儿童含糖饮料消费：与家庭及家庭相关因素的关联，对不同种族群体差异的探讨。
Children's sugar-sweetened beverages consumption: associations with family and home-related factors, differences within ethnic groups explored.
作者信息
van de Gaar V M, van Grieken A, Jansen W, Raat H
机构信息
Department of Public Health, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Department of Social Development, Rotterdam, The Netherlands.
出版信息
BMC Public Health. 2017 Feb 14;17(1):195. doi: 10.1186/s12889-017-4095-0.
BACKGROUND
The consumption of sugar-sweetened beverages (SSB) may contribute to the development of overweight among children. The present study aimed to evaluate associations between family and home-related factors and children's SSB consumption. We explored associations within ethnic background of the child.
METHODS
Cross-sectional data from the population-based 'Water Campaign' study were used. Parents (n = 644) of primary school children (6-13 years) completed a questionnaire on socio-demographic characteristics, family and home-related factors and child's SSB intake. The family and home-related factors under study were: cognitive variables (e.g. parental attitude, subjective norm), environmental variables (e.g. availability of SSB, parenting practices), and habitual variables (e.g. habit strength, taste preference). Regression analyses were used to evaluate the associations between family and home-related factors and child's SSB intake (p < 0.05).
RESULTS
Mean age of the children was 9.4 years (SD: 1.8) and 54.1% were girls. The child's average SSB intake was 0.9 litres (SD: 0.6) per day. Child's age, parents' subjective norm, parenting practices, and parental modelling were positively associated with the child's SSB intake. The availability of SSB at home and school and parental attitude were negatively associated with the child's SSB intake. The associations under study differed according to the child's ethnic background, with the explained variance of the full models ranging from 8.7% for children from Moroccan or Turkish ethnic background to 44.4% for children with Dutch ethnic background.
CONCLUSIONS
Our results provide support for interventions targeting children's SSB intake focussing on the identified family and home-related factors, with active participation of parents. Also, the relationships between these factors and the child's SSB intake differed for children with distinct ethnic backgrounds. Therefore, we would recommend to tailor interventions taking into account the ethnic background of the family.
TRIAL REGISTRATION
Number NTR3400 ; date April 4th 2012; retrospectively registered.
背景
饮用含糖饮料（SSB）可能会促使儿童超重。本研究旨在评估家庭及与家庭相关的因素与儿童饮用含糖饮料之间的关联。我们在儿童的种族背景范围内探究了这种关联。
方法
使用了基于人群的“水运动”研究的横断面数据。小学儿童（6 - 13岁）的父母（n = 644）完成了一份关于社会人口学特征、家庭及与家庭相关的因素以及儿童含糖饮料摄入量的问卷。所研究的与家庭相关的因素包括：认知变量（如父母态度、主观规范）、环境变量（如含糖饮料的可获取性、养育方式）以及习惯变量（如习惯强度、口味偏好）。采用回归分析来评估家庭及与家庭相关的因素与儿童含糖饮料摄入量之间的关联（p < 0.05）。
结果
儿童的平均年龄为9.4岁（标准差：1.8），女孩占54.1%。儿童每天含糖饮料的平均摄入量为0.9升（标准差：0.6）。儿童年龄、父母的主观规范、养育方式以及父母的行为示范与儿童含糖饮料摄入量呈正相关。家中及学校里含糖饮料的可获取性以及父母态度与儿童含糖饮料摄入量呈负相关。所研究的关联因儿童的种族背景而异，完整模型的解释方差范围从摩洛哥或土耳其种族背景儿童的8.7%到荷兰种族背景儿童的44.4%。
结论
我们的研究结果支持针对儿童含糖饮料摄入量进行干预，重点关注已确定的家庭及与家庭相关的因素，并让父母积极参与。此外，这些因素与儿童含糖饮料摄入量之间的关系在不同种族背景的儿童中有所不同。因此，我们建议根据家庭的种族背景来调整干预措施。
试验注册
编号NTR3400；日期2012年4月4日；追溯注册。
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