Bronte-Tinkew Jacinta, Zaslow Martha, Capps Randolph, Horowitz Allison, McNamara Michelle
Child Trends, Inc., Washington, DC 20008, USA.
J Nutr. 2007 Sep;137(9):2160-5. doi: 10.1093/jn/137.9.2160.
We used the Early Childhood Longitudinal Study-Birth Cohort 9- and 24-mo surveys (n = 8693) and Structural Equation Modeling to examine direct and indirect associations between food insecurity and toddlers' overweight (weight for length), physical health, and length for age. There were significant effects of food insecurity on parental depression and parental depression in turn influenced physical health. There were also significant effects of food insecurity on parenting practices, which in turn were significantly associated with infant feeding and subsequently toddlers' overweight. There were no significant direct or indirect associations between food insecurity and toddlers' length for age. Our results show that food insecurity influences parenting, including both depression and parenting practices. Findings suggest parental depression is a stressor on parenting behavior that social policy should address to alleviate problematic child health outcomes. Findings underscore the importance of continuing and strengthening policy initiatives to ensure that families with infants and toddlers have sufficient, predictable, and reliable food supply.
我们使用了儿童早期纵向研究——出生队列9个月和24个月调查（n = 8693）以及结构方程模型，来检验粮食不安全与幼儿超重（身长体重）、身体健康和年龄别身长之间的直接和间接关联。粮食不安全对父母抑郁有显著影响，而父母抑郁反过来又影响身体健康。粮食不安全对育儿方式也有显著影响，而育儿方式又与婴儿喂养显著相关，进而与幼儿超重相关。粮食不安全与幼儿年龄别身长之间没有显著的直接或间接关联。我们的结果表明，粮食不安全会影响育儿，包括父母抑郁和育儿方式。研究结果表明，父母抑郁是育儿行为的一个压力源，社会政策应加以解决，以缓解儿童健康方面的问题。研究结果强调了持续和加强政策举措的重要性，以确保有婴幼儿的家庭有充足、可预测和可靠的食物供应。
