Global Health Institute, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an 710000, China.
Department of Health Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, VA 20170, USA.
Int J Environ Res Public Health. 2020 Dec 7;17(23):9139. doi: 10.3390/ijerph17239139.
The associations between children's pocket money and their eating behaviors and weight status have not been examined using longitudinal data in China. Examined child and parental factors associated with children's pocket money, and longitudinal effects of pocket money on children's eating behaviors and weight status. Data were collected in 2015, 2016, and 2017 from 3261 school-age children and their parents in mega-cities across China (Beijing, Shanghai, Nanjing, Xi'an, Chengdu). Children's weight, height, and waist circumference were measured; pocket money and eating behaviors were self-reported. Mixed effect models were used. Older children received more pocket money than younger children (incident rate ratio (IRR) = 1.21, 95% confidence interval (CI): 1.15, 1.26). Fathers gave their children more pocket money than mothers did (IRR = 1.22, 95% CI: 1.16, 1.30). Children with fathers having ≥ college education received more pocket money than the others did (IRR = 1.20, 95% CI: 1.04, 1.40). Some nutrition-related parenting behaviors and attitude were also associated with children's pocket money. Compared with children receiving no weekly pocket money, those having 1-10 or 10-30 or >30-yuan weekly pocket money were 12.0-136% more likely to consume unhealthy foods and were 66-132% more likely to be overweight or obese. Some child and parental factors were associated with children's pocket money, which increased risks of having unhealthy eating behaviors and being overweight and obese.
在中国,使用纵向数据研究儿童零花钱与其饮食行为和体重状况之间的关系尚未得到检验。本研究旨在考察与儿童零花钱相关的儿童和父母因素,并探讨零花钱对儿童饮食行为和体重状况的纵向影响。数据来自于 2015 年、2016 年和 2017 年中国各大城市(北京、上海、南京、西安和成都)3261 名学龄儿童及其家长。测量了儿童的体重、身高和腰围;通过自我报告的方式收集了零花钱和饮食行为数据。采用混合效应模型进行分析。结果显示,年龄较大的儿童比年龄较小的儿童获得更多的零花钱(发生率比(IRR)=1.21,95%置信区间(CI):1.15,1.26)。父亲比母亲给孩子更多的零花钱(IRR=1.22,95%CI:1.16,1.30)。与父亲受教育程度低于或等于中学的儿童相比,父亲受过大学及以上教育的儿童获得更多的零花钱(IRR=1.20,95%CI:1.04,1.40)。一些与营养相关的育儿行为和态度也与儿童的零花钱有关。与每周没有零花钱的儿童相比,每周获得 1-10 元、10-30 元或>30 元零花钱的儿童更有可能食用不健康的食物,超重或肥胖的风险增加 12.0-136%。一些儿童和父母因素与儿童零花钱有关,这增加了儿童养成不健康饮食行为和超重肥胖的风险。