U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Rockville, Md.
U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Rockville, Md.
Acad Pediatr. 2021 Aug;21(6):1055-1066. doi: 10.1016/j.acap.2020.12.008. Epub 2020 Dec 30.
The purpose of this study was to identify child, family/household, organization (provider), and neighborhood/community factors associated with parental concern about weight among children with overweight/obesity in order to inform effective interventions for improving health in this pediatric population.
Prevalence of parental concern about child weight was estimated and factors identified within an adapted family ecological framework. Using cross-sectional data from the 2018 National Survey of Children's Health, we conducted bivariate and multivariable analyses of 10 to 17-year olds (N = 15,427) for whom height and weight information was reported by parents or primary caregivers.
There were 4287 children, aged 10 to 17 years, with overweight/obesity (31%). Approximately 34% of parents of children with overweight/obesity reported being concerned about their child's weight, with the remainder being not concerned. In adjusted analyses, 23% of children with overweight and 45% of children with obesity had parents who reported being concerned. Factors associated with parental concern among children with overweight/obesity included child weight status, female gender, peer social difficulties, the extent of the child's daily activities affected by health conditions, poorer parental coping, and having been told the child was overweight by a provider.
Only one in three parents of children with overweight/obesity reported being concerned about their child's weight, although parental concern was more common among children affected by obesity more so than overweight. A combination of child, family, and organization (provider) factors were associated with parental concern. Provider feedback about child overweight may improve parental awareness of a weight-related health issue.
本研究旨在确定与超重/肥胖儿童父母对子女体重担忧相关的儿童、家庭/家庭、组织（提供者）和邻里/社区因素，以便为改善这一儿科人群的健康提供有效的干预措施。
根据经调整的家庭生态框架，估计父母对子女体重担忧的流行程度并确定相关因素。我们利用 2018 年全国儿童健康调查的横断面数据，对父母或主要照顾者报告了身高和体重信息的 10 至 17 岁儿童（N=15427）进行了单变量和多变量分析。
有 4287 名年龄在 10 至 17 岁之间的超重/肥胖儿童（31%）。大约 34%的超重/肥胖儿童的父母表示对子女的体重感到担忧，其余的则不担忧。在调整后的分析中，23%的超重儿童和 45%的肥胖儿童的父母报告称对子女的体重感到担忧。与超重/肥胖儿童父母担忧相关的因素包括儿童的体重状况、女性性别、同伴社交困难、儿童的日常活动受健康状况影响的程度、父母应对能力较差以及提供者告知儿童超重。
只有三分之一的超重/肥胖儿童的父母表示对子女的体重感到担忧，尽管肥胖儿童的父母比超重儿童的父母更关心子女的体重。儿童、家庭和组织（提供者）因素的结合与父母的担忧有关。提供者反馈有关儿童超重的情况可能会提高父母对体重相关健康问题的认识。
