The barriers of home environments for obesity prevention in Indonesian adolescents
Abstract Background Obesity and its related cardiovascular-metabolic diseases are growing public health concerns. Despite global attention to obesity, its prevalence is steeply increasing in developing countries, especially in children and adolescents. Eating behaviours and physical activity are mod...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-14669-6 |
| _version_ | 1798004900330733568 |
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| author | Fransisca Handy Agung Rini Sekartini Nani Cahyani Sudarsono Aryono Hendarto Meita Dhamayanti Retno Asti Werdhani Susan M. Sawyer |
| author_facet | Fransisca Handy Agung Rini Sekartini Nani Cahyani Sudarsono Aryono Hendarto Meita Dhamayanti Retno Asti Werdhani Susan M. Sawyer |
| author_sort | Fransisca Handy Agung |
| collection | DOAJ |
| description | Abstract Background Obesity and its related cardiovascular-metabolic diseases are growing public health concerns. Despite global attention to obesity, its prevalence is steeply increasing in developing countries, especially in children and adolescents. Eating behaviours and physical activity are modifiable risk factors for obesity that can variably be shaped by families. Eating behaviours and physical activity are especially important during adolescence, given its significance as a foundational period for developing healthy lifestyles. This qualitative study aimed to explore barriers and opportunities around creating healthy lifestyles among adolescents in Indonesia, focussing on family environments from diverse socio-demographic backgrounds. Method In-depth interviews using a semi-structured guide were undertaken with consecutively recruited 10–18-year-old adolescents with overweight or obesity, and their parents, from three different sites: urban (Jakarta, the capital city of Indonesia), peri-urban (West Java Province) and rural (Banten Province). Thematic analysis was used to identify patterns of meaning. Results Nineteen dyads were interviewed. Thematic analysis revealed four themes: limited knowledge of healthy lifestyles; healthy lifestyles not a concern of daily life; limited parenting skills, including inequity around gender roles; and aspects of availability and accessibility. These interconnected barriers influenced lifestyle practices at home within the context of daily preferences and decisions around food and activities. Gender role inequity and healthy food accessibility were more prominent in rural families than in those from urban or peri-urban settings. Conclusions Healthy lifestyles in adolescence may be supported by strategies to enhance parenting skills, build individual motivation, and support the development of more enabling environments. |
| first_indexed | 2024-04-11T12:30:48Z |
| format | Article |
| id | doaj.art-0311cb12e9a54885bb22d70ca90c1528 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-11T12:30:48Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-0311cb12e9a54885bb22d70ca90c15282022-12-22T04:23:45ZengBMCBMC Public Health1471-24582022-12-0122111010.1186/s12889-022-14669-6The barriers of home environments for obesity prevention in Indonesian adolescentsFransisca Handy Agung0Rini Sekartini1Nani Cahyani Sudarsono2Aryono Hendarto3Meita Dhamayanti4Retno Asti Werdhani5Susan M. Sawyer6Present address: Doctoral Program Faculty of Medicine Universitas IndonesiaDepartment of Child Health, Faculty of Medicine Universitas IndonesiaDepartment of Community Medicine, Faculty of Medicine Universitas IndonesiaDepartment of Child Health, Faculty of Medicine Universitas IndonesiaDepartment of Child Health, Faculty of Medicine Universitas PadjajaranDepartment of Community Medicine, Faculty of Medicine Universitas IndonesiaCentre for Adolescent Health, Royal Children’s Hospital, Murdoch Children’s Research, Institute, Department of Paediatrics, University of MelbourneAbstract Background Obesity and its related cardiovascular-metabolic diseases are growing public health concerns. Despite global attention to obesity, its prevalence is steeply increasing in developing countries, especially in children and adolescents. Eating behaviours and physical activity are modifiable risk factors for obesity that can variably be shaped by families. Eating behaviours and physical activity are especially important during adolescence, given its significance as a foundational period for developing healthy lifestyles. This qualitative study aimed to explore barriers and opportunities around creating healthy lifestyles among adolescents in Indonesia, focussing on family environments from diverse socio-demographic backgrounds. Method In-depth interviews using a semi-structured guide were undertaken with consecutively recruited 10–18-year-old adolescents with overweight or obesity, and their parents, from three different sites: urban (Jakarta, the capital city of Indonesia), peri-urban (West Java Province) and rural (Banten Province). Thematic analysis was used to identify patterns of meaning. Results Nineteen dyads were interviewed. Thematic analysis revealed four themes: limited knowledge of healthy lifestyles; healthy lifestyles not a concern of daily life; limited parenting skills, including inequity around gender roles; and aspects of availability and accessibility. These interconnected barriers influenced lifestyle practices at home within the context of daily preferences and decisions around food and activities. Gender role inequity and healthy food accessibility were more prominent in rural families than in those from urban or peri-urban settings. Conclusions Healthy lifestyles in adolescence may be supported by strategies to enhance parenting skills, build individual motivation, and support the development of more enabling environments.https://doi.org/10.1186/s12889-022-14669-6AdolescentEating behavioursHealthy lifestylesObesityParentingPhysical activity |
| spellingShingle | Fransisca Handy Agung Rini Sekartini Nani Cahyani Sudarsono Aryono Hendarto Meita Dhamayanti Retno Asti Werdhani Susan M. Sawyer The barriers of home environments for obesity prevention in Indonesian adolescents BMC Public Health Adolescent Eating behaviours Healthy lifestyles Obesity Parenting Physical activity |
| title | The barriers of home environments for obesity prevention in Indonesian adolescents |
| title_full | The barriers of home environments for obesity prevention in Indonesian adolescents |
| title_fullStr | The barriers of home environments for obesity prevention in Indonesian adolescents |
| title_full_unstemmed | The barriers of home environments for obesity prevention in Indonesian adolescents |
| title_short | The barriers of home environments for obesity prevention in Indonesian adolescents |
| title_sort | barriers of home environments for obesity prevention in indonesian adolescents |
| topic | Adolescent Eating behaviours Healthy lifestyles Obesity Parenting Physical activity |
| url | https://doi.org/10.1186/s12889-022-14669-6 |
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