Use of Adolescent "Community Researchers" to Address Obesity Among Mexican Immigrant Families.

Karen T D'Alonzo, Manuel E Jimenez, Salik Ahmed, Maria Vivar, Itamary Vivar, Lawrence Vivar
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Abstract

Background: Mexican-American immigrants have a disparate prevalence of overweight/obesity, and obesogenic illness. One approach is to train immigrant adolescents as "community researchers." Aims: (1) Design a program to train community researchers to address obesity among Mexican immigrant families and (2) identify the key components of a successful program. Methods: The content included an overview of community research/citizen science; obesity and food insecurity; study design and data collection and analysis for nutrition and physical activity. The students concluded by analyzing the results of group concept mapping (GCM) activities. Results: Post-session class discussions reflected an increased understanding of weekly topics. Analysis of GCM data suggests that members of the Mexican immigrant community may use emotional eating as a way to manage structural stigma, eventually leading to truncal obesity, T2DM and increased cardiovascular risk. Conclusions: Adolescents of Mexican heritage can have a major impact in promoting healthy lifestyles in their communities.

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利用青少年“社区研究人员”解决墨西哥移民家庭肥胖问题。
背景:墨西哥裔美国移民超重/肥胖和肥胖疾病的患病率各不相同。一种方法是将移民青少年培训为“社区研究人员”。目的:(1)设计一个项目,培训社区研究人员解决墨西哥移民家庭的肥胖问题;(2)确定成功项目的关键组成部分。方法:内容包括社区研究/公民科学综述;肥胖和粮食不安全;营养和体育活动的研究设计、数据收集和分析。学生们通过分析小组概念图活动的结果得出结论。结果:课后讨论反映出对每周主题的理解有所增加。对GCM数据的分析表明,墨西哥移民社区的成员可能会将情绪化饮食作为一种管理结构性污名的方式,最终导致躯干肥胖、T2DM和心血管风险增加。结论:墨西哥裔青少年可以对促进其社区的健康生活方式产生重大影响。
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