美国祖父母主导家庭与父母主导家庭中照顾者对儿童超重/肥胖问题的担忧

Caregiver Concern About Child Overweight/Obesity in Grandparent Versus Parent-Headed Households in the United States.

作者信息

Yisahak Samrawit F, Khalsa Amrik S, Keim Sarah A

机构信息

Center for Biobehavioral Health (SF Yisahak, SA Keim), Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics (SF Yisahak, AS Khalsa, SA Keim), College of Medicine, The Ohio State University, Columbus, Ohio.

Division of Primary Care Pediatrics (AS Khalsa), Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics (SF Yisahak, AS Khalsa, SA Keim), College of Medicine, The Ohio State University, Columbus, Ohio; Center for Child Health Equity and Outcomes Research (AS Khalsa), Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.

出版信息

Acad Pediatr. 2023 Jan-Feb;23(1):117-122. doi: 10.1016/j.acap.2022.07.019. Epub 2022 Jul 31.

DOI:10.1016/j.acap.2022.07.019

PMID:35921996

Abstract

OBJECTIVE

To examine the association of caregivers' concern about children's overweight and obesity status with family structure (grandparent versus parent-headed households).

METHODS

Caregivers reported their relation to the child aged 10 to 17 years and the child's weight and height (National Survey of Children's Health 2016-20). Overweight/obesity was calculated using Centers for Disease Control and Prevention growth charts. We estimated associations (prevalence odds ratio) of residing in a grandparent-headed household with lack of weight concern (responding "Yes, it's too low" or "No, not concerned" to "Are you concerned about this child's weight?") among propensity score-matched children with overweight and obesity. Covariates included child's sex, race, ethnicity, age, family poverty ratio, primary household language, highest level of education among reported adults, caregiver mental and emotional health, usual source of care and survey year.

RESULTS

The prevalence of child overweight/obesity was higher in grandparent-headed households. Among children with overweight/obesity, 64.65 (SE = 3.27)% of grandparents and 66.55 (SE = 0.81)% of parents did not express concern about the child's weight status. Among children with obesity, it was 52.42 (SE = 4.63)% and 49.04 (SE = 1.28)%, respectively. Family structure was not associated with caregiver lack of weight concern in propensity score-matched samples.

CONCLUSIONS

Appropriate caregiver concern about child's weight status was low in both grandparent and parent-headed households in the United States.

摘要

目的

研究照顾者对儿童超重和肥胖状况的担忧与家庭结构（由祖父母主导的家庭与由父母主导的家庭）之间的关联。

方法

照顾者报告其与10至17岁儿童的关系以及儿童的体重和身高（2016 - 2020年全国儿童健康调查）。超重/肥胖状况通过疾病控制与预防中心的生长图表计算得出。我们在倾向得分匹配的超重和肥胖儿童中，估计了居住在由祖父母主导的家庭中且照顾者对体重缺乏担忧（对“您是否担心这个孩子的体重？”回答“是的，体重过低”或“不，不担心”）的关联（患病率比值比）。协变量包括儿童的性别、种族、族裔、年龄、家庭贫困率、家庭主要语言、报告的成年人中的最高教育水平、照顾者的心理和情绪健康、通常的照顾来源以及调查年份。

结果

在由祖父母主导的家庭中，儿童超重/肥胖的患病率更高。在超重/肥胖儿童中，64.65（标准误 = 3.27）%的祖父母和66.55（标准误 = 0.81）%的父母没有表达对孩子体重状况的担忧。在肥胖儿童中，这一比例分别为52.42（标准误 = 4.63）%和49.04（标准误 = 1.28）%。在倾向得分匹配的样本中，家庭结构与照顾者对体重缺乏担忧无关。