Parent Health Literacy and “Obesogenic” Feeding and Physical Activity-Related Infant Care Behaviors - 20/02/14
, Lee M. Sanders, MD, MPH 2, Russell L. Rothman, MD, MPP 3, Rachel Shustak, BA 1, Svetlana K. Eden, MS 4, Ayumi Shintani, PhD, MPH 4, Maria E. Cerra, BA 1, Evelyn F. Cruzatte, BA 1, Eliana M. Perrin, MD, MPH 5Abstract |
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.
Le texte complet de cet article est disponible en PDF.Keyword : BM, IFSQ, STOFHLA, TV, WIC
Plan
| Supported by National Institutes of Health (NIH)/National Institute of Child Health and Human Development (R01 HD049794), NIH/National Center for Advancing Translational Sciences (UL1 TR000445, UL1 RR025747, UL1 TR000038), and the KiDS of NYU Foundation. H.Y. is supported by the Robert Wood Johnson Foundation Physician Faculty Scholars Program and US Department of Health and Human Services Health Resources and Services Administration (12-191-1077- Academic Administrative Units in Primary Care). R.S. was supported for her work as part of the New York University School of Medicine Department of Pediatrics Medical Student Summer Research Fellowship Program. The authors declare no conflicts of interest. |
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| Registered with clinicaltrials.gov: NCT01040897 |
Vol 164 - N° 3
P. 577 - mars 2014 Retour au numéro
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