Colin J Orr1, Sophie Ravanbakht2, Kori B Flower3, H Shonna Yin4, Russell L Rothman5, Lee M Sanders6, Alan Delamater7, Eliana M Perrin2. 1. Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel (CJ Orr and KB Flower), Chapel Hill, NC. Electronic address: colin_orr@med.unc.edu. 2. Department of Pediatrics and Duke Center for Childhood Obesity Research, Duke University School of Medicine (S Ravanbakht and EM Perrin), Durham, NC. 3. Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel (CJ Orr and KB Flower), Chapel Hill, NC. 4. Department of Pediatrics and Department of Population Health, New York University School of Medicine (HS Yin) New York, NY. 5. Division of General and Internal Medicine, Department of Medicine, Vanderbilt University Medical Center (RL Rothman), Nashville, Tenn; Center for Health Services Research, Vanderbilt University Medical Center (RL Rothman), Nashville, Tenn. 6. General Pediatrics, Department of Pediatrics, Stanford University of School of Medicine (LM Sanders), Stanford, Calif. 7. Mailman Center for Child Development, University of Miami Miller School of Medicine (A Delamater), Miami, Fla.
Abstract
OBJECTIVE: We examined associations between household food insecurity status and parental feeding behavior, weight perception, and child weight status in a diverse sample of young children. METHODS: Cross-sectional analysis of 2-year-old children in Greenlight, a cluster randomized trial to prevent childhood obesity. The exposure was food insecurity, defined as a positive response to a validated screen. Outcomes were parent feeding behaviors/beliefs measured by the Child Feeding Questionnaire and child weight status. t tests and linear regression were used to assess associations between food insecurity and each outcome. We adjusted for child sex, race/ethnicity, parent education, employment, site, number of children in the home, and Special Supplemental Nutrition Program for Women, Infants, and Children status. RESULTS: Five hundred three households (37%) were food insecure. After adjusting for covariates, parents from insecure households reported more pressuring feeding behaviors (mean factor score 3.2 compared to food secure parents mean factor score 2.9, P = .01) and were more worried about their child becoming overweight (mean factor score 2.3 vs 2.0; P = .02). No differences were observed in monitoring or restrictive feeding behaviors. After adjusting for covariates, there was no difference in weight status or prevalence of overweight/obesity of children or parents based on household food insecurity status. CONCLUSIONS: Parents from food insecure households reported more pressuring feeding behaviors. This finding underscores the need to address food insecurity and potentially prevent harmful effects on child feeding. Parents in food insecure households might benefit from linkage with resources and education to develop healthier feeding behaviors.
OBJECTIVE: We examined associations between household food insecurity status and parental feeding behavior, weight perception, and child weight status in a diverse sample of young children. METHODS: Cross-sectional analysis of 2-year-old children in Greenlight, a cluster randomized trial to prevent childhood obesity. The exposure was food insecurity, defined as a positive response to a validated screen. Outcomes were parent feeding behaviors/beliefs measured by the Child Feeding Questionnaire and child weight status. t tests and linear regression were used to assess associations between food insecurity and each outcome. We adjusted for child sex, race/ethnicity, parent education, employment, site, number of children in the home, and Special Supplemental Nutrition Program for Women, Infants, and Children status. RESULTS: Five hundred three households (37%) were food insecure. After adjusting for covariates, parents from insecure households reported more pressuring feeding behaviors (mean factor score 3.2 compared to food secure parents mean factor score 2.9, P = .01) and were more worried about their child becoming overweight (mean factor score 2.3 vs 2.0; P = .02). No differences were observed in monitoring or restrictive feeding behaviors. After adjusting for covariates, there was no difference in weight status or prevalence of overweight/obesity of children or parents based on household food insecurity status. CONCLUSIONS: Parents from food insecure households reported more pressuring feeding behaviors. This finding underscores the need to address food insecurity and potentially prevent harmful effects on child feeding. Parents in food insecure households might benefit from linkage with resources and education to develop healthier feeding behaviors.
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