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Volume 7, Issue 3 (Aug 2022)
JNFS 2022, 7(3): 319-330 |
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Chaleshgar- Kordasiabi M, Ramezani A, Naghibi S A, Yazdani Cherati J, Khazai-Pool M, Abbasi-Shavazi M. Behavioral Determinants of Obesity among Adolescents: A Qualitative Study. JNFS 2022; 7 (3) :319-330
URL: http://jnfs.ssu.ac.ir/article-1-411-en.html
URL: http://jnfs.ssu.ac.ir/article-1-411-en.html
Mosharafeh Chaleshgar- Kordasiabi * 
, Atena Ramezani , Seyed Abolhasan Naghibi , Jamshid Yazdani Cherati , Maryam Khazai-Pool , Masoumeh Abbasi-Shavazi
, Atena Ramezani , Seyed Abolhasan Naghibi , Jamshid Yazdani Cherati , Maryam Khazai-Pool , Masoumeh Abbasi-Shavazi
Department of Public Health, School of Health, Health Sciences Research Center, Addiction Institute Mazandaran University of Medical Sciences, Sari, Iran.
Abstract: (1816 Views)
Background: Overweight and obesity are the most serious public health challenges of developed and developing countries. The prevalence of childhood obesity has increased worldwide. This study aims to identify the behavioral determinants of overweight and obesity among adolescents. Methods: This is a qualitative study with directed approach to content analysis of in-depth semi-structured interviews. A total of 27 obese and overweight students (11girls, 16 boys) were recruited in this study based on the PRECEDE model (predisposing factor). The participants were recruited using a purposive sampling method to reach the maximum variation sampling. This sampling took over 6 months in 2018 at the Ghaemshahr middle school. Content analysis approach (directed) was used to analyze the interview. Results: Five main themes and 20 sub-themes of behavioral determinant were emerged from the interview. The main themes included perceived benefit, perceived threaten, self-efficacy, cues to action, and locus of control. The subthemes included self-empowerment, motivation and diligence role, enough information and parent pressure, long term benefits, physical health, doing favorite sports, perceived susceptibility and perceived severity, and internal and external locus of control. Conclusion: Self-efficacy and perceived benefit are the most significant determinants of preventive behavior in obese and overweight students; therefore, considering these variables in students can be applied in designing an interventional program that affect obesity preventive behaviors, increase parents’ awareness and school authorities.
Type of article: orginal article |
Subject:
public specific
Received: 2021/05/17 | Published: 2022/08/19 | ePublished: 2022/08/19
Received: 2021/05/17 | Published: 2022/08/19 | ePublished: 2022/08/19
References
1. Abdollahi F, Rouhani Otaghsara S & Yazdani - Charati J 2017. Prevalence of Obesity and Overweightness among Adolescents in Mazandaran Province. Journal of Guilan University of medical sciences. 25 (100):
3. Amini M, et al. 2014. Children with Obesity Prioritize Social Support against Stigma: A Qualitative Study for Development of an Obesity Prevention Intervention. Int J Prev Med. 5 (8): 960-968.
4. Amiri P, et al. 2011. Barriers to a healthy lifestyle among obese adolescents: a qualitative study from Iran. International journal of public health. 56 (2): 181-189.
5. Bani-Issa W, et al. 2019. The Influence of Parents and Schools on Adolescents’ Perceived Diet and Exercise Self-Efficacy: A School-Based Sample From the United Arab Emirates. Journal of transcultural nursing. 31 (5): 479-491.
6. Barnard JA & McHugh KM 2006. Chapter 7 - Growth Factors in the Gastrointestinal Tract. In Physiology of the gastrointestinal tract (Fourth Edition) (ed. L. R. J. E. B. K. G. L. M. M. S. D. Wood), pp. 183-246. Academic Press: Burlington.
7. Braun M, Schell J, Siegfried W, Müller MJ & Ried J 2014. Re-entering obesity prevention: a qualitative-empirical inquiry into the subjective aetiology of extreme obese adolescents. BMC public health. 14 (1): 977.
8. Chao A, Wadden T & Berkowitz R 2019. Obesity in Adolescents with Psychiatric Disorders. Current psychiatry reports. 21.
9. Djalalinia S, et al. 2016. A Systematic Review on the Prevalence of Overweight and Obesity, in Iranian Children and Adolescents. Iran J Pediatr. 26 (3): e2599-e2599.
10. Farquhar SA, Parker EA, Schulz AJ & Israel BA 2006. Application of qualitative methods in program planning for health promotion interventions. Health promotion practice. 7 (2): 234-242.
11. Ghanbari S, Saljugi F, Ghorbani A, Karimzadeh S & Jamali AR 2018. Comparison of Peer Interaction Self-Efficacy in Obese and Overweight Children with Normal School Age Children in Shiraz City. Scientific journal of rehabilitation medicine. 7 (2): 76-82.
12. Green L & Kreuter M 2005. Health Promotion Planning: An Educational and Ecological Approach. Mc Grow-Hill: new York.
13. Haghi M, et al. 2018. Analysis of Weight Control among Overweight and Obese Iranian Adolescents: Application of the Trans-theoretical Model. International journal of pediatrics. 6 (2): 7013-7022.
14. Hsieh HF & Shannon SE 2005. Three approaches to qualitative content analysis. Qualitative health research. 15 (9): 1277-1288.
15. Jones HM, Al-Khudairy L, Melendez-Torres GJ & Oyebode O 2019. Viewpoints of adolescents with overweight and obesity attending lifestyle obesity treatment interventions: a qualitative systematic review. Obesity reviews. 20 (1): 156-169.
16. Kadir MA, Kubacki K & Rundle-Thiele S 2019. Perceived benefits and barriers of walking among overweight and obese adults. Health marketing quarterly. 36 (1): 54-70.
17. Kalateh Sadati A, Rahnavard F, Ebrahimzadeh N & Rezaei A 2016. Obesity, Lived Experience, and the Self: A Qualitative Study of Overweight People in Iran. Women’s health bulletin. 3 (3): 1-7.
18. Kaveh MH, Moradi L, Morowatisharifabad MA, Najarzadeh A & Fallahzadeh H 2020a. Iranian adolescent girls' self-concepts of eating behaviors: A qualitative study. International journal of pediatrics. 9 (1): 12705-12713.
19. Kaveh MH, Moradi L, Morowatisharifabad MA, Najarzadeh A & Fallahzadeh H 2020b. Perceived threat of unhealthy and unsafe eating behaviors in Iranian adolescent girls: A qualitative study. International journal of pediatrics. 9 (2): 13049-13057.
20. Kelishadi R, et al. 2008. Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN Study. Child: Care, health and development. 34 (1): 44-54.
21. Kololo H, Guszkowska M, Mazur J & Dzielska A 2012. Self-efficacy, self-esteem and body image as psychological determinants of 15-year-old adolescents’ physical activity levels. Human movement. 13 (3): 264-270.
22. Kuczmarski RJ, et al. 2000. CDC growth charts: United States.
23. Lobstein T & Jackson-Leach R 2016. Planning for the worst: estimates of obesity and comorbidities in school‐age children in 2025. Pediatric obesity. 11 (5): 321-325.
24. McArthur L, Riggs A, Uribe F & Spaulding T 2017. Health Belief Model Offers Opportunities for Designing Weight Management Interventions for College Students. Journal of nutrition education and behavior. 50 (5): 485-493.
25. Neymotin F & Nemzer LR 2014. Locus of control and obesity. Front Endocrinol (Lausanne). 5: 159-159.
26. Ng M, et al. 2014. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet (London, England). 384 (9945): 766-781.
27. Niswah S, Soemanto RB & Murti B 2017. Factors Associated with Overweight and Obesity in Adolescents in Kartasura, Central Java. Journal of health promotion and behavior. 02: 207-217.
28. Okop KJ, Mukumbang FC, Mathole T, Levitt N & Puoane T 2016. Perceptions of body size, obesity threat and the willingness to lose weight among black South African adults: a qualitative study. BMC public health. 16 (1): 365.
29. Pajares F & Urdan T 2006. Self-Efficacy Beliefs of Adolescents.
30. Park D-Y 2011. Utilizing the Health Belief Model to predicting female middle school students' behavioral intention of weight reduction by weight status. Nutr Res Pract. 5 (4): 337-348.
31. Persky S, Bouhlal S, Goldring MR & McBride CM 2017. Beliefs about genetic influences on eating behaviors: Characteristics and associations with weight management confidence. Eat Behav. 26: 93-98.
32. Popkin BM, Adair LS & Ng SW 2012. Global nutrition transition and the pandemic of obesity in developing countries. Nutrition review. 70 (1): 3-21.
33. Rees R, Caird J, Dickson K, Vigurs C & Thomas J 2014. ‘It’s on your conscience all the time’: a systematic review of qualitative studies examining views on obesity among young people aged 12-18 years in the UK. BMJ open. 4 (4): e004404.
34. Saez L, et al. 2018. Using facilitator–receiver peer dyads matched according to socioeconomic status to promote behaviour change in overweight adolescents: a feasibility study. BMJ Open. 8 (6): e019731.
35. Safavi M, Yahyavi SH & Pourrahimi M 2012. Impact of dietary behaviors and exercise activities education on the self- efficacy of middle school students. Medical science journal. 22 (2): 143-151.
36. Schalkwijk AAH, et al. 2015. Perspectives of obese children and their parents on lifestyle behavior change: a qualitative study. International journal of behavioral nutrition and physical activity. 12 (1): 102.
37. Simper T & Keeble M 2018. Weight ‘locus of control’ and weight management in an urban population. Journal of behavioral health. 7.
38. Smith KL, Straker LM, McManus A & Fenner AA 2014. Barriers and enablers for participation in healthy lifestyle programs by adolescents who are overweight: a qualitative study of the opinions of adolescents, their parents and community stakeholders. BMC pediatrics. 14 (1): 53.
39. Woolford SJ, Sallinen BJ, Schaffer S & Clark SJ 2012. Eat, play, love: adolescent and parent perceptions of the components of a multidisciplinary weight management program. Clin Pediatr (Phila). 51 (7): 678-684.
40. Yazdani NPC, et al. 2018. Relationship between Body Image and Psychological Well-being in Patients with Morbid Obesity. International journal of community based nursing & midwifery. 6 (2): 175-184.
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