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Child public health

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G/THUR/PUB1 HOW SHOULD WE TACKLE OBESITY IN THE REALLY YOUNG?

L. Edmunds1, B. Mulley2, M. Rudolf2.1University of Teesside, Middlesbrough, UK; 2Leeds Primary Care Trust, Leeds, UK

Aims: To obtain the views of health visitors and mothers of obese infants in order to inform the development of interventions targeting obesity in infancy.

Methods: Three focus groups with health visitors (n = 39) and nine in-depth interviews with a purposeful sample of mothers (n = 8) were conducted in Northern England. Analyses were iterative and thematic, using a Grounded Theory approach. Triangulation within findings was sought.

Results: Health visitors commented on how few obese children they saw in practice, but were very concerned about not deterring parents when cases arose. They perceived excess weight as the converse of failure to thrive, and thought accurate weaning leaflets, clear referral guidelines, a de-stigmatising approach, clarity on different practices and best practices and resources would aid them. Mothers felt they could identify when their children gained excessive weight and were more concerned when the child had other health issues. Mothers considered health visitors lacked understanding of the complexity of rearing an obese child. They wanted better listening and communication skills with an appropriate balance between being empathic and practical help without being patronising. Both groups felt that intervention should occur beyond 3 months of age and growth charts were a good starting point for exploring the problem.

Conclusions: Health visitors and mothers identified a clear need for professionals to receive training and resources to tackle obesity in the very young. The perceived needs were different with some agreement on when and how.

G/THUR/PUB2 FURTHER EVIDENCE FOR ACQUIRED UNDESCENDED TESTICLE IN THE UK AND ITS INCOMPATIBILITY WITH CURRENT RECOMMENDATIONS IN THE HALL REPORT

J. Martin.Child Health Department. Herefordshire Primary Care NHS Trust, Hereford, UK

Aim: The 4th edition of the Hall Report (Hall DMB. Health for all children. Oxford: Oxford University Press; 2003:167) does not expect undiagnosed undescended testicles …

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