BMJ Open
Volume 8, Issue 8, 2018

Exploring how Brazilian immigrant mothers living in the USA obtain information about physical activity and screen time for their preschool-aged children: A qualitative study (Article) (Open Access)

Lindsay A.C.* , Arruda C.A.M. , MacHado M.M.T. , De Andrade G.P. , Greaney M.L.
  • a Department of Exercise and Health Sciences, University of Massachusetts, Boston, MA, United States, Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States
  • b Department of Community Health, School of Medicine, Federal University of Ceará, Fortaleza, Brazil
  • c Department of Community Health, School of Medicine, Federal University of Ceará, Fortaleza, Brazil
  • d Department of Exercise and Health Sciences, University of Massachusetts, Boston, MA, United States
  • e Health Studies and Department of Kinesiology, University of Rhode Island, Kingston, RI, United States

Abstract

Objective To explore how Brazilian-born immigrant mothers living in the USA obtain information about physical activity (PA) and screen time (ST) behaviours for their preschool-aged children. Research design Focus group discussions (FGDs) were used to gain an in-depth understanding of research topics. All FGDs were audio-recorded and professionally transcribed verbatim. The Portuguese transcripts were analysed using thematic analysis, an iterative process of coding the data in phases to create meaningful patterns. Participants Thirty-seven Brazilian-born immigrant mothers of preschool-age children. Setting This study was conducted in two cities in Massachusetts (MA). Participants were recruited from two predominantly Brazilian churches, local Brazilian businesses and community-based social and health services organisations in the Greater Boston area in MA. Results Analyses revealed that the mothers participating in this study did not initially actively seek out information about PA and ST for their preschool-age children, but that they received unsolicited information about these behaviours from multiple sources including their child's paediatrician, Women, Infant and Children (WIC) programme staff, members of their social network of Brazilian friends and the Brazilian media. Mothers reported that this unsolicited information increased their knowledge about the importance of making sure their children were physically active and not participating in excessive ST. This increased awareness led mothers to actively seek information about PA and ST behaviours via the internet and through interpersonal communication with fellow Brazilian friends and family. Conclusions Given the value Brazilian immigrant mothers placed on the advice of their paediatricians and WIC staff, interventions should consider involving these healthcare professionals, possibly through including endorsement (eg, prescription for PA and maximum ST). More research is needed to ensure Brazilian immigrant mothers' health and media literacy including their ability to navigate the online environment and to discern the accuracy and quality of information from various web sites. © 2018 Author(s) (or their employer(s)).

Author Keywords

Immigrant Information Brazilian screen time physical activity

Index Keywords

pediatrician physical activity information processing immigrant exercise Massachusetts human friend social network organization Internet ethnology religion qualitative research prescription United States Humans migrant psychology Emigrants and Immigrants staff preschool child Socioeconomic Factors Infant Child, Preschool female socioeconomics Article literacy city genetic transcription thematic analysis mother health education human experiment adult awareness Brazil Focus Groups screen time Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053010833&doi=10.1136%2fbmjopen-2018-021844&partnerID=40&md5=4b3b1a0013f7d2f86ac892ec77941e70

DOI: 10.1136/bmjopen-2018-021844
ISSN: 20446055
Cited by: 2
Original Language: English