“The thing is, kids don’t grow the same”: Parent perspectives on preschoolers’ weight and size in Soweto, South Africa

dc.contributor.authorKlingberg, S.
dc.contributor.authorvan Sluijs, E.M.F.
dc.contributor.authorDraper, C.E.
dc.contributor.departmentSonja Klingberg, Catherine E Draper: SAMRC Developmental Pathways for Health Research Unit (DPHRU)en_US
dc.date.accessioned2024-03-27T16:12:58Z
dc.date.available2024-03-27T16:12:58Z
dc.date.epub2020
dc.date.issued2020-04-06
dc.description.abstractThe prevalence of overweight and obesity is high among preschool age (3–5 years) children in South Africa, and children in urban low-income settings are particularly at risk. A better understanding of how parents or caregivers of young children perceive children’s weight and size, as well as contextual factors influencing perceptions, is needed to inform interventions. The aim of this study was to examine how parents of preschool children in Soweto, South Africa, view childhood obesity, and to situate these perspectives in the context of the home environment in which preschool age children in Soweto live. Semi-structured in-depth interviews were conducted with 16 parents in four neighbourhoods of Soweto. Interviews were audio-recorded, transcribed verbatim, and analysed using reflexive thematic analysis following a contextualist approach. Three themes were developed: growing differently, the ‘right’ way to be, and weight is not health. These themes capture parents’ views on complex and reportedly inevitable causes of obesity, ideas about acceptable and preferred body sizes, and the low priority of weight per se compared to health. The findings suggest that childhood obesity prevention in South Africa needs to be done in a non-stigmatising way that recognises environmental and contextual factors, such as parents’ limited sense of agency in relation to their children’s health and weight, and concrete resource constraints. Environmental barriers to healthy behaviours need to be addressed in order to overcome the coexisting challenges of childhood undernutrition and obesity in urban low-income South African settings.en_US
dc.identifier.citationKlingberg S, van Sluijs EMF, Draper CE. "The thing is, kids don't grow the same": Parent perspectives on preschoolers' weight and size in Soweto, South Africa. PLoS One. 2020 Apr 6;15(4):e0231094. doi: 10.1371/journal.pone.0231094.en_US
dc.identifier.doi10.1371/journal.pone.0231094
dc.identifier.journalPloS Oneen_US
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/32251449/
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0231094
dc.identifier.urihttps://hdl.handle.net/11288/595719
dc.language.isoenen_US
dc.publisherPLoS Oneen_US
dc.research.unitDevelopmental Pathways for Health Researchen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subjectSouth Africa
dc.subjectWeight
dc.subjectChildren's growth
dc.subjectPreschool children
dc.subjectParents
dc.subjectPreschoolers
dc.subjectSDG-03 Good health and well-being
dc.title“The thing is, kids don’t grow the same”: Parent perspectives on preschoolers’ weight and size in Soweto, South Africaen_US
dc.typeArticleen_US
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