Jennifer Wang1, Priya Fielding-Singh2. 1. Emmett Interdisciplinary Program in Environment and Resources, Stanford University, Stanford, California. Electronic address: jw56@stanford.edu. 2. Department of Sociology, Stanford University, Stanford, California.
Abstract
PURPOSE: The prevalence of unhealthy dietary behaviors among adolescents is high. We examined the effect of having health-oriented food rules at home on the healthiness of adolescents' independent food choices, and the necessity of parental oversight for such rules to be effective. METHODS: We surveyed a socioeconomically and racially diverse San Francisco Bay Area public high school in May 2017 (N = 1,246). We used ordinal logistic regressions to assess the relationships between adolescent-reported presence of health-oriented food rules at home and the healthiness of snacks selected by adolescents in a raffle, which included a randomized controlled experiment to manipulate the level of parental approval students needed to pick up their snacks. RESULTS: Adolescents reporting at least one health-oriented food rule at home were significantly more likely to choose healthier snacks in the raffle (adjusted odds ratio, 1.85; 95% confidence interval [CI] 1.41-2.45). Telling adolescents that a parent needed to approve the snacks did not have a significant effect on snack choice healthiness relative to a no-approval baseline condition (adjusted odds ratio, 1.01; 95% CI .55-1.86). Post hoc analyses suggest that rules may affect adolescent food-related attitudes and perceptions of parental reactions; for example, adolescents with rules reported that their parents would be more disappointed (adjusted mean difference on five-point scale, .5; 95% CI .36-.64) if they made an unhealthy food choice. CONCLUSIONS: Having health-oriented food rules at home is associated with healthier snack choices. Findings suggest that adolescents with rules also hold beliefs that may correspond to healthier independent dietary choices.
PURPOSE: The prevalence of unhealthy dietary behaviors among adolescents is high. We examined the effect of having health-oriented food rules at home on the healthiness of adolescents' independent food choices, and the necessity of parental oversight for such rules to be effective. METHODS: We surveyed a socioeconomically and racially diverse San Francisco Bay Area public high school in May 2017 (N = 1,246). We used ordinal logistic regressions to assess the relationships between adolescent-reported presence of health-oriented food rules at home and the healthiness of snacks selected by adolescents in a raffle, which included a randomized controlled experiment to manipulate the level of parental approval students needed to pick up their snacks. RESULTS: Adolescents reporting at least one health-oriented food rule at home were significantly more likely to choose healthier snacks in the raffle (adjusted odds ratio, 1.85; 95% confidence interval [CI] 1.41-2.45). Telling adolescents that a parent needed to approve the snacks did not have a significant effect on snack choice healthiness relative to a no-approval baseline condition (adjusted odds ratio, 1.01; 95% CI .55-1.86). Post hoc analyses suggest that rules may affect adolescent food-related attitudes and perceptions of parental reactions; for example, adolescents with rules reported that their parents would be more disappointed (adjusted mean difference on five-point scale, .5; 95% CI .36-.64) if they made an unhealthy food choice. CONCLUSIONS: Having health-oriented food rules at home is associated with healthier snack choices. Findings suggest that adolescents with rules also hold beliefs that may correspond to healthier independent dietary choices.
Authors: Mark A Fleming; William J Kane; Max O Meneveau; Christopher C Ballantyne; Daniel E Levin Journal: Child Obes Date: 2021-01-22 Impact factor: 2.992
Authors: Jinan Banna; Rickelle Richards; Blake Jones; Alex Kojo Anderson; Marla Reicks; Mary Cluskey; Carolyn Gunther; Nobuko Kay Hongu; Karina Lora; Scottie Misner; Lillie Monroe-Lord; Glade Topham; Siew Sun Wong; Eunjung Lim Journal: Int J Environ Res Public Health Date: 2020-02-05 Impact factor: 3.390
Authors: Lillie Monroe-Lord; Blake L Jones; Rickelle Richards; Marla Reicks; Carolyn Gunther; Jinan Banna; Glade L Topham; Alex Anderson; Karina R Lora; Siew Sun Wong; Miriam Ballejos; Laura Hopkins; Azam Ardakani Journal: Int J Environ Res Public Health Date: 2021-12-23 Impact factor: 3.390