Latinx Community Members’ Perspectives on Barriers and Facilitators to Healthy Eating and Active Living: A CBPR Approach to Combat Childhood Obesity

Abstract

A CBPR approach was used to explore the role of Social Determinants of Health (SDOH) in influencing healthy eating and active living practices among Latinx children, and its impact in the existing disproportionate rate of obesity. The team held nine focus groups with 63 participants including middle and high school students and parents. Data analysis followed a thematic approach using a single coding scheme and NVivo. Results showed that when conceptualizing a healthy child, participants alluded to the child's adequate weight, activity level, eating habits, psychosocial aspects, and familism. Perspectives varied among participants' type regarding weight, activity level, and active lifestyle indicators. Participants emphasized the role of cultural values, health care providers, social networks, and availability and quality of community resources. Findings reflected the relevance of considering differing perspectives, acculturation effects, SDOH, cultural and linguistic modifications, expanding collaborations, and incorporating social networks. Results guided development of a community-driven action.