutrition Program for Women, Infants and Children (WIC): revisions in the WIC food packages.
        (Final rule. 7 CFR Part 246. Vol 79. Washington, DC: Federal Register)2014: 12274-12300
        • Gatto N.M.
        • Ventura E.E.
        • Cook L.T.
        • Gyllenhammer L.E.
        • Davis J.N.
        LA Sprouts: a garden-based nutrition intervention pilot program influences motivation and preferences for fruits and vegetables in Latino youth.
        J Acad Nutr Diet. 2012; 112: 913-920
        • Davis J.N.
        • Ventura E.E.
        • Cook L.T.
        • Gyllenhammer L.E.
        • Gatto N.M.
        LA Sprouts: a gardening, nutrition, and cooking intervention for Latino youth improves diet and reduces obesity.
        J Am Diet Assoc. 2011; 111: 1224-1230
        • Po'e E.K.
        • Neureiter C.
        • Escarfuller J.
        • et al.
        Systematic exposure to recreation centers increases use by Latino families with young children.
        Child Obes. 2012; 8: 116-123