应用系统科学研究文化适应和压力对美国拉丁裔男性肥胖的影响。

IF 2 3区 医学 Q1 ETHNIC STUDIES
Ethnicity & Health Pub Date : 2025-10-01 Epub Date: 2025-08-18 DOI:10.1080/13557858.2025.2544112
Sophie N Ravanbakht, Kristen Hassmiller-Lich, Sarah Armstrong, Asheley C Skinner, Morris Weinberger, Leah Frerichs
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引用次数: 0

摘要

目的:尽管公共卫生努力,美国拉丁裔儿童肥胖症仍在继续增长。很少有研究利用系统科学来探讨文化适应和照顾者-孩子的压力之间的联系。方法:对由外国出生的照顾者和美国出生的儿童(8-13岁)组成的美国拉丁裔夫妇进行半结构化访谈。参与者是从北卡罗来纳州达勒姆的儿童体重管理诊所招募的。访谈由系统支持映射指导,以说明儿童体重管理旅程的相互关联的组成部分。地图按职责、需求、资源和愿望进行主题编码。分别汇总了照顾者和儿童的代码,并计算了主题的频率。结果:14对夫妇完成访谈。儿童报告了他们责任范围内的17个健康方面,重点是身体活动。孩子们不知道除了照顾者之外还有什么可用的资源。护理人员报告了26项独特的责任,包括基本需求和在资源匮乏的环境中生活之间的重叠。移民和文化适应状况是与系统支助图各方面有关的主要障碍和压力来源。结论:移民和文化适应状况阻碍了儿童体重管理,并增加了美国拉丁裔照顾者-儿童双体的压力。未来的研究应该考虑照顾者和儿童的移民和文化适应状况作为治疗结果的中介。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The influence of acculturation and stress on obesity in US latino dyads using systems science.

Objective: Pediatric obesity continues to grow in the US Latino population despite public health efforts. Little work has explored the link between acculturation and stress across caregiver-child dyads using systems science.

Methods: Semi-structured interviews were completed with US Latino dyads made up of foreign-born caregivers and US-born children (8-13 years). Participants were recruited from a pediatric weight management clinic in Durham, NC. Interviews were guided by system support mapping to illustrate interconnected components of the child's weight management journey. Maps were thematically coded by responsibilities, needs, resources, wishes. Codes were aggregated across caregivers and children, respectively, and frequency of themes were calculated.

Results: 14 dyads completed interviews. Children reported 17 aspects of health within their responsibility, with a focus on physical activity. Children were unaware of available resources beyond their caregivers. Caregivers reported 26 unique responsibilities, with overlap between basic needs and living in low-resource environments. Immigration and acculturation status were major barriers and sources of stress relevant to aspects of the system support map.

Conclusions: Immigration and acculturation status impede pediatric weight management and increase stress in US Latino caregiver-child dyads. Future studies should consider immigration and acculturation status in caregivers and children as a mediator of treatment outcomes.

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来源期刊
Ethnicity & Health
Ethnicity & Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
0.00%
发文量
42
审稿时长
>12 weeks
期刊介绍: Ethnicity & Health is an international academic journal designed to meet the world-wide interest in the health of ethnic groups. It embraces original papers from the full range of disciplines concerned with investigating the relationship between ’ethnicity’ and ’health’ (including medicine and nursing, public health, epidemiology, social sciences, population sciences, and statistics). The journal also covers issues of culture, religion, gender, class, migration, lifestyle and racism, in so far as they relate to health and its anthropological and social aspects.
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