งานนำเสนอเรื่อง: "A Stakeholder Perception on Factors Influencing Fast Food Consumption in Thai Adolescents Sirinya Phulkerd June 24, 2009."— ใบสำเนางานนำเสนอ:
1A Stakeholder Perception on Factors Influencing Fast Food Consumption in Thai Adolescents Sirinya PhulkerdJune 24, 2009
2Outline Aim and objectives Background Conceptual framework Methods Study timeline
3Aim To explore the perceptions of key stakeholders about factors influencing fast food consumption inadolescents.
4ObjectivesTo review the literature on factors influencing fast food intake in adolescents;To identify stakeholders who can influence, or are affected by, fast food consumption in Thai adolescents (aged years);To use semi-structured interviews with stakeholders to investigate the perceptions of key stakeholders from government, non-government and private sectors concerning factors influencing fast food consumption in adolescents;Based on the findings, to make recommendations for national government policy on potential approaches to reduce fast food intake, and improve the diets of Thai adolescents.
6Situation of nutrition-related diseases Under-nutrition , while Over-nutritionSources: National Health Examination Survey (NHES) I, age group > 20 years. Ministry of Public Health.National Health Examination Survey (NHES) II, age group years. Ministry of Public Health.National Health Examination Survey (NHES) III, age group ≥ 15 years. Ministry of Public Health.Growth of fast food culture : One of key determinants to an increase in overweight and dietary change from under-nutrition to over-nutrition(French S et al., 2001; Paeratakul S et al., 2003; Katherine L et al., 2001; Adair LS et al., 2005)
7What is ‘Fast Food’?‘Food with high energy density, content of saturated and trans fat, glycemic load and sugar, but low content of fibre’‘Food purchased in self-service or carry-out eating places without wait service’Examples are pizza, hamburger, hotdog and fried chicken.Source: the United States Department of Agriculture (USDA)
8Cheeseburger 310 kcal (18% total fat, 30% saturated fat and 12% carbohydrate of total daily demand energy)Thai Recommended Daily Dietary Allowances (for Thais aged 6 yrs and over)Daily demand energy = 2,000 kcalDaily energy derived from- Total fat = 30% (65 g)- Sat. fat = 10% (20 g)- Protein = 10% (50 g)- Carbohydrate = 60% (300 g)(of daily demand energy)1 g of fat = 9 kcal; 1 g of protein = 4 kcal; 1 g of carbohydrate = 4 kcalPepperoni pizza with cheese 358 kcal (26% total fat, 34% protein and 12% carbohydrate of total daily demand energy)
9Growth of fast food in Thailand (US fast food restaurants)80% of the Foreign Food Franchise market in Thailand (~$240m) in 200230-40% growth between 1999 and 2004(Pizza Company)29% growth from 2003 to 2005146 of 164 outlets around the world located in Thailand in 2005(Pizza Hut)60% increase for pizza delivery by 2008(KFC)50% market share in fast food in Thailand20% a sales increase from 2006 to 2007319 outlets in the whole country in >60 provinces of 76 provinces
10Media SpendingSource: Positioning magazine, May 2008
11Convenience Stores 7-Eleven largest US convenience store chain 4th largest number of stores worldwide(behind USA, Japan and Taiwan)4,402 stores in Thailand in 20081,500 stores in Bangkok in 20085,000 stores in 20097,000 stores in 2014TESCOlargest British retailer110 million pounds on expanding in Thailand in 2007additional 450 stores in 2007
12Fast Food Intake for Thais Top ten light meals (Thais aged 6-14 yrs)61% consumed fast food and only 24% consumed brown rice (Thais aged yrs)Average daily food intake (gram)Source: National Food and Nutrition Survey , Department of Health, Ministry of Public Health
13Frequency of fast food consumption behaviour in Thais Source: National Food and Nutrition Survey , Department of Health, Ministry of Public Health
14Frequency of fast food consumption in schoolchildren aged 6-14 years in Bangkok who eat fast food Source: National Food and Nutrition Survey , Department of Health, Ministry of Public Health
20Aim To review the existing literature on factors influencing fast food consumption in adolescentsincluding Thai food and nutrition policies and otherpolicies relevant to Thai adolescents and fast foodover the last 10 years.
21Objectives To explore To help compile a list of relevant stakeholders. factors influencing fast food consumption in adolescents at various levels; individual, and social, physical and macro environment levels;the available knowledge and research on Thai policies relevant to the study issue;the roles stakeholders play, and their views on policies and interventions to reduce health problems caused by increasing fast food consumption.To help compile a list of relevant stakeholders.
22SourcesOnline databases (PubMed, CAB Abstract, Web of Science, EMBASE and PsycINFO)Article indexes (ie. References)The libraries of major Thai universitiesWebsites of the Ministry of Public Health (MOPH) and Health System Research InstitutePublications and reports produced by interest groups such as the Thai Health Promotion FoundationMajor Thai newspapers (through MyFirstInfo database)
23Findings on factors influencing fast food consumption in adolescents Physical environment factorsHome: food availability, food preparationSchool: school types, eat-in/eat-out school, school policiesFast food outlets/restaurants: an increase in fast food restaurants, locationPrices of fast foodIndividual factorsSelf-efficacyAttitudeLifestyle: TV viewingTasteSocial environment factorsFamily structureParent dietsPeersGlobalizationMall cultureStreet cultureTimeMacro-level environment factorsMedia and advertisingGovernmental sector: policies and interventionsNGO and Private sectorsCollaboration between different sectors
24Findings on Thai food and nutrition policies/projects and other relevant policies from 2000-09 (1) (*1-34 เป็นกิจกรรม/โครงการที่สำนักงานคณะกรรมการการศึกษาขั้นพื้นฐานและกระทรวงสาธารณสุขดำเนินร่วมกัน)
25Findings on Thai food and nutrition policies/projects and other relevant policies from 2000-09 (1)
27LimitationsLimited number of studies about the combination of fast food consumption and factors at each level in adolescentsFew studies examining the influence of self-efficacy, knowledge, and social and cultural norms on fast food or other types of food consumption in adolescentsNo studies researching the relationship between non-governmental and private sectors and fast food consumption in adolescentsNo studies examining individual and environmental factors determining fast food or other related food consumption in adolescents in Thailand
28Semi-Structured Interviews with Key Stakeholders
29Aim To explore the perceptions of key stakeholders about factors influencing fast food consumption inadolescents.
30ObjectivesTo understand the perception of key stakeholders in relation to factors influencing Thai adolescent’s fast food consumption, the roles they play, and their views on policies and interventions to reduce health problems caused by increasing fast food consumptionTo make recommendations for national government policy on potential approaches to reduce fast food intake, and improve the diets of Thai adolescents
31Subjects Adult stakeholders who can influence, or are affected by, fast food consumption in Thai adolescents(especially in age years) from governmental,non- governmental and private sectors
32Procedures Develop interview topic guide from the literature review Select the key stakeholders by asking key academics to suggest key informants from the listObtain both verbal and written consent from interviewees during interview processConduct the interviews (30-45 min)Transcribe interview dataAnalyze data using content analysis