Mother-Daughter Relationship Influences on Daughters' Dietary Practices

描述（由申请人提供）：意义：儿童肥胖对黑人青少年女性的影响不成比例。45%的黑人青少年女性符合疾病控制和预防中心的超重分类，而白人女性只有27.6%。黑人少女与肥胖相关的饮食习惯比例最高，母亲在其中起着重要作用。母亲往往是食物的提供者和准备者，在传播关于食物和身体形象的共同文化理解方面发挥着主要作用，并对女儿的饮食态度、体型规范以及饮食和活动习惯产生了影响。然而，对母亲如何具体影响女儿的态度和行为，特别是与饮食有关的态度和行为的了解仍然有限。目的：本研究的目的是探讨黑人母亲和青春期女儿之间的关系，并研究这种关系如何影响女儿的饮食习惯。方法：采用多方法、多案例研究设计，从北卡罗莱纳州一家儿童初级保健诊所招募16对黑人母女。多病例研究将允许对母女关系及其与饮食习惯的联系进行深入的、以人为本的探索。多方法数据来源将包括对母亲和女儿的半结构化访谈，母亲和女儿的日记条目，以及母亲和女儿对饮食摄入量，关系质量，沟通，家庭食品购买和准备以及家庭社会环境的自我报告措施。摘要：这项研究是了解母女关系对黑人青春期女孩饮食习惯的影响以及它如何导致肥胖发展的第一步。研究结果将有助于为开发新一代针对少数族裔青少年的肥胖干预措施铺平道路。

DESCRIPTION (provided by applicant): Significance: Childhood obesity disproportionately impacts Black adolescent females. Forty-five percent of Black adolescent females meet the Centers for Disease Control and Prevention overweight classification compared to only 27.6% of white females. Black adolescent girls have some of the highest rates of obesity-associated dietary practices, and mothers play an influential role. Mothers are often the providers and preparers of food, assume a primary role in the transmission of shared cultural understandings about food and body image, and have demonstrated an impact on daughters' food attitudes, body size norms, and dietary and activity practices. However, understanding how mothers specifically influence daughters' attitudes and practices, especially those associated with diet, remains limited. Purpose: The aim of this study is to explore the relationship between Black mothers and adolescent daughters and examine how the relationship might contribute to the daughter's dietary practices. Methods: A multi-method, multiple case study design will be used to recruit 16 Black mother-daughter pairs from a childhood primary care clinic in North Carolina. Multicase study will permit an in- depth, person-oriented exploration of the mother-daughter relationship and its link to dietary practices. Multi-method data sources will include semi-structured interviews with mothers and daughters, mother and daughter diary entries, and mother and daughter self-report measures of dietary intake, relationship quality, communication, household food purchasing and preparation, and household social environment. Summary: This study is the initial step to understanding the impact of the mother-daughter relationship on dietary practices among Black adolescent girls and how it contributes to the development of obesity. Findings will help pave the way to developing a new generation of obesity interventions needed among minority youth.