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Cooper DK, Alonzo JK, Goldson T, Jordan IR, Jatoi F, Mallozzi I, Lupini F. Black and Latiné parents' perspectives on supporting their children's emotional and physical health. JOURNAL OF MARITAL AND FAMILY THERAPY 2024; 50:630-648. [PMID: 38654393 DOI: 10.1111/jmft.12705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 03/21/2024] [Accepted: 03/27/2024] [Indexed: 04/25/2024]
Abstract
Informed by integrative models of cultural resilience, the purpose of this study was to (a) explore how parents are promoting their children's emotional and physical health, with a focus on race and ethnic-racial socialization strategies, and (b) identify the barriers and challenges parents are experiencing in supporting their children's health. Ethnically racially matched qualitative interviews were conducted with 33 parents (82% women, 64% Black, 36% Latiné). Results of thematic analysis revealed three overarching themes: (a) Strategies for Promoting Children's Physical and Emotional Health, (b) Challenges Promoting Children's Physical and Emotional Health, and (c) Impact of Racism on Parenting and Children's Health. Most parents believed that racism had an impact on their parenting decisions and their children's health; however, there were some differences in ethnic-racial socialization practices between Black and Latiné parents. Findings have implications for culturally relevant parenting approaches to support children's emotional and physical health.
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Affiliation(s)
- Daniel K Cooper
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Jayxa K Alonzo
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Tracey Goldson
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Isabel R Jordan
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Fatima Jatoi
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Isabella Mallozzi
- Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, Ohio, USA
| | - Francesca Lupini
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
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González-Campins C, Soler LF, Guasch-Niubó O, San Onofre N, Aguilar Martínez A, Martínez-García A, Manera M, Salvador G, Bach-Faig A. Nutritional Quality of the Mid-Afternoon Snack of Schooled Children between the Ages of 3 and 12 Years in Three Areas in Spain. Nutrients 2024; 16:1944. [PMID: 38931302 PMCID: PMC11206826 DOI: 10.3390/nu16121944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 06/10/2024] [Accepted: 06/12/2024] [Indexed: 06/28/2024] Open
Abstract
BACKGROUND The aim of this study was to analyze the nutritional quality of mid-afternoon snacks for schooled children aged 3 to 12 years in three areas of Catalonia (Spain). METHODS A descriptive observational study collected information on habits and the mid-afternoon snack of 782 schooled children aged 3 to 12 years in three cities, Barcelona, Girona, and Lleida, located in Catalonia (Spain). The children's families voluntarily agreed to complete an online questionnaire that collected information about demographic data and snacking habits in the afternoon, as well as a record of mid-afternoon snack intake over three school days. RESULTS A total of 2163 mid-afternoon snacks were analyzed from a sample of 764 families with 3 to 12 year-old children. Sandwiches emerged as the most prevalent choice, accounting for 41.89%, followed by pastries at 23.86%, fruit at 14.38%, and a combination of fruit and pastries at 6.29%. Of the mid-afternoon snacks recorded, 22.19% were healthy, 20.90% were quite healthy, 12.85% were quite unhealthy, and 44.06% were unhealthy. CONCLUSIONS The nutritional quality of mid-afternoon snacks for a large majority of schooled children should be improved. It is essential to develop food education programs to improve the quality of this intake from early childhood and to consider it as an opportunity to adjust the daily dietary requirements of Spanish children.
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Affiliation(s)
- Cristina González-Campins
- Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou, 156, 08018 Barcelona, Spain; (C.G.-C.); (L.F.S.); (O.G.-N.)
| | - Laura Ferrer Soler
- Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou, 156, 08018 Barcelona, Spain; (C.G.-C.); (L.F.S.); (O.G.-N.)
| | - Olívia Guasch-Niubó
- Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou, 156, 08018 Barcelona, Spain; (C.G.-C.); (L.F.S.); (O.G.-N.)
| | - Nadia San Onofre
- Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, 03690 Sant Vicent del Raspeig, Spain;
- FoodLab Research Group, Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou 156, 08018 Barcelona, Spain; (A.A.M.); (A.B.-F.)
| | - Alicia Aguilar Martínez
- FoodLab Research Group, Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou 156, 08018 Barcelona, Spain; (A.A.M.); (A.B.-F.)
| | - Alba Martínez-García
- Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, 03690 Sant Vicent del Raspeig, Spain;
| | - Maria Manera
- Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, 08005 Barcelona, Spain; (M.M.); (G.S.)
| | - Gemma Salvador
- Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, 08005 Barcelona, Spain; (M.M.); (G.S.)
| | - Anna Bach-Faig
- FoodLab Research Group, Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou 156, 08018 Barcelona, Spain; (A.A.M.); (A.B.-F.)
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Barreiro-Álvarez MF, Latorre-Millán M, Bach-Faig A, Fornieles-Deu A, Sánchez-Carracedo D. Family meals and food insecurity in Spanish adolescents. Appetite 2024; 195:107214. [PMID: 38219830 DOI: 10.1016/j.appet.2024.107214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 01/10/2024] [Accepted: 01/11/2024] [Indexed: 01/16/2024]
Abstract
The world is not on track to achieve the goal of food security for the global population by 2030. New approaches to understand individuals' food insecurity are needed, especially insecurity related to children and adolescents, since it is associated with health and psychosocial problems. The study aimed to characterise the family dinners among a representative cohort of schooled adolescents (n = 1017) and their parents (n = 261) in Terrassa (Catalonia, Spain) and how family dinners could be related to household food insecurity. The survey findings revealed that in 2022, 19.2% of the adolescents were experiencing household food insecurity. Adolescents with a lower socioeconomic status and of foreign origin showed the highest likelihood of experiencing household food insecurity. Household food security was also associated with some characteristics of family dinners, such as better quality and a higher frequency (seven or more dinners eaten together per week). Based on this finding, possible ways in which family dinners could offer a beneficial effect, alleviating the consequences of food insecurity in adolescents, are discussed. In line with the 2030 Agenda and the Sustainable Development Goal of guaranteeing food security, the promotion of family dinners and their quality, frequency, and duration to leverage the beneficial effect in states of household food insecurity in Spanish adolescents should be taken into account to design actions and public campaigns in Spain.
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Affiliation(s)
| | - Miriam Latorre-Millán
- Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018, Barcelona, Spain; Institute for Health Research Aragón (IIS Aragón), Miguel Servet University Hospital, 50009, Zaragoza, Spain.
| | - Anna Bach-Faig
- Food Lab Research Group (2021 SGR 01357), Faculty of Health Sciences, Universitat Oberta de Catalunya (Open University of Catalonia, UOC), 08018, Barcelona, Spain.
| | - Albert Fornieles-Deu
- Department of Psychobiology and Methodology of Health Sciences, Serra Húnter fellow, Universitat Autònoma de Barcelona, Spain.
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Schratz LM, Larkin O, Dos Santos N, Martin C. Caregiver Influences on Eating Behaviors in Children: An Opportunity for Preventing Obesity. Curr Atheroscler Rep 2023; 25:1035-1045. [PMID: 38032429 DOI: 10.1007/s11883-023-01171-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2023] [Indexed: 12/01/2023]
Abstract
PURPOSE OF REVIEW This review seeks to define caregiver practices that impact childhood eating behaviors and identify ways to utilize these relationships to prevent childhood obesity. RECENT FINDINGS Childhood obesity, which correlates with adult obesity and increased cardiovascular risk, is increasing in prevalence and severity. Caregivers play a significant role in shaping a child's eating behaviors and their predisposition to obesity. Maternal influences during pregnancy and infancy impact a child's future food preferences. Caregiver feeding styles (authoritarian, authoritative, indulgent, and uninvolved) are associated with distinct effects on children's eating behaviors and self-regulation. Authoritative feeding styles promote child autonomy while setting boundaries in the feeding environment. Early caregiver education and coaching regarding nutrition and feeding practices is beneficial to establishing healthy eating behaviors for children. Various caregivers, including parents, grandparents, siblings, teachers, and others, influence a child's eating habits at different stages of development. These caregivers can both positively and negatively impact a child's diet. Comprehensive interventions involving these various caregivers to promote healthy eating practices in children is ideal. Such interventions should be sensitive to cultural and environmental factors. Childhood obesity is a complex issue with long-term health effects. Early intervention using comprehensive approaches including all caregivers, community support, and public policies to address the social determinants of health will be beneficial. Future research should focus on valid outcome measures and equitable interventions that encompass all aspects of a child's life.
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Affiliation(s)
- Lorraine M Schratz
- Division of Pediatric Cardiology, Department of Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, 175 Cambridge Street, 5Th Floor , Boston, MA, USA.
| | - Olivia Larkin
- Division of Pediatric Cardiology, Department of Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, 175 Cambridge Street, 5Th Floor , Boston, MA, USA
| | - Nilse Dos Santos
- Division of Pediatric Cardiology, Department of Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, 175 Cambridge Street, 5Th Floor , Boston, MA, USA
| | - Christine Martin
- Division of Pediatric Cardiology, Department of Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, 175 Cambridge Street, 5Th Floor , Boston, MA, USA
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Studer-Perez E, Musher-Eizenman D. Relationship of baby led weaning to other parenting and feeding constructs. J Pediatr Nurs 2023; 73:e639-e645. [PMID: 37968195 DOI: 10.1016/j.pedn.2023.11.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 11/06/2023] [Accepted: 11/06/2023] [Indexed: 11/17/2023]
Abstract
BACKGROUND Baby-led weaning (BLW), a popular complementary feeding style, prioritizes exploration of foods, independence of children in eating, and eating with family. Though BLW has received popular attention, empirical evidence is limited. This study measured parents' reports of BLW, parenting style, and feeding practices; analyzed BLW's relation to children's dietary intake; examined how demographic variables such as age, parent sex, education, and marital status related to the prevalence of using BLW. METHODS This cross sectional study recruited 313 parents with children ages 6-30 months via Cloud Research, an online survey platform where individuals complete surveys for compensation. Hierarchical regressions examined how feeding style, dietary intake, and parenting style related to independence, exploration, and family subscales of BLW after controlling for relevant demographics. FINDINGS The majority (69.3%) of participants identified as female, white (76.6%), middle-class (52.4%), married (69%), and a third had a bachelor's degree (37.4%). Restrictive feeding practices, Ellyn Satter's division of responsibility, and the parents' sex were significant predictors of all subscales of BLW. DISCUSSION Parents who use BLW allowed for an autonomous food experience and were less likely to restrict or control the child's eating. BLW appears to be related to, but distinct from, well-researched parent feeding practices such as restriction and division of responsibility. APPLICATION TO PRACTICE These findings might be useful in education and interventions for healthcare professionals. Future research on BLW should examine how child behavior and nutrition outcomes compare to other feeding practices.
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Affiliation(s)
- Emma Studer-Perez
- Bowling Green State University, 822 E. Merry St., Bowling Green, OH 43403, USA.
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Buksh SM, Hay P, de Wit JBF. Perceptions on Healthy Eating Impact the Home Food Environment: A Qualitative Exploration of Perceptions of Indigenous Food Gatekeepers in Urban Fiji. Nutrients 2023; 15:3875. [PMID: 37764659 PMCID: PMC10535398 DOI: 10.3390/nu15183875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Revised: 08/20/2023] [Accepted: 08/29/2023] [Indexed: 09/29/2023] Open
Abstract
The home food environment (HFE) can have important direct and indirect impacts on dietary practices. Nutrient transitions in the HFE of Pacific Island countries (PICs) are key contributors of the high rates of adult and childhood overweight and obesity in the region. Pacifica mothers are important sociocultural agents who play critical roles in their HFE through setting eating-appropriateness standards and mitigating the impacts of food availability and accessibility on the HFE. This study used an interpretative phenomenological approach to explore how urban indigenous Fijian mothers perceive healthy eating and how these perceptions impacted the food decisions they made for their families. Mothers in this study held complex, multifaceted perceptions on healthy eating and these perceptions had both positive and negative impacts on the family food choices they made, the strategies they adopted for healthy eating and their perceived motivators for healthy eating. The findings of this study underscore the need for a deeper understanding and analysis of uptake of public health messaging related to healthy and unhealthy eating and the importance of targeted promotion of healthful nutrition in this community. Promoting consumption of traditional and locally grown foods can enhance nutrition and food security and combat nutrition transition in the region.
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Affiliation(s)
- Shazna M. Buksh
- School of Law and Social Sciences, The University of the South Pacific, Suva 1168, Fiji;
- Translational Health Research Institute, Western Sydney University, Penrith, NSW 2751, Australia;
- Department of Interdisciplinary Social Science, Faculty of Social and Behavioural Science, Utrecht University, 3584 CS Utrecht, The Netherlands
| | - Phillipa Hay
- Translational Health Research Institute, Western Sydney University, Penrith, NSW 2751, Australia;
| | - John B. F. de Wit
- Department of Interdisciplinary Social Science, Faculty of Social and Behavioural Science, Utrecht University, 3584 CS Utrecht, The Netherlands
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