Examining how contexts shape young children's perspectives of health.
BACKGROUND
We know that the social conditions in which children live exert a strong influence on their health; yet, we do not know how children's experience of these conditions of daily life shape their perspectives of health.


METHODS
Through ethnographic research methods, the first author spent 1 year with the 14 6-year-old children involved in this research and examined how the contexts of daily life influenced the children's perspectives of health. The children involved in this study all lived in a neighbourhood characterized as having a complex of mid to high range of neighbourhood factors associated with vulnerability.


RESULTS
The findings demonstrate that the children were able to articulate the health requirements of physical activity and healthy eating that supports their health. However, there was a disparity between the children's health knowledge, their perceptions and their contextual realities in relation to health. Children spoke of concerns for their physical safety within their schools and neighbourhoods; their lack of free range of play, and that they had few opportunities to play with or get to know neighbourhood friends.


CONCLUSIONS
Professionals in contact with children and families who live in challenging social conditions need to be aware of how these contexts shape children's understanding of their own health potential.
Irwin
L G
LG
Human Early Learning Partnership (HELP), Library Processing Centre, University of British Columbia, Vancouver, BC, Canada. lori.irwin@ubc.ca
Johnson
J L
JL
Henderson
A
A
Dahinten
V S
VS
Hertzman
C
C
D001294:Attitude to Health; D002648:Child; D002657:Child Development; D002669:Child Welfare; D005260:Female; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology*; D012931:Social Environment; D012959:Socioeconomic Factors