Ecological Factors and Strategies for Childhood Obesity Prevention Targeting Vulnerable Children: Using Community-Based Participatory Research
- Authors
- Sooyeon, P.; Jina, C.
- Issue Date
- 2020
- Publisher
- Korean Academy of Community Health Nursing
- Keywords
- Childhood obesity; Community-based participatory research; Focus groups
- Citation
- Journal of Korean Academy of Community Health Nursing, v.31, no.3, pp.256 - 268
- Indexed
- SCOPUS
KCI
- Journal Title
- Journal of Korean Academy of Community Health Nursing
- Volume
- 31
- Number
- 3
- Start Page
- 256
- End Page
- 268
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/60784
- DOI
- 10.12799/jkachn.2020.31.3.256
- ISSN
- 1225-9594
- Abstract
- 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. © 2020. Korean Academy of Community Health Nursing. All Rights Reserved.
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