Date of Award
Winter 12-15-2018
Additional Affiliations
Brown School
Degree Name
Doctor of Philosophy (PhD)
Degree Type
Dissertation
Abstract
The nutrition transition is underway in Haiti, giving rise to the dual burden of malnutrition. Physical activity (PA) plays an important role in mitigating the negative health consequences of nutrition transition and the dual burden, but heretofore this data has been unavailable for Haiti. This dissertation undertook an exploratory needs assessment providing baseline PA data for Haitian adolescents. It evaluated two different PA data collection methodologies: a cross-sectional survey adapted from the IPAQ long-form and objectively measured PA via Actigraph GT1M accelerometers. Next, it identified initial covariates of self-reported and objectively-assessed PA behaviors; data was operationalized as meeting the World Health Organization’s recommendation (WHO REC) of ≥60 minutes of moderate or vigorous PA per day for children and adolescents. Finally, the study qualitatively examined the PA values, beliefs, and behaviors of adolescents via focus groups and structured observations. Survey and accelerometry data identified adolescent age, gender, dietary diversity and caregiver occupation as consistently significant covariates of meeting the WHO REC. Focus group and structured observation data further emphasized gender differences in PA. Qualitative methods also revealed overweight to be considered desirable and beneficial, separating it from obesity, which was considered undesirable and associated with poor health. This study is the first of its kind, representing an important step in characterizing the link between the emergence of the dual burden of malnutrition and its risk factors in Haiti, as well as providing rationale for early adoption of policies and programs regarding PA, nutrition, and other types of assistance programming in Haiti.
Language
English (en)
Chair and Committee
Lora L. Iannotti
Committee Members
Aaron Addison, Ross C. Brownson, Carolyn Lesorogol, Deborah Salvo-Dominguez,
Recommended Citation
Becker, Haley V., "Understanding Adolescent Physical Activity in the Early Nutrition Transitioning Country of Haiti" (2018). Arts & Sciences Electronic Theses and Dissertations. 1728.
https://openscholarship.wustl.edu/art_sci_etds/1728
Included in
Latin American Languages and Societies Commons, Latin American Studies Commons, Other French and Francophone Language and Literature Commons, Public Health Education and Promotion Commons, Race, Ethnicity and Post-Colonial Studies Commons
Comments
Permanent URL: https://doi.org/10.7936/p67g-je18