Centre for Children's Health Research, Queensland University of Technology, South Brisbane, Brisbane, Australia; School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Brisbane, Australia.
Centre for Children's Health Research, Queensland University of Technology, South Brisbane, Brisbane, Australia; School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Brisbane, Australia.
J Nutr Educ Behav. 2018 Sep;50(8):757-764. doi: 10.1016/j.jneb.2018.05.021.
To examine the role of parent concern in explaining nonresponsive feeding practices in response to child fussy eating in socioeconomically disadvantaged families.
Mediation analysis of cross-sectional survey data.
Socioeconomically disadvantaged urban community in Queensland, Australia.
Cohabiting mother-father pairs (n = 208) with children aged 2-5 years.
MAIN OUTCOME MEASURE(S): Two validated measures of nonresponsive feeding: persuasive feeding and reward for eating.
Mediation analysis tested concern as a mediator of the relationship between child food fussiness (independent variable) and parent nonresponsive feeding practices (dependent variables), adjusted for significant covariates and modeled separately for mothers and fathers.
Maternal concern fully mediated the relationship between child food fussiness and persuasive feeding (indirect effect: B [SE] = 0.10 [0.05]; 95% confidence interval [CI], 0.01-0.20). Concern also fully mediated the relationship between child food fussiness and reward for eating for mothers (indirect effect: B [SE] = 0.17 [0.07]; CI, 0.04-0.31) and fathers (indirect effect: B [SE] = 0.14 [0.05]; CI, 0.04-0.24) CONCLUSIONS AND IMPLICATIONS: Concern for fussy eating behaviors may explain mothers' and fathers' nonresponsive feeding practices. In addition to providing education and behavioral support, health professionals working with socioeconomically disadvantaged families can incorporate strategies that aim to alleviate parents' concerns about fussy eating.
探讨父母对孩子挑食行为的关注在解释社会经济地位低下家庭中对孩子不良进食行为反应的作用。
横断面调查数据的中介分析。
澳大利亚昆士兰州社会经济地位低下的城市社区。
有 2-5 岁孩子的共同生活的母亲-父亲对（n=208）。
两种经过验证的非响应喂养措施：劝导喂养和进食奖励。
中介分析检验了关注作为孩子食物挑剔（自变量）与父母非响应喂养行为（因变量）之间关系的中介，调整了显著协变量，并分别为母亲和父亲建模。
母亲的关注完全中介了孩子食物挑剔和劝导喂养之间的关系（间接效应：B[SE] = 0.10[0.05]；95%置信区间[CI]，0.01-0.20）。关注也完全中介了孩子食物挑剔和母亲奖励进食之间的关系（间接效应：B[SE] = 0.17[0.07]；CI，0.04-0.31）和父亲（间接效应：B[SE] = 0.14[0.05]；CI，0.04-0.24）。
对挑食行为的关注可能解释了母亲和父亲的非响应喂养行为。除了提供教育和行为支持外，与社会经济地位低下家庭合作的卫生专业人员可以采用旨在减轻父母对挑食的担忧的策略。
