在利雅得的女子高中预防肥胖的障碍和促进因素:使用COM-B模型探索健康饮食,体育活动和学校干预措施的定性研究
Sarah Aldukair1,2, Jayne V Woodside1, Khalid Almutairi3
1Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
BMC public health
|February 20, 2026
概括
在沙特阿拉伯女高中预防肥胖面临着诸如学生动机低和环境因素等障碍. 解决这些问题需要综合方法,考虑学生和工作人员的观点,以便在学校进行有效的干预.
科学领域:
- 青少年健康 青少年健康
- 预防肥胖 预防肥胖
- 学校卫生干预措施 学校卫生干预措施
背景情况:
- 沙特阿拉伯的青少年健康状况显示,身体不活动率高 (79%) 和超重/肥胖率高 (30%).
- 糟糕的饮食习惯加剧了年轻人中的肥胖流行病.
- 只有女生的高中是对肥胖预防策略研究不足的环境.
研究的目的:
- 探索健康饮食 (HE),体力活动 (PA) 和基于学校的干预措施 (SBI) 的障碍和促进因素,以预防肥胖.
- 了解沙特阿拉伯的女子高中学生和教职员工的观点.
主要方法:
- 在利雅得的三所高中,与37名学生 (16-17岁) 和19名工作人员进行了9次聚焦小组讨论 (FGD).
- 一个基于COM-B模型的半结构化主题指南探讨了能力,机会和动机.
- 使用框架分析来确定关键障碍和推动因素.
主要成果:
- 在所有COM-B结构中发现了障碍,包括缺乏训练有素的员工,炎热的天气,课程限制和学校环境.
- 学生的低动机是学生和教职员工发现的一个重大障碍.
- 工作人员注意到了像PE课程这样的结构性激励因素,而学生则引用了个人激励因素 (意志力,情绪,身体形象). 没有发现共享启用器.
结论:
- 沙特阿拉伯的全女高中面临着实施肥胖预防SBI的重大障碍.
- 学生动机低是主要障碍,需要有针对性的干预措施.
- 有效的SBI需要特定于环境的,多层次的战略,包括学生和工作人员的观点.
相关概念视频
Obesity
1.4K
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
1.4K
Models of Health Promotion and Illness Prevention II
2.2K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
2.2K
Models of Health Promotion and Illness Prevention I
2.9K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.9K
Physiological Barriers
5.4K
Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
5.4K
Levels of Health Promotion and Illness Prevention
15.0K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
15.0K
Barriers to Effective Communication II
5.1K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.1K


