Food Insecurity, the Home Food Environment, and Parent Feeding Practices in the Era of COVID-19
Food Insecurity, the Home Food Environment, and Parent Feeding Practices in the Era of COVID-19
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DOI：
10.1002/oby.22996
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发表时间：
2020-09-24
期刊：
影响因子：
6.9
通讯作者：
Bean, Melanie K.
中科院分区：
文献类型：
--
作者：
Adams, Elizabeth L.;Caccavale, Laura J.;Bean, Melanie K.
目的描述2019年冠状病毒病(新冠肺炎)大流行前后家庭食物环境和父母喂养行为的变化，并检验不同食品安全状况下的变化情况。方法美国父母(N=584)完成了一项单一的在线调查，回顾(考虑到新冠肺炎之前)和现在(考虑到新冠肺炎期间)报告食品安全、家庭食品可获得性和喂养行为。CHI(2)和单变量回归检验了食品安全状况的关联性。结果新冠肺炎期间食品安全度极低的家庭比新冠肺炎前增加了20%(P<；0.01)。约三分之一的家庭增加了家中的高卡路里零食、甜点/糖果和新鲜食品的数量；47%的家庭增加了不易腐烂的加工食品。在新冠肺炎期间，对儿童超重的担忧有所增加，食物不安全的父母比食物安全的父母增加得更多(P<；0.01)。限制、强迫进食和监测的使用增加了，与食物安全的父母相比，有食物不安全的父母的进食压力更大(P<；0.05)。结论在新冠肺炎期间，极低的食物安全性增加，家庭食物环境和父母喂养方式发生变化。研究结果突显了解决新冠肺炎对儿童肥胖风险的负面影响的必要性，特别是在那些面临健康差距的儿童中。
Objective This study aimed to describe changes in families' home food environment and parent feeding practices, from before to during the coronavirus disease 2019 (COVID-19) pandemic, and examine whether changes differed by food security status. Methods Parents (N = 584) in the US completed a single online survey, reporting on food security, home food availability, and feeding practices both retrospectively (considering before COVID-19) and currently (during COVID-19). chi(2)and univariate regressions examined associations by food security status. Results The percent of families reporting very low food security increased by 20% from before to during COVID-19 (P < 0.01). About one-third of families increased the amount of high-calorie snack foods, desserts/sweets, and fresh foods in their home; 47% increased nonperishable processed foods. Concern about child overweight increased during COVID-19, with a greater increase for food-insecure versus food-secure parents (P < 0.01). Use of restriction, pressure to eat, and monitoring increased, with a greater increase in pressure to eat for parents with food insecurity compared with food-secure parents (P < 0.05). Conclusions During COVID-19, increases in very low food security and changes in the home food environment and parent feeding practices were observed. Results highlight the need to address negative impacts of COVID-19 on children's obesity risk, particularly among those facing health disparities.