Foster Byron A, Linville Deanna, Miller-Bedell Emma Rose, Mahjoub Hannah
Department of Pediatrics, Oregon Health and Science University, Portland, OR97239, USA.
School of Public Health, Oregon Health and Science University and Portland State University, Portland, OR, USA.
Public Health Nutr. 2022 Sep 5;25(12):1-6. doi: 10.1017/S1368980022001884.
To examine the association between food security and feeding practices in Latinx parents of pre-school-aged children and examine possible effect modification by parental self-efficacy.
Cross-sectional assessment using the US Department of Agriculture screener for food insecurity as the exposure and sub-scales of the Comprehensive Feeding Practices Questionnaire as the outcome with the General Self-Efficacy Scale as an effect modifier. Non-parametric descriptive statistics were used to compare groups based on food security status.
Two Latinx communities with low-socioeconomic status in Texas in 2017 and in Oregon in 2018-2019.
Latinx parents of preschool aged children, English and Spanish speaking. Dyads were excluded if they had moderate-severe developmental disabilities, a seizure disorder with a restrictive diet or taking medications known to influence typical growth.
Of the 168 families in Oregon, 65 (38 %) reported food insecurity, and 10 (21 %) of the 48 families in Texas reported food insecurity. Food security was associated with greater parental monitoring practices in both the Texas and Oregon samples. We observed no differences in creating a healthy home food environment by food security status in either sample. Parental general self-efficacy showed evidence of effect modification in Oregon - only parents with lower self-efficacy showed a significant association between food security and feeding practices.
Latinx parents of preschool children experience high levels of food insecurity, which are associated with maladaptive parental feeding practices. Greater parental general self-efficacy moderates this association and could buffer the effects of food insecurity on children's health.
研究学龄前儿童的拉丁裔父母的食品安全与喂养方式之间的关联，并探讨父母自我效能感可能产生的效应修正作用。
采用美国农业部粮食不安全筛查工具作为暴露因素，以综合喂养方式问卷的子量表作为结果变量，以一般自我效能量表作为效应修饰变量进行横断面评估。使用非参数描述性统计方法，根据食品安全状况对各组进行比较。
2017年在得克萨斯州以及2018 - 2019年在俄勒冈州的两个社会经济地位较低的拉丁裔社区。
讲英语和西班牙语的学龄前儿童的拉丁裔父母。如果双亲中有中度至重度发育障碍、患有饮食受限的癫痫症或正在服用已知会影响正常生长的药物，则将其排除。
在俄勒冈州的168个家庭中，65个（38%）报告存在粮食不安全问题；在得克萨斯州的48个家庭中，10个（21%）报告存在粮食不安全问题。在得克萨斯州和俄勒冈州的样本中，食品安全与父母更强的监督行为相关。在两个样本中，我们均未观察到根据食品安全状况在营造健康家庭饮食环境方面存在差异。在俄勒冈州，父母的一般自我效能感显示出效应修正的证据——只有自我效能感较低的父母，食品安全与喂养方式之间才存在显著关联。
学龄前儿童的拉丁裔父母面临着较高程度的粮食不安全问题，这与父母不适当的喂养方式有关。更高的父母一般自我效能感可调节这种关联，并可能缓冲粮食不安全对儿童健康的影响。
