Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study
Joint Authors
Foster, Byron Alexander
Aquino, Christian A.
Mejia, Sharol
Turner, Barbara J.
Singhal, Arvind
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-19
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Childhood obesity is a complex public health challenge that requires innovative, sustainable solutions.
Positive deviance, inspired by the science of complexity, is an approach that examines what allows certain individuals to succeed despite being predicted to fail.
This study is aimed at identifying and defining positive deviants for early childhood obesity.
Methods.
This case-control study used medical record data to identify Latino children aged 2–5 and classify them using their longitudinal weight change.
Parents of children with trajectories toward a healthy weight from an obese weight (cases) and parents of children with stable obese weight trajectories over time (controls) were recruited.
Mixed-methods analyses were used including a semistructured interview and quantitative surveys evaluating diet, physical activity, sleep, feeding practices, and self-efficacy.
Qualitative description was applied to the qualitative data; quantitative data were analyzed using descriptive statistics and logistic regression modeling.
Results.
Of eligible Latino children identified from the overall data set (n=1,621), 257 (16%) had trajectories toward a healthy weight, and among these, 21 positively deviant cases completed the study with 23 matched controls.
Positive deviant families were characterized by lower education, higher self-efficacy, and a more Mexican cultural orientation.
Findings suggest that effective engagement of other caregivers and creating healthy food environments were important determinants of healthy weight outcomes.
Conclusions.
Positive deviants (cases) were distinct from controls in several parenting strategies such as creating healthy food environments and engaging caregivers.
They had higher self-efficacy despite lower education.
There were fewer differences in diet and physical activity than expected.
American Psychological Association (APA)
Foster, Byron Alexander& Aquino, Christian A.& Mejia, Sharol& Turner, Barbara J.& Singhal, Arvind. 2018. Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study. Journal of Obesity،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1196056
Modern Language Association (MLA)
Foster, Byron Alexander…[et al.]. Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study. Journal of Obesity No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1196056
American Medical Association (AMA)
Foster, Byron Alexander& Aquino, Christian A.& Mejia, Sharol& Turner, Barbara J.& Singhal, Arvind. Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study. Journal of Obesity. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1196056
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1196056