Screen-Related Parenting Practices in Low-Income Mexican American Families

Overview

Journal Acad Pediatr

Publisher Elsevier

Date 2018 May 20

PMID 29777781

Citations 12

Authors

Darcy A Thompson

Sarah J Schmiege

Susan L Johnson

Elizabeth A Vandewater

Richard E Boles

Ruth E Zambrana

Jerusha Lev

Jeanne M Tschann

Affiliations

Soon will be listed here.

Abstract

Objectives: To (1) examine whether the Information-Motivation-Behavioral Skills Model predicts maternal screen-related parenting practices and (2) evaluate the relationship of American Academy of Pediatrics (AAP)-recommended parenting practices with child television (TV) use behaviors.

Methods: In this cross-sectional study, 312 Spanish-speaking and/or English-speaking female primary caregivers of Mexican descent with a child 3 to 5 years of age were recruited from safety-net pediatric clinics. Participants completed a phone interview and screen media diary. Measures included maternal screen-related beliefs, self-efficacy, parenting practices (time restriction, TV in the child's bedroom, allowing viewing while eating meals and while eating snacks), and child viewing behaviors (amount of TV viewing, frequency of eating while viewing). Two path analytic models were estimated.

Results: Positive general beliefs about TV viewing and positive functional beliefs were negatively associated with maternal self-efficacy to restrict TV time (β = -0.14, P < .05; β = -0.27, P < .001). Greater self-efficacy to restrict time was associated with more maternal restriction of time (β = 0.29, P < .001). Greater positive functional beliefs were associated with less self-efficacy to restrict TV viewing with snacks (odds ratio = 0.56; 95% confidence interval, 0.38-0.81). High self-efficacy to restrict viewing with snacks was associated with less allowing of viewing while snacking (β = -0.16, P < .01). Time restriction, TV in the child's bedroom, and allowing viewing while snacking were associated with child TV viewing behaviors.

Conclusions: Providers should consider maternal beliefs, including beliefs regarding the functional use of screens, and self-efficacy to engage in AAP-recommended parenting practices, when counseling on screen use in this population.

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References

Dubois L, Farmer A, Girard M, Peterson K . Social factors and television use during meals and snacks is associated with higher BMI among pre-school children. Public Health Nutr. 2008; 11(12):1267-79. DOI: 10.1017/S1368980008002887. View

Jago R, Sebire S, Edwards M, Thompson J . Parental TV viewing, parental self-efficacy, media equipment and TV viewing among preschool children. Eur J Pediatr. 2013; 172(11):1543-5. DOI: 10.1007/s00431-013-2077-5. View

Hoyos Cillero I, Jago R, Sebire S . Individual and social predictors of screen-viewing among Spanish school children. Eur J Pediatr. 2010; 170(1):93-102. DOI: 10.1007/s00431-010-1276-6. View

Thompson D, Johnson S, Schmiege S, Vandewater E, Boles R, Lev J . Beliefs About Child TV Viewing in Low-Income Mexican American Parents of Preschoolers: Development of the Beliefs About Child TV Viewing Scale (B-TV). Matern Child Health J. 2018; 22(6):849-857. PMC: 6173955. DOI: 10.1007/s10995-018-2458-5. View

Barr-Anderson D, Larson N, Nelson M, Neumark-Sztainer D, Story M . Does television viewing predict dietary intake five years later in high school students and young adults?. Int J Behav Nutr Phys Act. 2009; 6:7. PMC: 2643350. DOI: 10.1186/1479-5868-6-7. View

Enders C . The impact of nonnormality on full information maximum-likelihood estimation for structural equation models with missing data. Psychol Methods. 2002; 6(4):352-70. View

Vandewater E, Rideout V, Wartella E, Huang X, Lee J, Shim M . Digital childhood: electronic media and technology use among infants, toddlers, and preschoolers. Pediatrics. 2007; 119(5):e1006-15. DOI: 10.1542/peds.2006-1804. View

Vandewater E, Lee S . Measuring Children's Media Use in the Digital Age: Issues and Challenges. Am Behav Sci. 2009; 52(8):1152-1176. PMC: 2745155. DOI: 10.1177/0002764209331539. View

Fisher J, Wright G, Herman A, Malhotra K, Serrano E, Foster G . "Snacks are not food". Low-income, urban mothers' perceptions of feeding snacks to their preschool-aged children. Appetite. 2014; 84:61-7. DOI: 10.1016/j.appet.2014.09.007. View

10.

Taveras E, Rifas-Shiman S, Oken E, Gunderson E, Gillman M . Short sleep duration in infancy and risk of childhood overweight. Arch Pediatr Adolesc Med. 2008; 162(4):305-11. PMC: 2650815. DOI: 10.1001/archpedi.162.4.305. View

11.

Thompson D, Polk S, Cheah C, Vandewater E, Johnson S, Chrismer M . Maternal Beliefs and Parenting Practices Regarding Their Preschool Child's Television Viewing: An Exploration in a Sample of Low-Income Mexican-Origin Mothers. Clin Pediatr (Phila). 2015; 54(9):862-70. PMC: 4503490. DOI: 10.1177/0009922815574074. View

12.

Tomopoulos S, Dreyer B, Valdez P, Flynn V, Foley G, Berkule S . Media content and externalizing behaviors in Latino toddlers. Ambul Pediatr. 2007; 7(3):232-8. DOI: 10.1016/j.ambp.2007.02.004. View

13.

Mendoza J, McLeod J, Chen T, Nicklas T, Baranowski T . Convergent validity of preschool children's television viewing measures among low-income Latino families: a cross-sectional study. Child Obes. 2012; 9(1):29-34. PMC: 3604787. DOI: 10.1089/chi.2012.0116. View

14.

Chahal H, Fung C, Kuhle S, Veugelers P . Availability and night-time use of electronic entertainment and communication devices are associated with short sleep duration and obesity among Canadian children. Pediatr Obes. 2012; 8(1):42-51. DOI: 10.1111/j.2047-6310.2012.00085.x. View

15.

Sisson S, Broyles S, Newton Jr R, Baker B, Chernausek S . TVs in the bedrooms of children: does it impact health and behavior?. Prev Med. 2010; 52(2):104-8. DOI: 10.1016/j.ypmed.2010.11.019. View

16.

Robinson T . Reducing children's television viewing to prevent obesity: a randomized controlled trial. JAMA. 1999; 282(16):1561-7. DOI: 10.1001/jama.282.16.1561. View

17.

Jago R, Edwards M, Urbanski C, Sebire S . General and specific approaches to media parenting: a systematic review of current measures, associations with screen-viewing, and measurement implications. Child Obes. 2013; 9 Suppl:S51-72. PMC: 3746242. DOI: 10.1089/chi.2013.0031. View

18.

Domoff S, Lumeng J, Kaciroti N, Miller A . Early Childhood Risk Factors for Mealtime TV Exposure and Engagement in Low-Income Families. Acad Pediatr. 2016; 17(4):411-415. PMC: 5420466. DOI: 10.1016/j.acap.2016.12.003. View

19.

. Media and Young Minds. Pediatrics. 2016; 138(5). DOI: 10.1542/peds.2016-2591. View

20.

Lapierre M, Piotrowski J, Linebarger D . Assessing the relationship between pediatric media guidance and media use in American families. Clin Pediatr (Phila). 2014; 53(12):1166-73. DOI: 10.1177/0009922814540038. View