Bijlage 1 - JOGG-Plan van Aanpak 2022-2026 gemeente Alblasserdam.pdf

Furthermore, reading relates to higher consumption of water, and playing video games relates to higher consumption of sweet drinks. Implying that to a certain extent, healthier leisure activities associate with healthier sleeping and drinking habits, partially confirming hypotheses 4a and 4b. Concerning the current state of the social environments and lifestyles of children, the interviews with the parents and the experts revealed that the ‘average’ child from Alblasserdam is doing fine. This is confirmed by the descriptive statistics. However, certain groups of children need some extra help, such as children with autism, children in poverty, and overweight children, as their environments and lifestyles are less healthy, which makes them vulnerable in that sense. Furthermore, the statistical analyses show that all four aspects of the social environment influence at least one aspect of a healthy lifestyle. Therefore, the social environment and healthy lifestyles are certainly related, which the qualitative interviews confirmed. Regarding their impact, media education and leisure are the only aspects that influence all facets of a healthy lifestyle.

However, the interviews suggest that we need to focus on certain groups of children that are not doing well in multiple aspects of the social environment as well as concerning lifestyle, instead of focusing on certain aspects of the social environment. To conclude, this research shows that a healthy social environment can certainly contribute to a healthier lifestyle for children aged 4-12. This study also shows that although

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the average state of the social environments and healthy lifestyles are sufficient, there are still areas that can be improved, which is especially the case for special needs children.

Discussion Looking back at the results of this study, most outcomes were in line with the formulated hypotheses, as all but one hypothesis were at least partially confirmed. This suggests that, overall, a healthy social environment for children is indeed related to healthier lifestyles for children. Only the presence of peers led to less healthy lifestyles in terms of drinking habits, which was in line with the expectations, which predicted that the presence of peers lead to fewer constraints and thus less healthy drinking habits. However, multiple other expected relations were not significant. The results show that there is no relation between a child-friendly neighborhood and the drinking habits of children. The reasoning behind the hypothesis is that a neighborhood can influence lifestyles through the resources they provide, such as the presence of healthy food shops. It might be the case that drinking behavior is separate from neighborhood influence as everyone has access to drinkable water at home. Furthermore, sweet drinks usually have a long shelf-life, meaning that quick access to (healthy) supermarkets might not be relevant. Additionally, there was no effect of peers on the consumption of water found, which was against the expectations.

A possible explanation could be that children usually consume water in settings where there are not many peers present, such as at home, and therefore it happens outside the influence of peers. Furthermore, for the association between leisure and aspects of a healthy lifestyle, gaming only relates to the consumption of sweet drinks, while reading leads to more water consumption and a set bedtime. The lack of relation between gaming and sleeping habits might be because playing video games for children aged 4-12 does not yet entail very long and intense sessions that influence how they sleep. For social media, there was no association with any of the aspects of lifestyle. This finding is unexpected as the reviewed literature strongly points towards a negative effect of social media on lifestyle. This result can possibly be explained by the fact that the children in this study are young, not yet teens, which might affect the way and the extent to which they use social media, which was not measured in this study. Implications This study has some scientific implications. Regarding the not yet largely explored relationship between social environments and lifestyles for children, this research shows that a

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healthy social environment clearly relates to a healthy lifestyle for children. Therefore, when trying to improve the lifestyles of children, the social environment is important to take into account. Furthermore, regarding the applied theories, this study shows support for the two ecological models and confirms that social facilitation theory can indeed be applied to children. Additionally, as this study shows no association between social media use and lifestyle choices, this suggests that the effects of media use might be different for children than for teens. It also suggests that when a child uses social media, it does not necessarily have negative consequences. Perhaps it depends more on how much time is spent using social media. In other words, this study provides insights into the effect of social media use on children.

Limitations Despite all efforts, there are some limitations to this study. One of them is the small sample size of the interviews, as only 5 parents are included in the parental interviews. Even though this has been tried to compensate by including experts’ opinions that have more of an overview of all children in Alblasserdam, it remains a threat to the external validity of the outcomes. Additionally, the four aspects used to conceptualize the social environment are only a part of the social environment of a child. It remains the question of what the effects of the other aspects of the social environment are, and thus what the effect of all aspects of the social environment together would be. Furthermore, the measures for lifestyle are also limited as they exclude important aspects, such as physical activity. Furthermore, this study uses samples from Zuid-Holland-Zuid and Alblasserdam, which is only a small part of the Netherlands. Therefore, these samples might not be as representative of the Netherlands as a whole or other countries. The last limitation is that the quantitative analyses could not control for the aspects that turned out to be relevant during the interviews, such as autism and the economic status of the parents. It cannot be ruled out that these factors influence the relationship between the social environment and a healthy lifestyle.

Suggestions for future research Furthermore, this study provides some suggestions for future research. The first suggestion is to conduct research specifically on vulnerable groups of children in society that struggle concerning their lifestyles and social environments, such as children with autism and children

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living in poverty. As the results suggest that these children are the ones that could use help, research should be conducted to investigate what can be done to improve the lifestyles and social environments of these children. Furthermore, to counter the limitation regarding the limited definition of the social environment as well as healthy lifestyles, a recommendation is to conduct a larger study including all aspects of a healthy lifestyle and all, or at least more, relevant aspects of a child’s social environment. Lastly, during the process of this study, there were multiple signals that Covid-19 harmed the social environments and lifestyles of children. The dataset of this research, however, is from before the pandemic, therefore, the quantitative analyses could not test those claims. As the Kindmonitor of 2022 came out in the meantime, it would be good to research the differences between the situation in 2017 and 2022. For example, in terms of how children behave in groups, but also how children spend their leisure time, to investigate potential differences.

Policy advice This thesis also aims to answer the policy question: ‘In which way can policy contribute to a healthy social environment and lifestyle for children aged 4-12 in the Netherlands?’. Hereby, the focus will be on the situation in Alblasserdam which is researched by the interviews with the parents and the experts. Based on these interviews, advice for the municipality of Alblasserdam is to target the social environments of children to try to improve them, as the current study shows that a healthy social environment is also associated with a healthier lifestyle. Additionally, lifestyles are something that is largely practiced at home, and therefore more difficult to change. To improve the social environments of children the focus should be on maintaining the current state of the social environments as well as on improving the social environments of vulnerable children. Hereby, collaborations with organizations such as JOGG that already focus on improving the social environments are valuable to maintain and perhaps even improve the average social environment. For the collaboration with JOGG, it is important to focus on all aspects of the social environment as they are all important, and all aspects approximately have the same amount of room for improvement.

However, to improve the social environment of vulnerable children, the insights and experiences of professionals should be taken into account.

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This study shows that vulnerable children struggle the most regarding leisure activities and contact with peers. For these children, the aspect of leisure entails reduced or lack of access to sports clubs due to lack of money or disorders such as autism which make it impossible to join regular clubs. Hereby, advice is to look into providing fitting exercise opportunities for children with physical or mental limitations, perhaps in collaboration with professionals, and focus on providing children in poverty opportunities to play sports in an organized manner. This will in turn increase opportunities for meeting peers, therefore also tackling this aspect. This advice strongly fits with Alblasserdam’s vision to be ‘Fit and green’, as increased opportunities to play sports for vulnerable groups make society more fit. Furthermore, although most parents are content with the amount of greenery, experts argue for more greenery in Alblasserdam, which also fits the vision of ‘Fit and green’. As there is not much space available, advice would be to look into refurbishing the available space. Hereby, one should think about planting more trees and shrubs instead of grass or pavement. Another possibility is to add more greenery such as trees and shrubs in the area of existing playgrounds to make children’s play more creative and challenging.

This can make Alblasserdam a more green environment and also encourage children to play, thereby increasing the health of children in terms of lifestyle. To conclude, overall the social environments and lifestyles of children in Alblasserdam are relatively healthy, although there is room for improvement. Nevertheless, it is essential to focus on the groups of vulnerable children that cannot join existing programs that aim to improve social environments and lifestyles.

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References Aranceta, J., Perez-Rodrigo, C., Ribas, L., & Serra-Majem, L. L. (2003). Sociodemographic and lifestyle determinants of food patterns in Spanish children and adolescents: the enKid study. European Journal of Clinical Nutrition, 57(1), 40-44. Bickham, D. S., Hswen, Y., & Rich, M. (2015). Media use and depression: exposure, household rules, and symptoms among young adolescents in the USA. International journal of public health, 60(2), 147-155. Brambilla, P., Giussani, M., Pasinato, A., Venturelli, L., Privitera, F., Miraglia del Giudice, E., ... & Chiappini, E. (2017). Sleep habits and pattern in 1-14 years old children and relationship with video devices use and evening and night child activities. Italian journal of pediatrics, 43(1), 1-11. Cason-Wilkerson, R., Goldberg, S., Albright, K., Allison, M., & Haemer, M. (2015). Factors influencing healthy lifestyle changes: a qualitative look at low-income families engaged in treatment for overweight children. Childhood Obesity, 11(2), 170-176. De Castro, J. M. (1993). Family and friends produce greater social facilitation of food intake than other companions. Physiology & behavior, 56(3), 445-455. Dulin, A. M. (2007). A lesson on social role theory: An example of human behavior in the social environment theory. Advances in Social Work, 8(1), 104-112. van den Eijnden, R. J., Geurts, S. M., Ter Bogt, T.

F., van der Rijst, V. G., & Koning, I. M. (2021). Social media use and adolescents’ sleep: A longitudinal study on the protective role of parental rules regarding internet use before sleep. International journal of environmental research and public health, 18(3), 1346. Evans, R. R., Roy, J., Geiger, B. F., Werner, K. A., & Burnett, D. (2008). Ecological strategies to promote healthy body image among children. Journal of school health, 78(7), 359-367. Gerards, S. M., Hummel, K., Dagnelie, P. C., de Vries, N. K., & Kremers, S. P. (2013). Parental self-efficacy in childhood overweight: validation of the Lifestyle Behavior Checklist in the Netherlands. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 1-10. GGD GHOR. (2022, January 21). Directeuren publieke gezondheid bezorgd over effecten quarantainebeleid op jongeren. Retrieved March 30, 2022, from https://ggdghor.nl/actueel-bericht/brief-directeuren-publieke-gezondheid/ GGD zhz. (2017). Kindmonitor 2017 [Dataset]. GGD zhz.

81

GGDzhz. Resultaten van de Volwassenen- en Ouderenmonitor 2016 van de gemeente in vergelijking met de regio Zuid-Holland Zuid. Retrieved from https://www.hoegezondiszhz.nl/jive/report?id=veom_482 Godsell, S., & White, J. (2019). Adolescent perceptions of sleep and influences on sleep behaviour: A qualitative study. Journal of Adolescence, 73, 18-25. González-Gross, M., Gómez-Lorente, J. J., Valtueña, J., Ortiz, J. C., & Meléndez, A. (2008). The ‘healthy lifestyle guide pyramid’ for children and adolescents. Nutrición hospitalaria, 23(2), 159-168. Guy-Evans, O. (2020, Nov 09). Bronfenbrenner's ecological systems theory. Simply Psychology. www.simplypsychology.org/Bronfenbrenner.html Holt, N. L., Cunningham, C. T., Sehn, Z. L., Spence, J. C., Newton, A. S., & Ball, G. D. (2009). Neighborhood physical activity opportunities for inner-city children and youth. Health & Place, 15(4), 1022-1028. Horowitz‐Kraus, T., & Hutton, J. S. (2018). Brain connectivity in children is increased by the time they spend reading books and decreased by the length of exposure to screen‐ based media. Acta paediatrica, 107(4), 685-693. Kimbro, R. T., & Denney, J. T. (2013). Neighborhood context and racial/ethnic differences in young children's obesity: structural barriers to interventions. Social Science & Medicine, 95, 97-105. Komrij, N. L., van Stralen, M. M., Busch, V., Inhulsen, M. B.

M., Koning, M., de Jong, E., & Renders, C. M. (2021). Predictors of changes in sleep duration in Dutch primary schoolchildren: the ChecKid Study. International Journal of Behavioral Medicine, 28(2), 189-199. Lang, S., Gibson, S., Ng, K. W., & Truby, H. (2021). Understanding children and young people's experiences pursuing weight loss maintenance using the Socio‐ecological Model: A qualitative systematic literature review. Obesity Reviews, 22(5), 1-15. Larson, N., & Story, M. (2009). A review of environmental influences on food choices. Annals of Behavioral Medicine, 38(1), 56-73. Leonenko, A. V., Tomenko, O. A., Brizhatyi, O. V., & Loza, T. O. (2019). Effect of recreation-oriented tourism program on physical health of middle school-aged children. Journal of Physical Education and Sport, 19, 121-125. Lloyd, J., & Wyatt, K. (2015). The Healthy Lifestyles Programme (HeLP)—An overview of and recommendations arising from the conceptualization and development of an innovative approach to promoting healthy lifestyles for children and their

82

families. International Journal of Environmental Research and Public Health, 12(1), 1003-1019. Łuszczki, E., Bartosiewicz, A., Bobula, G., Kuchciak, M., Jagielski, P., Oleksy, Ł., ... & Dereń, K. (2021). New Media Development, Sleep and Lifestyle in Children and Adolescents. Sustainability, 13(4), 1-13. Mak, H. W., & Fancourt, D. (2020). Reading for pleasure in childhood and adolescent healthy behaviours: Longitudinal associations using the Millennium Cohort Study. Preventive medicine, 130, 105889. Maksniemi, E., Hietajärvi, L., Ketonen, E. E., Lonka, K., Puukko, K., & Salmela‐Aro, K. (2022). Intraindividual associations between active social media use, exhaustion, and bedtime vary according to age—A longitudinal study across adolescence. Journal of Adolescence, 94, 401-414. Marco, C. A., Wolfson, A. R., Sparling, M., & Azuaje, A. (2012). Family socioeconomic status and sleep patterns of young adolescents. Behavioral sleep medicine, 10(1), 7080. McNeill, L. H., Kreuter, M. W., & Subramanian, S. V. (2006). Social environment and physical activity: a review of concepts and evidence. Social science & medicine, 63(4), 1011-1022. Mennella, J. A., Finkbeiner, S., & Reed, D. R. (2012). The proof is in the pudding: children prefer lower fat but higher sugar than do mothers. International journal of obesity, 36(10), 1285-1291. Mustafaoğlu, R., Zirek, E., Yasacı, Z., & Özdinçler, A. R.

(2018). The negative effects of digital technology usage on children’s development and health. Addicta: The Turkish Journal on Addictions, 5(2), 13-21. Onwuegbuzie, A. J., Collins, K. M., & Frels, R. K. (2013). Foreword: Using Bronfenbrenner’s ecological systems theory to frame quantitative, qualitative, and mixed research. International journal of multiple research approaches, 7(1), 2-8. Reid Chassiakos, Y. L., Radesky, J., Christakis, D., Moreno, M. A., Cross, C., Hill, D., ... & Swanson, W. S. (2016). Children and adolescents and digital media. Pediatrics, 138(5). Robinson, T. (2008). Applying the socio-ecological model to improving fruit and vegetable intake among low-income African Americans. Journal of community health, 33(6), 395-406.

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Rosen, L. D., Lim, A. F., Felt, J., Carrier, L. M., Cheever, N. A., Lara-Ruiz, J. M., ... & Rokkum, J. (2014). Media and technology use predicts ill-being among children, preteens and teenagers independent of the negative health impacts of exercise and eating habits. Computers in human behavior, 35, 364-375. Rosenbaum, S., & Blum, R. (2015). How healthy are our children?. The Future of Children, 11-34. Sadeh, A., Tikotzky, L., & Scher, A. (2010). Parenting and infant sleep. Sleep medicine reviews, 14(2), 89-96. Salvy, S. J., Coelho, J. S., Kieffer, E., & Epstein, L. H. (2007). Effects of social contexts on overweight and normal-weight children's food intake. Physiology & behavior, 92(5), 840-846. Ståhl, T., Rütten, A., Nutbeam, D., Bauman, A., Kannas, L., Abel, T., ... & Van Der Zee, J. (2001). The importance of the social environment for physically active lifestyle— results from an international study. Social science & medicine, 52(1), 1-10. Szyf, M. (2011). The early life social environment and DNA methylation: DNA methylation mediating the long-term impact of social environments early in life. Epigenetics, 6(8), 971-978. Turel, O., Romashkin, A., & Morrison, K. M. (2017). A model linking video gaming, sleep quality, sweet drinks consumption and obesity among children and youth. Clinical Obesity, 7(4), 191-198. Teuscher, D., Bukman, A. J., van Baak, M. A., Feskens, E.

J., Renes, R. J., & Meershoek, A. (2015). Challenges of a healthy lifestyle for socially disadvantaged people of Dutch, Moroccan and Turkish origin in the Netherlands: a focus group study. Critical Public Health, 25(5), 615-626. Vaughn, B. E., Elmore-Staton, L., Shin, N., & El-Sheikh, M. (2015). Sleep as a support for social competence, peer relations, and cognitive functioning in preschool children. Behavioral Sleep Medicine, 13(2), 92-106. Veitch, J., van Stralen, M. M., Chinapaw, M. J., te Velde, S. J., Crawford, D., Salmon, J., & Timperio, A. (2012). The neighborhood social environment and body mass index among youth: a mediation analysis. International Journal of Behavioral Nutrition and Physical Activity, 9(1), 1-9. Veugelers, P., Sithole, F., Zhang, S., & Muhajarine, N. (2008). Neighborhood characteristics in relation to diet, physical activity and overweight of Canadian children. International

Journal of Pediatric Obesity, 3(3), 152-159.

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Vos, M. & Hetebrij, B. (2021, December 22). Mentale welzijn scholieren verder onder druk: 'Ze worden apathisch'. NOS. Retrieved from https://nos.nl/nieuwsuur/artikel/2410549mentale-welzijn-scholieren-verder-onder-druk-ze-worden-apathisch Ward, S. A., Bélanger, M. F., Donovan, D., & Carrier, N. (2016). Relationship between eating behaviors and physical activity of preschoolers and their peers: a systematic review. International Journal of Behavioral Nutrition and Physical Activity, 13(1), 113.

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Appendices Appendix 1. Information letter Informatiebrief voor deelname aan sociaalwetenschappelijk onderzoek Voor: Ouders/verzorgers van kinderen 4, 6, 8, 10 of 12 jaar Betreft: Onderzoek naar de sociale leefomgeving & levensstijl van kinderen (4-12 jaar) Beste meneer/ mevrouw, Inleiding In het kader van het afstuderen voor mijn masteropleiding Sociologie loop ik momenteel stage bij de gemeente Alblasserdam. Als onderdeel van mijn stage schrijf ik mijn scriptie met allereerst als doel om de sociale leefomgeving van kinderen tussen de 4-12 jaar in Alblasserdam en heel Nederland in kaart te brengen. Daarnaast hoop ik de relatie tussen de sociale leefomgeving en een gezonde levensstijl voor kinderen te kunnen onderzoeken. De sociale leefomgeving kan gezien worden als het geheel van onder andere sociale, culturele en economische factoren die invloed hebben op het gedrag van mensen. Hieronder vallen heel veel aspecten, maar in dit onderzoek wordt er gekeken naar de aspecten leeftijdsgenootjes, vrije tijd besteding, sociale media, en de buurt. Op basis van de uitkomsten van mijn onderzoek hoop ik vervolgens beleidsadvies geven aan de gemeente Alblasserdam omtrent wat er gedaan kan worden om de sociale leefomgevingen van kinderen te verbeteren en de levensstijl van deze kinderen gezonder te maken. Via deze brief wil ik u uitnodigen om deel te nemen aan dit onderzoeksproject.

Opzet/ uitvoering van het onderzoek Voor mijn scriptie-onderzoek wil ik graag een aantal ouders van kinderen van 4, 6, 8, 10, en 12 jaar uit Alblasserdam interviewen over de sociale leefomgeving en levensstijl van hun kinderen. Dit zal gaan over een eenmalig interview van ongeveer een uur. Tijdens het interview zal ik een aantal vragen stellen over de volgende thema's: levensstijl, sociale media, leeftijdsgenootjes, buurt, en vrije tijd. Daarnaast zal ik ook wat overkoepelende vragen stellen over de sociale leefomgeving. Wat wordt er van u verwacht U zal eenmalig geïnterviewd worden. In dit interview wordt er enkel van u verwacht dat u de vragen, zover mogelijk, beantwoordt. Er is geen verdere voorbereiding nodig. Verder wil ik het interview graag opnemen, mits u daar toestemming voor geeft. Het doel hiervan is dat ik me tijdens het interview volledig kan richten op de vragen en het gesprek, wat lastig is als ik ook mee moet typen met het interview. Mocht u dit liever niet willen, dan hoeft het echter niet opgenomen te worden. Het interview zal plaatsvinden op een moment dat voor u uitkomt, online of fysiek. Vertrouwelijkheid van de gegevensverwerking Alle informatie die tijdens dit onderzoek wordt verzameld is geheim en zal vertrouwelijk worden behandeld. Alleen de onderzoekers kunnen de uitkomsten zien.

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Vrijwillige deelneming Deelname aan dit onderzoek is vrijwillig. Als u bepaalde vragen niet wilt beantwoorden bent u daar niet toe verplicht. U kunt uw deelname aan het onderzoek ook op elk moment beëindigen, zonder enige uitleg en zonder enige negatieve gevolgen. Als u de deelname beëindigt, zullen we de tot dan toe verzamelde gegevens gebruiken, tenzij u duidelijk aangeeft dat u dat niet wilt. Audio-opnamen In dit onderzoek wordt er, als u hiermee instemt, gebruik gemaakt van audio-opnamen. De opnamen worden gemaakt met een beveiligd opname apparaat. Nadat de audiodata zijn gemaakt worden ze direct op de beveiligde server van de faculteit opgeslagen. Vervolgens zullen de opnamen gelijk getranscribeerd worden, waarna de opnamen verwijderd zullen worden. De transcripten zullen daarnaast volledig anoniem zijn. Contact informatie:  Onderzoekers en contactpersoon Als u vragen of opmerkingen over het onderzoek heeft, kunt u contact opnemen met een van de onderzoekers, maar ook met Mathijs Kros (M.kros@uu.nl)  Klachtenfunctionaris Als u een officiële klacht heeft over het onderzoek, dan kunt u een mail sturen naar de klachtenfunctionaris via klachtenfunctionaris-fetcsocwet@uu.nl  Functionaris Gegevensbescherming: privacy@uu.nl Zie voor verder informatie over uw privacy rechten de informatie in de bijlage.

Mocht u na het lezen van deze informatiebrief besluiten deel te nemen aan het onderzoek, dan wil ik u vriendelijk verzoeken het bijgevoegde toestemmingsformulier te ondertekenen en aan de onderzoeker te overhandigen. Met vriendelijke groet, Jasmijn Koutstaal Jl.koutstaal@alblasserdam.nl Bijlagen: - Toestemmingsformulier

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Appendix 2. Informed consent TOESTEMMINGSFORMULIER Datum onderzoek: februari - juni 2022 Titel onderzoek: Sociale leefomgeving en levensstijl Naam onderzoeker: Jasmijn Koutstaal Hierbij verklaar ik de informatiebrief met betrekking tot onderzoek sociale leefomgeving en levensstijl gelezen te hebben. Ook kon ik vragen stellen. Mijn vragen zijn goed genoeg beantwoord. Ik had genoeg tijd om te beslissen of ik meedoe. Ik stem in met: 1) Deelname aan het onderzoek

ja/nee

2) Het maken van audio-opnamen

ja/nee

Ik weet dat meedoen vrijwillig is. Ook weet ik dat ik op ieder moment kan beslissen om toch niet mee te doen met het onderzoek en kan stoppen. Ik hoef dan niet te zeggen waarom ik wil stoppen. Ondertekening Datum: Handtekening: Naam:

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Appendix 3. Interview questions Interview-vragen sociale leefomgeving en gezonde levensstijl Introductie: - Voorstellen - Doel interview uitleggen - Toestemmingsverklaring bespreken + ondertekenen Achtergrond informatie: Vraag 1. Hoe oud is uw kind? In welke groep zit uw kind? …………………………………………………………………………………………………

Vraag 2. Wat is het geslacht van uw kind? …………………………………………………………………………………………………

Vraag 3. In welke buurt woont u? (evt. plus de wijk) …………………………………………………………………………………………………

Vraag 4. Op welke school zit uw kind? …………………………………………………………………………………………………

Vraag 5. Gaat uw kind naar een vorm van kinderopvang? Zo ja, welke vorm? …………………………………………………………………………………………………

Deelonderwerp 1: Gezonde levensstijl Vraag 1. Wat voor cijfer zou u de levensstijl van uw kind geven (1- heel ongezond, 10- heel gezond)? …………………………………………………………………………………………………

Vraag 2. Eet uw kind gezond? Bv. Veel groente of fruit. …………………………………………………………………………………………………

Vraag 3. Drinkt u kind zoal veel water of juist veel drankjes met suiker?

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…………………………………………………………………………………………………

Vraag 4. Beweegt uw kind veel? …………………………………………………………………………………………………

Deelonderwerp 2: Leeftijdsgenootjes Vraag 1. Heeft uw kind veel vriendjes/vriendinnetjes? …………………………………………………………………………………………………

Vraag 2. Heeft uw kind veel contact met vriendjes/vriendinnetjes? …………………………………………………………………………………………………

Vraag 3. Heeft uw kind genoeg/veel leeftijdsgenootjes in zijn/haar omgeving? …………………………………………………………………………………………………

Vraag 4. Is uw kind zover u weet tevreden over zijn/haar sociale contacten met vriendjes of vriendinnetjes? …………………………………………………………………………………………………

Deelonderwerp 3: Vrije tijd Vraag 1. Is uw kind lid van een sportclub of een andere vereniging? …………………………………………………………………………………………………

Vraag 2. Beweegt uw kind in veel in zijn/haar vrije tijd? …………………………………………………………………………………………………

Vraag 3. Doet uw kind veel activiteiten in zijn/haar vrije tijd? …………………………………………………………………………………………………

Vraag 4. Is het in jullie gezin belangrijk om samen activiteiten te doen, zoals een dagje weg of een boswandeling?

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…………………………………………………………………………………………………

Vraag 5. Leest uw kind veel of wordt er thuis veel voorgelezen? …………………………………………………………………………………………………

Deelonderwerp 4: Buurt Vraag 1. Is de buurt kindvriendelijk? …………………………………………………………………………………………………

Vraag 2. Zijn er genoeg activiteiten in de buurt om te doen voor uw kind? Denk bijvoorbeeld aan een speeltuin. …………………………………………………………………………………………………

Vraag 3. Zijn er zaken zoals brede stoepen en zones waar auto’s beperkt zijn zodat uw kind veilig en zorgeloos de buurt kan verkennen? …………………………………………………………………………………………………

Vraag 4. Heeft u kind veel vriendjes/ vriendinnetjes in de buurt waar hij of zij mee kan spelen? …………………………………………………………………………………………………

Vraag 5. Is er veel groen in de buurt? Denk aan bloemen, bomen, gras etc. …………………………………………………………………………………………………

Deelonderwerp 5: Media opvoeding Vraag 1. Heeft u met uw kind regels en afspraken over het aantal uur dat uw kind gebruik maakt van computer, laptop, mobiele telefoon om te internetten, gamen of tv te kijken? …………………………………………………………………………………………………

Vraag 2. Bent u bewust van de sites die u kind bezoekt op het internet of met wie uw kind appt of chat? …………………………………………………………………………………………………

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Vraag 3. Heeft uw kind een gezonde relatie met het gebruik van sociale media? …………………………………………………………………………………………………

Vraag 4. Heeft sociale media vooral negatieve of positieve effecten op uw kind? …………………………………………………………………………………………………

Overige vragen: Vraag 1. Welk cijfer zou u de sociale leefomgeving van u kind in het algemeen geven? Zou u daarmee zeggen dat de sociale leefomgeving van u kind gezond is? …………………………………………………………………………………………………

Vraag 2. Hoe denkt u dat verschillen tussen levensstijlen van kinderen verklaard kunnen worden? …………………………………………………………………………………………………

Vraag 3. Heeft u nog iets anders toe te voegen wat betreft de sociale leefomgeving of levensstijl van uw kind wat interessant kan zijn voor dit onderzoek? …………………………………………………………………………………………………

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Appendix 4. Regressions with healthy lifestyle as dependent variable and presence of peers as independent variable Model 1: Bedtime 1 B Variable

Model 2: Water

Model 3: Sweet drinks

95% CI for Odds ratio Lower Odds ratio

Upper

B

s.e.

B

s.e.

Presence of peers

.137 [.081]

.978

1.147

1.345

.049

.22

-.076*

.037

Age

-.029 [.028]

.920

.971

1.026

.029*

.014

.015

.012

Education parents

-.026 [.088]

.820

.975

1.159

.320***

.044

.108**

.038

Girl

.097 [.122]

.867

1.102

1.401

.207**

.061

.186***

.053

Parenting

.009 [.082]

1.009

.859

1.159

-.191***

.041

-.148***

.036

2.381 [.431]

4.093***

.22

4.531***

.192

R2

.003

.025

.012

N

3853

3853

3853

difficulty Constant

***p <.001, ** p <.01, *p <.05, two-tailed 1

The analyses including the variable bedtime are logistic regressions.

93

Appendix 5. Regressions with healthy lifestyle as dependent variable and neighborhood as independent variable Model 1: Bedtime 1 B Variable Neighborhood

Model 2: Water

Model 3: Sweet drinks

95% CI for Odds ratio Lower Odds ratio

Upper

B

s.e.

B

s.e.

.223** [.085]

1.057

1.249

1.477

-.007

.044

-.045

.038

Age

-.031 [.028]

.918

.969

1.024

.028*

.014

.015

.012

Education

-.032 [.089]

.814

.968

1.152

.322***

.044

.110**

.039

Girl

.098 [.123]

.867

1.103

1.403

.202**

.061

.189***

.053

Parenting

.007 [.083]

.856

1.007

1.184

-.195***

.041

-.144***

.036

.235

4.471***

.205

parents

difficulty Constant

2.069 [.461]

4.245***

R2

.005

.023

.010

N

3853

3853

3853

***p <.001, ** p <.01, *p <.05, two-tailed 1

The analyses including the variable bedtime are logistic regressions.

94

Appendix 6. Regressions with healthy lifestyle as dependent variable and media-education as independent variables Model 1: Bedtime 1 B Variable

Model 2: Water

Model 3: Sweet drinks

95% CI for Odds ratio Lower Odds ratio

Upper

B

s.e.

B

s.e.

Media education Rules

.915*** [124]

1.957

2.497

3.187

.264***

.065

.267***

.056

Supervision

.362***[.110]

1.157

1.436

1.781

.449***

.055

.398***

.048

Age

-.010 [.029]

.936

.990

1.048

.059***

.014

.041**

.012

Education

-.015 [.090]

.826

.985

1.174

.348***

.044

.133**

.038

Girl

.048 [.124]

.823

1.049

1.338

.220***

.060

.202***

.052

Parenting

.010 [.084]

.857

1.010

1.191

-.175***

.041

-.126***

.035

.282

2.634

.246

parents

difficulty Constant

.962 [.559]

2.329***

R2

.046

.048

.037

N

3853

3853

3853

***p <.001, ** p <.01, two-tailed 1

The analyses including the variable bedtime are logistic regressions.

Appendix 7. Regressions with healthy lifestyle as dependent variable and leisure as independent variables

95

Model 1: Bedtime 1 B Variable

Model 2: Water

Model 3: Sweet drinks

95% CI for Odds ratio Lower Odds ratio

Upper

B

s.e.

B

s.e.

Leisure Gaming

.207 [.164]

.892

1.230

1.698

.027

.078

.359***

.068

Reading

.276** [.100]

1.084

1.318

1.604

.231***

.050

.061

.043

.126 [.164]

.823

1.134

1.562

-.129

.084

-.080

.073

Age

-.023 [.032]

.917

.977

1.041

.008

.016

.020

.014

Education

-.034 [.089]

.812

.966

1.150

.312***

.044

.116**

.038

Girl

.161 [127]

.916

1.175

1.505

.158*

.063

.120*

.055

Parenting

.006 [.083]

.856

1.006

1.183

-.183***

.041

-.136***

.036

.241

4.138***

Social media

parents

difficulty Constant

1.893 [.480]

3.960

R2

.007

.030

.018

N

3853

3853

3853

***p <.001, ** p <.01, *p <.05, two-tailed 1

The analyses including the variable bedtime are logistic regressions.

.21

Appendix 8. Overview outcomes current state of healthy lifestyle and social environment of children Respondent

Healthy lifestyle

Presence of peers

Neighborhood

Media education

Leisure

1

‘Sometimes they

‘I try to stimulate

‘We do not need

‘I have a tracker on

‘They are not allowed

have already eaten

her to bring home a

anything else, in fact,

that thing. Although,

to use the Ipad, so then

their 200 grams of

friend after school,

every available spot

at the moment they

you have to think of

vegetables before

but she does not

already has a

do not yet do much

something else. She

I’m awake.’

actually have friends

playground or

<on digital

loves arts and crafts,

here.’

something like that.’

devices>.’

but she also loves all sorts of things outside.’

2

‘He does not see

‘Making friends is

‘We have a lot of

‘We use google

‘A few years ago we

any benefit to

very complicated for

courtyards, where

family link, which

had ‘JamaarIk’, which

eating, he just does

him, but he also

there are few cars

we closely monitor.

was a sports club for

not. He does not

does not really feel

driving by. There are

Furthermore, after

children with a stimulus

find it interesting

the need to make

lots of playgrounds,

two hours the mobile

processing disorder,

in the slightest that

friends.’

and lots of places

phone of the oldest

where they could do

where they can

automatically closes

their thing.

skate.’

down.’

Unfortunately, it

he needs to eat.’

stopped, due to lack of volunteers.’

3

4

‘He does not like

‘He is kind of an

‘Between neighbors,

‘We have connected

‘We keep an eye on

carbonated drinks,

everyone’s friend, so

it is very child-

our accounts to his

events, for example,

so he does not

he does have a lot of

friendly. However,

account, so we can

events related to trucks.

drink sodas like

contacts.’

the mentality of the

see exactly what he

We like to do lots of

Cola. However, he

neighborhood is

is watching. We are

activities together.’

loves water and

going backward

definitely aware of

lemonade.’

fast.’

his online behavior.’

‘After school, I

‘I hear from the

‘I do find our street

‘When they watch

‘On Saturdays, we

always freshly

teacher that it is

child-friendly in the

something, it is

usually like to go to the

squeeze orange

going well in school

sense that there are a

always downstairs in

forest or to the beach,

juice, so after

and that he likes to

lot of children living

the living room, as

or do something else

school, they drink

play with everyone.

here. What makes it

the laptop needs to

that we consider fun.’

fresh orange juice.

He always says that

less child-friendly is

stay downstairs.’

But I do realize

everyone is his

the fact that it is a

that it is a luxury,

friend.’

main road with many

that not everyone

cars driving by.’

can do.’ 5

‘In the morning he

‘He does not

‘On the one side

‘We do not have a

‘Since birth we started

always drinks a

necessarily have a

there is a small

tablet, so that makes

reading lots, also

glass of soymilk,

lot of friends, but he

playground, and,

it easier. In principle, because we really enjoy

97

Plan van Aanpak JOGG-gemeente Alblasserdam

as we try to reduce

has enough. In this

furthermore, a street

we started keeping

it ourselves. We read to

consumption of

street, he has 3

beyond there is a

him 100% childfree

him multiple times a

dairy milk. The

children that he

bigger playground.

when he was

day. We have been

rest of the day he

regularly plays

This is plenty for

younger. Now we

reading to him much for

usually just drinks

with.’

him.’

give him very

4 years.’

water.’

limited screen time’

Appendix 9.

Code tree qualitative interviews

98

Plan van Aanpak JOGG-gemeente Alblasserdam

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Plan van Aanpak JOGG-gemeente Alblasserdam