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Parent health literacy and "obesogenic" feeding and physical activity-related infant care behaviors.

Publication ,  Journal Article
Yin, HS; Sanders, LM; Rothman, RL; Shustak, R; Eden, SK; Shintani, A; Cerra, ME; Cruzatte, EF; Perrin, EM
Published in: J Pediatr
March 2014

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.

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Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

March 2014

Volume

164

Issue

3

Start / End Page

577 / 83.e1

Location

United States

Related Subject Headings

  • Television
  • Pediatrics
  • Pediatric Obesity
  • Parents
  • Parenting
  • Motor Activity
  • Milk, Human
  • Male
  • Logistic Models
  • Infant Formula
 

Citation

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Yin, H. S., Sanders, L. M., Rothman, R. L., Shustak, R., Eden, S. K., Shintani, A., … Perrin, E. M. (2014). Parent health literacy and "obesogenic" feeding and physical activity-related infant care behaviors. J Pediatr, 164(3), 577-83.e1. https://doi.org/10.1016/j.jpeds.2013.11.014
Yin, H Shonna, Lee M. Sanders, Russell L. Rothman, Rachel Shustak, Svetlana K. Eden, Ayumi Shintani, Maria E. Cerra, Evelyn F. Cruzatte, and Eliana M. Perrin. “Parent health literacy and "obesogenic" feeding and physical activity-related infant care behaviors.J Pediatr 164, no. 3 (March 2014): 577-83.e1. https://doi.org/10.1016/j.jpeds.2013.11.014.
Yin HS, Sanders LM, Rothman RL, Shustak R, Eden SK, Shintani A, et al. Parent health literacy and "obesogenic" feeding and physical activity-related infant care behaviors. J Pediatr. 2014 Mar;164(3):577-83.e1.
Yin, H. Shonna, et al. “Parent health literacy and "obesogenic" feeding and physical activity-related infant care behaviors.J Pediatr, vol. 164, no. 3, Mar. 2014, pp. 577-83.e1. Pubmed, doi:10.1016/j.jpeds.2013.11.014.
Yin HS, Sanders LM, Rothman RL, Shustak R, Eden SK, Shintani A, Cerra ME, Cruzatte EF, Perrin EM. Parent health literacy and "obesogenic" feeding and physical activity-related infant care behaviors. J Pediatr. 2014 Mar;164(3):577–83.e1.
Journal cover image

Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

March 2014

Volume

164

Issue

3

Start / End Page

577 / 83.e1

Location

United States

Related Subject Headings

  • Television
  • Pediatrics
  • Pediatric Obesity
  • Parents
  • Parenting
  • Motor Activity
  • Milk, Human
  • Male
  • Logistic Models
  • Infant Formula