KMID : 1104420200310030256
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Research in Community and Public Health Nursing 2020 Volume.31 No. 3 p.256 ~ p.268
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Ecological Factors and Strategies for Childhood Obesity Prevention Targeting Vulnerable Children: Using Community-Based Participatory Research
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Park Soo-Yeon
Choo Jin-A
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Abstract
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Purpose: This study aimed to explore ecological factors and strategies for childhood obesity prevention targeting vulnerable children using a community-based participatory research (CBPR) methodology.
Methods: The CBPR was conducted by following basic process steps. Participants were 12 community stakeholders such as community child center directors (n=4), vulnerable children¡¯s mothers (n=3), community health center officials (n=2), and lay health advisors (n=4); they were purposively sampled from K municipal county in Seoul, South Korea. The qualitative content analysis was performed to explore main themes of the ecological factors and strategies by using data obtained from 5 times of focus group interview.
Results: Twelve ecological factors associated with childhood obesity prevention were identified: Intrapersonal factors including emotional overeating; interpersonal factors including permissive parenting style of children¡¯s eating behaviors; organizational factors including social workers¡¯ less educational opportunities; and community/policy factors including less government financial support. Four ecological strategies for childhood obesity prevention were addressed: Developing obesity prevention programs targeting vulnerable children¡¯ lifestyles; promoting parents¡¯ active participation in education; building healthy meal service environments through empowering social workers; and building supportive community environment and securing community resources for child obesity prevention.
Conclusion: Our findings may be informative in terms of providing a comprehensive understanding of multi-level ecological barriers against vulnerable children¡¯ obesity prevention and, moreover, guiding multi-level strategies for preventing childhood obesity targeting children enrolled in community child centers.
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KEYWORD
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Childhood obesity, Community-based participatory research, Focus groups
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