The Role of Parenting Practices in the Home Environment Among Underserved Youth

Overview

Journal Child Obes

Publisher Mary Ann Liebert

Specialties Endocrinology
Pediatrics

Date 2015 Aug 11

PMID 26258561

Citations 25

Authors

Beth A Conlon

Aileen P McGinn

David W Lounsbury

Pamela M Diamantis

Adriana E Groisman-Perelstein

Judith Wylie-Rosett

Carmen R Isasi

Affiliations

Soon will be listed here.

Abstract

Background: The home environment, which includes parenting practices, is an important setting in which children develop their health behaviors. We examined the role of parenting practices in the home environment among underserved youth.

Methods: We examined baseline data of a family-focused pediatric obesity intervention. Parenting practices (monitoring, discipline, limit setting of soda/snacks [SS] and screen media [SM], pressure to eat, and reinforcement) and availability of fruits/vegetables (FV) and sugar-sweetened beverages (SSBs), family meals, television (TV) watching during meals, TVs in the home, owning active video games/sports equipment, and household food security were assessed in 301 parent/caregivers of overweight/obese children (ages 7-12 years; BMI≥85th percentile). Associations were evaluated using Spearman's rank correlation coefficients and logistic regression models adjusted for potential confounders.

Results: Parents/caregivers (ages 22-67 years) were largely Hispanic/Latino (74.1%), female (92.4%), and reported high levels of limit setting SS and low levels of pressure to eat. Parent age, gender, country of birth, and years living in the United States accounted for differences among several parenting practices. Adjusted logistic regression models identified several statistically significant associations, including: Monitoring was positively associated with availability FV (odds ratio [OR]=2.19; 95% confidence interval [CI], 1.25, 3.82); limit setting SS was inversely associated with availability of SSBs (OR=0.40; 95% CI, 0.21, 0.75); and limit setting SM was inversely associated with TV viewing during family meals (OR=0.51; 95% CI, 0.31, 0.85). Nearly 40% of our population was food insecure, and food insecurity was positively associated with pressure to eat (OR=1.77; 95% CI, 1.01, 3.15).

Conclusions: Parenting practices play an important role in the home environment, and longitudinal studies are needed to examine these associations in the context of family-focused pediatric obesity interventions.

Citing Articles

Role of home nurturing environment on early childhood neurodevelopment: a community-based survey in Shanghai, China.

Jiang C, Li X, Du B, Huang J, Li Y, Zhang Y BMC Pediatr. 2024; 24(1):721.

PMID: 39528977 PMC: 11556046. DOI: 10.1186/s12887-024-05190-3.

Parent childhood experiences, parenting strategies, and youth health-related outcomes in Hispanic families with unhealthy weight: An intergenerational study.

Lovan P, Saez-Clarke E, Graefe B, Messiah S, Prado G Eat Behav. 2024; 53:101870.

PMID: 38460202 PMC: 11144088. DOI: 10.1016/j.eatbeh.2024.101870.

School-based intervention impacts availability of vegetables and beverages in participants' homes.

Hudson E, Burgermaster M, Isis S, Jeans M, Vandyousefi S, Landry M Front Nutr. 2024; 10:1278125.

PMID: 38162521 PMC: 10754996. DOI: 10.3389/fnut.2023.1278125.

Prevalence of healthy diet and activity behaviours among U.S. Latino preschool children living in an emerging Latino community.

Liguori C, Sharma N, Documet P, Gibbs B, Taverno Ross S J Nutr Sci. 2023; 12:e67.

PMID: 37396455 PMC: 10311221. DOI: 10.1017/jns.2023.50.

Food Insecurity and Parent Feeding Practices in Urban and Rural Children Ages 7-12 years.

Elgersma K, Martin C, Friend S, Lee J, Horning M, Fulkerson J J Nutr Educ Behav. 2023; 55(2):105-113.

PMID: 36967732 PMC: 10036078. DOI: 10.1016/j.jneb.2022.08.014.

References

Sorlie P, Aviles-Santa L, Wassertheil-Smoller S, Kaplan R, Daviglus M, Giachello A . Design and implementation of the Hispanic Community Health Study/Study of Latinos. Ann Epidemiol. 2010; 20(8):629-41. PMC: 2904957. DOI: 10.1016/j.annepidem.2010.03.015. View

Bauer K, Neumark-Sztainer D, Fulkerson J, Hannan P, Story M . Familial correlates of adolescent girls' physical activity, television use, dietary intake, weight, and body composition. Int J Behav Nutr Phys Act. 2011; 8:25. PMC: 3078831. DOI: 10.1186/1479-5868-8-25. View

Gross R, Mendelsohn A, Fierman A, Racine A, Messito M . Food insecurity and obesogenic maternal infant feeding styles and practices in low-income families. Pediatrics. 2012; 130(2):254-61. DOI: 10.1542/peds.2011-3588. View

Boutelle K, Birkeland R, Hannan P, Story M, Neumark-Sztainer D . Associations between maternal concern for healthful eating and maternal eating behaviors, home food availability, and adolescent eating behaviors. J Nutr Educ Behav. 2007; 39(5):248-56. DOI: 10.1016/j.jneb.2007.04.179. View

Neumark-Sztainer D, Wall M, Perry C, Story M . Correlates of fruit and vegetable intake among adolescents. Findings from Project EAT. Prev Med. 2003; 37(3):198-208. DOI: 10.1016/s0091-7435(03)00114-2. View

Stokols D . Translating social ecological theory into guidelines for community health promotion. Am J Health Promot. 1996; 10(4):282-98. DOI: 10.4278/0890-1171-10.4.282. View

Stevens J, Murray D, Baggett C, Elder J, Lohman T, Lytle L . Objectively assessed associations between physical activity and body composition in middle-school girls: the Trial of Activity for Adolescent Girls. Am J Epidemiol. 2007; 166(11):1298-305. PMC: 2150740. DOI: 10.1093/aje/kwm202. View

Kaiser L, Melgar-Quinonez H, Lamp C, Johns M, Harwood J . Acculturation of Mexican-American mothers influences child feeding strategies. J Am Diet Assoc. 2001; 101(5):542-7. DOI: 10.1016/S0002-8223(01)00136-5. View

Birch L, Fisher J, Markey C, Sawyer R, Johnson S . Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001; 36(3):201-10. DOI: 10.1006/appe.2001.0398. View

10.

Couch S, Glanz K, Zhou C, Sallis J, Saelens B . Home food environment in relation to children's diet quality and weight status. J Acad Nutr Diet. 2014; 114(10):1569-1579.e1. PMC: 4177359. DOI: 10.1016/j.jand.2014.05.015. View

11.

Rosenkranz R, Dzewaltowski D . Model of the home food environment pertaining to childhood obesity. Nutr Rev. 2008; 66(3):123-40. DOI: 10.1111/j.1753-4887.2008.00017.x. View

12.

Carlson S, Fulton J, Lee S, Foley J, Heitzler C, Huhman M . Influence of limit-setting and participation in physical activity on youth screen time. Pediatrics. 2010; 126(1):e89-96. DOI: 10.1542/peds.2009-3374. View

13.

Dave J, Evans A, Pfeiffer K, W Watkins K, Saunders R . Correlates of availability and accessibility of fruits and vegetables in homes of low-income Hispanic families. Health Educ Res. 2009; 25(1):97-108. DOI: 10.1093/her/cyp044. View

14.

Crespo N, Elder J, Ayala G, Slymen D, Campbell N, Sallis J . Results of a multi-level intervention to prevent and control childhood obesity among Latino children: the Aventuras Para Niños Study. Ann Behav Med. 2012; 43(1):84-100. PMC: 4131843. DOI: 10.1007/s12160-011-9332-7. View

15.

Ebbeling C, Feldman H, Chomitz V, Antonelli T, Gortmaker S, Osganian S . A randomized trial of sugar-sweetened beverages and adolescent body weight. N Engl J Med. 2012; 367(15):1407-16. PMC: 3494993. DOI: 10.1056/NEJMoa1203388. View

16.

Varela R, Vernberg E, Sanchez-Sosa J, Riveros A, Mitchell M, Mashunkashey J . Parenting style of Mexican, Mexican American, and Caucasian-non-Hispanic families: social context and cultural influences. J Fam Psychol. 2004; 18(4):651-7. DOI: 10.1037/0893-3200.18.4.651. View

17.

Melgar-Quinonez H, Kaiser L . Relationship of child-feeding practices to overweight in low-income Mexican-American preschool-aged children. J Am Diet Assoc. 2004; 104(7):1110-9. DOI: 10.1016/j.jada.2004.04.030. View

18.

Andaya A, Arredondo E, Alcaraz J, Lindsay S, Elder J . The association between family meals, TV viewing during meals, and fruit, vegetables, soda, and chips intake among Latino children. J Nutr Educ Behav. 2010; 43(5):308-15. PMC: 3117953. DOI: 10.1016/j.jneb.2009.11.005. View

19.

Ventura A, Birch L . Does parenting affect children's eating and weight status?. Int J Behav Nutr Phys Act. 2008; 5:15. PMC: 2276506. DOI: 10.1186/1479-5868-5-15. View

20.

Larios S, Ayala G, Arredondo E, Baquero B, Elder J . Development and validation of a scale to measure Latino parenting strategies related to children's obesigenic behaviors. The parenting strategies for eating and activity scale (PEAS). Appetite. 2008; 52(1):166-72. PMC: 2659497. DOI: 10.1016/j.appet.2008.09.011. View