Exploring a theory of change: Are increases in parental empowerment associated with healthier weight-related parenting practices?
Exploring a theory of change: Are increases in parental empowerment associated with healthier weight-related parenting practices?
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DOI：
10.1016/j.socscimed.2022.114761
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Davison KK
中科院分区：
文献类型：
--
作者：
Gago CM;Jurkowski J;Beckerman-Hsu JP;Aftosmes-Tobio A;Figueroa R;Oddleifson C;Mattei J;Kenney EL;Haneuse S;Davison KK
与父母健康有关的赋权被定义为父母实现对其生活状况的控制并采取行动促进更健康的生活方式的过程。几十年来，研究人员已经描述了在健康促进工作中增强权能的理论潜力，尽管很少有人对这种假设的关系进行实证检验。这项研究是第一个研究父母赋权和健康体重养育行为之间关系的研究之一（即，食物、体育活动、睡眠和媒体养育），作为社区环境中促进幼儿健康的机制。2017年秋季至2019年春季期间在大波士顿参加学前教育的学龄前儿童的低收入父母被邀请在每个学年的秋季和春季完成一项调查（n=578，两项调查，n=45，四项）。父母赋权和健康体重养育的做法进行了评估，使用有效的调查。我们使用了多水平差异中的差异的方法来估计的变化，在健康体重父母的做法得分的父母授权得分的变化。在可能的4分中，未校正的平均（SD）分数为3.20（0.40），为授权和3.01（0.40），为养育。父母授权的增加与更健康的育儿实践的增加相关（B=0.14; 95% CI=0.08，0.20; p<0.0001）。父母赋权可能是预防低收入儿童肥胖干预措施的一个重要目标。
Parent health-related empowerment is defined as the process by which parents realize control over their life situation and take action to promote a healthier lifestyle. For decades, researchers have described the theoretical potential of empowerment in health promotion efforts, though few have empirically examined this hypothesized relationship. This study is one of the first to examine the relationship between parental empowerment and healthy weight parenting practices (i.e., food, physical activity, sleep, and media parenting), as a mechanism for early childhood health promotion in community settings. Low-income parents of preschool-aged children attending Head Start in Greater Boston between fall 2017 and spring 2019 were invited to complete a survey in the fall and spring of each academic school year (n=578 with two surveys and n=45 with four). Parental empowerment and healthy weight parenting practices were assessed using validated surveys. We used a multilevel difference-in-difference approach to estimate changes in healthy weight parenting practices score by changes in parental empowerment score. Out of a possible score of four, the unadjusted mean (SD) score in fall was 3.20 (0.40) for empowerment and 3.01 (0.40) for parenting. An increase in parental empowerment was associated with an increase in healthier parenting practices (b=0.14; 95% CI=0.08, 0.20; p<0.0001). Parent empowerment may be an important target in interventions to prevent obesity in low-income children.
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