Factors Affecting Nutrition and Physical Activity Behaviors of Hispanic Families With Young Children: Implications for Obesity Policies and Programs

Abstract

ObjectiveTo determine preferred policies and programs to prevent obesity and diabetes as identified by parents and caregivers of 3- to 5-year-old Latino children. DesignConstructs from the Social Ecological Model were used to develop 10 focus group and key informant interview questions. SettingCommunity venues and schools in St Paul, MN. ParticipantsA total of 64 parents and caregivers and 20 key informants provided comments. Intervention(s)Community-based participatory research methods were used to gather opinions regarding appropriate and preferred methods to prevent obesity and diabetes among Latino youth. Native Spanish-speaking investigators who were members of the community conducted 7 focus groups (60–90 minutes each) and 20 key informant interviews. Main Outcome MeasuresThemes and subthemes of preferences based on participant comments. AnalysisTranscript-based, long-table qualitative analysis. ResultsFive themes were identified: (1) cultural beliefs and practices are inconsistent with obesity prevention; (2) cost and convenience; (3) positive parenting practices; (4) we want to learn more about being healthy; and (5) gardens, parks, gyms, and school meals. At least 1 theme fell within each of the Social Ecological Model domains. Conclusions and ImplicationsOur results suggest that parents of young Hispanic children prefer that obesity and diabetes prevention programs address multiple levels of influence.