Gill Monique, Koleilat Maria, Whaley Shannon E
Department of Community Health Sciences, Fielding School of Public Health, UCLA, 650 Charles E Young Drive South, Los Angeles, CA, 90095, USA.
Department of Health Science, California State University, Fullerton, 800 N. State College Blvd., Fullerton, CA, 92831, USA.
Matern Child Health J. 2018 Aug;22(8):1146-1153. doi: 10.1007/s10995-018-2499-9.
Objectives Household stressors, such as food insecurity, contribute to the home emotional environment and negatively affect child development. Little research on this topic has been conducted among very young children. This study aimed to examine the relationship between food insecurity and the home emotional environment, as well the extent to which the relationship may be mediated by maternal symptoms of depression. Frequency of praise, affection, and discipline of young children by mothers were examined as markers of the home emotional environment. Methods Data were collected in a cross-sectional study of mothers of children under the age of five (N = 4231). Logistic regression was used to assess the relationship between level of food security and frequency of praise and discipline of children. Mediation analysis using the KHB method was conducted to test whether maternal mental health mediated the relationship between food insecurity and each outcome. Results Low and very low food security were significantly associated with higher odds of disciplining children with high frequency. Controlling for all covariates, frequency of praise was not significantly associated with level of household food insecurity. Differences in praise and discipline frequency were found by language of interview, maternal education, and employment. Conclusions for Practice Parent-child interactions, specifically related to discipline, are related to food insecurity. Further research should consider cultural patterns and mechanisms behind the relationship between food insecurity and the home environment. Household stressors begin affecting children at young ages, and early intervention is essential to prevent further negative sequelae as children grow older.
目标 家庭压力源,如粮食不安全,会影响家庭情感环境,并对儿童发展产生负面影响。针对这一主题,针对幼儿的研究较少。本研究旨在探讨粮食不安全与家庭情感环境之间的关系,以及这种关系在多大程度上可能由母亲的抑郁症状介导。将母亲对幼儿的表扬、关爱和管教频率作为家庭情感环境的指标进行了研究。方法 在一项针对五岁以下儿童母亲的横断面研究中收集数据(N = 4231)。使用逻辑回归评估粮食安全水平与儿童表扬和管教频率之间的关系。采用KHB方法进行中介分析,以检验母亲心理健康是否介导了粮食不安全与各结果之间的关系。结果 低粮食安全和极低粮食安全与高频管教孩子的较高几率显著相关。在控制所有协变量后,表扬频率与家庭粮食不安全水平无显著关联。在访谈语言、母亲教育程度和就业方面发现了表扬和管教频率的差异。实践结论 亲子互动,特别是与管教相关的互动,与粮食不安全有关。进一步的研究应考虑粮食不安全与家庭环境之间关系背后的文化模式和机制。家庭压力源在儿童年幼时就开始影响他们,早期干预对于防止儿童长大后出现进一步的负面后果至关重要。