Murphy, Marie, Boardman, Felicity K., Robertson, Wendy and Johnson, Rebecca E. (2021) Children’s perspectives and experiences of health, diet, physical activity and weight in an urban, multi‐ethnic UK population : a qualitative study. Child: Care, Health and Development . doi:10.1111/cch.12867 (In Press)

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Abstract

Background:
Children from Black and South Asian ethnic groups are at risk for childhood obesity in the UK. To inform local action for childhood obesity prevention, it is crucial to explore the basis of ethnic disparities and consider the perspectives of children. This study aimed to understand cultural and contextual factors influencing childhood obesity in an ethnically diverse population using child‐centred methodology.

Methods:
‘Draw, write and tell’ interviews were held with children aged 9‐10 years in Coventry, an urban, multi‐ethnic city in the UK. Data were analysed thematically using framework analysis.

Results:
Twenty‐six children participated (85% from Black or Minority Ethnic Groups). Children’s perspectives revealed universal themes around health, diet, physical activity and weight and highlighted issues specific to ethnic groups and those living in deprived areas. An underlying feature was weight‐based stigmatisation and group stereotyping, and an emphasis on internal factors as the cause of obesity. Children described some experiences of social disadvantage, but did not regard these as a barrier to being physically active. Children identified cultural or religious practices or experiences of migration that influenced diet and physical activity.

Conclusions:
These findings allow a broad range of children’s perspectives to inform future intervention design. In addition, the study was able to identify the many similarities and small amount of diversity in children’s perspectives across ethnic groups.

Item Type:	Journal Article
Subjects:	D History General and Old World > DA Great Britain H Social Sciences > HT Communities. Classes. Races R Medicine > RJ Pediatrics T Technology > TX Home economics
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Obesity in children, Obesity in children -- England -- Coventry, Children -- Health and hygiene -- England -- Coventry, Nutrition policy -- England -- Coventry, Ethnicity -- Health aspects -- England -- Coventry, Obesity in children -- Social aspects
Journal or Publication Title:	Child: Care, Health and Development
Publisher:	Wiley-Blackwell Publishing Ltd.
ISSN:	0305-1862
Official Date:	15 March 2021
Dates:	Date Event 15 March 2021 Available 7 March 2021 Accepted
DOI:	10.1111/cch.12867
Status:	Peer Reviewed
Publication Status:	In Press
Publisher Statement:	This is the peer reviewed version of the following article: Murphy, M, Boardman, F, Robertson, W, Johnson, R. Children’s perspectives and experiences of health, diet, physical activity and weight in an urban, multi‐ethnic UK population: a qualitative study. Child Care Health Dev. 2021. , which has been published in final form at https://doi.org/10.1111/cch.12867. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Access rights to Published version:	Open Access

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