Building a healthy generation together: parents’ experiences and perceived meanings of a family-based program delivered in ethnically diverse neighborhoods in Sweden

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-09-11 DOI:10.1186/s12939-024-02271-8
Lisette Farias, Mai-Lis Hellenius, Gisela Nyberg, Susanne Andermo
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Abstract

Ethnically diverse neighborhoods encounter pronounced inequalities, including housing segregation and limited access to safe outdoor spaces. Residents of these neighborhoods face challenges related to physical inactivity, including sedentary lifestyles and obesity in adults and children. One approach to tackling health inequalities is through family-based programs tailored specifically to these neighborhoods. This study aimed to investigate parents’ experiences and perceptions of the family-based Open Activities, a cost-free and drop-in program offered in ethnically diverse and low socioeconomic neighborhoods in Sweden. Researchers’ engagement in 15 sessions of the Open Activities family-based program during the spring of 2022, and individual interviews with 12 participants were held. Data were analyzed using reflexive thematic analysis. The analysis resulted in three main themes and seven sub-themes representing different aspects of the program’s meaning to the participants as parents, their families, and communities. The main themes describe how parents feel valued by the program, which actively welcomes and accommodates families, regardless of cultural differences within these neighborhoods. The themes also show how cultural norms perceived as barriers to participation in physical activity can be overcome, especially by mothers who express a desire to break these norms and support girls’ physical activity. Additionally, the themes highlight the importance of parents fostering safety in the area and creating a positive social network for their children to help them resist criminal gang-related influences. The program’s activities allowed parents to connect with their children and other families in their community, and (re)discover physical activity by promoting a sense of community and safety. Implications for practice include developing culturally sensitive activities that are accessible to and take place in public spaces for ethnically diverse groups, including health coordinators that can facilitate communication between groups. To enhance the impact of this program, it is recommended that the public sector support the creation of cost-free and drop-in activities for families who are difficult to reach in order to increase their participation in physical activity, outreach, and safety initiatives.
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共建健康的下一代:在瑞典不同种族社区开展的家庭计划的父母经验和感知意义
种族多元化社区面临着明显的不平等,包括住房隔离和获得安全户外空间的机会有限。这些社区的居民面临着缺乏运动的挑战,包括久坐不动的生活方式以及成人和儿童肥胖症。解决健康不平等问题的方法之一是为这些社区量身定制基于家庭的计划。这项研究旨在调查家长对基于家庭的 "开放活动 "的体验和看法。"开放活动 "是一项免费的随到随学计划,在瑞典的种族多元化和社会经济水平较低的社区开展。研究人员在 2022 年春季参与了 15 次以家庭为基础的 "开放活动 "项目,并对 12 名参与者进行了个别访谈。研究人员采用反思性主题分析法对数据进行了分析。分析得出了三个主要主题和七个次主题,分别代表了该计划对参与者作为父母、其家庭和社区的不同方面的意义。主主题描述了家长如何感受到该计划的价值,该计划积极欢迎和接纳家庭,而不考虑这些社区的文化差异。这些主题还表明,被视为参加体育锻炼障碍的文化规范是如何被克服的,尤其是那些表示希望打破这些规范并支持女孩参加体育锻炼的母亲。此外,这些主题还强调了家长促进地区安全和为孩子创造一个积极的社会网络以帮助他们抵制与犯罪团伙有关的影响的重要性。该计划的活动让家长们能够与孩子和社区中的其他家庭建立联系,并通过增强社区感和安全感来(重新)发现体育锻炼的重要性。该计划对实践的启示包括:开展文化敏感性活动,让不同种族的群体都能参与到活动中来,并在公共场所开展活动,包括可以促进群体间交流的健康协调员。为提高该计划的影响力,建议公共部门支持为难以接触到的家庭开展免费和随到随学的活动,以提高他们对体育活动、外联和安全倡议的参与度。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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