思考父母对健康生活方式的看法:一项定性研究
Amanda Spavin1, Alison Moore2, Judith Lunn3
1Lancashire County Council, Preston, UK.
Lancet (London, England)
|November 24, 2023
概括
贫困地区的儿童肥胖率更高. 了解健康生活方式的局部障碍和驱动因素是有效的公共卫生服务和行为改变干预的关键.
科学领域:
- 公共卫生
- 健康心理学
- 健康社会学
背景情况:
- 贫困地区的儿童比富裕地区的儿童肥胖率高得多.
- 健康的社会梯度受到不同社会经济群体影响的各种障碍和驱动因素的影响.
- 了解这些因素对于开发有效的公共卫生服务和干预措施至关重要.
研究的目的:
- 探索居民对健康生活方式的理解,并确定社会贫困地区行为改变的障碍和驱动因素.
- 通过收集社区的见解,为儿童公共卫生服务的委托决定提供信息.
- 调查委托服务如何更好地支持高社会贫困地区居民的行为变化.
主要方法:
- 使用半结构面试进行定性研究设计.
- 在英格兰西北部一个贫困地区,
- 对参与者之前参加过体重控制计划的数据进行主题分析.
主要成果:
- 参与者表现出对影响儿童和家庭健康的各种因素的认识,包括饮食,运动,心理健康,家庭价值观,财务限制和结构性障碍.
- 这些障碍和驱动因素不仅仅是知识和技能.
- 发现现有的委托干预和参与者的实践经验之间存在差距.
结论:
- 有效的干预措施必须承认和解决知识之外的障碍,并纳入参与式共同设计和基于地点的方法.
- 需要转向对社区感知驱动因素和障碍的敏感模型才能成功改变行为.
- 委托服务应利用现有的社区知识和技能,超越传统的证据基础.
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