Adolescents’ Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective

dc.contributor.authorHendricks, Gaironeesa
dc.contributor.authorSavona, Natalie
dc.contributor.authorAguiar, Anaely
dc.contributor.authorAlaba, Olufunke
dc.contributor.authorBooley, Sharmilah
dc.contributor.authorMalczyk, Sonia
dc.contributor.authorNwosu, Emmanuel
dc.contributor.authorKnai, Cecile
dc.contributor.authorRutter, Harry
dc.contributor.authorKlepp, Knut-Inge
dc.contributor.authorHarbron, Janetta
dc.date.accessioned2022-04-11T08:39:08Z
dc.date.available2022-04-11T08:39:08Z
dc.date.issued2022-02-14
dc.date.updated2022-02-24T14:50:33Z
dc.description.abstractOverweight and obesity increase the risk of a range of poor physiological and psychosocial health outcomes. Previous work with well-defined cohorts has explored the determinants of obesity and employed various methods and measures; however, less is known on the broader societal drivers, beyond individual-level influences, using a systems framework with adolescents. The aim of this study was to explore the drivers of obesity from adolescents’ perspectives using a systems approach through group model building in four South African schools. Group model building was used to generate 4 causal loop diagrams with 62 adolescents aged 16–18 years. These maps were merged into one final map, and the main themes were identified: (i) physical activity and social media use; (ii) physical activity, health-related morbidity, and socio-economic status; (iii) accessibility of unhealthy food and energy intake/body weight; (iv) psychological distress, body weight, and weight-related bullying; and (v) parental involvement and unhealthy food intake. Our study identified meaningful policy-relevant insights into the drivers of adolescent obesity, as described by the young people themselves in a South African context. This approach, both the process of construction and the final visualization, provides a basis for taking a novel approach to prevention and intervention recommendations for adolescent obesity.en_US
dc.identifierdoi: 10.3390/ijerph19042160
dc.identifier.apacitationHendricks, G., Savona, N., Aguiar, A., Alaba, O., Booley, S., Malczyk, S., ... Harbron, J. (2022). Adolescents&rsquo; Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective. <i>International Journal of Environmental Research and Public Health</i>, 19(4), 2160. http://hdl.handle.net/11427/36326en_ZA
dc.identifier.chicagocitationHendricks, Gaironeesa, Natalie Savona, Anaely Aguiar, Olufunke Alaba, Sharmilah Booley, Sonia Malczyk, Emmanuel Nwosu, et al "Adolescents&rsquo; Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective." <i>International Journal of Environmental Research and Public Health</i> 19, 4. (2022): 2160. http://hdl.handle.net/11427/36326en_ZA
dc.identifier.citationHendricks, G., Savona, N., Aguiar, A., Alaba, O., Booley, S., Malczyk, S., Nwosu, E. & Knai, C. et al. 2022. Adolescents&rsquo; Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective. <i>International Journal of Environmental Research and Public Health.</i> 19(4):2160. http://hdl.handle.net/11427/36326en_ZA
dc.identifier.ris TY - Journal Article AU - Hendricks, Gaironeesa AU - Savona, Natalie AU - Aguiar, Anaely AU - Alaba, Olufunke AU - Booley, Sharmilah AU - Malczyk, Sonia AU - Nwosu, Emmanuel AU - Knai, Cecile AU - Rutter, Harry AU - Klepp, Knut-Inge AU - Harbron, Janetta AB - Overweight and obesity increase the risk of a range of poor physiological and psychosocial health outcomes. Previous work with well-defined cohorts has explored the determinants of obesity and employed various methods and measures; however, less is known on the broader societal drivers, beyond individual-level influences, using a systems framework with adolescents. The aim of this study was to explore the drivers of obesity from adolescents&rsquo; perspectives using a systems approach through group model building in four South African schools. Group model building was used to generate 4 causal loop diagrams with 62 adolescents aged 16&ndash;18 years. These maps were merged into one final map, and the main themes were identified: (i) physical activity and social media use; (ii) physical activity, health-related morbidity, and socio-economic status; (iii) accessibility of unhealthy food and energy intake/body weight; (iv) psychological distress, body weight, and weight-related bullying; and (v) parental involvement and unhealthy food intake. Our study identified meaningful policy-relevant insights into the drivers of adolescent obesity, as described by the young people themselves in a South African context. This approach, both the process of construction and the final visualization, provides a basis for taking a novel approach to prevention and intervention recommendations for adolescent obesity. DA - 2022-02-14 DB - OpenUCT DP - University of Cape Town IS - 4 J1 - International Journal of Environmental Research and Public Health KW - obesity KW - group model building KW - adolescents KW - qualitative KW - system mapping LK - https://open.uct.ac.za PY - 2022 T1 - Adolescents&rsquo; Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective TI - Adolescents&rsquo; Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective UR - http://hdl.handle.net/11427/36326 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36326
dc.identifier.vancouvercitationHendricks G, Savona N, Aguiar A, Alaba O, Booley S, Malczyk S, et al. Adolescents&rsquo; Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective. International Journal of Environmental Research and Public Health. 2022;19(4):2160. http://hdl.handle.net/11427/36326.en_ZA
dc.language.isoenen_US
dc.publisher.departmentDepartment of Human Biologyen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceInternational Journal of Environmental Research and Public Healthen_US
dc.source.journalissue4en_US
dc.source.journalvolume19en_US
dc.source.pagination2160en_US
dc.source.urihttps://www.mdpi.com/journal/ijerph
dc.subjectobesityen_US
dc.subjectgroup model building
dc.subjectadolescents
dc.subjectqualitative
dc.subjectsystem mapping
dc.titleAdolescents&rsquo; Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspectiveen_US
dc.typeJournal Articleen_US
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