H Shonna Yin1, Lee M Sanders2, Russell L Rothman3, Rachel Shustak4, Svetlana K Eden5, Ayumi Shintani5, Maria E Cerra4, Evelyn F Cruzatte4, Eliana M Perrin6. 1. Department of Pediatrics, New York University School of Medicine, New York, NY. Electronic address: yinh02@med.nyu.edu. 2. Department of Pediatrics and Center for Health Policy, Stanford University, Stanford, CA. 3. Department of Internal Medicine and Pediatrics, Vanderbilt University Medical Center, Nashville, TN. 4. Department of Pediatrics, New York University School of Medicine, New York, NY. 5. Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN. 6. Department of Pediatrics, University of North Carolina at Chapel Hill School of Medicine and Cecil G. Sheps Center for Health Services Research, Chapel Hill, NC.
Abstract
OBJECTIVE: To examine the relationship between parent health literacy and "obesogenic" infant care behaviors. STUDY DESIGN: Cross-sectional analysis of baseline data from a cluster randomized controlled trial of a primary care-based early childhood obesity prevention program (Greenlight). English- and Spanish-speaking parents of 2-month-old children were enrolled (n = 844). The primary predictor variable was parent health literacy (Short Test of Functional Health Literacy in Adults; adequate ≥ 23; low <23). Primary outcome variables involving self-reported obesogenic behaviors were: (1) feeding content (more formula than breast milk, sweet drinks, early solid food introduction), and feeding style-related behaviors (pressuring to finish, laissez-faire bottle propping/television [TV] watching while feeding, nonresponsiveness in letting child decide amount to eat); and (2) physical activity (tummy time, TV). Multivariate logistic regression analyses (binary, proportional odds models) performed adjusting for child sex, out-of-home care, Women, Infants, and Children program status, parent age, race/ethnicity, language, number of adults/children in home, income, and site. RESULTS: Eleven percent of parents were categorized as having low health literacy. Low health literacy significantly increased the odds of a parent reporting that they feed more formula than breast milk, (aOR = 2.0 [95% CI: 1.2-3.5]), immediately feed when their child cries (aOR = 1.8 [1.1-2.8]), bottle prop (aOR = 1.8 [1.002-3.1]), any infant TV watching (aOR = 1.8 [1.1-3.0]), and inadequate tummy time (<30 min/d), (aOR = 3.0 [1.5-5.8]). CONCLUSIONS: Low parent health literacy is associated with certain obesogenic infant care behaviors. These behaviors may be modifiable targets for low health literacy-focused interventions to help reduce childhood obesity.
OBJECTIVE: To examine the relationship between parent health literacy and "obesogenic" infant care behaviors. STUDY DESIGN: Cross-sectional analysis of baseline data from a cluster randomized controlled trial of a primary care-based early childhood obesity prevention program (Greenlight). English- and Spanish-speaking parents of 2-month-old children were enrolled (n = 844). The primary predictor variable was parent health literacy (Short Test of Functional Health Literacy in Adults; adequate ≥ 23; low <23). Primary outcome variables involving self-reported obesogenic behaviors were: (1) feeding content (more formula than breast milk, sweet drinks, early solid food introduction), and feeding style-related behaviors (pressuring to finish, laissez-faire bottle propping/television [TV] watching while feeding, nonresponsiveness in letting child decide amount to eat); and (2) physical activity (tummy time, TV). Multivariate logistic regression analyses (binary, proportional odds models) performed adjusting for child sex, out-of-home care, Women, Infants, and Children program status, parent age, race/ethnicity, language, number of adults/children in home, income, and site. RESULTS: Eleven percent of parents were categorized as having low health literacy. Low health literacy significantly increased the odds of a parent reporting that they feed more formula than breast milk, (aOR = 2.0 [95% CI: 1.2-3.5]), immediately feed when their child cries (aOR = 1.8 [1.1-2.8]), bottle prop (aOR = 1.8 [1.002-3.1]), any infant TV watching (aOR = 1.8 [1.1-3.0]), and inadequate tummy time (<30 min/d), (aOR = 3.0 [1.5-5.8]). CONCLUSIONS: Low parent health literacy is associated with certain obesogenic infant care behaviors. These behaviors may be modifiable targets for low health literacy-focused interventions to help reduce childhood obesity.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Amanda L Thompson; Michelle A Mendez; Judith B Borja; Linda S Adair; Catherine R Zimmer; Margaret E Bentley Journal: Appetite Date: 2009-07-01 Impact factor: 3.868
Authors: Sharon L Hoerr; Sheryl O Hughes; Jennifer O Fisher; Theresa A Nicklas; Yan Liu; Richard M Shewchuk Journal: Int J Behav Nutr Phys Act Date: 2009-08-13 Impact factor: 6.457
Authors: Dean Schillinger; John Piette; Kevin Grumbach; Frances Wang; Clifford Wilson; Carolyn Daher; Krishelle Leong-Grotz; Cesar Castro; Andrew B Bindman Journal: Arch Intern Med Date: 2003-01-13
Authors: Abby D Altazan; L Anne Gilmore; Juen Guo; David M Rosenberg; Danielle Toupo; Aaron Gowins; Jeffrey H Burton; Robbie A Beyl; Carson C Chow; Kevin D Hall; Leanne M Redman Journal: Pediatr Obes Date: 2019-07-26 Impact factor: 4.000
Authors: Eleanor Bathory; Suzy Tomopoulos; Russell Rothman; Lee Sanders; Eliana M Perrin; Alan Mendelsohn; Benard Dreyer; Maria Cerra; H Shonna Yin Journal: Acad Pediatr Date: 2016-03-12 Impact factor: 3.107
Authors: Lee M Sanders; Eliana M Perrin; H Shonna Yin; Alan M Delamater; Kori B Flower; Aihua Bian; Jonathan S Schildcrout; Russell L Rothman Journal: Pediatrics Date: 2021-05 Impact factor: 7.124
Authors: Ana Cristina Lindsay; Mary L Greaney; Sherrie F Wallington; Julie A Wright; Anne T Hunt Journal: Int J Environ Res Public Health Date: 2017-08-02 Impact factor: 3.390
Authors: Kylie D Hesketh; Katherine L Downing; Karen Campbell; David Crawford; Jo Salmon; Jill A Hnatiuk Journal: BMC Public Health Date: 2017-11-20 Impact factor: 3.295