Castelo Saragosa Amanda, Moonie Sheniz, Johansen Christopher, Crittenden Alyssa N, Buccini Gabriela
School of Public Health, Department of Social and Behavioral Health, University of Nevada, Las Vegas, Las Vegas, NV, USA.
School of Public Health, Department of Epidemiology, University of Nevada, Las Vegas, Las Vegas, NV, USA.
Public Health Nutr. 2025 Jan 30;28(1):e42. doi: 10.1017/S1368980025000096.
Early childhood obesity (ECO) significantly increased in the USA. ECO interventions lack focus on the prevention of ECO for infants under 2. Caregiver's feeding styles (CFS) have been shown to affect ECO development, but studies on CFS are limited. This study examined socio-ecological factors associated with CFS for infants under 2 in Nevada.
This cross-sectional study utilising a survey examined the five CFS constructs: responsive (RP), non-responsive (NRP) Laissez-Faire, NRP pressuring, NRP restrictive and NRP indulgent. Descriptive analysis and logistic regression following a hierarchical modelling approach were used to determine the associations between the CFS constructs and socio-ecological factors (e.g. household, maternal mental health and infant feeding).
Clark County, Nevada.
304 caregivers with infants under 2.
NRP-feeding styles were associated with low-income households (e.g. NRP restrictive (adjusted OR (AOR) = 2·60, 95 % CI (1·01, 6·71))), water insecurity (e.g. NRP pressuring (AOR = 2·46, 95 % CI (1·00, 6·06)), young mothers (e.g. NRP-Laissez-Faire (AOR = 2·39, 95 % CI (1·00, 5·84))), lower maternal education (e.g. RP (AOR = 0·58, 95 % CI (0·33, 1·00))), mild risk for depression (e.g. NRP restrictive (AOR = 0·50, 95 % CI (0·28, 0·90))) and a moderate to severe risk for anxiety (e.g. NRP pressuring (AOR = 0·32, 95 % CI (0·14, 0·74))). There were no associations between infant-feeding factors and RP feeding.
Our study identified socio-ecological factors associated with dissimilarities in CFS in Nevada. These findings can be used to tailor educational approaches to address disparities in ECO.
美国幼儿肥胖（ECO）现象显著增加。ECO干预措施缺乏对2岁以下婴儿预防ECO的关注。已表明照顾者的喂养方式（CFS）会影响ECO的发展，但关于CFS的研究有限。本研究调查了内华达州与2岁以下婴儿CFS相关的社会生态因素。
本横断面研究采用一项调查，考察了CFS的五个构成要素：响应式（RP）、无响应式（NRP）放任型、NRP施压型、NRP限制型和NRP纵容型。采用描述性分析和遵循分层建模方法的逻辑回归来确定CFS构成要素与社会生态因素（如家庭、母亲心理健康和婴儿喂养）之间的关联。
内华达州克拉克县。
304名有2岁以下婴儿的照顾者。
NRP喂养方式与低收入家庭相关（如NRP限制型（调整后比值比（AOR）=2.60，95%置信区间（CI）（1.01，6.71）））、用水不安全（如NRP施压型（AOR=2.46，95%CI（1.00，6.06）））、年轻母亲（如NRP放任型（AOR=2.39，95%CI（1.00，5.84）））、母亲教育程度较低（如RP（AOR=0.58，95%CI（0.33，1.00）））、轻度抑郁风险（如NRP限制型（AOR=0.50，95%CI（0.28，0.90）））以及中度至重度焦虑风险（如NRP施压型（AOR=0.32，95%CI（0.14，0.74）））。婴儿喂养因素与RP喂养之间无关联。
我们的研究确定了内华达州与CFS差异相关的社会生态因素。这些发现可用于调整教育方法，以解决ECO方面的差异。
