Thèses sur le sujet « Nutrition Social aspects »

Many community-dwelling seniors are reported to have inadequate dietary intakes. Factors affecting food intake have been studied mainly from the perspectives of health professionals. As the reasons for adequate food intake are complex, understanding the seniors' perspective could provide further help in understanding their needs.
Three semi-structured interviews were conducted with each of eight community-dwelling women aged 73 to 91 who were at-risk of malnutrition. A qualitative analysis showed the women were reporting three essential aspects: struggling to maintain their independence (i.e., frustration with health care, stereotyping seniors, simplifying cooking); learning new ways of functioning (i.e., adapting to health limitations, simplifying meals etc) and; taking control (i.e., planning own meal and food supplies, monitoring health and keeping physically and mentally active). Finally, this qualitative research paradigm was useful and it demonstrated how careful listening could help to understand the individual needs of free-living seniors at risk of malnutrition.

Includes bibliographical references (leaves 327-346). A random population survey and a survey of vegetarians were conducted to examine South Australians' beliefs about meat and vegetarianism. Meat beliefs, barriers and benefits of vegetarianism, meat consumption, personal values, use of and trust in sources of food/nutrition/health information and demographic variables were measured.

Hypotheses explaining maternal compliance behavior in relation to maternal attitudes and motivations and family and social influences were explored retrospectively in families of 39 obese infants from six to twelve months of age. Maternal social support and infant characteristics were not strongly associated or predictive of maternal compliance behavior. Stressful life changes in the family were negatively associated with maternal compliance to the dietary regimen. Maternal perception of infant fatness was negatively associated with dietary compliance behavior and positively associated with study protocol compliance behavior. Demographic variables were positively associated with compliance to study protocol. Family stress, maternal health beliefs, and demographic variables outweighed social support in their power to predict compliance behaviors. Compliance to study requirements did not necessarily mean compliance to the dietary regimen. Clinical use of assessing family stress, maternal beliefs and demographic variables appears to provide additional understanding of compliance behaviors in mothers with infant feeding recommendations.

The use of color coded prompts to influence students' food selections in choosing a balanced meal was investigated. Yellow, green, blue, and orange dots, representing the four major food groups, grains, fruit and vegetables, dairy, and meat respectively were displayed at the point-of-selection on food entree cards along the serving line of a college dining hall. Two grain servings, two fruit/vegetable servings, one dairy serving, and one meat serving, were suggested as the optimal combination for a balanced meal. The results indicated that the prompts, although noticed and understood by the majority of the students, did not significantly influence their food selections. These findings are inconsistent with earlier studies substantiating the effectiveness of color coded prompts at the point-of-selection in influencing food choices. Implications are discussed.

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Pontifícia Universidade Católica de São Paulo - PUCSP
Aging is a process that incorporates changes not only biological, but also sociocultural, psychic and historical, characterized by its heterogeneity. With the advance of several sectors of Brazilian society, including primary and secondary health care systems, we experience the progression of longevity and the amount of elderly reaching the eighth decade of life and beyond. However, as the amount of years lived increases, so does the probability of vulnerability and disability. Behaviors involving appropriate eating habits, physical exercise practice and smoking abstention may contribute to prevent diseases and promote longevity. However, assimilation of proper feeding in routine depends on several sociocultural and economic factors. The central aim of this study was to investigate perceptions and representations of long-living older adults about their food habits, considering the relationship between food, longevity and their sociocultural meaning, more specifically: To systematize conceptual-theoretical basis of analysis to compose the references about aging, old age, culture and feeding; To outline the profile of the elderly respondents; and To characterize eating habits and their representations about food and longevity. This is an exploratory study with qualitative approach through content analysis and interviews with thirteen long-living older adults in São Paulo city. The sample profile consisted in high prevalence of women, widows, foreign and domestic (countryside inhabitants) immigrants, in cohabitation with other relatives, presence of chronic disease, Catholics, absence of smoking and financial vulnerability, in addition to low illiteracy level. All respondents reported changes in eating habits during their life course, mainly the ingestion of a greater sort of food. Among the main factors which influenced this practice, were included: information about the relationship between feeding and longevity received by media sources; food restriction from religious or cultural conceptions and the trivial food consumed over the years. It´s considered that beyond relationship between food consumption and life expectancy, conceptions related to other aspects were significant, among them, lifestyle and religiosity, illustrating aging complexity, as well as the need of multiprofessional engagement when thinking in health promotion. The importance of family proved to be significant and immigrant status was a preponderant factor in feeding patterns changes. Taboo-breaking shows itself essential, in view of new trials in feeding and nutrition sector. Finally, this research contributes to the development of new studies on the interface between nutrition and aging, as well as emerges as new a proposal in public policies in food sector and nutrition education programs focusing the elderly population
O envelhecimento é um processo que incorpora mudanças não somente biológicas, mas também socioculturais, psíquicas e históricas, caracterizando-se por sua heterogeneidade. Com o avanço de diversos setores da sociedade brasileira, incluindo saúde primária e secundária, nos deparamos com a progressão da longevidade e do número de idosos que atingem a oitava década de vida ou mais. Porém, juntamente com o aumento dos anos vividos, aumenta a probabilidade de vulnerabilidade e dependência. Atitudes que envolvam hábitos alimentares adequados, prática de exercícios físicos e abstenção do tabagismo podem contribuir para a prevenção de doenças e favorecer a longevidade. Entretanto, incorporar alimentação adequada na rotina depende de diversos fatores de ordem econômica e sociocultural. O objetivo central desta pesquisa foi investigar percepções e representações de idosos longevos sobre seus hábitos alimentares, considerando a relação entre alimentação, longevidade e seu significado sociocultural, mais especificamente: sistematizar a base teórico-conceitual das análises para composição de referências sobre envelhecimento, velhice, cultura e alimentação; delinear o perfil dos idosos entrevistados; caracterizar hábitos alimentares e suas representações sobre alimentação e longevidade. Trata-se de um estudo exploratório de abordagem qualitativa por meio da análise de conteúdo e entrevista com treze idosos longevos residentes no município de São Paulo. O perfil da amostra consistiu em maior prevalência de mulheres, viúvas, imigrantes estrangeiros e internos (zona rural), em coabitação com outros parentes, presença de doença crônica, católicos, ausência de tabagismo e de vulnerabilidade financeira, além de baixo nível de analfabetismo. Todos os entrevistados referiram mudança de hábitos alimentares ao longo da vida, principalmente em relação à ingestão de maior variedade de alimentos. Dentre os principais fatores que influenciaram nessa prática, foram incluídos: informações sobre a relação entre alimentação e longevidade recebidas principalmente pela mídia; restrição alimentar a partir de concepções religiosas ou culturais e o trivial consumido ao longo dos anos. Considera-se que, mais do que a relação do consumo alimentar com o longeviver, concepções relacionadas a outros aspectos vividos se fizeram expressivas, entre elas, o estilo de vida e religiosidade, demonstrando a complexidade do envelhecer, bem como a necessidade de engajamento multiprofissional ao se pensar na promoção da saúde. A importância da família mostrou-se significativa e a condição de imigrante foi fator preponderante na mudança de padrões alimentares. A quebra de tabus mostra-se essencial, tendo em vista novas experimentações no campo da alimentação. Coloca-se como possível contribuição da presente pesquisa o desenvolvimento de novos estudos com interface entre nutrição e envelhecimento, além da proposição de políticas públicas na área da alimentação e programas de educação nutricional voltados para o segmento idoso

Includes bibliographical references (leaves 349-421) Addresses some of the mechanisms which may potentially contribute to the physiological anorexia of ageing, as suggested by previous animal and human studies.

A matched case-control study was carried out to identify the factors associated with the nutritional status of children in Livingstone district, Zambia. A trained field researcher collected data on demographic, feeding practices and socio-economic factors in matched groups of underweight children and normal weight children from the mothers/caregivers of the children. Interviews, using a structured pre-tested questionnaire, were used to obtain the data. All children aged from six to fifty-nine months admitted at Livingstone General Hospital during the months of October to December, 2003 with a weight for age below &ndash
2SD from the median of the reference population formed the underweight children (cases). The total was 47 children. The cases were then matched according to sex and age to 47 normal weight children attending the under five clinic at Livingstone General Hospital during the same months, with a weight for age above &ndash
2SD from the median of the reference population (controls). The final sample was 94 children. Weights were recorded using the same scale in the outpatient&rsquo
s department prior to admission and during the under five clinic session. Interviews then took place in a separate room after the clinic nurse had attended them. A separate visit was then made to the homes of the children on a different day. Odds ratios and 95% confidence intervals were used to measure strengths of associations. Results revealed that the basic causes of underweight were the poor economic state of the country, unfavorable policies and insufficient government support in the areas of health, education, agriculture, housing and employment. Underlying causes were inadequate access to food, inadequate care of children, poor access to health services and unhealthy living environments, while immediate causes were poor food intake and disease. Low educational and literacy levels of the mothers/caregivers, unemployment and lack of sufficient finances to access basic necessities such as food, housing and health contributed to underweight.

Este trabalho descreve uma análise de discurso de mães sociais, a respeito da alimentação e o ambiente das refeições oferecidas às crianças e adolescentes de abrigos. Foram feitas entrevistas com onze mães sociais e três diretoras de três abrigos na Grande São Paulo, e em seguida analisadas por meio da metodologia do Discurso do Sujeito Coletivo. O estudo resultou em 32 categorias de discurso, que abordaram as preferências alimentares, tipo e ambiente da alimentação, conversas e comportamentos durante as refeições, a importância de reunir a família nas refeições, o ensino de boas maneiras, o que se faz para as crianças comerem melhor e o abastecimento dos gêneros alimentícios. Dos discursos foi verificado que as mães sociais se preocupam com os rituais familiares durante as refeições, ocasiões em que se valoriza muito o comer junto, \"todos juntos ao redor da mesa\". Todavia, dá-se preferência ao comer em silêncio do que com conversas. A tarefa de servir os pratos praticamente é assumida pela mãe social, não dando muitas oportunidades para as crianças aprenderem. O capricho na alimentação e o omportamento das crianças \"lá fora\", são também preocupações das mães, que se esforçam para lhes ensinar boas maneiras para não terem problemas fora do abrigo. Foi feito também o levantamento do estado nutricional das 108 crianças e adolescentes por meio do IMC, resultadno em 7.45% de baixo peso e desnutrição e 21.3% de sobrepeso e obesidade. Uma análise qualitativa do cardápio semanal mostrou médias de frequência boas para carboidratos e proteínas, porém com frequências falhas em hortaliças e frutas em alguns dos lares infantis.
This paper describes a speech analysis of social mothers on food and meal environment offered to children and teenagers in foster shelter homes. Eleven social mothers and three managers were interviewed in three shelter homes in São Paulo City and surroundings. An analysis of the \"collective subject speech\" metodology was carried out. From this research 32 speech categories were identified in respect of food preferences, types of food, meal environment, conversation, behavior and the importance of family gathering by mealtime, the good manners upbringing, what can be done in order to improve children´s nourishment, as well as the food supplies. It could be observed from this speech that the mothers were concerned about the importance of eating together, \"all together around the table\". However, the mothers rather eat in silence than talking to with each other. The children´s plates are always served by the social mothers, what does not give them the opportunity of helping themselves and learn how to do that. Preparing a good meal and the children´s behavior outside the shelter home are part of the social mothers´concern. They try to teach them good manners so they will have no problems outside the shelter home. The nutritional status of the 108 children and teenagers from the shelter homes was also researched through the percentiles of the body mass index. The results showed 7.45% of under weight and under nutrition, as well as 21.3% of overweight and obesity. A qualitative analysis of a weekly menu showed a good frequency means for carbohydrates and proteins, however with lacking frequencies for vegetables and fruits in some of the shelter homes.

Esta dissertação tem como objetivo compreender o funcionamento das famílias com crianças acometidas pela obesidade na instalação e manutenção da doença, na perspectiva dos pais. Nesta circunstância, foram considerados os sentimentos e dificuldades expressos pelas mães frente à obesidade dos filhos; estratégias utilizadas para enfrentar o problema e indicadores no contexto familiar que pudessem estar contribuindo para a manutenção do quadro de obesidade infantil. O trabalho está dividido em três artigos, sendo um teórico e dois empíricos. O primeiro apresenta um breve histórico da necessidade humana de alimentação que mostrou as mudanças ocorridas que culminaram na proliferação da obesidade e, nesse cenário, as transformações que a família enfrenta para adaptar-se ao meio permeado de tantas ofertas e constantes modificações, em articulação com a Teoria Sistêmica. O segundo artigo identifica no contexto familiar à luz da Teoria Sistêmica, os indicadores da dinâmica familiar que podem estar contribuindo para a instalação e a manutenção da obesidade na infância. O terceiro artigo considera elementos presentes na história familiar das crianças com obesidade, os sentimentos expressos pelas famílias e as consequências físicas e psíquicas da evolução da doença. A pesquisa é de natureza qualitativa levando em consideração a experiência dos participantes em relação ao tema. Foram entrevistadas seis mães e uma avó de crianças, na faixa etária entre 8 a 10 anos incompletos, que se encontravam em atendimento no ambulatório de Obesidade Infantil do Instituto de Medicina Integral Professor Fernando Figueira (IMIP), na cidade do Recife. Utilizamos uma entrevista com roteiro previamente estabelecido e, posteriormente, os resultados foram discutidos com base na análise de conteúdo temática. Os resultados indicaram que todos os membros do sistema estão implicados na instalação da obesidade, através da rejeição materna, compensada por superproteção alimentar, conflitos conjugais, interferência das avós na alimentação dos netos, o que demonstra confusão na hierarquia. As dificuldades de intercâmbio com o meio demonstraram que as famílias consomem alimentos com alto teor de gordura; a falta de coesão acerca das normas alimentares e de limites à criança são elementos que podem estar contribuindo para a manutenção da obesidade na infância
This dissertation aims to understand the functioning of families with children affected by obesity in the installation and maintenance of the disease from the perspective of parents. In this circumstance, we considered the feelings expressed by mothers and difficulties facing the obesity of children, strategies used to address the problem in the family context and indicators that could be contributing to the maintenance of the obese children. The work is divided in three articles, one theoretical and two empirical. The first presents a brief history of the human need to feed that showed the changes that led to the proliferation of obesity and, in this scenario, the changes that the family faces in adapting to the environment permeated with so many offers and constant changes, in conjunction with Systemic Theory. The second article identifies the family context under the light of the Systemic Theory, indicators of family dynamics that may be contributing to the installation and maintenance of obesity in childhood. The third article considers elements in the family history of children with obesity, the sentiments expressed by the families and the physical and psychological consequences of disease progression. The research is qualitative in nature, taking into account the experience of participating in the issue. Six mothers were interviewed and a grandmother of children, aged between 8-10 years old, who were in the outpatient clinic of Childhood Obesity Institute of Medicine Professor Fernando Figueira (IMIP) in the city of Recife. We used an interview with previously established questions, and subsequently the results were discussed based on thematic content analysis. The results indicated that all members of the system are involved in the installation of obesity, through the maternal rejection, overprotection offset by food, marital conflicts, and interference from the grandparents in the feeding of grandchildren, which shows confusion in the hierarchy. The difficulties of exchange with the environment showed that families consume of food with high contents of fat, lack of cohesion about food standards and limits are the child elements that may be contributing to the maintenance of childhood obesity

Thesis (PhD)--Macquarie University, Division of Humanities, Department of Modern History, 2003.
Bibliography: p. 417-478.
Introduction: breeding and feeding -- The medical man: sex, science and society -- Confined: women and obstetrics 1880-1899 -- The kindest cut? The caesarean section as turning point -- Reproduction in decline -- Resisting reproduction: women, doctors and abortion -- From obstetrics to paediatrics: the rise of the child -- The breast was best: medicine and maternal breastfeeding -- The deadly bottle and the dangers of the wet nurse: the "artificial" feeding of infants -- Surveillance and the mother -- Mothers and medicine: paradigms of continuity and change.
The late nineteenth and early twentieth centuries saw profound changes in Australian attitudes towards maternity. Imbibed with discourses of pronatalism and eugenics, the production of infants became increasingly important to society and the state. Discourses proliferated on "breeding", and while it appeared maternity was exulted, the child, not the mother, was of ultimate interest. -- This thesis will examine the ways wider discourses of population impacted on childbearing, and very specifically the ways discussions of the nation impacted on medicine. Despite its apparent objectivity, medical science both absorbed and created pronatalism. Within medical ideology, where once the mother had been the point of interest, the primary focus of medical care, increasingly medical science focussed on the life of the infant, who was now all the more precious in the role of new life for the nation. -- While all childbirth and child-rearing advice was formed and mediated by such rhetoric, this thesis will examine certain key issues, including the rise of the caesarean section, the development of paediatrics and the turn to antenatal care. These turning points can be read as signifiers of attitudes towards women and the maternal body, and provide critical material for a reading of the complexities of representations of mothers in medical discourse.
Mode of access: World Wide Web.
478 p

The present study explored whether African American women's level of dietary fat intake could be predicted by the variables of food preferences and preparation methods, support for healthy eating from family and friends, attitudes toward health, and acculturation. The present study also explored whether African American women's level of dietary fat intake could be predicted by the variables of food preferences and preparation methods, support for healthy eating from family and friends, and attitudes toward health, as moderated by acculturation.Information was obtained from five hundred and nintey nine African American females between the ages of eighteen and forty four. The women were recruited from a Midwestern univeristy, an undergraduate and graduate chapter of an African American sorority, two African American professional organizations, and through the snowball method. Particpants completed a Demographic Questionnaire, The Eating Behavior Patterns Questionnaire, The African American Acculturation Scale Short Form, The Health Attitudes Scale, The Social Support Scale, and The Eating Patterns Subscale on the Eating Habits Questionnaire. The data was collected via hardcopy and InQsit, an online survey program.Numerous preliminary tests were run to screen the data for outliers, linearity, and multicollinearity. Then, two forced entry multiple regressions were performed. In the first analysis, the overall model was a significant predictor of dietary fat intake. African American women's preferred foods, positive and negative support from friends, overallconcern for health, and intentions to adopt positive health practices are significant predictors of their level of dietary fat intake. In fact, these variables acccounted for almost half of the amount of variance in dietary fat intake. The second model was not significant and acculturation was not a significant predictor or moderator of dietary fat intake. Although acculturation was proven to be influential to dietary behaviors in African Americans in previous literature, the findings were not confirmed in this study.Multiple possibilies may explain the lack of significant findings between level of acculturation and dietary fat intake. The women in the current study were of a higher educational and income status than women in previous studies indicating significant findings. This difference in education and income, among other factors, may account for the difference in significant findings. The information gained in this study can be used to develop pschoeducational and treatment programs aimed at helping African American women prevent or treat health problems associated with poor eating habits. Several research implications are also noted.
Department of Counseling Psychology and Guidance Services

Food advertising aimed at children in America has been proven to directly impact food preferences, eating behavior and brand loyalty of youth (Story & French, 2004). The purpose of this study was to evaluate the content of television commercials that occurred during children's programming on the popular children's network Nickelodeon. This study examined the frequency, nutritional content and overall advertising techniques associated with food, beverage and restaurant commercials. It also assessed the degree to which children are being exposed to the promotion of unhealthy food, beverage restaurant commercials. This study examined commercials that aired on the Nickelodeon Network between Monday, August 11 through Friday, August 15, 2008 between 3 p.m. and 5 p.m. on the Comcast Cable System in Stockton, California. The programming was recorded on a VHS tape and then later reviewed and analyzed. Each commercial was examined in the following areas: nutritional content; slogan; branded characters; premium; link to a movie and healthy message. This study demonstrated that 40.65% of the commercials airing between 3 p.m. and 5 p.m. on the Nickelodeon television network are for food, beverage and/or restaurants. Twenty-six percent of food, beverage and restaurant commercials met or exceeded the daily recommended levels of fat, added sugars, and sodium, and fell short of providing essential nutrients as outlined by the United States Department of Agriculture (USDA) (United States Department of Agriculture, 2008). The results of this study indicate that a considerable amount of food commercials targeting children as consumers. Government regulation seems unlikely due to the First Amendment, rights to free speech. This study points to several suggestions for advertisers, advocates, Children's Advertising Review Unit (CARU) teachers and parents to address the issue of advertising to children. Some of the suggestions include stricter self-regulation, education and parental responsibility.

The present study employed a quantitative, non-experimental, multivariate correlational research design to test a hypothesized model examining associative paths of influence between ecological factors and weight status of urban, African-American adolescent females. Anthropometric and self-report survey data of 182 urban, African- American adolescent females were collected during after-school programs, health and physical education classes, and community events in an urban area in northeast Florida. Descriptive analyses were conducted to characterize the study participants based upon their age, study setting, and weight status. A scale reliability analysis was conducted to assess the internal consistency reliability of the sample data using selected measures within the context of the study’s specific population and subsequently guided the structural equation model (SEM) analyses. The SEM path analysis was used to develop two measurement models to control for observed error variance for variables demonstrating poor internal consistency reliability (diet behaviors and nutrition selfefficacy) and a final structural model to test the associative paths of influence between latent (diet behaviors and nutrition self-efficacy) and manifest variables (teacher social support and friend social support) on weight status. The results of the path analysis indicated that both teacher social support and friend social support demonstrated a positive, indirect influence on child weight status through nutrition self-efficacy and diet behaviors following two different and specific paths of influence. Diet behaviors, in turn, demonstrated a positive, direct effect on child weight status. These findings provide clear implications for educational leaders that call for the integration of health behavior change theory into traditional education and leadership practice and actively addressing the childhood obesity epidemic in the school environment by implementing health behavior change strategies at various ecological environmental levels.

Les travaux présentés dans ce mémoire ont pour but de mieux comprendre la relation existant entre la culture du coton, le rôle de la femme et la sécurité alimentaire et nutritionnelle dans une région cotonnière du Burkina Faso. Les résultats démontrent une forte prévalence d’insécurité alimentaire et de dénutrition infantile et une relation dynamique entre la culture du coton, les activités quotidiennes des femmes, la sécurité alimentaire des ménages et la nutrition infantile. La charge de travail de la femme ou le temps passé à travailler au champ de coton ont été positivement associés au score d’insécurité alimentaire, tandis que leur pouvoir décisionnel sur la gestion du revenu familial l’était négativement. La qualité des soins prodigués aux enfants semblait quant à elle avoir une influence sur l’état nutritionnel des enfants. Privilégier les interventions communautaires visant à accroître le niveau d’autonomisation des femmes semblerait alors être nécessaire pour réduire la faim et la malnutrition infantile dans cette région du monde.
The work presented in this thesis is designed to better understand the relationship between cotton cropping, women’s role and food and nutrition security in a cotton growing region of Burkina Faso. Results show a high prevalence of food insecurity and child malnutrition and a dynamic relationship between cotton cropping, women’s daily activities, household food security and child nutrition. Women's workload or the time spent they are working in the cotton field were positively associated with the score of food insecurity, while their decision-making power on the management of family income was negatively. The quality of childcare appears to influence children’s nutritional status. Giving priority to community interventions to increase women's level of empowerment seems to be necessary to reduce hunger and child malnutrition in this region of the world.

Les populations défavorisées sont souvent peu réceptives aux messages de santé publiques, perçus comme trop complexes et peu adaptés. De nombreuses interventions nutritionnelles ont été menées, y compris en magasin, mais l’impact de ces interventions sur les comportements d’achats reste peu convaincant. L’utilisation des principes et des techniques issus du marketing pourrait constituer une stratégie efficace pour développer des interventions adaptées à ces populations.L’objectif de cette thèse était de développer, mettre en oeuvre et évaluer une intervention nutritionnelle dans deux magasins dans les quartiers Nord de Marseille, selon la méthode du marketing social. Pendant 6 mois, une sélection d’aliments peu coûteux et de bonne qualité nutritionnelle ont été mis en avant via un étiquetage en rayon, soutenu par une campagne de communication et des actions promotionnelles en magasin : dépliants, affiches, tête de gondole, stand de dégustation. L’analyse des achats des clients a montré un effet positif de l’intervention sur l’achat de féculents et de fruits et légumes. Un questionnaire rapide à la sortie des magasins a montré que 31 % des clients ont remarqué l’opération, et que ce pourcentage était plus élevé à la fin de l’intervention. Un questionnaire plus approfondi a montré que les clients ayant remarqué l’intervention obtenaient des scores plus élevés à un quiz sur la nutrition et comprenaient mieux le système d’étiquetage que les clients ne l’ayant pas vue.Bien que ces résultats soient plutôt encourageants, un certain nombre de questions demeurent, en particulier sur la temporalité du changement de comportement, l’importance de la segmentation de la cible et la prise en compte des comportements irrationnels et inconscients dans le marketing social
Low-income populations are often unreceptive to public health messages that may be perceived as too complex and poorly adapted. Many nutrition interventions have been conducted, including store-based interventions, but their impact on purchase behaviors is not convincing. The use of marketing principles and techniques could be an effective strategy for developing interventions adapted to these populations.The objective of this PhD was to develop, implement and evaluate a nutrition intervention in two stores in the northern districts of Marseille (France), using a social marketing approach. For six months, a selection of inexpensive foods of good nutritional quality was promoted through shelf labeling, supported by a communication campaign and in-store promotional actions: leaflets, posters, endcap placement, tasting booth. Analysis of customer purchases showed a positive effect of the intervention on the purchases of starchy foods and fruits and vegetables. An exit survey revealed that 31% of customers had seen the intervention, and that this rate was higher at the end of the intervention. A more in-depth survey showed that customers who saw the intervention scored higher on a quiz about nutrition and had better understanding of the labeling system than did customers who had not seen the intervention.Although these results are rather encouraging, questions remain, in particular about the temporality of behavioral change, the importance of target segmentation and the consideration of irrational and unconscious behavior in social marketing

La prise de décision partagée est un processus de prise de décision dont les principaux éléments caractéristiques sont de présenter les options de traitements au patient et de clarifier les valeurs et les préférences du patient vis-à-vis les options de traitement. Ces deux éléments représentent deux aspects fondamentaux de ce processus soit la pratique basée sur les évidences scientifiques, par l’action de présenter les options, et l’approche centrée sur le patient, par l’action de clarifier les valeurs et les préférences du patient. La littérature scientifique révèle que les professionnels de la santé ont de la difficulté à intégrer les éléments clés de la prise de décision partagée dans leur pratique. Chez les diététistes, aucune étude n’a été effectuée jusqu’à maintenant pour en connaître davantage sur leur intention d’adopter ces comportements cliniques reliés à la prise de décision partagée. Ce projet de maîtrise avait comme objectif général d’identifier les déterminants psycho-sociaux sous-jacents à l’intention des diététistes d’adopter des comportements reliés à la prise de décision partagée. Pour réaliser cet objectif, un questionnaire basé sur la théorie du comportement planifié a été construit puis validé avant de réaliser une enquête avec celui-ci. Cette théorie a été choisie en raison de son efficacité démontrée dans les études à prédire l’intention des professionnels de la santé vis-à-vis un comportement donné. La norme morale ainsi que la norme professionnelle ont été ajoutées au modèle théorique étant donné leur potentiel à expliquer la variance de l’intention face aux comportements à l’étude. Les résultats de la validation du questionnaire ont démontré que le questionnaire était valide, fiable et compréhensible. L’enquête a identifié que la perception de contrôle comportementale, la norme subjective, l’attitude, la norme morale et la norme professionnelle étaient les déterminants psycho-sociaux sous-jacents à l’intention des comportements à l’étude. Ainsi, ce projet permet une compréhension plus approfondie des éléments qui pourraient faciliter l’élaboration d’interventions visant l’implantation de la prise de décision partagée dans la pratique clinique des diététistes.
Shared decision-making is a decision-making process in which the main characteristics include presenting the treatment options to patients and clarifying the values and priorities of the patient regarding the treatment options. These two elements represent two fundamental aspects of shared decision making: evidence-based practice, by the action of presenting the options, and patient-centered care, by the action of clarifying values and priorities. The scientific literature shows that health professionals are struggling to integrate the key elements of shared decision making in their practice. Among dietitians, no study has been conducted until now to learn more about their intention to adopt these behaviours related to clinical shared decision making. The overall aim of this master’s project was to identify the psychosocial determinants underlying dietitians’ intention to adopt shared decision making related behaviours. To achieve this, a questionnaire based on the Theory of Planned Behaviour was developed. This theory was chosen because it has been shown to effectively identify the predictors of health professional’s behaviours. Moral norms and professional norms were also added to the theoretical model for our study, given their potential to explain the variance of the intention with regard to the behaviours under study. The results of the questionnaire’s validation showed that the questionnaire was valid, reliable and understandable. The survey identified that the perception of behavioural control, subjective norms, attitude, moral norms and the professional norms were the psychosocial determinants underlying the intention of the behaviours under study. This project contributes to a greater understanding of the elements that could guide the future implementation of shared decision making in clinical nutrition.

Si l’histoire de la médecine et les avancées des doctrines hygiénistes sont des thèmes reconnus de l’historiographie. En revanche, peu de travaux ont explicitement porté sur le rôle des médecins dans l’émergence de nouveaux comportements alimentaires. Basée sur le modèle prosopographique, notre réflexion s’attache à mettre en exergue l’évolution du discours nutritionnel, les actions prophylactiques et les initiatives de vulgarisation d’un groupe de médecins autour de la construction des recommandations alimentaires. En s’interrogeant sur l’acte de manger, les régimes alimentaires, l’hygiène des aliments, l’apprentissage d’une bonne alimentation, ces médecins constituent un groupe de pionniers en hygiène alimentaire. Ils participent à la construction des bases théoriques et pratiques d’une diététique scientifique qui se développe en France dans les dernières années du XIXe siècle et dans laquelle la volonté de réformer le social n’est pas absente. Si la figure du médecin est au coeur de ce travail, la comparaison de trajectoires individuelles permet une réflexion plus globale sur la place particulière de l’alimentation dans la pratique médicale
The history of medicine and the evolution of the hygienist doctrine are traditional historiography topics. However, only a few researches explicitly focused on the medicals roles in the emergence of new eating behaviors. Based on the prosopography method, our work focuses on the evolutions of nutritionals discourses, the prophylactic actions and vulgarization initiatives taken by a medical group concerning elaboration of food recommendations. By studying the eating act in itself as well as the diet, food hygiene, and the learning of good eating habits, these physicians are considered a pioneer group in food hygiene. They introduced the theoretical knowledge and dietetics practices developed in France in the late 19th century. Social reformism was the key point of their thoughts. If the physician figure is the heart of this research, the individual careers comparison gives us a more global idea on the particular place of food in the medical practice

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This research dealt with on the level of motor performance of children aged 7 to 8 years of age in vulnerable socioeconomic and environmental living in the Northwest region of Goiania, and the factors that interfere with their motor development, problem set for this work. It consisted of a descriptive and quantitative study, which presumes that both the environmental and socioeconomic conditions may interfere with motor performance of children. 136 children (71 boys and 65 girls) from 7 to 8 years old were selected for the study, the total population of elementary education at two schools in the Northwest region whose inhabitants are poor. One of the places where78 of these children live (Reference Group-GR), with 25 girls and 43 boys who study in MS. Alonso Dias Pinheiro-Vila Clemente is a riverside area, located near the Rio Meia Ponte / Ribeirão Anicuns, area of environmental vulnerability. The other area, home to 58 children (Control Group-CG) - 36 girls and 22 boys studying in MS. Odilia Mendes de Brito, is situated in Setor Novo Planalto, 5 km from water sources contaminated by heavy metals, industrial waste, pesticides, household garbage and other waste. Tests of motor and anthropometric evaluation were performed, being that the latter part of the 62 children of 56 GR and GC that were present in schools on the application of the tests. It was also the socioeconomic survey conducted by the application forms along with 120 families and interviews with twelve teachers, and 6 from each School, the present day research. The information and data obtained were crossed and presented in graphs, tables and reports. The reading of the data indicated an important index of motor impairment in children of both areas, with higher incidence of motor impairment in children of non-riparian area. In addition, it was found that even children who did not have problems, the potential engine for the age group of them was not fully developed. It is possible, from these results, indicate that low socioeconomic status, inadequate dietary pattern and poor environmental conditions are important factors that interfered with full motor performance of these children.
A presente pesquisa tratou sobre o nível de desempenho motor de crianças de 7 a 8 anos de idade em situação de vulnerabilidade socioeconômica e ambiental que vivem na Região Noroeste de Goiânia e os fatores que interferem no seu desenvolvimento motor, problema definido para este trabalho. Consistiu em um estudo do tipo descritivo, quantitativo que partiu do pressuposto de que tanto as condições socioeconômicas como as ambientais podem interferir no desempenho motor das crianças. Foram selecionadas para o trabalho 136 crianças (71 meninas e 65 meninos) de 7 a 8 anos de idade, população total do ensino fundamental de duas Escolas da Região Noroeste cujos moradores são de baixa renda. Um dos lugares onde moram 78 dessas crianças (Grupo Referência-GR), sendo 25 meninas e 43 meninos é a Vila Clemente, área ribeirinha, de vulnerabilidade ambiental, localizada próximo ao do Rio Meia Ponte/ Ribeirão Anicuns. A outra área, onde vivem 58 crianças (Grupo Controle GC) - 36 meninas e 22 meninos está situada no Setor Novo Planalto a 5 Km dos mananciais contaminados por metais pesados, dejetos industriais, pesticidas, lixo doméstico e outros resíduos. Foram aplicados testes de avaliação motora e antropométricos sendo que destes últimos participaram 62 crianças do GR e 56 do GC que estavam presentes nas Escolas no dia da aplicação dos testes. Foi também realizado o levantamento socioeconômico por meio da aplicação de formulários junto a 120 famílias e entrevistas com doze educadores, sendo 6 de cada Escola, presentes no dia da pesquisa. As informações e dados obtidos foram cruzados e apresentados em gráficos, tabelas e relatos. A leitura dos dados indicou um índice importante de comprometimento motor nas crianças das duas áreas, com maior incidência de déficit motor em crianças da área não ribeirinha. Além do que, constatou-se que mesmo as crianças que não apresentaram problemas, o potencial motor para a faixa etária delas não foi plenamente desenvolvido. Pode-se a partir destes resultados, indicar que o baixo nível socioeconômico, o inadequado padrão alimentar e as precárias condições ambientais são fatores importantes que interferiram no pleno desempenho motor dessas crianças.

Observer les modèles alimentaires et les modes de consommation permet d’apercevoir une série de phénomènes tels que les changements sociaux apportés par le dynamisme économique à l’échelle du Brésil. Les recherches menées dans la réserve de Ciriaco visent à établir un profil alimentaire pour comprendre le poids des choix effectués par les habitants et leur origine. Etablir un profil global permet également de mesurer l’impact des choix alimentaires sur la vie quotidienne et de s’emparer du phénomène de transition alimentaire. La monétarisation de l’alimentation, l’éducation carencée ainsi que les changements de saisonnalité sont à l’origine de transformations majeures du modèle, par l’accès aux aliments nouveaux, transformés et sans valeur identitaire, responsables des conséquences sur la santé et d’une forme d’insécurité alimentaire, entrainant également des bouleversements sociaux, économiques, politiques, épidémiologiques et environnementaux
Observing dietary role model and the ways of consumption allow to glimpse a succession of phenomenons such as social changes brought by the economic dynamism at the scale of the Brazil. Researches led in the Ciriaco reserve aim to establish a dietary profile in order to understand the weight of the choices made by its inhabitants , and the origins of such choices. The point of creating a global profil is also to measure the impact of their dietary choices on their daily lives, and to take possession of the phenomenon called dietary transition. The dietary monetization, the lack of education so much as the changes of seasons are considered the origins of the transformation of the role model and thus by the access on new food, changed and without any identity value ; responsible for the consequences on the health and also responsible of some kind of dietary insecurity which also bring social, economic, political, epidemiological and environmental disruptions

Le travail de thèse vise à apporter des éléments de compréhension sur les mécanismes de communication dans la relation patient-médecin généraliste qui pourraient contribuer à la genèse d'inégalités sociales de santé. Il s'appuie sur les corpus qualitatif et quantitatif du projet INTERMEDE. Les analyses épidémiologiques mettent en évidence l'influence de la concordance/discordance de genre entre médecins et patients sur leur désaccord sur les conseils donnés pendant la consultation, et le rôle de la distance sociale perçue par le médecin sur le désaccord médecin-patient sur l'évaluation de la santé perçue du patient. L'analyse des productions interdisciplinaires a été conduite selon une méthodologie innovante inspirée du Delphi. Elle a abouti à la formulation d'un socle de connaissances et d'hypothèses partagées, en révélant les convergences des différentes approches disciplinaires
The work produced in this dissertation aims to understand mechanisms' communication at play during the interaction between a patient and his - or her - general practitioner (GP) which could contribute to social inequalities in health. It uses the qualitative and quantitative data of the project INTERMEDE. The epidemiological analysis reveal the influence of the gender concordance/discordance between patients and GPs on their disagreement on the advice given during the consultation, and the role played by a social distance perceived by the physician on their disagreement on patients' perceived health status. The interdisciplinary analysis have been conducted within an innovate methodology inspired from the Delphi technique. It led to a core of shared knowledge, revealing the convergence of different disciplinary approaches

L’objectif principal de cette thèse est la caractérisation et l’analyse des transformations du système alimentaire des Inuit du Nunavik, et en particulier les enjeux soulevés à l’intersection des interactions humains-milieux, puis les conséquences encourues pour le bien-être et la santé des Inuit. Des pistes de solution pour améliorer la résilience du système alimentaire dans cette région nordique y sont explorées, dont la principale est le développement de projets de jardinage communautaire. La collecte des données pour réaliser les quatre articles qui forment le corps de cette thèse s’est échelonnée entre octobre 2015 et mars 2019 dans les villages nordiques de Kuujjuaq et Kangiqsujuaq, au Nunavik. Différentes méthodes ont été combinées, dont la principale se base sur les principes de la recherche-action participative. Les résultats illustrent que les aliments traditionnels issus des activités de chasse, de pêche et de cueillette demeurent des vecteurs importants de la relation au territoire et du bien-être inuit, malgré le fait qu’ils ne représentent plus qu’une fraction de la diète. La perte de mobilité et l’adoption d’un nouveau mode de vie, accompagnées et rendues possibles par la transition nutritionnelle, ont perturbé les interactions humains-milieux à différents niveaux. La plus grande pression exercée sur l'environnement naturel provient des activités humaines menées ailleurs sur la planète et d’un modèle de consommation incompatible qui génèrent de nombreuses externalités négatives sur l’environnement et la santé humaine. À travers leur alimentation, les Inuit du Nunavik sont dorénavant connectés au reste du monde par le biais du système alimentaire globalisé, dont les ramifications complexes couvrent toute la planète Or, au Nunavik, les défauts inhérents à la chaîne de production agroalimentaire globalisée s’expriment d’une façon bien singulière. L’intensification des liens entre économie inuit et économie globalisée concourt à placer les territoires nordiques dans une position d’échange inégal et de dépendance envers les producteurs et les fournisseurs d’un secteur agroalimentaire exogène au sein duquel les résidents du Nord ont peu d’occasions de se faire entendre. La souveraineté alimentaire à l’égard des aliments du marché est ainsi fortement limitée
The main objective of this thesis is the characterization and analysis of the transformations of the Nunavik Inuit food system, and particularly the issues raised at the intersection of human-environment interactions and their consequences for Inuit health and well-being. Possible solutions to improve the resilience of the food system in this northern region are explored, the main one being the development of community gardening projects. The collection of data to complete the four articles that make up the body of this thesis took place between October 2015 and March 2019 in the northern villages of Kuujjuaq and Kangiqsujuaq, Nunavik. This research combines different methods, the main one being based on the principles of participatory action research. The results illustrate that traditional foods from hunting, fishing and gathering activities continue to be important drivers of Inuit’s well-being and relationship to the land, despite the fact that they are now consumed in smaller quantities. The loss of mobility and the adoption of a new way of life, accompanied and made possible by the nutritional transition, have disrupted human-environment interactions at different levels. The greatest pressure on the natural environment comes from human activities elsewhere in the world and from a pattern of inconsistent consumption that generates many negative externalities on the environment and human health. Through the food they eat, the Inuit are now connected to the rest of the world through the globalized food system, the complex ramifications of which cover the entire planet. In Nunavik, the defects inherent in the global agri-food production chain are expressed in a very singular way. The intensification of the links between the Inuit economy and the globalized economy contributes to placing the northern territories in a position of unequal exchange and dependence on the producers and suppliers of an exogenous agri-food sector in which northern residents have few opportunities to be heard. Food sovereignty over market foods is thus severely limited

盧淑櫻.
Thesis (Ph.D.)--Chinese University of Hong Kong, 2009.
Includes bibliographical references (leaves 224-248)
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Abstracts in Chinese and English.
Lu Shuying.

December, 2003.
Includes bibliographical references (leaves 190-200)
xiii, 249 leaves : ill. ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Thesis (Ph.D.)--University of Adelaide, Medical School, Dept. of Public Health, 2004

Copies of author's previously published articles inserted.
Bibliography: leaves 217-232.
xvi, 232 leaves : ill. ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
A cross-sectional survey of a randomly selected population sample was carried out to determine the associations of social status, beliefs and attitudes with dietary intake (Adelaide, Brisbane, Perth)
Thesis (Ph.D.)--University of Adelaide, Dept. of Community Medicine, 1993

Copies of author's previously published articles inserted.
Bibliography: leaves 217-232.
xvi, 232 leaves : ill. ; 30 cm.
A cross-sectional survey of a randomly selected population sample was carried out to determine the associations of social status, beliefs and attitudes with dietary intake (Adelaide, Brisbane, Perth)
Thesis (Ph.D.)--University of Adelaide, Dept. of Community Medicine, 1993

A random population survey (n=601) and a survey of vegetarians (n=106) were conducted to examine South Australians' beliefs about meat and vegetarianism. Meat beliefs, barriers and benefits of vegetarianism, meat consumption, personal values, use of and trust in sources of food/nutrition/health information and demographic variables were measured via a written questionnaire. There were differences in the responses of vegetarians, semi-vegetarians, and non-vegetarians. For example, vegetarians were more likely than non-vegetarians to use and trust unorthodox information sources and to hold universal values (e.g. 'equality'). The factors associated with meat consumption and four sets of health-related beliefs about meat and vegetarianism (Meat is Necessary, Vegetarianism Health Concerns and Appreciates Meat, Meat is Unhealthy, Health Benefits of Vegetarianism) were examined. Other (health and non-health) beliefs, barriers and benefits of vegetarianism were the most important factors overall to be associated with these beliefs and with meat consumption. Information sources were also associated (particularly orthodox, unorthodox, mass media, advertising, and social sources). Together, these results provided insight into how consumption of meat and plant foods might be influenced. Finally, the proportion of prospective vegetarians was gauged. Approximately 15% of non-vegetarians were found to hold similar beliefs about vegetarianism as vegetarians. Prospective vegetarians were distinct from vegetarians and the remaining omnivores. For example, they were less likely than the remaining omnivores to eat red meat as frequently or to be Anglo-Australian. The research suggested that a significant portion of the population is interested in vegetarian diets, but that certain barriers need to be overcome if this is to increase and lead to dietary change; in particular, the beliefs that vegetarian diets are nutritionally inadequate and that meat is essential for health. Tailored communications about how to prepare healthy, tasty vegetarian meals may also be useful. The results indicated the sources of food/nutrition/health information that may be most appropriate to disseminate such messages. Additionally, it was found that ethical (e.g. environmental, animal welfare) issues were linked to health and dietary behaviour. They may need to be more fully addressed by health professionals if the public is to obtain maximum benefit from plant-based diets, with minimum risk.
Thesis (Ph.D.)--Department of Public Health, 2001.

Background: The health benefits and economic gains of exclusive breastfeeding for the mothers and the new-born are well-documented in the literature as discussed in the background and the rationale for this study. The effectiveness of the social cognitive based interventions in promoting breastfeeding among women in general is also documented. However, there is lack of evidence regarding social-cognitive strategies that could be used to promote exclusive breastfeeding practices among primiparous mothers in Ethiopia means that current exclusive breastfeeding promotion interventions or strategies may not produce the expected outcomes. This assumption seems to be supported by low rate of early initiation of breastfeeding in country (52.1% instead of at least 75% as recommended by WHO) and shorter period of breastfeeding (one month) among mothers in Addis Ababa (CSA and ICF 2012) despite various strategies and interventions that have been implemented. Aims: The study was conducted with the aim of determining the social-cognitive predictors of exclusive breastfeeding among primiparous mothers during the first six months post-delivery with the view of developing social-cognitive strategies to promote exclusive breastfeeding practices among primiparous mothers in Addis Ababa, Ethiopia. Research design and method: The study was carried out within the quantitative positivist paradigm. The study was divided into two phases. The researcher used quantitative longitudinal, descriptive, exploratory and correlational designs to determine the social cognitive predictors of exclusive breastfeeding among primiparous mothers in Addis Ababa, Ethiopia within the first six months post-delivery. The results of the first phase assisted the researcher to design social-cognitive strategies to promote exclusive breastfeeding among primiparous mothers using a Delphi survey. A Delphi survey design was used to assist the researcher to develop the social-cognitive strategies to promote exclusive breastfeeding among primiparous mothers. It consisted of three rounds of mailed self-completion questionnaires. The Delphi was supported with critical review and synthesis of literature throughout the strategies’ development process. Descriptive summary statistics were used to analyse the prenatal breastfeeding behaviour of 141 primiparous mothers followed from the last antenatal care visits up to six months after delivery. Bivariate correlational and multiple logistic regression analyses were used to identify the social cognitive determinants and predictors of exclusive breastfeeding within the first hour post-delivery and six months thereafter. Findings: Positive breastfeeding outcome expectancy and high breastfeeding self-efficacy were identified as the independent social cognitive predictors of exclusive breastfeeding among primiparous mothers in Ethiopia. These predictors were used to develop social cognitive strategies to promote exclusive breastfeeding, which comprise six main components: (1) scientific evidence for the strategies, (2) the rationale for the strategies, (3) the aim of the strategies, (4) the scope of the strategies, (5) the guiding principles, and (6) the key results areas. These strategies were developed and validated with the inputs from 37 experts on breastfeeding and social cognitive theory. Two key results areas (build individual capacity for exclusive breastfeeding and create an enabling environment) and five strategic objectives were formulated and validated. Conclusions: The successful implementation of the social cognitive strategies to promote exclusive breastfeeding among primiparous mothers in Addis Ababa, Ethiopia as described above will require among others (1) in-service training on social cognitive skills for healthcare providers with focus on how to build self-efficacy and outcome expectancy, (2) the development of self-efficacy and outcome expectance assessments tools relevant to the Ethiopian context, and (3) additional support and resources from the healthcare managers. Recommendations: To the researcher recommend that programs aimed at promoting exclusive breastfeeding practices among primiparous mothers should be based on the combined attributes of positive social cognitive outcome expectance and high breastfeeding self-efficacy. Further research is needed to develop assessment tools for breastfeeding self-efficacy and outcome expectancy before the implementation of the proposed strategies.
Health Studies
D. Litt. et Phil. (Health Studies)

Includes bibliographical references (leaves 349-421)
xx, 459 leaves : ill. (some col.); 30 cm.
Addresses some of the mechanisms which may potentially contribute to the physiological anorexia of ageing, as suggested by previous animal and human studies.
Thesis (Ph.D.)--University of Adelaide, Dept. of Health Sciences, 2000

Submitted in fulfilment of the requirements of the degree of Master of Technology: Nursing, Durban University of Technology, 2014.
South Africa has a high prevalence of obesity, and many people live with diseases where dietary adaptations are part of the management of the disease. Nurses are important in the facilitation of people obtaining dietary advice. While nutrition education is part of the nursing curriculum, student nurses’ knowledge of nutrition was not known, nor was their dietary intake and nutritional health status. The purpose of the study was to assess the nutrition knowledge of students at a nursing college, and to assess their dietary diversity. A quantitative study was used, with random sampling chosen for selection of campuses and convenience sampling for student group selection. Students of the KwaZulu-Natal College of Nursing were invited to complete a General Nutrition Knowledge Questionnaire. A Food Frequency Questionnaire was completed to assess dietary diversity, and respondents’ anthropometric measurements were recorded to assess Body Mass Index and Waist to Height Ratio. The results showed that a significant percentage of student nurses were overweight or obese. While students had a satisfactory knowledge of dietary recommendations and sources of different nutrients, their ability to make correct food choices, as well as their knowledge of diet-disease relationships was poor. They displayed good dietary diversity in their food intake. There were no statistically significant correlations between the students’ Body Mass Index and their knowledge, which assumes that the individual’s knowledge of nutrition does not directly influence their own food intake. It is recommended that aspects of the content in the nutrition curriculum be emphasised during the training of nurses in order to increase nutrition awareness in areas where knowledge was found to be lacking.

The aim of this exploratory qualitative study is to identify the problems African American adolescent girls face in making eating choices and to learn how they make decisions about eating. Differences related to culture and socioeconomic status influences, and decision-making strategies were explored. Three sites in African American communities were selected for focus groups and individual adolescent girl-parent dyad interviews for data collection. Data were gathered in 5 focus groups and 4 individual adolescent girl-parent dyad interviews with African American adolescents (n=30). Bronfenbrenner's Ecological Systems Theory (EST) provided the conceptual framework for informing the analysis and interpretation of the data. Using grounded theory methods, the researcher identified the core variable or basic psychosocial problem that faced the participants was receiving mixed messages. Low income African American adolescent girls receive mixed messages about nutrition, health and foods from their microsystems that are comprised of friends and family, and from macrosystems that include textbooks and the media. Filtering the mixed messages is the basic psychosocial process that low income African American girls use to handle the barrage of mixed messages they receive from their microsystems and macrosystems regarding eating choices and exosystem influences. The process of filtering the mixed messages is comprised of five phases: Applying a lens, surveying available resources, weighing influences, then choosing alternating eating strategies and evaluating their eating choices. How the adolescent girl applies a lens, surveys resources and weighs the influences together impact the alternating eating strategies that they implement. Over time they evaluate the effectiveness of their eating choices.
text

Submitted in fulfillment of requirements of the Degree of Doctor of Philosophy in Food and Nutrition, Durban University of Technology, 2017.
The focus of this study is to develop a capacity building programme that prepares students for service learning (SL) with the purpose of developing social responsibility and active critical citizenship underpinned by a social justice paradigm at a University of Technology (UoT). In developing countries such as South Africa that still experience severe injustices and inequality of access to, for example, certain services such as health services, it is impossible to ignore issues of human and social development and poverty reduction when promoting the university’s role in development. The developmental role of HEIs has been reinforced through the introduction and formalization of Community Engagement (CE) as a core function of higher education together with teaching and learning and research. When examining the role of universities in educating students for social responsibility and critical citizenship, it is evident that the biggest area of growth of CE has been in the form of Service Learning (SL) and community service. The study posits that in the South African context of HEIs, the potential for fostering, specifically critical discourse and creative thinking exists in what are termed as traditional universities because of the nature of the varied disciplines offered at these institutions. On the other hand, UoTs focused predominantly on the technical study field and on training students for the market place. The emphasis on Work Integrated Learning (WIL) and industry placements narrowed the focus and excluded insights into South Africa’s diversity and socioeconomic issues in the curriculum. The concept of social responsibility within a social justice paradigm is a foreign concept at UoTs in particular. To facilitate SL within a social justice paradigm and to address issues of injustice and inequality in SA at universities, the question that needs to be asked is: how should the preparation of students be shaped to adequately prepare them to become justice-orientated, socially and civically responsible students without compromising their work preparedness? This bigger question leads to the specific question of the study, which is: if the department of Food and Nutrition Consumer Sciences at the Durban University of Technology (DUT) is to develop justice orientated, socially and civically responsible students, what theoretical and philosophical considerations should guide the development of a SL capacity building programme? To achieve the purpose of the study the following objectives were identified: firstly, establish the effectiveness of the current preparation of Food and Nutrition students for SL to foster justice-orientated social and civic responsibility; secondly, determine the theoretical and philosophical considerations that should guide the development of students’ justice-orientated social and civic responsibility through SL in the field of Food and Nutrition; thirdly, develop and implement a SL capacity building programme to foster social responsibility and critical active citizenship within a social justice paradigm; finally, develop a framework for a social justice-orientated SL capacity building programme post evaluation A sequential exploratory mixed methods research protocol was applied in this study. The research process consisted of three phases. Phase I entailed the exploration of the research question with qualitative data collection (focus groups) and analysis. This phase was followed by a developmental phase (Phase II) during which the qualitative results and the theoretical and philosophical considerations evident in the literature were used to develop a capacity building programme. The programme was implemented and the impact of the programme was evaluated in Phase III through the application of the Civic Attitudes and Skills Questionnaire (CASQ). Purposeful sampling was applied in Phases I (qualitative phase) and III (quantitative phase). During phase I five focus groups were conducted (n = 43). Phase III sample consisted of two groups namely, the experimental group (n = 19) and a control group (n = 24). Focus group interviews were recorded and transcribed verbatim after which the data was coded followed by a thematic analysis. The data from the CASQ was captured on Microsoft Excel® and analysed according to CASQ scales using the Statistical Package for Social Sciences (SPSS) version 23 to determine mean and standard deviations. A paired sample 2-tailed t-test was used to determine statistical significant differences between the pre- and post-test. Results from phase I confirmed students’ understanding of CE is mostly a charitable view with little emphasis on addressing social justice issues. The results showed that SL as currently planned and executed seems to perpetuate and reinforce existing social hierarchies and paternalism. The most common expectation of participating in CE from students was to apply skills and theoretical knowledge in a community setting. Students also commented that they expected to be developed personally and to learn about others. Additionally, it is evident from the results that students did not indicate any changes in their social justice awareness. The programme developed in phase II was within the framework of four dimensions including self-awareness, awareness of others, awareness of social issues and change agent as critical to preparing students for SL with the purpose of fostering social responsibility and active critical citizenship within a social justice paradigm and guided by the Ubuntu philosophy, Freire’s critical pedagogy and Mezirow’s transformative learning theory. The results of phase III showed that the experimental group who participated in the capacity building programme showed a significant increase in the social justice related subscales indicating their intentions of future civic action and change in social justice attitudes. The results in the control group demonstrated a decrease in the mean values in the post-test for the social justice subscales. The experimental group also showed an increase in the interpersonal and problem-solving skills, leadership skills, diversity attitudes and course value subscales but it was not significant. An opposite pattern was demonstrated in the control group with significant decreases in the interpersonal and problem-solving skills, leadership skills, diversity attitudes and course value. The results showed the significant impact of the capacity building programme on students’ awareness and understanding of social justice issues. Overall, the findings of the various phases assisted in refinement of the framework for a social justice orientated SL capacity building programme. The developed framework consists of five key components: philosophy that guides social justice oriented service learning; theories that underpin service learning; a pedagogy that would effectively enhance a social justice oriented SL experience; and praxis that integrates theory and practice.
D

The focus of the presented diploma thesis is to evaluate the knowledge of seniors in the field of healthy nutrition. It is furthermore important to find out, whether the seniors have enough relevant information about rational nutrition and which sources they would like to use to gather information about healthy nutrition. Socio-economic aspects, which lead to senior nutrition, are also monitored. A quantitative research strategy and an in-depth interview were used to fulfil the aim of the thesis. The research group of twenty-two seniors was chosen by a method of purposeful sampling. The criteria for choosing seniors were an age between 65 74 years, old age pension, living alone and a responsibility for their own nutrition. The results of this thesis could be helpful to health insurance companies, municipal authorities, senior clubs or non-profit organizations which could create an environment for active education of seniors in the field of healthy nutrition. The seniors could learn to prepare tasteful high-nutrition meals. The seniors in their early phase of old age are the most endangered with obesity amongst all age groups. It is caused by the socioeconomic aspects they were influenced by during their lives. Their dietary habits started to form in the post-war period with the lack of food. They spent their working lives in the era of socialism, in which the selection of food was also restricted. In the nineteen-nineties, the seniors were in their mid-age and their dietary habits were already established. Theoretical knowledge in the field of rational nutrition is substantial, but the seniors are often not willing or lack the ability to create nutritionally balanced and tasteful meals. Therefore, the seniors would benefit from an interactive means of education with the possibility of learning necessary skills and contacting a nutrition specialist with their questions.

Abstract: Introduction: Exclusive breastfeeding for the first six months of an infant's life is recommended worldwide. In 1998 the South African Demographic and Health Survey (SADHS) showed that only 10% of mothers exclusively breastfeed at three months. As the HIV virus is transmissible via breast milk, UNAIDS (2002) recommends that women in developing countries should be given a choice of feeding method after being counselled on the risks and benefits of breast feeding versus formula feeding. As a result, the Prevention of Mother-to-Child Transmission (PMTCT) programme was launched in KwaZulu-Natal with the aim of providing interventions to prevent Mother-to-Child Transmission of the HIV virus. However, research has shown that infant feeding practices are influenced by numerous factors. Ultimately mothers will feed their infants in a manner they feel comfortable with, even if it is not always the most appropriate choice. Aim: The aim of this study was to determine and compare current infant feeding practices and some of the factors that influenced these practices among Zulu mothers with 0 - 6 month old infants attending PMTCT and non-PMTCT clinics in Central Durban, KwaZulu-Natal. Methodology: A cross-sectional, descriptive survey was conducted amongst 150 mothers sampled from three non-PMTCT clinics and 150 mothers sampled from three PMTCT clinics. Systematic random sampling of mothers attending the two types of clinics was used to ensure an equal number of mothers· with infants aged 0 - < 6 weeks, 6 - < 14 weeks and 14 weeks to 6 months. The number of mothers interviewed per clinic was determined proportionate to clinic size. Interviews were conducted in Zulu by trained fieldworkers according to a structured interview schedule consisting of 87 open- and closed-ended questions. Summary of most important findings and conclusion: Overall, one quarter of the mothers attending non-PMTCT and one third of mothers at PMTCT clinics were practising exclusive breastfeeding at the time of the survey. The general trend was that mothers attending PMTCT clinics were more inclined than those attending non-PMTCT clinics to breastfeed their infants exclusively (34% versus 24% respectively) or to formula feed (16,7% versus 12,7% respectively). Furthermore, there was a significant decline in exclusive breastfeeding and predominant breastfeeding with increasing infant age in both clinic groups. The opposite held true for mixed feeding and formula feeding in that infants were more inclined to mixed feeding or formula feeding with increasing infant age. In both clinic groups, exclusive breastfeeding was the method of choice in the 0 - < 6 week age category, while a preference for mixed feeding was shown in the 6 - < 14 week category. This trend persisted in the 14 week - < 6 month age category, especially in the non-PMTCT clinics, while there was a small but pronounced increase in formula feeding amongst PMTCT mothers. Although these findings can be explained as a result of implementing the PMTCT programme, the positive trends observed in non-PMTCT clinics serve as an indicator that the Integrated Nutrition Programme (INP) and Baby Friendly Hospital initiative have also had an impact on the feeding choices mothers make. Despite the limited duration of the PMTCT programme at the time of the study, indicators of the impact of the intervention include that a lower percentage of PMTCT mothers introduced foods and/or liquids in addition to breast milk to their infants before six months of age compared to non-PMTCT mothers. Furthermore, more mothers attending PMTCT clinics were shown how to breastfeed and were more likely to have received information about formula feeding. Despite these indicators of a positive impact of the PMTCT programme, the mean age for introducing liquids and/or solids in addition to breast milk was about six weeks and the incidence of this practice was very high for both groups. The similar incidence of formula feeding observed between the two clinic groups suggests the presence of constraints to safe infant feeding choices among mothers attending PMTCT clinics. As observed, infant feeding practices were still not ideal in either of the two clinic groups. However, the high level of antenatal clinic attendance documented for both groups serves as evidence that, if opportunities for providing mothers with appropriate infant feeding advice are utilized optimally, the antenatal clinic could serve as an ideal medium through which infant feeding education can take place, especially as the clinic-based nursing staff were cited as the most important source of infant feeding information by both groups of mothers in the antenatal and postnatal phases. The documented infant feeding practices should be interpreted against the backdrop of factors such as socio-demographic characteristics of the mothers, availability of resources such as social support from peers and significant others and reigning infant feeding beliefs that could influence infant feeding decisions. Predictors of exclusive breastfeeding in PMTCT and non-PMTCT clinics were determined by means of multivariate logistic regression analysis. Significant values were obtained for both clinic groups in terms of the infant not having received liquids in addition to breast milk. No additional predictors were found amongst mothers attending non-PMTCT clinics, however predictors amongst mothers attending PMTCT clinics included whether the mother had not visited the clinic since the infant's birth, whether she practiced demand feeding and whether she was experiencing stress at the time of the study. The limited number of predictors of exclusive breastfeeding documented in this study, especially among non-PMTCT mothers may be explained by the fact that infant feeding behaviour is multifactorial by nature and the interaction between factors that influence feeding choice is strong.
Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.

Text in English with abstracts in English, isiXhosa and isiZulu
Mother’s nutrition knowledge, one of the guiding factors in developing children’s healthy eating patterns, has received relatively little research attention. This study determines the influence of demographic factors on mothers’ nutritional knowledge in Mthatha in the Eastern Cape Province of South Africa. Quantitative, exploratory descriptive survey used group administrative questionnaire. Closed and open ended questions solicited data in 350 purposely and conveniently selected respondents. SSPS 26.0 Version analysed the data and Factor Analysis summarized for easy interpretation. Although SA FBDG are based on the current consumption of locally available foods, respondents were largely unaware of this tool. Mothers receive informal education on Dietary Guidelines from health centres, but no one knows the extent to which they understand and apply the information. There is general lack of correlation between nutrition knowledge and its application. Mothers require nutrition education and practical application of FBDG to improve their and children’s nutrition security.
Luncinane kwaye alukho nzulu uphando olukhe lwenziwa ngolwazi lomzalikazi ngendlela yokondla. Olu lwazi yenye yeenqobo zokukhokela isiqhelo sokutya ngokunempilo. Esi sifundo senziwe eMthatha, kwiMpuma Koloni yoMzantsi Afrika kwaye siqwalasela ifuthe leempawu zesimo soluntu kulwazi lomzalikazi ngendlela yokondla. Uphando lwenziwe ngokuqwalasela ulwazi olufunyenwe kubantu abaninzi ngokunika amaqela abantu uludwe lwemibuzo. Imibuzo enempendulo ethe gca (evalekileyo) okanye enempendulo exhomekeke kwizimvo zomntu (evulekileyo) yabuzwa kubantu abangama-350 ababekhethwe ngobuchule. Iinkcukacha zolwazi zahlalutywa ngokusebenzisa ubuchwepheshe beSSPS 26.0 lwaze uhlalutyo olwaziwa ngokuba yiFactor Analysis lwashwankathela ukuze ulwazi olufunyenweyo lutolikeke lula. Nangona isikhokelo sendlela yokutya esaziwa ngokuba yiSouth Africa food-based dietary guidelines (SA FBDG) sisekelwe kukutya okufumanekayo endaweni, abathathi nxaxheba abaninzi kolu phando babengazi nto ngesi sikhokelo. Abazalikazi bafumana imfundo engekho sesikweni ngesikhokelo sendlela yokutya kumaziko empilo, kodwa akukho mntu waziyo ukuba bayiqonda kangakanani, beyilandela kangakanani loo nto bayifundiswayo. Kukho ukungahambelani okuxhaphakileyo eluntwini phakathi kolwazi ngendlela yokutya nokulusebenzisa olo lwazi. Abazalikazi badinga ukufundiswa ngendlela yokutya nokusebenzisa isikhokelo iFBDG ukuze baphucule indlela yokutya bona nabantwana babo ngokukhuselekileyo.
Lusathole ukunakwa okuncane kakhulu kwezocwaningo ulwazi lukamama mayelana nokudla okunomsoco, okungenye yezinto eziqondisayo ekuthuthukiseni izindlela zokudla okunempilo ezinganeni. Lolu cwaningo luzocubungula futhi luhlonze umthelela wezimo zenhlalo ezigabeni zabantu abahlukahlukene olwazini lomama mayelana nokudla okunomsoco eMthatha esifundazweni saseMpumalanga Koloni eNingizimu Afrika. Ucwaningokuhlola (isaveyi) olukhwantithethivu (olugxile emananini kanye nobuningi) oluhlolisisayo futhi oluchazayo, lwasebenzisa iphephamibuzo eligcwaliswa ngababambiqhaza abayiqembu. Imibuzo evalekile kanye nemibuzo evulekile yasetshenziswa ukuthola idatha kubabambiqhaza bocwaningo abangama-350 ababekhethwe ngabomu ukufezekisa izinhloso zocwaningo. I-SSPS 26.0 Version yahlaziya idatha kanti futhi i-Factor Analysis yafingqa idatha ukuze ihumusheke kalula. Nakuba imihlahlandlela yokudla okunomsoco yaseNingizimu Afrika (SA FBDG) isuselwe ekudliweni kokudla okutholakala kuleli lizwe njengamanje, ababambiqhaza babengenalo ulwazi lokuthi kukhona imihlahlandlela enjengalena. Omama bayafundiswa, ngendlela engahlelekile, ezizindeni zezempilo mayelana neMihlahlandlela Yokudla Okunempilo, kodwake akekho owaziyo ukuthi baluqonda kangakanani ulwazi abaluthola lapho, futhi balusebenzisa kangakanani. Kuvamise ukuthi kungabi khona ukuhambisana nokuxhumana phakathi kolwazi oluphathelene nokudla okunomsoco kanye nokusetshenziswa kwalo. Omama bayakudinga ukufundiswa mayelana nokudla okunomsoco futhi kuqinisekiswe ukuthi imihlahlandlela yama-FBDG isetshenziswa ngendlela ephathekayo futhi ebonakalayo ukuze bakwazi ukwenza ngcono ukutholakala kokudla okunomsoco, kubona omama ngokwabo kanye nezingane zabo.
Life and Consumer Sciences
M.C.S.

In recent years, studies have linked various structural and environmental factors to disproportionately increased rates of morbidity, mortality, and adverse health outcomes in low-income racial and ethnic minority neighborhoods. Among the adverse health outcomes, is the constraint on the ability to access and afford a healthy diet. While local food systems play a significant role in influencing urban health and well-being outcomes, they also present an opportunity to develop community-based assets and resilience. By identifying limitations and successes in current food system literature and practice, this report examines how a more comprehensive approach to equitable community health and wellness can be achieved and sustained. Effective disparity reduction relies on cross-sectoral partnerships that not only promote food equity, but also provide participatory social, economic, and educational opportunities to marginalized communities.
text

Obesity has been described by the World Health Organisation as a global epidemic, and is perceived as a major health concern due to the associated medical, psychosocial, and economic problems. One approach of understanding obesity is directed towards exploring the psychological and social determinants underlying non-hungry eating (NHE) (eating without physical sensations associated with hunger) and overeating (eating past the physiological sensations of fullness). The immediate psychosocial cues that trigger NHE and overeating, along with the psychosocial antecedents that influence NHE and overeating have been found to be important contributors to obesity.

Text in English
The purpose this study was to explore food habits and nutritional behaviours of adolescents in a school in Lenasia South, in Gauteng Province. Qualitative, explorative research was conducted in order to recommend effective prevention strategies of non-communicable diseases. Adolescents from the selected secondary school formed the sample of the study. Data collection was done using focus groups’ discussions. Three focus group discussions were conducted in the study. The first group comprised of thirteen male adolescents, followed by ten female adolescents and the final group was a combination of both female and male learners to produce a homogenous group. Specific common eating habits and nutritional behaviours emerged from the focus group discussions which included skipping meals, high consumption of high energy dense foods and sweetened beverages. Consequently, when developing intervention programs and policies to improve health of adolescents, environmental influences that undermine efforts to improve adolescent’s dietary behaviours must be addressed.
Health Studies
MPH (Health Studies)

Text in English
This study aimed at exploring Barriers to compliance with exclusive breastfeeding and timely introduction of complementary feeding practices in Ofla District, Tigray Region in Ethiopia. A quantitative exploratory descriptive study was conducted to explore and describe the barriers that restrict mothers /caregivers to comply with exclusive breast feeding practice until six months and with introduction of solid, semi-solid and soft foods at six months in Ofla District. Data were collected using structured questionnaire, from a total of 112 samples of which 75 mothers and care givers with children aged 0-5 months and 38 children aged 6-8 months participated. The data were entered into a computer and analysed though the Statistical Package for Social Sciences (SPSS) software. The findings revealed that there are barriers related Doer mothers and Non-Doer mothers perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues for actions, perceived social acceptability and positive and negative attitudes towards exclusive breastfeeding and initiation of complementary feeding. On the other hand, the participant’s perception of both groups with regard to perception of Divine (God’s) Will on two child feeding practices was insignificantly the same. Both groups perceived that children could get sometimes malnourished because of spiritual or supernatural causes.
Health Studies
M.A. (Public Health)

Ghana subscribed to the global target of reaching at least 50% of exclusive breastfeeding in the first six months of birth by the year 2030. Policies and programmes to promote exclusive breastfeeding have been formulated and implemented in the country. In spite of these efforts, existing evidence showed that the rate of exclusive breastfeeding in the first six months post-delivery has been declining over the past decade. It was therefore important to understand behavioural factors that influence exclusive breastfeeding among teenage-mothers and propose a behavioural conceptual model based on the understanding of exclusive breastfeeding from the perspective of the teenage-mothers and their social environments. The study was conducted in three phases using multistrand mixed methods within the pragmatism philosophical framework. The Theory of Planned Behaviour and the six steps framework for developing models to address public health issues were used as frameworks in the study. In the first phase, the researcher used qualitative exploratory descriptive design to gain an understanding of the behavioural determinants of exclusive breastfeeding from the perspective of teenagers aged between 13 - 19 years attending antenatal care services at public facilities. Data were generated through focus group discussions and analysed using Group-level thematic and content analysis. In the second phase, longitudinal descriptive correlational designs were used to establish the relationships between the exclusive breastfeeding intentions during the prenatal period and actual breastfeeding practices at six months post-delivery. Structured questionnaires were used to collect data during the last visit of antenatal care visits and six months post-delivery. Data generated were analysed through descriptive inferential statistics. In the last phase, the researcher used meta-inferences to identify the key concepts of conceptual model from the integrated qualitative and quantitative results. Theoretical triangulations were used to define and establish relationships between the concepts and to structure the conceptual model. The integrated results of the two phases of the study showed that exclusive breastfeeding practices among teenage-mothers within the social context of Ghana are determined by certain personal and social related behavioural factors. The approval of the exclusive breastfeeding practice by the teenagers’ mothers and nurses/midwives’ capabilities to provide effective breastfeeding education were the strongest determinants of exclusive breastfeeding up to six months among teenage-mothers in Ghana. From these results, the researcher proposed an integrated behavioural conceptual model that provides an understanding of exclusive breastfeeding practice and the process of promoting exclusive breastfeeding among teenage-mothers in the social context of Ghana. The findings of this study have implications for public health policy-makers, health services managers, health sciences education and further research.
Health Studies
D. Lit. et Phil. (Health Studies)

English text with English, Northern Sotho and Afrikaans summaries
South Africa has a long and troubled educational history, from pre-colonial education to the fall of apartheid, and eventually the acquisition of equal education for all (Christie, 2006). Many changes took place during this transitional period in the democracy and liberation of the New South Africa by means of pupil-centred classrooms, Curriculum 2005 (Taylor, 1995) and Curriculum and Assessment Policy Statement (CAPS). Although numerous studies have been conducted internationally and in South Africa on underperforming in schools, the focus of this study is to ascertain the key elements of why learners underperform. The study’s aim is to determine the influence of a learner’s socio-economic situation on scholastic performance with references to nutrition, family structure, and parental support of learners in primary schools in Tshwane. In this full dissertation, the researcher found that most of the selected home environmental factors had no significant impact on the selected learners. It was, however, found (as many research already proved) that diet and sleep did have an influence on primary school learner academic performance. In presenting this argument, the theoretical framework, socio-constructivism learning theory, and Maslow’s hierarchy of needs, were used, as socio-constructivism states that although biological factors are a requirement for basic development to emerge, socio-cultural factors are crucial for basic natural processes to develop. Vygotsky’s socio constructivism theory indicates the uniqueness of the social environment and regards socio-cultural background as the primary and determining factor in the development of higher forms of human mental activity such as voluntary attention, intentional memory, logical thought, planning, and problem solving. In conjunction with Vygotsky, Maslow’s hierarchy of needs sets the foundation for this study as it states that in order for a being to move to the next level, the lower level of needs, need to be satisfied first. The objectives of the study were: - to determine what the impact of selected home environment factors on primary school learners’ academic performance is. To determine the relationship between poverty, family structure, and scholastic performance; to determine the influence of the type of dwelling on scholastic performance; to determine the influence nutrition have on a learners’ scholastic performance; and to determine the influence sleep deprivation has on learners’ academic performance. The study used a quantitative approach, and the method included questionnaires that learners in Grade 5, Grade 6, and Grade 7 of the selected school completed anonymously. The study revealed that poverty, family structure, and dwelling type did not have a significant impact on the learners of the selected school. The study did however reveal and confirmed what various other researchers have already found that sleep and nutrition did have an influence on academic performance. It is recommended that specific guidelines should be provided to parents about economical lunchbox ideas. Parents should be supplied with lists of foods best to pack in lunchboxes and food that is not allowed. Schools should further monitor the food provided at tuck shops, as the food provided should be nutritious as well as sustain learners’ energy. Food high in saturated fats and sugar should not be allowed at school tuck shops. Children should also be educated about nutrition and better or alternative choices they can make. Lunches that are supplied as part of the school nutrition program should be monitored to ensure that it is nutritious, low in sodium, and that a variety of fruit and vegetables are included in the meal. Studies have concluded that children should sleep on average nine hours per night. Unfortunately, due to increase in academic pressure and work load, more learners go to bed later. It is therefore recommended that schools adhere to guidelines on the amount of homework given to learners daily. It is further recommended that parents should ensure that their children have a set routine regarding sleep patterns. The use of electronic equipment, such as television, computers, and cellular phones prior to sleeping time should be limited as it affects sleep. Surprisingly, this study has also revealed that some of the data supplied to the school by the parents or guardians and the data that was obtained from the learners did not correlate. It is therefore recommended that schools should be more scrupulous with learner performance data as it could be a possible indicator of household problems or the quality of education. If it is found that the decline is due to quality of education, the school management team should act immediately to assist the necessary educators with the necessary skills to enable better quality of education. A pro-active plan of action should be put in place by the school for those learners whose marks decreased. An educator could talk to the learner and the parents to try and determine the possible causes for the decrease in marks. Remedial classes or remedial exercises should be given to the learners to assist in the areas of need. In addition, if it is determined that the cause is due to home environment factors then necessary assistance should be provided either by the school or other entities.
Afrika Borwa e na le histori ya thuto ye telele gape ya mathata, go tloga go thuto ya pele ga bokoloni go ya go go fedišwa ga kgatelelo le go hwetša mafelelong thuto ya go lekana go bohle (Christie, 2006). Go bile le diphetogo tše dintši nakong ye ya phetogo mo temokrasing le tokologong ya Afrika Borwa ye mpsha ka mokgwa wa diphapošiborutelo tšeo di nepišago morutwana, Lenaneothuto la 2005 (Taylor,1995) le Setatamente sa Pholisi ya Lenaneothuto le Kelo (CAPS). Le ge go dirilwe dinyakišišo tše mmalwa ditšhabatšhabeng le mo Afrika Borwa ka ga go se šome gabotse dikolong, nepišo ya dinyakišišo ke go utolla mabaka a motheo ao a dirago gore barutwana ba se šome gabotse. Maikemišetšo a dinyakišišo ke go utolla khuetšo ya maemo a ekonomi le leago a barutwana go go šoma dithutong go lebeletšwe phepo, sebopego sa lapa le thekgo ya batswadi go barutwana ba dikolo tša praemari ka Tshwane. Mo tesitheišeneng ye e feletšego, monyakišiši o hweditše e le gore bontši bja mabaka a tikologo ya gae ao a kgethilwego ga a na khuetšo ye bohlokwa mo go barutwana bao ba kgethilwego. Le ge go le bjalo, go hweditšwe e le gore (bjale ka ge go kgonthišitšwe ke banyakišiši ba bantši) go ja le go robala di na le khuetšo go go šoma dithutong ga barutwana ba dikolo tša praemari. Ge go abja mabaka a, tlhako ya teori, teori ya go ithuta ya tsebo ya leago le dinyakwa tša maemo a Maslow di šomišitšwe. Tsebo ya leago e bolela gore le ge mabaka a go phela e le senyakwa sa kgolo ya motheo go thoma, mabaka a setšo sa leago a bohlokwa kudu go ditshepedišo tša tlhago tša motheo gore di gole. Teori ya Vygotsky ya tsebo ya leago e bontšha boswananoši bja tikologo ya leago gomme e tšea botšo bja setšo sa leago bjalo ka lebaka la motheo le taolo mo go godišeng mekgwa ya godimo ya mošongwana wa kgopolo ya motho go swana le šedi ya boithaopo, le kelelo ye e nepišago, kgopolo ya go kwagala, peakanyo le tharollo ya mathata. Ka tirišano le Vygotsky, maemo a dinyakwa a Maslow a dira motheo wa dinyakišišo tše ka ge a bolela gore sebopiwa se ye legatong la go latela, legato la fase la dinyakwa le swanetše go kgotsofatšwa pele. Dinepo tša dinyakišišo tše e be e le go utolla: gore khuetšo ya mabaka a tikologo ya gae ao a kgethilwego go barutwana ba dikolo tša praemari mo go šomeng gabotse dithutong ke efe; kamano gare ga bohloki, sebopego sa lapa le go šoma dithutong; khuetšo ya mohuta wa legae mo go šomeng dithutong; khuetšo yeo phepo e nago le yona mo go šomeng dithutong; le khuetšo yeo go se robale go nago le yona go barutwana mo go šomeng dithutong. Dinyakišišo di šomiša mokgwa wa bokaakang, gomme mokgwa o akaretša letlakala la dipotšišo leo barutwana ba Kreiti ya 5, Kreiti ya 6 le Kreiti ya 7 ba sekolo seo se kgethilwego ba le tladitšego ka sephiri. Dinyakišišo di utollotše gore bohloki, sebopego sa lapa le mohuta wa legae ga di na khuetšo mo go barutwana ba sekolo seo se kgethiwego. Le ge go le bjale, dinyakišišo di utolla le go kgonthiša ka moo banyakišiši ba go fapana ba šetšego ba hweditše gore boroko le phepo di na le khuetšo mo go šomeng dithutong. Go digetšwe gore ditlhahli tše di itšego di swanetše go fiwa batswadi ka ga kgopolo ya dijo tša letena tša ekonomi. Batswadi ba swanetše go fiwa lenaneo la dijo tše dikaone go feta tšeo ba ka di fago bana go ja ka letena le dijo tšeo di se a lokago. Dikolo gape di swanetše go lekola dijo tšeo di fiwa mabenkeleng a dijo a ka sekolong, ka ge dijo tšeo di fiwago di swanetše go ba le phepo gomme di swarelele maatla a barutwana. Dijo tšeo di nago le makhura ao a se a lokago le swikiri ga se tša swanela go dumelelwa mo mabenkeleng a dijo a ka sekolong. Go tlaleletša, bana ba swanetše go rutwa ka phepo le dikgetho tše kaone goba tša go fapana tšeo ba ka di dirago. Dijo tša matena tšeo di fiwago bjalo ka karolo ya lenaneo la phepo la sekolo di swanetše go lekolwa go kgonthiša gore di na le phepo, ga di na letswai le lentši, le gore mehuta ya dienywa le merogo e a akaretšwa mo dijong. Dinyakišišo di phethile ka gore ka palogare bana ba swanetše go robala diiri tše senyane bošego bjo bongwe le bjo bongwe. Go hloka mahlatse, ka lebaka la koketšego ya kgatelelo ya dithuto le mošomo wo montši, bana ba bantši ba robala ka morago ga nako. Ka gona go digelwa gore dikolo di latele ditlhahli tša bokaalo bja mošomo wa gae woo o fiwago barutwana letšatši le lengwe le lengwe. Go digetšwe gape gore batswadi ba swanetše go kgonthiša gore bana ba bona ba na le lenaneo leo le beakantšwego la go robala. Tšhomišo ya didirišwa tša elektroniki, go swana le thelebišene, dikhomphutha le diselefouno pele ga nako ya go robala e swanetše go fokotšwa ka ge e ama boroko. Selo sa go makatša, dinyakišišo tše di utollotše gore data ye nngwe yeo e filwego sekolo ke batswadi goba bahlokomedi le data yeo e filwego ke barutwana ga di sepelelane. Ka gona go digelwa gore dikolo di swanetše go hlokomela ka data ya go šoma ga barutwana ka ge e ka ba sešupo sa kgonagalo ya mathata a ka gae goba boleng bja thuto. Ge go hweditšwe gore go palelwa ke ka lebaka la boleng bja thuto, sehlopha sa taolo ya sekolo se swanetše go tšea magato ka bjako go thuša barutiši ka mabokgoni ao a hlokegago go kgontšha boleng bjo bokaone bja thuto. Sekolo se swanetše go dira lenaneo la tiro la mohola go barutwana bao meputso ya bona e fokotšegile. Morutiši a ka bolela le morutwana le batswadi go leka go utolla gore ke eng seo se hlolago go fokotšega ga meputso. Dithuto tša tlaleletšo goba mešongwana ya tlaleletšo e swanetše go fiwa go thuša barutwana mo dikarolong tšeo ba hlokago thušo. Go tlaletša, ge go utollotšwe gore se se hlolwa ke mabaka a tikologo ya gae, gona go swanetše go fiwa thušo yeo e hlokegago e ka fiwa ke sekolo goba makala a mangwe.
Suid-Afrika het ’n lang en veelbewoë onderwysgeskiedenis, van voorkoloniale onderwys tot die val van apartheid en die uiteindelike bereiking van gelyke onderwys vir almal (Christie, 2006). Baie veranderinge het gedurende hierdie oorgangsperiode in die demokrasie en bevryding van die Nuwe Suid-Afrika plaasgevind deur middel van leerdergesentreerde klaskamers, Kurrikulum 2005 (Taylor, 1995) en die Kurrikulum- en Assesseringsbeleidsverklaring (KABV). Hoewel talle studies oor onderprestasie in skole internasionaal en in Suid-Afrika uitgevoer is, is die fokus van hierdie studie om die kernfaktore vas te stel wat tot onderprestasie van leerders lei. Die studie het ten doel om die invloed van ’n leerder se sosioëkonomiese situasie op skolastiese prestasie te bepaal met verwysing na voeding, gesinstruktuur en ouerondersteuning van leerders in primêre skole in Tshwane. In hierdie volledige proefskrif het die navorser bevind dat die meeste geselekteerde tuisomgewingfaktore geen beduidende uitwerking op die geselekteerde leerders gehad het nie. Daar is egter bevind (soos deur baie navorsers bewys is) dat dieet en slaap wel ʼn invloed op primêreskoolleerders se akademiese prestasie gehad het. In die aanbieding van hierdie argument is die teoretiese raamwerk, sosiaal-konstruktivistiese leerteorie en Maslow se behoeftehiërargie gebruik. Sosiaalkonstruktivisme bepaal dat, hoewel biologiese faktore ’n vereiste is sodat basiese ontwikkeling kan plaasvind, sosiaalkulturele faktore deurslaggewend vir die ontwikkeling van basiese natuurlike prosesse is. Vygotsky se teorie oor sosiaalkonstruktivisme dui op die uniekheid van die sosiale omgewing en beskou die sosiaalkulturele agtergrond as die primêre en bepalende faktor in die ontwikkeling van hoër vorms van menslike verstandelike aktiwiteit, soos vrywillige aandag, intensionele geheue, logiese denke, beplanning en probleemoplossing. Tesame met Vygotsky, maak Maslow se behoeftehiërargie die grondslag van hierdie studie uit, aangesien dit bepaal dat, ten einde na die volgende vlak te beweeg, ’n mens se laer vlak van behoeftes eers bevredig moet word. Die doelwitte van die studie was om die volgende te bepaal: watter uitwerking geselekteerde tuisomgewingfaktore op primêreskoolleerders se akademiese prestasie het; die verhouding tussen armoede, gesinstruktuur en skolastiese prestasie; die invloed van die tipe woning op skolastiese prestasie; die invloed wat voeding op ’n leerder se skolastiese prestasie het; en die invloed wat slaapontneming op ’n leerder se akademiese prestasie het. Die studie het ’n kwantitatiewe benadering gebruik, en die metode het vraelyste ingesluit wat leerders in Graad 5, Graad 6 en Graad 7 van die geselekteerde skool anoniem voltooi het. Die studie het aan die lig gebring dat armoede, gesinstruktuur en tipe woning nie ’n beduidende uitwerking op die leerders van die geselekteerde skool gehad het nie. Die studie het egter wel aan die lig gebring en bevestig wat verskeie ander navorsers reeds bevind het: dat slaap en voeding ʼn invloed op akademiese prestasie het. Daar word aanbeveel dat spesifieke riglyne oor ekonomiese kosblik-idees aan ouers verskaf moet word. Ouers behoort voorsien te word van lyste van die beste kossoorte om in kosblikke te pak, en kossoorte wat nie toegelaat word nie. Skole behoort voorts die kos te monitor wat by snoepwinkels te koop aangebied word, aangesien sodanige kos voedsaam moet wees en leerders se energie moet volhou. Kos wat ryk aan versadigde vette en suiker is, behoort nie by skoolsnoepwinkels toegelaat te word nie. Daarbenewens behoort kinders opgevoed te word oor voeding en beter of alternatiewe keuses wat hulle kan maak. Middagetes wat as deel van die skoolvoedingsprogram voorsien word, moet gemonitor word om te verseker dat hulle voedsaam en laag in sout is, en dat ’n verskeidenheid vrugte en groente by die maaltyd ingesluit word. Studies het tot die slotsom gekom dat kinders gemiddeld nege uur per nag behoort te slaap. Ongelukkig, weens ʼn toename in akademiese druk en werklading, gaan al hoe meer leerders later slaap. Daar word dus aanbeveel dat skole riglyne nakom rakende die hoeveelheid huiswerk wat daagliks aan leerders gegee word. Daar word verder aanbeveel dat ouers moet verseker dat hul kinders ’n vaste slaaproetine het. Die gebruik van elektroniese toerusting, soos televisie, rekenaars en selfone voor slaaptyd, behoort beperk te word omdat dit slaap beïnvloed. Dit is verrassend dat die studie ook aan die lig gebring het dat sommige van die data wat deur die ouers of voogde aan die skool verskaf is en die data wat van die leerders bekom is, nie ooreengestem het nie. Daar word dus aanbeveel dat skole meer nougeset met leerderprestasiedata moet omgaan, aangesien dit ’n moontlike aanwyser van huishoudelike probleme of die gehalte van onderwys kan wees. Indien daar bevind word dat die afname as gevolg van die gehalte van onderwys is, moet die skoolbestuurspan onmiddellik optree om opvoeders te help om die nodige vaardighede te verwerf om ’n beter gehalte onderwys moontlik te maak. Die skool behoort ’n proaktiewe plan van aksie in werking te stel vir daardie leerders wie se punte gedaal het. ʼn Opvoeder kan met die leerder en die ouers gesels en probeer vasstel wat die moontlike oorsake vir die daling in punte is. Remediërende klasse of remediërende oefeninge behoort aan die leerders gegee te word om met die behoefteareas te help. Daarbenewens, indien vasgestel word dat die oorsaak tuisomgewingfaktore is, behoort die nodige bystand gegee te word, hetsy deur die skool of ander entiteite.
Educational Studies
M. Ed. (Socio-Education)

There is a growing body of research examining psychosocial aspects of diabetes. Relatively few studies, however, have investigated a theoretical framework to help integrate empirical knowledge. This study tested the utility of an expanded health belief model for explaining regimen adherence among Type II Diabetes patients. Furthermore, the study examined differences between Maltese Australian people and Anglo-Saxon Australian people. A paper and pencil questionnaire was administered to 147 people with Type II Diabetes who attended Diabetes Australia in Sunshine, Western Metropolitan Melbourne. The questionnaire measured adherence to diabetes medication, dietary treatment adherence, adherence to home blood glucose monitoring, 'perceived susceptibility and severity of diabetes and its complications', 'perceived benefits and barriers to carrying out treatment', 'health locus of control', 'attitudes toward doctors', 'beliefs about food', and demographic factors. Health beliefs predicted dietary treatment adherence. There were predictive relationships found between health beliefs and ethnic differences were evident. A new 'Diabetes Dietary Adherence Model' emerged from the findings, which may assist in re-directing patient education programs.