农村小学实施儿童健康协调方法 (CATCH) 计划的混合方法评估
Carmen D Samuel-Hodge1, Ziya Gizlice2, Alexis R Guy2
1Gillings School of Global Public Health, Department of Nutrition, Center for Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin Luther King Jr. Blvd., Room 216, CB #7426, Chapel Hill, NC 27599-7426, USA.
Nutrients
|June 28, 2023
概括
农村儿童面临更高的肥胖风险. 在农村学校实施的CATCH计划显示出积极的结果,包括降低BMIz分数,特别是在西班牙裔学生中,以及有利的看法.
科学领域:
- 公共卫生 公共卫生
- 儿童肥胖症 儿童肥胖症
- 社区参与的研究
背景情况:
- 与城市同行相比,美国农村地区的儿童患肥胖的风险高出26%.
- 基于证据的肥胖预防计划很少在农村学校环境中实施.
- 解决服务不足的农村人口中儿童肥胖差异是一个关键的公共卫生需求.
研究的目的:
- 评估在农村小学实施CATCH计划的结果和感知.
- 为了评估身体质量指数 (BMI) z-分数和肥胖患病率在2年期间的变化.
- 探索学生,家长和学校工作人员对计划可行性和有效性的观点.
主要方法:
- 在基线时从272名不同学生收集的定量数据 (身高,体重).
- 通过与学生的重点小组以及与家长和学校工作人员的采访/调查收集的定性数据.
- 对157名在2年随访期间的学生进行分析的z-score数据.
主要成果:
- 总体平均BMIz-score变化为-0.04,在西班牙裔学生中显著下降-0.18.
- 男孩的肥胖率下降了3个百分点 (从17%降至14%).
- 定性数据表明对CATCH计划及其实施的看法是积极的.
结论:
- 在农村学校环境中,社区参与的CATCH计划的实施取得了成功.
- 该计划在减少平均BMI变化和肥胖患病率方面显示出有希望的结果.
- 涉及学校和社区合作伙伴的合作研究努力对儿童肥胖干预措施是有效的.
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