Ethnic differences and parental beliefs are important for overweight prevention and management in children: a cross-sectional study in the Netherlands

BMC Public Health

Symone B Detmar³  A Cecile JW Janssens¹  Lidewij Henneman²  Yvonne Schönbeck³  Paul L Kocken⁴ 

[1] Department of Public Health, Erasmus University Medical Center Rotterdam, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands;Department of Public and Occupational Health, Department of Clinical Genetics, VU University Medical Center Amsterdam, EMGO Institute for Healthcare Research, P.O. Box 7057, Amsterdam, 1007 MB, The Netherlands;Department of Child Health, TNO, P.O. Box 2215, Leiden, 2301 CE, The Netherlands;Department of Public Health and Primary Care, Leiden University Medical Center (LUMC), P.O. Box 9600, Leiden, 2300 RC, The Netherlands

关键词: Health promotion;    Culture;    Overweight;    Child obesity;   

Others  :  1162986
DOI  :  10.1186/1471-2458-12-867

 received in 2012-02-15, accepted in 2012-10-03,  发布年份 2012

【 摘 要 】

Background

The prevalence of obesity and overweight is highest among ethnic minority groups in Western countries. The objective of this study is to examine the contribution of ethnicity and beliefs of parents about overweight preventive behaviours to their child’s outdoor play and snack intake, and to the parents’ intention to monitor these behaviours.

Methods

A cross-sectional survey was conducted among parents of native Dutch children and children from a large minority population (Turks) at primary schools, sampled from Youth Health Care registers.

Results

Native Dutch parents observed more outdoor play and lower snack intake in their child and had stronger intentions to monitor these behaviours than parents of Turkish descent. In the multivariate analyses, the parents’ attitude and social norm were the main contributing factors to the parental intention to monitor the child’s outdoor play and snack intake. Parental perceived behavioural control contributed to the child’s outdoor play and, in parents who perceived their child to be overweight, to snacking behaviour. The associations between parents’ behavioural cognitions and overweight related preventive behaviours were not modified by ethnicity, except for perceived social norm. The relationship between social norm and intention to monitor outdoor play was stronger in Dutch parents than in Turkish parents.

Conclusions

As the overweight related preventive behaviours of both children and parents did differ between the native and ethnic minority populations of this study, it is advised that interventions pay attention to cultural aspects of the targeted population. Further research is recommended into parental behavioural cognitions regarding overweight prevention and management for different ethnicities.

【 授权许可】

   
2012 Kocken et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]World Health Organization, Fact sheet 311: Obesity and overweight, May 2012. [ http://www.who.int/mediacentre/factsheets/fs311/en/ webcite] Accessed June 6th 2012
• [2]Dietz WH: Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 1998, 101:518-525.
• [3]Gardner DS, Hosking J, Metcalf BS, Jeffery AN, Voss LD, Wilkin TJ: Contribution of early weight gain to childhood overweight and metabolic health: a longitudinal study (EarlyBird 36). Pediatrics 2009, 123:e67-e73.
• [4]Freedman DS, Dietz WH, Srinivasan SR, Berenson GS: The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 1999, 103:1175-1182.
• [5]Schwimmer JB, Burwinkle TM, Varni JW: Health-Related Quality of Life of Severely Obese Children and Adolescents. JAMA 2003, 289:1813-1819.
• [6]Clarke P, O’Malley PM, Johnston LD, Schulenberg JE: Social disparities in BMI trajectories across adulthood by gender, race/ethnicity and lifetime socio-economic position: 1986–2004. Int J Epidemiol 2009, 38:499-509.
• [7]Freedman DS, Khan LK, Serdula MK, Ogden CL, Dietz WH: Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity 2006, 14:301-308.
• [8]Singh GK, Siahpush M, Hiatt RA, Timsina LR: Dramatic Increases in Obesity and Overweight Prevalence and Body Mass Index Among Ethnic-Immigrant and Social Class Groups in the United States, 1976–2008. J Community Health 2011, 36:94-110.
• [9]Sherburne Hawkins S, Cole TJ, Law C: The Millennium Cohort Study Child Health Group. An ecological systems approach to examining risk factors for early childhood overweight: findings from the UK Millennium Cohort Study. J Epidemiol Community Health 2009, 63:147-155.
• [10]Fredriks AM, Van Buuren S, Sing RA, Wit JM, Verloove-Vanhorick SP: Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to international standards. Acta Paediatr 2005, 94:496-498.
• [11]Schönbeck Y, Talma H, van Dommelen P, Bakker B, Buitendijk SE, HiraSing R, van Buuren S: Increase in Prevalence of Overweight in Dutch Children and Adolescents: A Comparison of Nationwide Growth Studies in 1980, 1997 and 2009. PLoS One 2011, 6(11):e27608.
• [12]De Wilde JA, Van Dommelen P, Middelkoop BJC, Verkerk PH: Trends in overweight and obesity prevalence in Dutch, Turkish, Moroccan and Surinamese South Asian children in the Netherlands. Arch Dis Child 2009, 94:795-800.
• [13]Dijkshoorn H, Nierkens V, Nicolaou M: Risk groups for overweight and obesity among Turkish and Moroccan migrants in The Netherlands. Public Health 2008, 122:625-630.
• [14]Hosper K, Nicolaou M, Van Valkengoed I, Nierkens V, Stronks K: Social and cultural factors underlying generational differences in overweight: a cross-sectional study among ethnic minorities in the Netherlands. BMC Publ Health 2011, 11:105. http://www.biomedcentral.com/1471-2458/11/105 webcite.
• [15]Nicolaou M, Doak CM, van Dam RM, Brug J, Stronks K, Seidell JC: Cultural and Social Influences on Food Consumption in Dutch Residents of Turkish and Moroccan Origin: A Qualitative Study. J Nutr Educ Behav 2009, 41(4):232-241.
• [16]Young-Hyman D, Herman LJ, Scott DL, Schlundt DG: Care giver perceptions of children’s obesity-related health risk: a study of African American families. Obes Res 2000, 8:241-248.
• [17]Doolen J, Alpert PT, Miller SK: Parental disconnect between perceived and actual weight status of children: A metasynthesis of the current research. Journal of the American Academy of Nurse Practitioners 2009, 21:160-166.
• [18]Birch LL, Fisher JO: Development of eating behaviors among children and adolescents. Pediatrics 1998, 101:539-549.
• [19]Rhee KE, Coleman SM, Appugliese DP, Kaciroti NA, Corwyn RF, Davidson NS, Bradley RH, Lumeng JC: Maternal feeding practices become more controlling after and not before excessive rates of weight gain. Obesity 2009, 17:1724-1729.
• [20]Rodenburg G, Kremers SPJ, Oenema A, Van De Mheen D: Psychological control by parents is associated with a higher child weight. Int J Pediatr Obes 2011, 6:442-449.
• [21]Sleddens EFC, Gerards SMPL, Thijs C, De Vries NK, Kremers SPJ: General parenting, childhood overweight and obesity-inducing behaviors: A review. Int J Pediatr Obes 2011, 6(2–2):e12-e27.
• [22]Ajzen I: The theory of planned behavior. Organ Behav Hum Decis Process 1991, 50:179-211.
• [23]Taveras EM, Hohman KH, Price SN, Rifas-Shiman SL, Mitchell K, Gortmaker SL, Gillman MW: Correlates of participation in a pediatric primary care-based obesity prevention intervention. Obesity 2011, 19:449-452.
• [24]De Bourdeaudhuij I, Yngve A, te Velde SJ, Klepp K, Rasmussen M, Thorsdottir I, Wolf A, Brug J: Personal, social and environmental correlates of vegetable intake in normal weight and overweight 9 to 13-year old boys. Int J Behav Nutr Phys Act 2006, 3:37. BioMed Central Full Text
• [25]Cullen KW, Baranowski T, Owens E, De Moor C, Rittenberry L, Olvera N, Resnicow K: Ethnic differences in social correlates of diet. Health Educ Res 2002, 17:7-18.
• [26]Bouchard C: Childhood obesity: are genetic differences involved? Am J Clin Nutr 2009, 89(Suppl):1494-1501.
• [27]Baughcum AE, Burklow KA, Deeks CM, Powers SW, Whitaker RC: Maternal feeding practices and childhood obesity: a focus group study of low-income mothers. Arch Pediatr Adolesc Med 1998, 152:1010-1014.
• [28]Resnicow K, Baranowski T, Ahluwalia JS, Braithwaite RL: Cultural sensitivity in public health: defined and demystified. Ethnicity & Disease 1999, 9:10-21.
• [29]Malterud K, Tondstad S: Preventing obesity: challenges and pitfalls for health promotion. Patient Educ Couns 2009, 76:254-259.
• [30]Flay BR, Petraitis J: The theory of triadic influence: a new theory of health behaviour with implications for preventive interventions. Advances in medical sociology 1994, 4:19-44.
• [31]Conner M, Norman P (Eds): Predicting health behaviour: Research and practice with social cognition models. 2nd edition. Maidenhead: Open University Press; 2005.
• [32]National Institute for Public Health and the Environment: Local and national health monitor, The Netherlands. [ http://www.monitorgezondheid.nl/jeugdindicatoren.aspx webcite] Accessed December 23rd 2011
• [33]Birch LL, Fisher JO, Grimm-Thomas K, Markey CN, Sawyer R, Johnson SL: Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite 2001, 36:201-210.
• [34]Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000, 320:1240-1243.
• [35]Fredriks AM, van Buuren S, Wit JM, Verloove-Vanhorick SP: Body index measurements in 1996–7 compared with 1980. Arch Dis Child 2000, 82:107-112.
• [36]Cohen J, Cohen P, West SG, Aiken LS: Applied multiple regression/correlation analysis for the behavioral sciences. 3rd edition. Edited by Mahwah NJ. Lawrence Erlbaum; 2003.
• [37]Gijsberts M, Huijnk W, Dagevos J (Eds): Jaarrapport integratie 2011 [Year report integration 2011]. The Hague: Sociaal Cultureel Planbureau; 2011.
• [38]Ferreira I, van der Horst K, Wendel-Vos W, Kremers S, van Lenthe FJ, Brug J: Environmental correlates of physical activity in youth – a review and update. Obes Rev 2006, 8:129-154.