Bridging Research and Policy to Address Childhood Obesity Among Border Hispanics

Mier, Nelda; Smith, Matthew Lee; Irizarry, David; Carrillo, Genny; Lee, Chanam; Trevino, Laura; Ory, Marcia G.

doi:10.1016/j.amepre.2012.11.013

Cited by 20 publications

(13 citation statements)

References 47 publications

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“…Public and patient participation is important because it presents empowerment opportunities for these stakeholder groups (Boivin et al, 2014;Li et al, 2015;Mier et al, 2013;Park, Kim, You, Lee, & Park, 2014), or a means to build public support for policy decisions (Mulvale et al, 2014). However, concerns have been raised that often there is no real attempt to provide patients and members of the public with an active voice in policymaking, even though policymakers may use the notions of "the patient" or "the public" to justify their own agendas (Archer et al, 2015).…”

Section: Stakeholder Consultationmentioning

confidence: 99%

Integrative review; identifying the evidence base for policymaking and analysis in health care

Kennedy

O’Reilly

O’Connell

et al. 2019

Journal of Advanced Nursing

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Aim The aim of this was to identify and synthesize the evidence underpinning the health policymaking process to inform the development of a health‐related policy analysis framework. Design A mixed methods review using “Best Fit” Framework synthesis. Data Sources PUBMED and CINAHL+ databases for English language papers published between March 2013 – March 2017. Review Methods Titles were screened, data abstracted and analysed by two authors at each stage. Findings from included studies were coded against six a priori categories which had been constructed through a preliminary literature review, consultation and consensus. Results Sixty‐eight papers were included. There exists empirical support for six key domains which require to be addressed in the policymaking and analysis process: (1) Context; (2) Process; (3) Content; (4) Stakeholder Consultation; (5) Implementation; and (6) Evaluation. Failure to contextualize and integrate these six domains in problem identification, policy analysis, strategy and policy development, policy enactment and policy implementation is problematic. Conclusion There is a need to test and refine the constructs linked to the policymaking cycle taking cognizance of the context where these are developed, implemented and evaluated. Impact This review makes a novel contribution to the synthesis of evidence to inform the policymaking and analysis process. Findings illuminate the complexity of policymaking, the competing pressures involved and the importance of the local, national and international context. These findings have international relevance and provide empirical support for key criteria to guide those involved in context specific policymaking and/or the analysis of existing policy.

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Section: Stakeholder Consultationmentioning

confidence: 99%

Integrative review; identifying the evidence base for policymaking and analysis in health care

Kennedy

O’Reilly

O’Connell

et al. 2019

Journal of Advanced Nursing

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“…This line of research is in tune with a recent trend in the literature that questions the construct of acculturation for oversimplifying the role of culture in determining health outcomes. [24][25][26][27][28] The contradictory findings associating acculturation with dietary intake speak to the need for developing more comprehensive instruments that account for the social, economic, and political environments that affect immigrants' changing eating practices through time. [15,29,30] While previous research has mostly paid attention to individual-level acculturation measures, a growing trend in public health research recognizes the role of socio-economic constraints, such as food insecurity, as being the main determinants of immigrants' obesogenic tendencies and changing food habits.…”

Section: Critiques To Acculturation: Be-yond Nostalgic Inequalitymentioning

confidence: 99%

Understanding “nostalgic inequality”: A critical analysis of barriers to Latinos’ healthy eating practices in the United States

Viladrich

2017

IJH

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Based on two mixed-methods studies conducted with first and second generation Latinas in New York City (NYC), this article questions simplistic notions of acculturation by stressing the impact of structural conditions (at the individual, social and physical levels) in determining Latinas' food practices in the United States (U.S.). The term "nostalgic inequality" is used here to argue that Latinas' retention of, and adaptation to, their traditional staples (i.e., nostalgic foods) tends to favor affordable and fat-saturated items (e.g., fried and processed foods) that through time contribute to higher rates of obesity and cardiovascular disease, among other deleterious health conditions. In the end, this review is aimed at raising awareness about the barriers to healthy eating experienced by disadvantaged minority groups in the U.S. urban milieu.

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“…[1][2][3][4][5][6][7] These comorbidities occur similarly across all ethnic groups; however, Mexican-American children seem to have a higher risk of obesity than other groups. 8,9 Although the determinants of childhood obesity for children of Mexican descent are likely to be different depending on whether they reside in Mexico or in the United States (US), the prevalence is similar regardless of the country of residence (US or Mexico). The prevalence of obesity (2009)(2010) among Mexican-American children aged 6-11 years living in the US was 39.0% (overweight) and 22.1% (obese).…”

Section: Introductionmentioning

confidence: 99%

Intra-racial disparities: The effect of poverty and obesity on the psychosocial profile of Mexican-American children

Leiner

Peinado

Villanos

et al. 2016

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Introduction. The high prevalence of obesity among children of Mexican descent, living in either Mexico or the United States (US), might indicate they are at a higher risk when compared to other groups. Previous mental health studies have had conflicting outcomes, which may be the result of considering these children as a homogeneous group (by race or ethnicity) instead of considering intra-racial group disparities (e.g. socio-economic status, adversities). Objective: To compare the psychosocial profile by weight category (normal weight, overweight, or obese) of impoverished Mexican descendent children in a clinical setting. Objective. To compare the psychosocial profile by weight category (normal weight, overweight, or obese) of impoverished Mexican descendent children in a clinical setting. Method. The study design was cross sectional. Information was retrieved from medical records (N = 2237) that were obtained from five university-based clinics in a large metropolitan area on the US-Mexico border from May 2009 to August 2010. Results. Psychosocial and behavioral problems were present among this intra-racial group of Mexican-American children, with higher scores in the overweight and obese children than in the normal-weight children. Discussion and conclusion. Intra-racial differences among obese and overweight children could account for variation in results regarding the mental health of Mexican American children. Considering intra-racial group disparities when providing healthcare may improve delivery and promote better mental and health outcomes because some groups may need more attention than others. In addition, considering these groups when designing studies, may improve the accuracy and precision of study result interpretations.

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Bridging Research and Policy to Address Childhood Obesity Among Border Hispanics

Abstract: Knowledge transfer processes planned and facilitated by researchers at public meetings with local decision makers are effective methods to influence policy development related to childhood obesity.

Cited by 20 publications

References 47 publications

Integrative review; identifying the evidence base for policymaking and analysis in health care

Integrative review; identifying the evidence base for policymaking and analysis in health care

Understanding “nostalgic inequality”: A critical analysis of barriers to Latinos’ healthy eating practices in the United States

Intra-racial disparities: The effect of poverty and obesity on the psychosocial profile of Mexican-American children

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