Prolonged Early Food Insecurity and Child Feeding Practices among a Low-Income Hispanic Population: Role of Parenting Stress.

Autor: Teli R; Department of Pediatrics (R Teli, MJ Messito, CN Kim, C Duh-Leong and R Gross), New York University Grossman School of Medicine, New York, NY. Electronic address: Radhika.Teli@nyulangone.org., Messito MJ; Department of Pediatrics (R Teli, MJ Messito, CN Kim, C Duh-Leong and R Gross), New York University Grossman School of Medicine, New York, NY., Kim CN; Department of Pediatrics (R Teli, MJ Messito, CN Kim, C Duh-Leong and R Gross), New York University Grossman School of Medicine, New York, NY., Duh-Leong C; Department of Pediatrics (R Teli, MJ Messito, CN Kim, C Duh-Leong and R Gross), New York University Grossman School of Medicine, New York, NY., Katzow M; Department of Pediatrics (M Katzow), Zucker School of Medicine at Hofstra/Northwell, New York, NY., Gross R; Department of Pediatrics (R Teli, MJ Messito, CN Kim, C Duh-Leong and R Gross), New York University Grossman School of Medicine, New York, NY.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2024 Nov-Dec; Vol. 24 (8), pp. 1296-1303. Date of Electronic Publication: 2024 Jun 28.
DOI: 10.1016/j.acap.2024.06.013
Abstrakt: Objective: To examine associations between prolonged early household food insecurity (FI) during pregnancy, infancy, and toddlerhood, and child feeding practices, and the mediating role of dysfunctional parent-child interactions.
Methods: We conducted secondary longitudinal analyses of data from the Starting Early Program (StEP) randomized controlled trial, which studied a primary care-based child obesity prevention program for low-income Hispanic families. Our independent variable was FI, using the USDA Food Security Module, during the third trimester of pregnancy and at child ages 10- and 19-months. Frequency of reported FI was defined by the number of periods with FI (0, 1, 2, or 3). Our dependent variables were feeding practices at child age 28-months using the Comprehensive Feeding Practices Questionnaire. Our mediating variable was dysfunctional parent-child interactions using the Parenting Stress Index subscale at age 19-months. We used linear regression to determine associations between frequency of reported FI and feeding practices adjusting for covariates, and mediation analyses to determine if dysfunctional parent-child interactions mediate these associations.
Results: Three hundred and forty four mothers completed assessments at child age 28-months. Of the 12 feeding practices examined, higher frequency of reported FI was positively associated with using food as a reward, restriction of food for weight control, and using food for emotional regulation, and was negatively associated with monitoring of less healthy foods. There was a significant indirect effect of frequency of reported FI on these practices through dysfunctional parent-child interactions.
Conclusion: Higher frequency of reported FI was associated with four feeding practices, through dysfunctional parent-child interactions. Understanding these pathways can inform preventive interventions.
Competing Interests: Declaration of Competing Interest There are no competing interests to declare.
(Copyright © 2024 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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