未满足的社会需求与健康生活方式育儿行为之间的关联。
Association between unmet social needs and healthy lifestyle parenting behaviors.
作者信息
Egan Kelsey A, Luo Man, Perkins Meghan, Castro Ines, Sandel Megan, Kistin Caroline J, Taveras Elsie M, Fiechtner Lauren
机构信息
Division of General Academic Pediatrics, Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, United States.
Division of General Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, Boston, MA, United States.
出版信息
Front Pediatr. 2023 Feb 23;11:1015610. doi: 10.3389/fped.2023.1015610. eCollection 2023.
OBJECTIVE
To examine cross-sectional associations of food and housing security risks and healthy lifestyle parenting behaviors related to nutrition and physical activity among families with children with overweight/obesity.
METHODS
We surveyed 407 parents of children ages 6-12 years with overweight/obesity. Exposures were measures of food and housing insecurity risk. Outcomes were healthy lifestyle parenting behaviors related to nutrition and physical activity. Logistic regression models for each exposure-outcome relationship were adjusted for parental educational attainment, parental cohabitation status, household size, and household income.
RESULTS
In multivariable-adjusted models, food insecurity was associated with significantly lower odds of parent modeling exercise {aOR 0.60 [95% confidence interval (CI): 0.37, 0.96]} and parent modeling eating healthy foods [aOR 0.42 (95% CI: 0.24, 0.73)]. Housing insecurity was associated with significantly lower odds of parent modeling exercise [aOR 0.57 (95% CI: 0.35, 0.95)].
CONCLUSIONS
Food insecurity and housing insecurity may be barriers to parents adopting and modeling healthy lifestyle parenting behaviors related to physical activity and nutrition.
目的
探讨超重/肥胖儿童家庭中食物和住房安全风险与营养及身体活动相关的健康生活方式养育行为之间的横断面关联。
方法
我们对407名6至12岁超重/肥胖儿童的家长进行了调查。暴露因素为食物和住房不安全风险的测量指标。结果为营养及身体活动相关的健康生活方式养育行为。针对每种暴露-结果关系的逻辑回归模型对父母的教育程度、父母同居状况、家庭规模和家庭收入进行了调整。
结果
在多变量调整模型中，食物不安全与父母示范锻炼的几率显著降低相关{aOR 0.60 [95%置信区间(CI)：0.37，0.96]}，与父母示范健康饮食的几率显著降低相关[aOR 0.42 (95% CI：0.24，0.73)]。住房不安全与父母示范锻炼的几率显著降低相关[aOR 0.57 (95% CI：0.35，0.95)]。
结论
食物不安全和住房不安全可能是父母采取并示范与身体活动和营养相关的健康生活方式养育行为的障碍。
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