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Front Pediatr. 2014 Dec 04;2:137. doi: 10.3389/fped.2014.00137. eCollection 2014.

Stakeholder perspectives on barriers for healthy living for low-income african american families.

Frontiers in pediatrics

Veronnie Faye Jones, Michael L Rowland, Linda Young, Katherine Atwood, Kirsten Thompson, Emma Sterrett, Sarah Morsbach Honaker, Joel E Williams, Knowlton Johnson, Deborah Winders Davis

Affiliations

  1. University of Louisville School of Medicine , Louisville, KY , USA.
  2. Pacific Institute for Research and Evaluation , Louisville, KY , USA.
  3. Clinical Psychology in the Family Therapy Program, Kent School of Social Work, University of Louisville , Louisville, KY , USA.
  4. Department of Pediatrics, Indiana University School of Medicine , Indianapolis, IN , USA.
  5. Department of Public Health Sciences, College of Health, Education and Human Development, Clemson University , Clemson, SC , USA.
  6. Pacific Institute for Research and Evaluation-Asheville , Asheville, NC , USA.

PMID: 25538931 PMCID: PMC4255506 DOI: 10.3389/fped.2014.00137

Abstract

BACKGROUND: Childhood obesity is a growing problem for children in the United States, especially for children from low-income, African American families.

OBJECTIVE: The purpose of this qualitative study was to understand facilitators and barriers to engaging in healthy lifestyles faced by low-income African American children and their families.

METHODS: This qualitative study used semi-structured focus group interviews with eight African American children clinically identified as overweight or obese (BMI ≥ 85) and their parents. An expert panel provided insights in developing culturally appropriate intervention strategies.

RESULTS: Child and parent focus group analysis revealed 11 barriers and no definitive facilitators for healthy eating and lifestyles. Parents reported confusion regarding what constitutes nutritional eating, varying needs of family members in terms of issues with weight, and difficulty in engaging the family in appropriate and safe physical activities; to name a few themes. Community experts independently suggested that nutritional information is confusing and, often, contradictory. Additionally, they recommended simple messaging and practical interventions such as helping with shopping lists, meal planning, and identifying simple and inexpensive physical activities.

CONCLUSION: Childhood obesity in the context of low-resource families is a complex problem with no simple solutions. Culturally sensitive and family informed interventions are needed to support low-income African American families in dealing with childhood obesity.

Keywords: African American; United States; childhood obesity; poverty; qualitative methods

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