PERCEPTIONS AND PRACTICES OF MOTHERS OF BRAZILIAN PRE-SCHOOL CHILDREN, WITH REGARD TO THEIR CHILDREN’S EATING PRACTICES
Abstract
Introduction: In March, 2006, there were 5,.588,.153 children aged 4 to 6 years enrolled in Brazilian pre-schools. Unfortunately only 3.8% of these institutions have a health professional, in addition to which, the relationship between the pre-schools and the Health System is poor. The first 5 years of life are crucial in the development of good eating habits, and consequently, for preventing degenerative illnesses in later life, such as obesity.
Objective: The aim of this study is to identify and analyze maternal perceptions and practices concerning the eating behaviors of children aged 3 to 6 years attending a Brazilian pre-school.
Material and methods: A qualitative survey was carried out using individual, non-directive interviews. 21 mothers were interviewed: 10 with children enrolled in full-time classes and 11 with children in part-time classes. In terms of height and weight, the children were between the 10 and 90 percentile (NCHS standard). For data analysis we used the method of Thematic Content Analysis, as proposed by Bardin.
Results: Diet is an issue of major concern for these mothers. The main difficulty is child development: they do not know how to deal with it. Therefore, they use harmful strategies, such as bargaining, coercion, disguising food, and punishment. Also, they do not know how food is served in the pre-school. However, 15 of the 21 children improved their eating behavior after attending the institution (autonomy, regular meal times, and better meal choices), particularly twhose attending the pre-school on a full-time basis.
Conclusion: Brazilian pre-schools ought to implement health programs in partnership with the SUS (Unified Health System) - the Brazilian national health system.
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