OBJECTIVE: To examine parental perceptions of primary care efforts aimed at childhood obesity prevention. METHODS AND PROCEDURES: We interviewed 446 parents of children, aged 2-12 years, with an age- and sex-specific BMI > or =85th percentile; interviews occurred within 2 weeks of their child's primary care visit. We assessed parental ratings of the nutrition and physical activity advice received. Using children's clinical heights and weights and parents' self-reported heights and weights, we classified children into three categories: BMI 85th-94th percentile without an overweight parent, BMI 85th-94th percentile with an overweight parent (adult BMI > or =25 kg/m(2)), and BMI > or =95th percentile. RESULTS: In multivariate analyses, compared to parents of children with BMI > or =95th percentile, overweight parents with children whose BMI was 85th-94th percentile were more likely to report receiving too little advice on nutrition and physical activity (odds ratio (OR) 3.05; 95% confidence interval (CI) 1.49, 6.25) and to rate as poor or fair the quality of advice they received (OR 2.23; 95% CI 1.18, 4.24). Independently, African-American (OR 2.55; 95% CI 1.18, 5.51) and Hispanic/Latino (OR 2.78; 95% CI 1.27, 6.10) parents were more likely than white parents to rate as poor or fair the quality of advice they received. DISCUSSION: Parental overweight is associated with low subjective ratings of overweight counseling in pediatric primary care. Our findings of poorer perceived quality among racial/ethnic minority parents need further investigation.
OBJECTIVE: To examine parental perceptions of primary care efforts aimed at childhood obesity prevention. METHODS AND PROCEDURES: We interviewed 446 parents of children, aged 2-12 years, with an age- and sex-specific BMI > or =85th percentile; interviews occurred within 2 weeks of their child's primary care visit. We assessed parental ratings of the nutrition and physical activity advice received. Using children's clinical heights and weights and parents' self-reported heights and weights, we classified children into three categories: BMI 85th-94th percentile without an overweight parent, BMI 85th-94th percentile with an overweight parent (adult BMI > or =25 kg/m(2)), and BMI > or =95th percentile. RESULTS: In multivariate analyses, compared to parents of children with BMI > or =95th percentile, overweight parents with children whose BMI was 85th-94th percentile were more likely to report receiving too little advice on nutrition and physical activity (odds ratio (OR) 3.05; 95% confidence interval (CI) 1.49, 6.25) and to rate as poor or fair the quality of advice they received (OR 2.23; 95% CI 1.18, 4.24). Independently, African-American (OR 2.55; 95% CI 1.18, 5.51) and Hispanic/Latino (OR 2.78; 95% CI 1.27, 6.10) parents were more likely than white parents to rate as poor or fair the quality of advice they received. DISCUSSION: Parental overweight is associated with low subjective ratings of overweight counseling in pediatric primary care. Our findings of poorer perceived quality among racial/ethnic minority parents need further investigation.
Authors: Delenya Allen; Harolyn M E Belcher; Allen Young; Lillian Williams Gibson; Elizabeth Colantuoni; Maria Trent Journal: Int J Child Health Nutr Date: 2016
Authors: Jennifer A Woo Baidal; Sarah N Price; Elizabeth Gonzalez-Suarez; Matthew W Gillman; Kathleen Mitchell; Sheryl L Rifas-Shiman; Christine M Horan; Steven L Gortmaker; Elsie M Taveras Journal: Clin Pediatr (Phila) Date: 2013-04-05 Impact factor: 1.168
Authors: Amy A Gorin; James Wiley; Christine McCauley Ohannessian; Dominica Hernandez; Autherene Grant; Michelle M Cloutier Journal: BMC Public Health Date: 2014-01-23 Impact factor: 3.295