PT  - JOURNAL ARTICLE
AU  - Ewusie, Tutuwaa Baffo
AU  - Coulthard, Helen
AU  - Sharps, Maxine
AU  - Ochieng, Bertha
TI  - Influence of cultural beliefs and parental feeding practices on obesity among primary schoolchildren aged 6–12 in Ghana: a qualitative study
AID  - 10.1136/bmjopen-2024-087160
DP  - 2025 May 01
TA  - BMJ Open
PG  - e087160
VI  - 15
IP  - 5
4099  - http://bmjopen.bmj.com/content/15/5/e087160.short
4100  - http://bmjopen.bmj.com/content/15/5/e087160.full
SO  - BMJ Open2025 May 01; 15
AB  - Childhood obesity has become a global public health challenge and as such has attracted worldwide attention due to its negative impact on children’s health. Despite its diverse determinants, there is a paucity of information on cultural beliefs and parental feeding practices related to childhood obesity in Ghana. This study aimed to explore the influence of cultural beliefs and parental feeding practices on obesity among schoolchildren in Ghana.Background Childhood obesity is a global public health concern, drawing widespread attention for its negative impact on children’s health. While the determinants are multifaceted, limited information exists on the impact of cultural beliefs and parental feeding practices in the context of childhood obesity in Ghana. The primary objective of this exploratory study was to investigate the influence of cultural beliefs and parental feeding practices on obesity among schoolchildren in Ghana.Method Data for the study were collected through an online interview and focus group discussion from a purposively sampled 60 respondents. An audio recording device was used to compile information shared with respondents during the interview and focus group discussion, both held remotely over the internet. Following Braun and Clarke’s procedure for analysing data, audio-recorded information was transcribed verbatim using Microsoft Word. Vital information to address research questions was assigned codes for collation. Similar codes were collated to form subthemes and major themes which aligned with the Attride-Stirling transcription approach of thematic analysis.Findings Four themes emerged from data analysis: parental beliefs and perception of weight and feeding practices; evolving dietary practices; the impact of westernisation and socioeconomic status; and lifestyle at home and obesogenic environments. The cultural inclination towards considering obesity as a sign of a ‘well-fed child’ was evident, and traditional feeding practices were found inadequate, necessitating supplementation with modern approaches. Additionally, factors such as digital media, limited playing space and sedentary behaviours facilitated by transportation to school and easy access to electronic devices contributed to obesity among schoolchildren.Conclusion While parents actively promoted mixed food diets, this often conflicted with nutritional needs. Parents also inadvertently encouraged sedentary behaviours hindering physical activity and contributing to weight gain among children. The study highlighted the challenges posed by cultural beliefs on body image and modern influences, necessitating a comprehensive understanding to formulate effective interventions to address childhood obesity in the Ghanaian context.Data sharing not applicable as no datasets generated and/or analysed for this study. Data for the study would be available at reasonable requests from the investigators.