“Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa

Introduction. Forty-one million children globally are overweight or obese, with most rapid rate increases among low- and middle-income nations. Child-minders and health workers play a crucial role in obesity prevention efforts, but their perceptions of childhood obesity in low- and middle-income cou...

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Main Authors: Roger Figueroa, Jaclyn Saltzman, Jessica Jarick Metcalfe, Angela Wiley
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2017/9629748
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author Roger Figueroa
Jaclyn Saltzman
Jessica Jarick Metcalfe
Angela Wiley
author_facet Roger Figueroa
Jaclyn Saltzman
Jessica Jarick Metcalfe
Angela Wiley
author_sort Roger Figueroa
collection DOAJ
description Introduction. Forty-one million children globally are overweight or obese, with most rapid rate increases among low- and middle-income nations. Child-minders and health workers play a crucial role in obesity prevention efforts, but their perceptions of childhood obesity in low- and middle-income countries are poorly understood. This study aims to (1) explore child-minders and health workers’ perceptions of the causes, consequences, potential strategies, and barriers for childhood obesity prevention and intervention in Cape Town, South Africa and (2) to provisionally test the fit of a socioecological framework to explain these perceptions. Methods. Twenty-one interviews were recorded, transcribed, and analyzed through analytic induction. Results. Participants identified multilevel factors and contexts, as well as potential consequences and priorities of interest in addressing childhood obesity. An adapted childhood obesity perceptions model was generated, which introduces an overarching cultural dimension embedded across levels of the socioecological framework. Conclusions. Culture plays a pivotal role in explaining obesogenic outcomes, and the results of this study demonstrate the need for further research investigating how obesity perceptions are shaped by cultural frames (e.g., social, political, and historical). Understanding the causes, consequences, and potential interventions to address obesity through a cultural lens is critical for promoting health in low- and middle-income nations.
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spelling doaj-art-bbf2f81f14ec478a95076e39c566a0912025-02-03T06:01:41ZengWileyJournal of Obesity2090-07082090-07162017-01-01201710.1155/2017/96297489629748“Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South AfricaRoger Figueroa0Jaclyn Saltzman1Jessica Jarick Metcalfe2Angela Wiley3University of Illinois at Urbana-Champaign, 905 South Goodwin Ave., 230 Bevier Hall MC-180, Urbana, IL 61801, USAUniversity of Illinois at Urbana-Champaign, 904 W. Nevada St., #1014, MC-081, Urbana, IL 61801, USAUniversity of Illinois at Urbana-Champaign, 904 W. Nevada St., #1014, MC-081, Urbana, IL 61801, USAUniversity of Illinois at Urbana-Champaign, 904 W. Nevada St., #2004, MC-081, Urbana, IL 61801, USAIntroduction. Forty-one million children globally are overweight or obese, with most rapid rate increases among low- and middle-income nations. Child-minders and health workers play a crucial role in obesity prevention efforts, but their perceptions of childhood obesity in low- and middle-income countries are poorly understood. This study aims to (1) explore child-minders and health workers’ perceptions of the causes, consequences, potential strategies, and barriers for childhood obesity prevention and intervention in Cape Town, South Africa and (2) to provisionally test the fit of a socioecological framework to explain these perceptions. Methods. Twenty-one interviews were recorded, transcribed, and analyzed through analytic induction. Results. Participants identified multilevel factors and contexts, as well as potential consequences and priorities of interest in addressing childhood obesity. An adapted childhood obesity perceptions model was generated, which introduces an overarching cultural dimension embedded across levels of the socioecological framework. Conclusions. Culture plays a pivotal role in explaining obesogenic outcomes, and the results of this study demonstrate the need for further research investigating how obesity perceptions are shaped by cultural frames (e.g., social, political, and historical). Understanding the causes, consequences, and potential interventions to address obesity through a cultural lens is critical for promoting health in low- and middle-income nations.http://dx.doi.org/10.1155/2017/9629748
spellingShingle Roger Figueroa
Jaclyn Saltzman
Jessica Jarick Metcalfe
Angela Wiley
“Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa
Journal of Obesity
title “Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa
title_full “Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa
title_fullStr “Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa
title_full_unstemmed “Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa
title_short “Culture Is So Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa
title_sort culture is so interspersed child minders and health workers perceptions of childhood obesity in south africa
url http://dx.doi.org/10.1155/2017/9629748
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