Eating- and Weight-Related Parenting of Adolescents in the Context of Food Insecurity
Eating- and Weight-Related Parenting of Adolescents in the Context of Food Insecurity
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DOI：
10.1016/j.jand.2015.01.011
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发表时间：
2015-09-01
影响因子：
4.8
通讯作者：
Neumark-Sztainer, Dianne
中科院分区：
文献类型：
--
作者：
Bauer, Katherine W.;MacLehose, Rich;Neumark-Sztainer, Dianne
背景食物不安全被假设为影响母亲使用养育策略来调节儿童的饮食。我们的目的是研究家庭粮食安全状况的青少年母亲之间的饮食和体重相关的养育行为的差异。设计这是一个横断面研究。参与者/设置一个社会人口统计学上多样化的样本的母亲和青少年从明尼阿波利斯/圣保罗，明尼苏达州，参与2010年青少年饮食和活动以及2009年至2010年青少年饮食和活动项目家庭研究的大都市地区（二元组n= 2，087）。70%的母亲被确定为nonwhite.Main结果measures我们检查了母亲报告使用的育儿做法，包括压力的孩子吃，限制高热量的食物，并鼓励dieting.Statistical分析进行Logistic回归模型被用来确定预测概率的育儿做法之间的粮食安全，低粮食安全，和非常低的粮食安全的家庭。社会人口学特征，母亲的身体质量指数，青少年的身体质量指数年龄百分位数进行了检查作为confronters.Results在未经调整的模型，粮食不安全的母亲比粮食安全的母亲更有可能经常鼓励他们的孩子节食，评论他们的孩子的体重，关心他们的孩子的体重，使用限制性喂养的做法，并使用压力喂养的做法。在调整了社会人口学特征和母亲和儿童的身体质量指数后，与食物安全的母亲相比，食物安全程度低的母亲更有可能经常评论儿子的体重（41.5%对32.9%，患病率差=8.6; 95%CI 0.9 ~ 16.3），食物安全性极低的母亲更可能关心儿子的体重（48.8% vs 35.1%;患病率差异=13.7; 95% CI 3.5 - 23.9）。与食物安全的母亲相比，食物安全水平很低的母亲更有可能经常对女儿使用限制性喂养措施（33.0% vs 20.5%;患病率差异=12.4; 95%CI 4.2至20.7）。结论支持母亲使用促进健康的育儿措施可能有助于改善食物不安全的青少年的饮食行为。
Background Food insecurity is hypothesized to influence mothers' use of parenting strategies to regulate children's eating. Little is known about the parenting practices directed toward adolescents in food-insecure households.Objective Our aim was to examine the differences in use of eating-and weight-related parenting practices among mothers of adolescents by household food-security status.Design This was a cross-sectional study.Participants/setting A sociodemographically diverse sample of mothers and adolescents from the Minneapolis/St Paul, MN, metropolitan area who participated in the Eating and Activity Among Teens 2010 and Project Families and Eating and Activity Among Teens studies in 2009 to 2010 (dyad n=2,087). Seventy percent of mothers identified as nonwhite.Main outcome measures We examined mother-reported use of parenting practices, including pressuring children to eat, restricting high-calorie foods, and encouraging dieting.Statistical analyses performed Logistic regression models were used to determine the predicted probabilities of parenting practices among food-secure, low food-secure, and very-low food-secure households. Sociodemographic characteristics, mothers' body mass index, and adolescents' body mass index-for-age percentile were examined as confounders.Results In unadjusted models, food-insecure mothers were more likely than foodsecure mothers to frequently encourage their children to diet, comment on their child's weight, be concerned about their child's weight, use restrictive feeding practices, and use pressured feeding practices. After adjustment for sociodemographic characteristics and mothers' and children's body mass index, compared to food-secure mothers, mothers with low food security were more likely to frequently comment on their sons' weight (41.5% vs 32.9%, prevalence difference=8.6; 95% CI 0.9 to 16.3) and mothers with very low food security were more likely to be concerned about their sons' weight (48.8% vs 35.1%; prevalence difference=13.7; 95% CI 3.5 to 23.9). Mothers with very low food security were more likely to frequently use restrictive feeding practices with their daughters compared to food-secure mothers (33.0% vs 20.5%; prevalence difference=12.4; 95% CI 4.2 to 20.7).Conclusions Interventions to improve food-insecure adolescents' eating behaviors may benefit from supporting mothers' use of health-promoting parenting practices.