拉丁裔祖辈影响家庭健康行为的机会：“健康美国祖辈研究”（HUGS）。

Latino grandparent opportunity to influence family health behaviors: The Healthy Us Grandparent Study (HUGS).

机构信息

College of Nursing and Health Sciences.

Department of Kinesiology.

出版信息

Fam Syst Health. 2021 Sep;39(3):413-425. doi: 10.1037/fsh0000634.

DOI:10.1037/fsh0000634

PMID:34807643

Abstract

INTRODUCTION

Latino children are the fastest growing population of obese children in the United States, the most obese group of children by race and a significant disparity in childhood obesity. Extended family, often grandparents, are traditionally involved in childcare in Latino family structure, yet their influence on family health behaviors is unclear. This study explored grandparent involvement in the care of Latino children in South Texas and their possible influence on child body mass index (BMI) and family health behaviors to determine if they present an opportunity to improve child obesity treatment plans.

METHODS

Partnering with the local school district, we surveyed parents (N = 174) and grandparents (N = 108) of 188 Latino, primary school-age children regarding grandparent care and family health behaviors. We weighed, measured, and interviewed children regarding grandparent care and their own health behaviors.

RESULTS

All groups exceeded state and national obesity rates, with almost half the children in overweight or obese categories. Grandparents were routinely present in 30%-67% of the children sampled, dependent on respondent group. We found no significant relationship between grandparent involvement and child BMI, however grandparent cohabitation with the family was associated with less fast-food consumption by children (p = .001) and parents (p = .006) and healthier diet scores for children (p = .008) and grandparents (p = .004). More frequent exercise by parents (r = .33, p = .001) and grandparents (r = .25, p = .012) was associated with more frequent exercise by children.

DISCUSSION

This study enhances understanding of grandparent involvement in the care of Latino children and illuminates opportunities to involve grandparents in family-focused, community-supported interventions, incorporating cultural understanding in decreasing Latino childhood obesity. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

引言

在美国，拉丁裔儿童是肥胖儿童中增长最快的群体，是按种族划分的最肥胖的儿童群体，也是儿童肥胖症存在显著差异的群体。大家庭，通常是祖父母，传统上参与拉丁裔家庭结构的儿童保育，但他们对家庭健康行为的影响尚不清楚。本研究探讨了南德克萨斯州拉丁裔儿童的祖父母参与照顾儿童的情况，以及他们对儿童体重指数（BMI）和家庭健康行为的可能影响，以确定他们是否有机会改善儿童肥胖症治疗计划。

方法

与当地学区合作，我们调查了 188 名拉丁裔小学生的父母（N=174）和祖父母（N=108），了解他们对孙辈的照顾情况和家庭健康行为。我们对孩子进行了体重、身高测量和访谈，了解他们的照顾情况和自己的健康行为。

结果

所有群体的肥胖率都超过了州和国家的肥胖率，几乎有一半的孩子超重或肥胖。根据受访者群体的不同，祖父母的日常参与率在 30%-67%之间。我们发现，祖父母的参与程度与孩子的 BMI 之间没有显著关系，但与家庭同住的祖父母与孩子（p=.001）和父母（p=.006）少吃快餐以及孩子（p=.008）和祖父母（p=.004）的饮食更健康有关。父母（r=.33，p=.001）和祖父母（r=.25，p=.012）更频繁的锻炼与孩子更频繁的锻炼有关。