WHO Collaborating Centre for Obesity Prevention, Deakin University, 221 Burwood High Way, Burwood 3125, Victoria, Australia.
Health Promot Int. 2011 Sep;26(3):263-75. doi: 10.1093/heapro/daq054. Epub 2010 Aug 16.
The aim of this analysis was to assess relationships between family functioning, parental psychological distress, child behaviour difficulties and fruit and vegetable (F&V) consumption among 4-12-year-old children in Victoria, Australia. We used the 2006 Victorian Child's Health and wellbeing data set that included 3370 randomly selected primary caregivers of 4-12-year-old children interviewed between October 2005 and March 2006. Behavioural problems were measured using the Strengths and Difficulties Questionnaire; level of family functioning was measured using the McMaster Family Assessment Device-General Functioning Scale and parental psychological distress was measured using the Kessler-6 scale. The mean number of servings consumed per day was 2.2 (95% CI: 2.1, 2.3) for fruit and 2.0 (95% CI: 1.9, 2.1) for vegetables. The proportion of children meeting the minimum daily age-specific recommendation was 87.8% (95% CI: 86.4, 89.1%) for fruit and 36.5% (95% CI: 34.5, 38.5) for vegetables. Children with behaviour difficulties, low levels of prosocial behaviours and from poorly functioning households consumed fewer servings of F&V than children who did not experience any environment stressors or behavioural problems. Although parental psychological distress was not associated with fruit intake, daughters of parents who reported higher levels of psychological distress consumed fewer servings of vegetables than daughters of parents who reported lower levels of psychological distress. Child behavioural problems and family functioning and to some extent parental psychological distress were associated with F&V consumption. Programmes aimed at promoting F&V consumption in children should target those families with children experiencing behavioural problems or poorly functioning households.
本分析旨在评估澳大利亚维多利亚州 4-12 岁儿童家庭功能、父母心理困扰、儿童行为困难与水果和蔬菜（F&V）消费之间的关系。我们使用了 2006 年维多利亚儿童健康和幸福感数据集，其中包括 2005 年 10 月至 2006 年 3 月期间接受采访的 3370 名 4-12 岁儿童的随机选择的主要照顾者。使用《长处与困难问卷》测量行为问题；使用《麦克马斯特家庭评估装置-一般功能量表》测量家庭功能水平；使用《凯斯勒-6 量表》测量父母心理困扰。每天食用的水果份量中位数为 2.2（95%CI：2.1，2.3），蔬菜为 2.0（95%CI：1.9，2.1）。满足最低年龄特定推荐量的儿童比例为水果 87.8%（95%CI：86.4，89.1%），蔬菜 36.5%（95%CI：34.5，38.5）。有行为困难、亲社会行为水平较低且来自功能不良家庭的儿童比没有环境压力或行为问题的儿童食用的 F&V 份量更少。尽管父母心理困扰与水果摄入量无关，但报告心理困扰程度较高的父母的女儿比报告心理困扰程度较低的父母的女儿食用的蔬菜份量更少。儿童行为问题和家庭功能，在一定程度上还有父母心理困扰与 F&V 消费有关。旨在促进儿童 F&V 消费的计划应针对那些有行为问题或功能不良家庭的儿童。
