Meredith-Jones Kim, Williams Sheila, Taylor Rachael
Department of Medicine, University of Otago, Dunedin, New Zealand.
Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
J Prim Health Care. 2016 Dec;8(4):316-324. doi: 10.1071/HC16002.
INTRODUCTION Accurate parental perception of their child's weight is poor. Accuracy may be influenced by differences in ethnicity but this is currently unknown. AIM To determine whether agreement between parental perception of child weight status and actual child weight status differs according to ethnic group (NZ European, Māori, Pacific, Asian), and to investigate whether it is influenced by various demographic and behavioural factors. METHODS A total of 1093 children (4-8 years old) attended a weight screening initiative. Parents completed questionnaires on demographics, beliefs about child weight, parenting style, parental feeding practices and social desirability. Actual measured weight status was compared with parental perception of weight status (underweight, normal weight, overweight). RESULTS Agreement about child weight status was apparent in 85% of NZ European, 84% of Māori, 82% of Pacific and 88% of Asian children. However, adjusting for chance led to kappas of 0.34, 0.38, 0.41 and 0.53, respectively, indicating only fair-to-moderate agreement. Overall, agreement between measured body mass index and parental perception was not related to ethnic group, child sex and age, maternal age and education, and household deprivation (k ranged from 0.16 to 0.47). However, agreement about weight status was higher in parents who reported higher levels of restrictive feeding than in parents who reported less restriction (P < 0.01) but agreement was only fair. CONCLUSION Agreement between parental perception and actual weight status was fair and did not differ between the ethnic groups examined.
引言
父母对孩子体重的准确认知较差。准确性可能会受到种族差异的影响,但目前尚不清楚。
目的
确定父母对孩子体重状况的认知与孩子实际体重状况之间的一致性是否因种族群体(新西兰欧洲裔、毛利人、太平洋岛民、亚洲人)而异,并调查其是否受到各种人口统计学和行为因素的影响。
方法
共有1093名4至8岁的儿童参加了一项体重筛查活动。父母完成了关于人口统计学、对孩子体重的看法、育儿方式、父母喂养习惯和社会期望的问卷调查。将实际测量的体重状况与父母对体重状况的认知(体重过轻、正常体重、超重)进行比较。
结果
85%的新西兰欧洲裔、84%的毛利人、82%的太平洋岛民和88%的亚洲儿童在孩子体重状况方面达成了一致。然而,经机遇校正后,卡帕值分别为0.34、0.38、0.41和0.53,表明一致性仅为中等。总体而言,测量的体重指数与父母认知之间的一致性与种族群体、孩子的性别和年龄、母亲的年龄和教育程度以及家庭贫困程度无关(卡帕值范围为0.16至0.47)。然而,报告限制喂养水平较高的父母在体重状况方面的一致性高于报告限制较少的父母(P<0.01),但一致性仅为中等。
结论
父母认知与实际体重状况之间的一致性为中等,在所研究的种族群体之间没有差异。