Vanderbilt University School of Medicine, Nashville, TN, USA.
EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal.
Appetite. 2022 Jan 1;168:105753. doi: 10.1016/j.appet.2021.105753. Epub 2021 Oct 12.
Parents' food-related and general parenting behaviors may vary according to cultural background, with consequences for child eating behavior and weight. A better understanding of food-related and general parenting behaviors adopted by Chinese-American parents, and the relationships of all of these behaviors with child weight, is essential to aid the development of culturally appropriate interventions to prevent obesity in Chinese-American children. We investigated cross-sectional relationships of acculturation with parental feeding behaviors assessed with the Child Feeding Questionnaire, Parent Feeding Styles Questionnaire and Caregiver's Feeding Styles Questionnaire, and general parenting behaviors assessed with the Parenting Styles and Dimensions Questionnaire, in a sample of Chinese-American parents of 5-12 year-old children (n = 233). Parental level of acculturation was assessed using the Suinn-Lew Asian Self-Identity Acculturation scale. We performed generalized linear regressions to explore associations of acculturation levels with parental feeding and general parenting subscales and also associations of these factors with child body mass index (BMI) z-score. Acculturation was associated with higher scores on Responsiveness in feeding, lower scores on subscales assessing controlling feeding behaviors (Restriction, Pressure to eat, Demandingness in feeding), lower scores on non-nutritive feeding behaviors (Emotional feeding, Instrumental feeding), and greater likelihood of an indulgent feeding style. With regard to general parenting, acculturation was associated with lower scores on subscales assessing authoritarian parenting. Parental Prompting/Encouragement to eat was associated with lower child BMI z-score, while authoritarian parenting subscales were associated with higher BMI z-score. An appreciation of the impact of cultural variation on food-related and general parenting may help to inform the development of culturally-sensitive obesity prevention interventions.
父母的与食物相关的和一般的育儿行为可能因文化背景而异，这对儿童的饮食行为和体重有影响。更好地了解美籍华裔父母采用的与食物相关的和一般的育儿行为，以及所有这些行为与儿童体重的关系，对于帮助制定针对美籍华裔儿童肥胖的文化适宜干预措施至关重要。我们使用儿童喂养问卷、父母喂养方式问卷和照顾者喂养方式问卷评估了父母的喂养行为，使用父母养育方式和维度问卷评估了父母的一般养育行为，调查了这些行为与儿童体重之间的关系，该研究对 233 名 5-12 岁美籍华裔儿童的父母进行了横断面研究。使用 Suinn-Lew 亚洲自我认同适应量表评估了父母的文化适应程度。我们进行了广义线性回归，以探索文化适应程度与父母喂养和一般养育子量表之间的关联，以及这些因素与儿童体重指数（BMI）z 分数之间的关联。文化适应与喂养时的响应性得分较高、控制喂养行为（限制、强迫进食、喂养要求）的得分较低、非营养性喂养行为（情感喂养、工具性喂养）得分较低、以及更倾向于放纵喂养方式有关。关于一般养育，文化适应与权威性养育子量表的得分较低有关。父母鼓励进食与儿童 BMI z 分数较低有关，而权威性养育子量表与较高的 BMI z 分数有关。对文化差异对与食物相关的和一般的育儿行为的影响的认识可能有助于为文化敏感的肥胖预防干预措施的制定提供信息。
