Department of Health Systems Management, The Max Stern Yezreel Valley College, POB 1930000, Yezreel Valley, Israel.
School of Nursing, University of Rochester Medical Center, Rochester, NY, USA.
Int J Public Health. 2020 Dec;65(9):1689-1698. doi: 10.1007/s00038-020-01498-w. Epub 2020 Oct 7.
Family factors may play a role in adolescents' weight-control behaviours (WCB), and economic determinants strongly affect adolescents' health in terms of unhealthy weight-control behaviours (UWCB). This study examines the nexus of socioeconomic status, perceived family wealth, and number of employed parents and Israeli adolescents' WCB and asks whether family-related variables mediate WCB.
Data from the 2014 Israeli Health Behaviour in School-Aged Children study are analysed using structural equation modelling.
High family affluence and high perceived family wealth are negatively associated with UWCB. Having two employed parents related to lower levels of UWCB. Family-related variables such as family communication and support and parental monitoring mitigate UWCB. Family meals have a significantly positive effect on healthy weight-control behaviour (HWCB) and a significantly negative impact on unhealthy weight-control activities.
The findings suggest that economic factors such as socioeconomic status and number of employed parents should be taken into account in long-term weight-control practice. The combination of WCB and family meals is the most effective method for adolescents' healthy weight-control behaviour.
家庭因素可能在青少年的体重控制行为（WCB）中发挥作用，经济决定因素在不健康的体重控制行为（UWCB）方面对青少年的健康有很大影响。本研究探讨了社会经济地位、感知家庭财富以及有多少父母就业与以色列青少年 WCB 的关系，并询问家庭相关变量是否可以调节 WCB。
使用结构方程模型对 2014 年以色列青少年健康行为调查的数据进行分析。
高家庭富裕程度和高感知家庭财富与 UWCB 呈负相关。有两名就业父母与 UWCB 水平较低有关。家庭相关变量，如家庭沟通和支持以及父母监督，可以减轻 UWCB。家庭聚餐对健康的体重控制行为（HWCB）有显著的积极影响，对不健康的体重控制活动有显著的负面影响。
研究结果表明，应在长期体重控制实践中考虑社会经济地位和父母就业人数等经济因素。WCB 和家庭聚餐的结合是青少年健康体重控制行为的最有效方法。
