Enhancing Equity in Access and Quality of Youth Out-of-School-Time Recreational Activities: Perspectives from Primary Caregivers and Parents in Under-resourced Urban Communities Using Semi-structured Interviews.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jaime La Charite, Mercedes Santoro, Cindy Flores, Alejandra Hurtado, Meachelle Lum, Yelba Castellon-Lopez, Rebecca Dudovitz
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引用次数: 0

Abstract

Objectives: Out-of-school-time recreational activities are linked to numerous socioemotional, health, and academic benefits for children. Racial and income disparities in participation persist, yet there is a lack of qualitative studies eliciting the experiences and input of primary caregivers to improve equitable access to high-quality recreational activities in marginalized communities. This study explores caregiver perceptions of the factors influencing motivations to enroll their child in activities, barriers to participation, how caregivers define quality programming, and caregiver recommendations to improve activity access and quality within under-resourced communities.

Methods: We recruited primary caregivers of children aged 6-17 from under-resourced communities in an urban county by purposive sampling through urban parks and recreation and community organizations. We conducted semi-structured interviews using descriptive methodology with content thematic analysis.

Results: Thirty-four interviews (17 English, 17 Spanish) revealed three key themes: primary caregivers (1) were highly motivated, believing that activities were facilitators of lifelong healthy living and wellbeing for children, families, and communities, (2) identified ongoing participation barriers while recognizing opportunities to improve equitable access, (3) described high-quality activities as those promoting safety, inclusivity, and enjoyment. Parents highlighted strategies to promote equitable, high-quality programming, including broad outreach, easy enrollment with accessible activities, low financial barriers, structural investments, staff and volunteer training, and family engagement.

Conclusions for practice: Organizations offering youth out-of-school-time activities should consider caregiver practical suggestions to potentially improve the uptake and equity of these programs, with the ultimate goal of supporting the well-being and healthy development of all children.

增强青少年校外娱乐活动的可及性和质量的公平性:基于半结构化访谈的资源不足城市社区主要照顾者和父母的视角
目的:校外娱乐活动对儿童的社会情感、健康和学业有许多好处。参与方面的种族和收入差距仍然存在,但缺乏定性研究,以激发初级照顾者的经验和投入,以改善边缘化社区公平获得高质量娱乐活动的机会。本研究探讨了照顾者对影响孩子参加活动动机的因素的看法,参与的障碍,照顾者如何定义质量规划,以及照顾者在资源不足的社区中提高活动机会和质量的建议。方法:采用有目的抽样的方法,通过城市公园、游憩和社区组织,从某城市县资源贫乏社区招募6-17岁儿童的主要照顾者。我们使用描述性方法和内容主题分析进行了半结构化访谈。结果:34个访谈(17个英语访谈,17个西班牙语访谈)揭示了三个关键主题:主要照顾者(1)积极性高,认为活动是儿童、家庭和社区终身健康生活和福祉的促进者;(2)确定了持续参与的障碍,同时认识到改善公平获取的机会;(3)将高质量的活动描述为促进安全、包容和享受的活动。家长们强调了促进公平、高质量规划的战略,包括广泛的推广、便利的入学活动、低财务障碍、结构性投资、员工和志愿者培训以及家庭参与。实践结论:提供青少年校外活动的组织应考虑照顾者的实际建议,以潜在地提高这些项目的吸收和公平性,最终目标是支持所有儿童的福祉和健康发展。
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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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