Perceptions of overweight by primary carers (mothers/grandmothers) of under five and elementary school-aged children in Bandung, Indonesia: a qualitative study

Rachmi, Cut Novianti; Hunter, Cynthia; Baur, Louise A.

doi:10.1186/s12966-017-0556-1

Cited by 17 publications

(20 citation statements)

References 26 publications

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“…The 9 focus groups allowed a 3 × 3 stratification according to socioeconomic status (lower, middle, upper) and children’s age (2–6; 7–10; 11–14). This stratification was based on previous research [15] and intended to obtain a diversity of views and experiences based on mothers’ SES background and their children’s development stage.…”

Section: Methodsmentioning

confidence: 99%

“Responses to the Chilean law of food labeling and advertising: exploring knowledge, perceptions and behaviors of mothers of young children”

Correa

Fierro

Reyes

et al. 2019

Int J Behav Nutr Phys Act

137

111

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Background In line with calls for action from international health organizations, Chile implemented in June 2016 a set of regulations to tackle the obesity epidemic. The new regulation includes the mandatory use of front-of-package warning labels on packaged foods/beverages high in energy, sugars, saturated fats and sodium. Additionally, such foods cannot be sold nor offered in daycares/schools and cannot be promoted to children under 14yo. The law is targeted to children; thus, this study examined mothers’ understanding, perceptions, and behaviors associated with the regulation one year after its implementation, using a qualitative approach. Methods Nine focus groups of mothers (7–10 people each) of children (2-14yo) were conducted in July 2017 in Santiago-Chile. They were stratified by socioeconomic status (SES) and children’s age. Macrocodes were developed by three researchers, combining an iterative process of deductive and inductive thematic analyses. Quotations representing each category were selected. Results Mothers understood the new regulation as a policy to fight child obesity and were aware that products with more labels were less healthy than products with fewer labels. Attention and use of labels in the buying decision-making process ranged from participants who did not pay attention to others who relied on them as a quick shortcut (mostly from middle and upper-SES); many mothers indicated changing their purchase habits only when buying new products. Mothers declared that young children accepted school environment changes while teens/preteens resisted them more. Many mothers agreed that schools have become key promoters of food behavioral change. Mothers were less aware about the food marketing regulations. Mothers declared that they perceived that the regulation was changing the perceptions, attitudes and behaviors toward healthier eating patterns. Conclusion After the first year of implementation, the regulation was well known by mothers of diverse SES and different children ages. The degree of use of warning labels was heterogeneous among participants, but most of them agreed that their children, particularly the youngest have positive attitudes toward the regulation and have become promoters of change in their families. Many mothers also expressed that they perceived an important shift toward healthier eating, which may lead to a change in eating social norms. This information contributes to better understand how regulatory actions may influence people’s consumer behaviors.

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Section: Methodsmentioning

confidence: 99%

“Responses to the Chilean law of food labeling and advertising: exploring knowledge, perceptions and behaviors of mothers of young children”

Correa

Fierro

Reyes

et al. 2019

Int J Behav Nutr Phys Act

137

111

View full text Add to dashboard Cite

show abstract

“…Yet, qualitative literature studying dietary perceptions and nutritional knowledge in Indonesia is limited (40) . Existing studies have generally focused on specific groups, interventions and health outcomes.…”

Section: Country Backgroundmentioning

confidence: 99%

Dietary health perceptions and sources of nutritional knowledge in an urban food environment: a qualitative study from Indonesia

Colozza

2020

Public Health Nutr.

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Objective: To investigate dietary health understandings; healthy foods access perceptions; and the main sources of nutritional knowledge of residents in three urban communities of varying socio-economic make-up. Design: An ethnographic approach to primary qualitative data collection, involving frequent visits to study areas over four months and in-depth interviews. Interviews were recorded, transcribed verbatim, and analysed through an iterative approach. Setting: Yogyakarta, Indonesia. Participants: A purposive sample of 45 participants divided equally among the three communities. Participants were mostly female (93%), aged between 27-75 years (mean 47.7), and largely identified as the person responsible for household food-related decisions (93%). Results: Three overarching themes emerged: i) dietary health understandings, ii) healthy foods access perceptions, and iii) sources of nutritional knowledge. Participants employed multi-faceted conceptualisation of dietary health. Most identified healthy foods with traditional plant-based foods, inexpensive and locally-available from multiple sources. Thus, all participants perceived healthy foods as highly available in the local environment and most (80%) as affordable. Reported affordability issues referred to specific foods (particularly animal-source products) and were independent of income levels. Participants acquired nutritional knowledge from multiple sources, including many community-based initiatives. These were overall perceived as useful, but also as presenting some limitations. Conclusions: The variety in dietary health understandings reported by study participants, and their high perceptions of healthy foods availability in the local environment reinforce the idea that individual- and food environment-level determinants of nutritional behaviours are highly contextual.

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“…In any event, early assessments of a parent's perceptions of their child's weight, followed by regular follow up sessions, appropriate feedback, continuing education efforts, and efforts to chart the child's weight status over time, are likely to prove more helpful than not. 38,39 Highlighting this issue and its solutions in vulnerable communities, maternal health clinics, pediatrician offices and pre-school settings will likely be very helpful as well.…”

Section: Discussionmentioning

confidence: 99%

Childhood Obesity and Parental Weight Perceptions: An Update

Marks¹

2017

AOWMC

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Recent data continue to reveal the persistence of high rates of childhood obesity in many regions of the world. This brief describes the most recent research on this topicfrom the perspective of the role played by parental weight perceptions, a variable that has been linked to the persistence of and apparent burgeoning of childhood obesity/ overweight prevalence rates, regardless of country of origin. To update the literature on this topic, English language peer-reviewed publications from 2016-2017 on the topics of overweight, obesity and parental health literacy were specifically reviewed. Findings from the available studies reveal many inaccurate parental perceptions have been observed among children at risk for childhood obesity, an ongoing widespread health concern. This epidemic also appears to be influenced by the accuracy of the perceptions of parents regarding their child's weight status. It is concluded that strategies to help parents detect and intervene upon any prevailing overweight risk for this oftentimes irreversible health condition are strongly indicated.

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Perceptions of overweight by primary carers (mothers/grandmothers) of under five and elementary school-aged children in Bandung, Indonesia: a qualitative study

Cited by 17 publications

References 26 publications

“Responses to the Chilean law of food labeling and advertising: exploring knowledge, perceptions and behaviors of mothers of young children”

“Responses to the Chilean law of food labeling and advertising: exploring knowledge, perceptions and behaviors of mothers of young children”

Dietary health perceptions and sources of nutritional knowledge in an urban food environment: a qualitative study from Indonesia

Childhood Obesity and Parental Weight Perceptions: An Update

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