A Qualitative Study on Parenting Practices to Sustain Adolescent Health Behaviors in American Indian Families

Christine Hodgson, Dylan Decker, Teresia M. O’Connor, Melanie Hingle () and Francine C. Gachupin ()
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Christine Hodgson: Family Health Care Nursing, University of California San Francisco, San Francisco, CA 94143, USA
Dylan Decker: Cancer Center Division, University of Arizona, Tucson, AZ 85721, USA
Teresia M. O’Connor: USDA/ARS Children’s Nutrition Research Center, Baylor College of Medicine, Houston, TX 77030, USA
Melanie Hingle: School of Nutritional Sciences and Wellness, College of Agriculture, Life and Environmental Sciences, University of Arizona, Tucson, AZ 85721, USA
Francine C. Gachupin: Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ 85721, USA

IJERPH, 2023, vol. 20, issue 21, 1-10

Abstract: American Indian (AI) adolescents who practice healthy behaviors of sleep, nutrition, physical activity, and limited screen time can lower their lifetime risk of diet-sensitive disease. Little is known about how AI parenting practices influence the health behaviors of youth. The objective of this qualitative study was to explore how a group of AI parents of youths at risk of disease influenced their youth’s health behaviors after a family intervention. A secondary objective was to understand the role of AI parents in supporting and sustaining health behavior change in their youths following the intervention. Semi-structured in-depth interviews were conducted with AI parents ( n = 11) and their young adolescents, 10–15 years old ( n = 6). Parents reported facilitators to how they enacted healthy lifestyle behaviors, including family togetherness, routines, youth inclusion in cooking, and motivation due to a health condition in the family. Barriers to enacting healthy behaviors included a lack of time, a lack of access to health resources, negative role modeling, and the pervasiveness of screen media. Three major themes about the role of AI parenting emerged inductively from the interview data: “Parenting in nontraditional families”, “Living in the American grab-and-go culture”, and “Being there and teaching responsibility”. The importance of culture in raising youths was emphasized. These findings inform strategies to promote long-term adherence to behavior changes within the intervention. This study contributes to public health conversations regarding approaches for AI youths and families, who are not well represented in previous health behavior research.

Keywords: health promotion; disease prevention; diabetes; obesity; wellness; parenting; American Indian (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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