Family health climate: a qualitative exploration of everyday family life and health.
Eating
Family
Family health climate
Health behavior
Interview
Physical activity
Qualitative research
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
29 06 2021
29 06 2021
Historique:
received:
10
09
2020
accepted:
15
06
2021
entrez:
30
6
2021
pubmed:
1
7
2021
medline:
2
7
2021
Statut:
epublish
Résumé
The family is an important social environment for children's, adolescents' and adults' health. However, studies mostly focused on dyadic and unidirectional influences of parents on their children. Studies addressing influences arising from daily family life and including family-level influences are rare and the existing studies solely focus on the relevance for children's health or health-related behaviors. We use a qualitative approach to explore how daily family life and its inherent health-related cues affect family members' physical activity and eating behavior. Semi-structured interviews utilizing an interview guide were conducted. Since we aimed to examine family life, we analyzed both parents' and their children's views on health-related interaction patterns and family environmental influences on individuals' health-related behavior. Twenty-two members of seven families were interviewed. Transcripts of the interviews were systematically analyzed following Grounded Theory principles. The interviews revealed that various individual as well as environmental factors shape health-related aspects of daily family life. A model was developed that organizes these influencing factors on family life with regard to health-related interactions and the emergence of the Family Health Climate (FHC) - reflecting shared perceptions and cognitions regarding a healthy lifestyle within families - and its consequences. Family interactions and family time, often realized through shared family meals, are key factors for families' health with regard to nutrition and physical activity. The FHC showed to affect various aspects related to health behavior of individual family members. The model sheds light on underlying processes and mechanisms of family life that influences individuals' health-related behavior. Based on a better understanding of the association between family life and individual health behavior the development of family-based interventions can be informed. Furthermore, the insights can help to guide further research focusing on families as a system.
Sections du résumé
BACKGROUND
The family is an important social environment for children's, adolescents' and adults' health. However, studies mostly focused on dyadic and unidirectional influences of parents on their children. Studies addressing influences arising from daily family life and including family-level influences are rare and the existing studies solely focus on the relevance for children's health or health-related behaviors. We use a qualitative approach to explore how daily family life and its inherent health-related cues affect family members' physical activity and eating behavior.
METHODS
Semi-structured interviews utilizing an interview guide were conducted. Since we aimed to examine family life, we analyzed both parents' and their children's views on health-related interaction patterns and family environmental influences on individuals' health-related behavior. Twenty-two members of seven families were interviewed. Transcripts of the interviews were systematically analyzed following Grounded Theory principles.
RESULTS
The interviews revealed that various individual as well as environmental factors shape health-related aspects of daily family life. A model was developed that organizes these influencing factors on family life with regard to health-related interactions and the emergence of the Family Health Climate (FHC) - reflecting shared perceptions and cognitions regarding a healthy lifestyle within families - and its consequences. Family interactions and family time, often realized through shared family meals, are key factors for families' health with regard to nutrition and physical activity. The FHC showed to affect various aspects related to health behavior of individual family members.
CONCLUSIONS
The model sheds light on underlying processes and mechanisms of family life that influences individuals' health-related behavior. Based on a better understanding of the association between family life and individual health behavior the development of family-based interventions can be informed. Furthermore, the insights can help to guide further research focusing on families as a system.
Identifiants
pubmed: 34187447
doi: 10.1186/s12889-021-11297-4
pii: 10.1186/s12889-021-11297-4
pmc: PMC8240432
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1261Subventions
Organisme : Bundesministerium für Bildung und Forschung
ID : 01EL1420C
Organisme : Bundesministerium für Bildung und Forschung
ID : 01EL1420A
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