Department of Psychology, University of South Alabama, Mobile, AL.
Department of Research, Development, and Evaluation, College of Nursing, University of South Alabama, Mobile, AL.
J Dev Behav Pediatr. 2021 Dec 1;42(9):e1-e7. doi: 10.1097/DBP.0000000000000954.
Adverse family experiences (AFEs), including parent divorce and domestic violence, negatively affect obesogenic behaviors and engagement in healthy weight behaviors (HWBs). The current study used a moderated mediation model to investigate the role of family connection in the relationship between AFEs and HWBs for children with behavioral difficulties.
Youth (6-17 years old; n = 13,921) from the 2016 National Survey of Children's Health data set were included in the study.
Family connection mediated the relationship between AFEs and each HWB. The models of physical activity and screen time had significant direct effects. Behavioral difficulties moderated the direct effect of AFEs and screen time and physical activity.
Family connection mediated the relationships between each HWB and AFEs. The findings suggest that for children without behavioral difficulties, family connection was a stronger protective factor for adequate physical activity and decreased screen time.
不良家庭经历（AFEs），包括父母离婚和家庭暴力，会对肥胖相关行为和参与健康体重行为（HWBs）产生负面影响。本研究使用调节中介模型来探讨家庭联系在行为困难儿童的 AFEs 和 HWBs 之间的关系中的作用。
本研究纳入了来自 2016 年全国儿童健康调查数据集中的青少年（6-17 岁；n=13921）。
家庭联系中介了 AFEs 和每种 HWB 之间的关系。模型中的体力活动和屏幕时间有显著的直接效应。行为困难程度调节了 AFEs 和屏幕时间以及体力活动的直接效应。
家庭联系中介了每种 HWB 和 AFEs 之间的关系。研究结果表明，对于没有行为困难的儿童，家庭联系是充足的体力活动和减少屏幕时间的更强保护因素。
