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提高非裔美国青少年的饮食依从性:养育方式和与食物相关行为的作用。

Enhancing dietary adherence among African-American adolescents: the role of parenting styles and food-related practices.

作者信息

Ardakani Azam, Monroe-Lord Lillie, Wakefield Dorothy, Castor Chimene

机构信息

College of Agriculture, Urban Sustainability and Environmental Sciences, University of the District of Columbia, Washington, DC, United States.

Department of Nutritional Sciences, Howard University, Washington, DC, United States.

出版信息

Front Nutr. 2024 May 9;11:1254338. doi: 10.3389/fnut.2024.1254338. eCollection 2024.

Abstract

INTRODUCTION

Parenting styles (PSs) and food-related parenting practices (FPPs) play a crucial role in shaping adolescent eating behavior. This study aimed to investigate the relationship between the different PSs and FPPs of African-American families and the frequency of consumption of MyPlate food items by adolescents based on recommendations from the Dietary Guidelines for Americans (DGA).

METHODS

This study used a cross-sectional design. Data collection was conducted using Qualtrics through an online survey of 211 African-American parents and their adolescents aged 10-17-year-old. Adolescents completed the Youth and Adolescent Food Frequency Questionnaire to assess their dietary behavior, while parents filled out the survey to identify the degree of PSs (i.e., authoritative, authoritarian, setting rules, and neglecting) and FPPs (i.e., monitoring, reasoning, copying, and modeling). Spearman's rank correlation coefficient, Wilcoxon rank-sum test, and stepwise logistic regression were performed to determine the answers to the research questions.

RESULTS

For fruit consumption, authoritative parenting significantly reduced the likelihood of adherence to DGA, while authoritarian, monitoring, and reasoning practices increased it. Female adolescents were more likely to meet fruit intake recommendations, with a similar positive impact observed for those whose parents had above high school education. In vegetable intake, authoritarian and monitoring practices positively impact on adherence to DGA, whereas setting rules had a detrimental impact. Being in a married household also increased vegetable intake DGA adherence. For grain consumption, reasoning was a significant positive predictor, while setting rules negatively impacted adherence. Dairy DGA adherence was positively impacted by monitoring and copying practices, but negatively impacted by female gender. Protein intake showed a positive association with reasoning and parental education.

DISCUSSION

Our findings confirm the importance of parenting in developing desired eating behaviors among African-American adolescents. The results of this study can be used to develop culture-based nutritional education programs for parents and youth.

摘要

引言

育儿方式(PSs)和与食物相关的育儿行为(FPPs)在塑造青少年饮食行为方面起着至关重要的作用。本研究旨在根据《美国膳食指南》(DGA)的建议,调查非裔美国家庭不同的育儿方式和食物相关育儿行为与青少年食用“我的餐盘”食物项目频率之间的关系。

方法

本研究采用横断面设计。通过Qualtrics对211名非裔美国家长及其10至17岁的青少年进行在线调查来收集数据。青少年完成青少年食物频率问卷以评估他们的饮食行为,而家长填写调查问卷以确定育儿方式(即权威型、专制型、制定规则型和忽视型)和食物相关育儿行为(即监督、说理、模仿和示范)的程度。进行斯皮尔曼等级相关系数、威尔科克森秩和检验以及逐步逻辑回归以确定研究问题的答案。

结果

在水果消费方面,权威型育儿显著降低了遵循DGA的可能性,而专制型、监督和说理行为则增加了这种可能性。女性青少年更有可能达到水果摄入量建议,父母受过高中以上教育的青少年也有类似的积极影响。在蔬菜摄入量方面,专制型和监督行为对遵循DGA有积极影响,而制定规则则有不利影响。生活在已婚家庭中也增加了蔬菜摄入量对DGA的遵循。对于谷物消费,说理是一个显著的积极预测因素,而制定规则对遵循有负面影响。乳制品对DGA的遵循受到监督和模仿行为的积极影响,但受到女性性别的负面影响。蛋白质摄入量与说理和父母教育呈正相关。

讨论

我们的研究结果证实了育儿在培养非裔美国青少年期望的饮食行为方面的重要性。本研究结果可用于为家长和青少年制定基于文化的营养教育计划。

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