University of Minnesota School of Nursing, Minneapolis, MN, United States.
University of Minnesota School of Public Health, Division of Epidemiology, Minneapolis, MN, United States.
J Nutr Educ Behav. 2023 Feb;55(2):105-113. doi: 10.1016/j.jneb.2022.08.014. Epub 2022 Oct 27.
To examine associations between food insecurity and parent feeding practices for children ages 7-12 years; to determine differences between cohorts in urban and rural communities.
Secondary analysis using baseline data from 2 randomized controlled trials: HOME Plus (urban) and NU-HOME (rural).
Convenience sample of 264 parent-child dyads. Children were 51.5% female, 9.28 ± 1.45 years.
Dependent variables included the Child Feeding Questionnaire (CFQ) restrictive feeding subscale, parent modeling of fruits and vegetables score, and family meal frequency (FMF) at breakfast and the evening meal. Food insecurity was the primary independent variable.
Multivariable linear or Poisson regression for each outcome.
Food insecurity was associated with a 26% lower weekly rate of FMF at breakfast (95% CI 6%-42%; p=0.02). In stratified analysis, this association was only in the rural NU-HOME study (44% lower weekly rate; 95% CI 19%-63%; p=0.003). Food insecurity was not associated with CFQ restrictive score, parent modeling score, or FMF at the evening meal.
Food insecurity was associated with less frequent family breakfast, but not with other parent feeding practices. Future studies could investigate supportive mechanisms for positive feeding practices in households experiencing food insecurity.
探讨 7-12 岁儿童的食物不安全与父母喂养行为之间的关联；并确定城乡社区队列之间的差异。
利用两项随机对照试验（HOME Plus[城市]和 NU-HOME[农村]）的基线数据进行二次分析。
方便选取的 264 对父母-儿童对子。儿童中 51.5%为女性，年龄为 9.28±1.45 岁。
因变量包括儿童喂养问卷（CFQ）中的限制喂养分量表、父母对水果和蔬菜的示范评分，以及早餐和晚餐时的家庭用餐频率（FMF）。食物不安全是主要的独立变量。
针对每个结果进行多变量线性或泊松回归分析。
食物不安全与早餐时每周 FMF 频率降低 26%相关（95%CI：6%-42%；p=0.02）。在分层分析中，这种关联仅在农村的 NU-HOME 研究中存在（每周 FMF 频率降低 44%；95%CI：19%-63%；p=0.003）。食物不安全与 CFQ 限制分数、父母示范评分或晚餐时的 FMF 无关。
食物不安全与家庭早餐频率降低有关，但与其他父母喂养行为无关。未来的研究可以调查在经历食物不安全的家庭中支持积极喂养行为的机制。
