Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, 52245, USA.
Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, 52245, USA; Department of Internal Medicine, University of Iowa, Iowa City, IA, 52245, USA; Center for Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IA, 52241, USA.
Appetite. 2020 Jun 1;149:104635. doi: 10.1016/j.appet.2020.104635. Epub 2020 Feb 20.
Promoting a healthy diet in children remains a prominent public health priority. Parents have been shown to be a major influence on their children's eating behaviors, but limited research has been devoted to exploring the factors that lead parents to select certain feeding practices over others. Past research has demonstrated a link between weight stigma (i.e., prejudicial attitudes or discriminatory behavior targeted at individuals who carry excess weight) and an individual's own weight-related behaviors and outcomes, but no study has examined how parental levels of weight stigma maybe associated with a parent's preferred feeding practices. The primary objective of this study was to examine the cross-sectional associations between parental levels of weight-based stigmatization with parental feeding practices. Responses were collected on Amazon's Mechanical Turk website for n = 406 parents who 1) had at least one child aged 5-10 and 2) perceived themselves to be overweight or obese. After adjusting for relevant covariates, parental weight stigma was shown to be significantly associated with restrictive feeding practices, and verbal modeling of eating behaviors (all ps < .05). A priori exploratory mediation analysis identified concern about child weight as a significant mediator between weight stigma and parental feeding practices. A discussion of the potential limitations of this study, future directions of research, and implications of these findings are included.
在儿童中推广健康饮食仍然是一个突出的公共卫生重点。父母被认为是孩子饮食行为的主要影响因素，但很少有研究致力于探索导致父母选择某些喂养方式而不是其他方式的因素。过去的研究表明，体重歧视（即针对超重个体的偏见态度或歧视行为）与个人自身的与体重相关的行为和结果之间存在联系，但没有研究探讨父母的体重歧视程度与父母偏爱的喂养方式之间的关系。本研究的主要目的是检验父母体重歧视程度与父母喂养方式之间的横断面关联。在亚马逊的 Mechanical Turk 网站上共收集了 406 名父母的回答，这些父母 1）至少有一个 5-10 岁的孩子，2）认为自己超重或肥胖。在调整了相关协变量后，父母的体重歧视与限制喂养行为以及饮食行为的口头示范显著相关（所有 p 值均<.05）。预先进行的中介分析确定了对儿童体重的关注是体重歧视和父母喂养方式之间的一个重要中介变量。本研究讨论了其潜在的局限性、未来研究方向以及这些发现的意义。
