ArticleBMC public health2016
Community readiness for adolescents' overweight and obesity prevention is low in urban South Africa: a case study.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 54 citations in OpenAlex.
- Exploring Community Readiness for Childhood Obesity Prevention: A Systematic Review of the Evidence.International journal of endocrinology and metabolism · 2025Article
- Midwifery service managers' readiness for prevention of obstetric violence in Nigeria: A community readiness model.Heliyon · 2024Article
- Child-directed marketing on packaged breakfast cereals in South Africa.Public health nutrition · 2023Article
- Basic human values drive food choice decision-making in different food environments of Kenya and Tanzania.Appetite · 2023Article
- Strategies to improve the implementation of intensive lifestyle interventions for obesity.Frontiers in public health · 2023Article
- Evaluation of community readiness for change prior to a participatory physical activity intervention in Germany.Health promotion international · 2021Article
- Adolescent nutrition and physical activity in low-income suburbs of Abidjan, Côte d'lvoire: the gap between knowledge, aspirations and possibilities.Public health nutrition · 2021Article
- Providing Measurement, Evaluation, Accountability, and Leadership Support (MEALS) for Non-communicable Diseases Prevention in Ghana: Project Implementation Protocol.Frontiers in nutrition · 2021Article
- Community Readiness Model for Prevention Planning: Addressing Childhood Obesity in American Indian Reservation Communities.Journal of racial and ethnic health disparities · 2019Article
- How ready are communities to implement actions to improve diets of adolescent girls and women in urban Ghana?BMC public health · 2019Article
- Article
- Community Readiness for the Promotion of Physical Activity in Older Adults-A Cross-Sectional Comparison of Rural and Urban Communities.International journal of environmental research and public health · 2018Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundSouth Africa is undergoing epidemiological and nutrition transitions with associated increases in the incidence of overweight, obesity and diet-related chronic diseases. With the emergence of the nutrition transition in South Africa, there is an urgent need for interventions to prevent overweight and obesity in children and adolescents as risk factors for chronic diseases in adolescence may track throughout later life. This research explored the potential for faith-based organisations (FBOs) to be used as community organisations for overweight and obesity prevention interventions in adolescents by assessing the readiness of religious leaders to engage in such interventions.
methodsSurveys and focus group discussions (FGDs) were conducted with 51 religious leaders in Johannesburg and Soweto. The Community Readiness Model (CRM) survey was chosen to determine the stage of readiness of this community regarding overweight and obesity prevention. Six different dimensions were assessed in the CRM (community efforts, knowledge of efforts, leadership, community climate, knowledge of the issue, resources). The surveys were scored according to the CRM protocol. The survey data were supplemented with findings from FGDs. Thematic analysis was used to analyse the FGDs.
resultsThe mean community readiness score was 2.57 ± 0.76 which equates with the "denial/resistance stage". The mean readiness score for resources was the highest of all the dimensions (3.77 ± 0.28), followed by knowledge of the issue (3.20 ± 0.51). The lowest score was seen for community knowledge of efforts (1.77 ± 1.50), followed by community climate (2.00 ± 0.64). FGDs helped interpret the CRM scores. FGDs showed that religious leaders were enthusiastic and recognised that their role was not limited solely to spiritual guidance and mentoring, but also to physical well-being.
conclusionsReligious leaders recognised that they act as role models within the community and thus have a role to play in improving adolescent health. They have some knowledge about the overweight/obesity issue and some of the resources could be made available to support overweight/obesity prevention-related initiatives. However, the low community knowledge of efforts and the negative prevailing attitude of the community towards overweight and obesity highlight the need to increase awareness of this issue prior to implementing initiatives on overweight and obesity prevention.
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