Exploring syndemic vulnerability across generations: A case study of a former fishing village in the Netherlands

Slagboom, M. Nienke; Crone, Mathilde R.; Reis, Ria

doi:10.1016/j.socscimed.2020.113122

Cited by 18 publications

(22 citation statements)

References 49 publications

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“…This study evaluates the use of a family-engagement tool to increase physical activity, healthy nutrition, and well-being in children and their parents in Katwijk, the Netherlands. This former fishing village previously was known for its close-knit families and distinct social structure, in which men worked offshore for weeks or months, while women stayed home and took care of their children ( 3 ). The community has experienced rapid contextual changes over the past five decades due to welfare reforms, climate change, and globalization ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…This former fishing village previously was known for its close-knit families and distinct social structure, in which men worked offshore for weeks or months, while women stayed home and took care of their children ( 3 ). The community has experienced rapid contextual changes over the past five decades due to welfare reforms, climate change, and globalization ( 3 ). Public health data from Katwijk indicates that 21% of 10- and 11-year-olds and 55% of adults in the village are overweight.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, up to 16% of adults are at risk for psychosocial problems ( 6 ). A previous study in Katwijk described an intergenerational pattern of adverse health outcomes that included cardiometabolic conditions, musculoskeletal pain, and psychological distress across generations ( 3 ). Child care professionals persistently have reported low attendance at school-based prevention programs and primary care programs, and underscored the need to take parenting and the family environment into account in children's health behavioral change efforts ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

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The Evaluation of a Family-Engagement Approach to Increase Physical Activity, Healthy Nutrition, and Well-Being in Children and Their Parents

Crone

Slagboom

Overmars

et al. 2021

Front. Public Health

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Prevention programs often are directed at either parents or children separately, thereby ignoring the intergenerational aspect of health and well-being. Engaging the family is likely to improve both the uptake and long-term impact of health behavior change. We integrated an intergenerational approach into a frequently used shared assessment tool for children's care needs. The current study's aim was 2-fold: to monitor this family-engagement tool's effects on both children and their parents' health behaviors and well-being, and to examine the different dynamics of health behavioral change within a family.Method: We followed 12 children ages 10–14 years and their parents for 12 weeks using an explanatory mixed-methods design comprising interviews, questionnaires, and an n-of-1 study. During home visits at the beginning and end of the study, we interviewed children and their parents about their expectations and experiences, and measured their height and weight. Furthermore, we collected secondary data, such as notes from phone and email conversations with parents, as well as evaluation forms from professionals. In the n-of-1 study, families were prompted three times a week to describe their day and report on their vegetable intake, minutes of exercise, health behavior goals, and psychosomatic well-being. The interviews, notes, and evaluation forms were analyzed using qualitative content analyses. For the n-of-1 study, we performed multi-level time-series analyses across all families to assess changes in outcomes after consulting the family-engagement tool. Using regression analyses with autocorrelation correction, we examined changes within individual families.Results: Five child-mother dyads and three child-mother-father triads provided sufficient pre- and post-data. The mean minutes of children's physical activity significantly increased, and mothers felt more energetic, but other outcomes did not change. In consultations related to overweight, the family-engagement tool often was used without setting specific or family goals.Conclusions: The family-engagement approach elicited positive effects on some families' health and well-being. For multifaceted health problems, such as obesity, family-engagement approaches should focus on setting specific goals and strategies in different life domains, and for different family members.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Evaluation of a Family-Engagement Approach to Increase Physical Activity, Healthy Nutrition, and Well-Being in Children and Their Parents

Crone

Slagboom

Overmars

et al. 2021

Front. Public Health

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“…Many papers in this Special Issue have attempted to think innovatively about syndemics, where they sit in the historical record, within families and communities, and how they straddle contexts. Slagboom, Crone, and Reis’s (2020) work on syndemic vulnerability in a small fishing village in the Netherlands exposes how syndemics emerge and progress within families and across generations. Tallman et al (2020) investigate how large development projects, such as dams and roads, produce syndemic effects in the Amazon by causing vector-borne diseases to converge with sex work (and related infections) and the psychological distress of socio-ecological displacement.…”

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confidence: 99%

“…In this Special Issue, we aimed to highlight the diversity of methods for characterizing syndemics in history ( Proctor, 2020 ; Sawchuk et al, 2020 ; Slagboom et al, 2020 ; Newfield, 2020 ), syndemic interactions ( Boateng et al, 2020 ; Hatcher et al, 2019 ; Himmelgreen et al, 2020 ; Saxena & Mendenhall, 2020 ; Snodgrass et al, 2019 ), syndemics in different communities ( Brewis et al, 2020 ; Weaver & Kaiser, 2020 ), syndemics resulting from development or humanitarian interventions ( Kohrt & Carruth, 2020 ; Tallman et al, 2020 ), and clinical interventions ( Chakrapani et al, 2020 ).…”

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confidence: 99%