A healthful home food environment: Is it possible amidst household chaos and parental stress?
A healthful home food environment: Is it possible amidst household chaos and parental stress?
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DOI：
10.1016/j.appet.2019.104391
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发表时间：
2019-11-01
期刊：
影响因子：
5.4
通讯作者：
Neumark-Sztainer, Dianne
中科院分区：
文献类型：
--
作者：
Fulkerson, Jayne A.;Telke, Susan;Neumark-Sztainer, Dianne
目的：本研究探讨了家庭混乱和未管理的父母压力是如何与家庭食物环境（家庭用餐频率，感知烹饪障碍，健康的家庭食物供应）的标志物的变化。更好地了解这些关系可以指导更有效的以家庭为基础的干预措施，以促进健康的家庭食品environments.Methods：分析样本包括819个家庭与儿童在人口为基础的项目EAT-IV队列的调查数据，从2015年至2016年。多元线性回归用于生成家庭食物环境变量的平均值和95%置信区间，以及家庭混乱（定义为狂热活动，大声噪音和混乱）的贡献估计值，以及未管理的父母压力的四分位数（感知压力和管理压力能力的比率）。模型拟合也examined.Results/调查结果：家庭混乱和四分位数的未管理的父母的压力是独立的，与家庭用餐频率呈负相关（p < 0.001），与感知进餐时间准备障碍呈正相关（p < 0.001）。未管理的父母压力也与健康的家庭食物供应呈负相关（p = 0.004）。模型，包括人口统计学特征，家庭混乱的分数，和四分位数的未管理的父母压力指数显示出显着改善模型拟合的所有结果相比，不太全面的模型。在高度混乱的家庭中，那些每周有7次以上家庭聚餐的家庭比那些不经常一起吃饭的家庭更有可能有较低的进餐时间准备障碍分数，更年轻的孩子和更高的健康家庭食物可用性分数。建立常规）可以增加家庭用餐频率和儿童家庭食物环境的质量。
Purpose: This study examines how household chaos and unmanaged parental stress are associated with and contribute to variance in markers of the home food environment (family meal frequency, perceived barriers to cooking, healthful home food availability). Obtaining a better understanding of these relationships could guide more effective family-based interventions to promote healthful home food environments.Methods: The analytic sample included 819 households with children in the population-based Project EAT-IV cohort with survey data from 2015 to 2016. Multiple linear regression was used to generate means and 95% confidence intervals of home food environment variables, and estimates for the contribution of household chaos (defined by frenetic activity, loud noises and disorder), and quartiles of unmanaged parental stress (ratio of perceived stress and ability to manage stress). Model fit was also examined.Results/findings: Both household chaos and quartiles of unmanaged parental stress were independently and inversely associated with family meal frequency (p's < 0.001) and positively associated with perceived mealtime preparation barriers (p's < 0.001). Unmanaged parental stress was also inversely associated with healthful home food availability (p = 0.004). Models including demographic characteristics, household chaos scores, and quartiles of unmanaged parental stress index showed significantly improved model fit for all outcomes compared to less comprehensive models. Among families with high chaos, those having 7 + family meals/week were significantly more likely to have lower mealtime preparation barrier scores, younger children and higher healthful home food availability scores than families eating together less often.Conclusions: Interventions to assist with parental management of stress and chaos within the home environment (e.g., establishing routines) may increase family meal frequency and the quality of children's home food environments.