He Said, She Said: Examining Parental Concordance on Home Environment Factors and Adolescent Health Behaviors and Weight Status

Details

• Personal Author:
  Berge JM ; Didericksen K ; Loth KA ; MacLehose RF ; Meyer C ; Neumark-Sztainer D
• Description:
  Background: Few studies have examined concordance/discordance between caregivers to identify whether caregivers see familial and parental factors in the home environment similarly or differently and whether the agreement or disagreement is related to adolescent obesity risk. Answers to these questions are important and may inform whether family-based childhood obesity interventions need to target both parents. Objective: The main objective of the study was to examine whether and how parental concordance/discordance on factors in the home environment (eg, importance of family meals, parent feeding practices, encouraging child physical activity, and limit setting on child screen time) are associated with adolescent health behaviors and weight status. Design: Data from two linked population-based studies were used in cross-sectional analyses. Linear regression models examined associations between parental concordance/discordance on home environment factors and adolescents' health behaviors and weight status. Participant/settings Racially/ethnically and socioeconomically diverse adolescents (n=1,052; 54% girls; mean age=14.3 years) and their parents (n=2,104; 52% women; mean age=41.0 years) from Minneapolis and St Paul, MN, participated in the study. Anthropometric assessments and surveys were completed at school by adolescents and surveys were completed at home by parents. Results: Parental concordance on home environment factors was high for some factors (eg, 68% concordance on not pressuring adolescent to eat) and low for other factors (eg, 2% concordance on parent engaging in physically activity with child 4+ hours per week). Parental concordance on positive home environment factors (eg, frequency of family meals) was associated with more adolescent healthful eating patterns and hours of physical activity (P<0.05), but not consistently. When parents were discordant, adolescents had higher consumption of fast food and more unhealthy weight control behaviors (P<0.05), but not consistently. Conclusions: Results suggest there is some degree of parental concordance on home environment factors; however, the results were inconsistent and approximately one-third of parents were discordant on these factors. Future research is needed to further examine the role of parental concordance/discordance on adolescent health behaviors and weight status. [Description provided by NIOSH]
• Subjects:
  Adolescent Behavior Body Weight Diet Family Occupational Health Safety
• Keywords:
  Activity Levels Adolescents Author Keywords: Parent Concordance/Discordance Body Weight Children Dietary Intake Families Obesity Physical Activity Physical Exercise
• ISSN:
  2212-2672
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; North Carolina ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  46-60
• Volume:
  116
• Issue:
  1
• NIOSHTIC Number:
  nn:20064303
• Citation:
  J Acad Nutr Diet 2016 Jan; 116(1):46-60
• Contact Point Address:
  Jerica M. Berge, PhD, MPH, Department of Family Medicine and Community Health, University of Minnesota Medical School, 717 Delaware St, SE, Room 424, Minneapolis, MN 55414
• Email:
  jberge@umn.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Minnesota Twin Cities
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of the Academy of Nutrition and Dietetics
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:00e58cca5ad1dae4b07918b155e7aa2885b03d08357cea66d8e109ac19167fc53d1faf9ec1cd40099d5853dfe21db6cb8bfdf8c38523200b90dda922e86b3e9a
• Download URL:
  https://stacks.cdc.gov/view/cdc/222794/cdc_222794_DS1.pdf
• File Type:
  [PDF - 306.71 KB ]