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Healthy living practices in families and child health in Taiwan

  • Original Article
  • Published:
International Journal of Public Health

An Erratum to this article was published on 26 February 2016

Abstract

Objectives

The aim of this study was to examine the hypothesis that inexpensive and feasible healthy living practices in families, particularly in disadvantaged families, can promote the health of children.

Methods

The dataset was obtained from the Taiwan Birth Cohort Study and comprises a nationally representative sample of 19,712 3-year-old children in Taiwan. The Child Healthy Living Practices in Families (CHLPF) Index, which rates various items of personal hygiene, vegetable and fruit consumption, physical activity, time spent viewing television, and exposure to smoking, was created, and a logistic regression analysis was conducted to test the hypothesis.

Results

Higher CHLPF levels were significantly and consistently associated with better child health in families of all income levels. More specifically, the prevalence of ill health in children from poor families with a high CHLPF level was actually lower than that in children from affluent families with a low CHLPF level.

Conclusions

The implementation of low-cost and practical healthy living practices in families can effectively improve child health, especially that of disadvantaged children.

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References

  • Aber JL, Bennett NG, Conley DC, Li J (1997) The effects of poverty on child health and development. Annu Rev Public Health 18:463–483

    Article  CAS  PubMed  Google Scholar 

  • Bentler PM (1992) On the fit of models to covariances and methodology to the Bulletin. Psychol Bull 112(3):400–404

    Article  CAS  PubMed  Google Scholar 

  • Bloom B, Jones LI, Freeman G (2013) Summary health statistics for U.S. children: National Health Interview Survey, 2012. Vital Health Stat 10:1–81

    Google Scholar 

  • Bradley RH, Corwyn RF (2002) Socioeconomic status and child development. Annu Rev Psychol 53:371–399. doi:10.1146/annurev.psych.53.100901.135233

    Article  PubMed  Google Scholar 

  • Breslow L (1999) From disease prevention to health promotion. JAMA 281:1030–1033

    Article  CAS  PubMed  Google Scholar 

  • Bronte-Tinkew J, DeJong G (2004) Children’s nutrition in Jamaica: do household structure and household economic resources matter? Soc Sci Med 58:499–514

    Article  PubMed  Google Scholar 

  • Brooks-Gunn J, Duncan GJ (1997) The effects of poverty on children. Future Child 7:55–71

    Article  CAS  PubMed  Google Scholar 

  • Brown SL (2004) Family structure and child well-being: the significance of parental cohabitation. J Marriage Fam 66:351–367. doi:10.2307/3599842

    Article  Google Scholar 

  • Bzostek SH, Beck AN (2011) Familial instability and young children’s physical health. Soc Sci Med 73:282–292. doi:10.1016/j.socscimed.2011.04.014

    Article  PubMed  Google Scholar 

  • Christensen P (2004) The health-promoting family: a conceptual framework for future research. Soc Sci Med 59:377–387. doi:10.1016/j.socscimed.2003.10.021

    Article  PubMed  Google Scholar 

  • Coleman JS (1988) Social capital in the creation of human capital. Am J Sociol 94:S95–S120

    Article  Google Scholar 

  • Commission on Social Determinants of Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. World Health Organization, Geneva

  • Currie J (2009) Healthy, wealthy, and wise: is there a causal relationship between child health and human capital development? J Econ Lit 47:87–122

    Article  Google Scholar 

  • Dawson DA (1991) Family structure and children’s health and well-being: data from the 1988 National Health Interview Survey on Child Health. J Marriage Fam 53:573–584

    Article  Google Scholar 

  • Desai S, Alva S (1998) Maternal education and child health: Is there a strong causal relationship? Demography 35:71–81

    Article  CAS  PubMed  Google Scholar 

  • Dwyer G, Baur L, Higgs J, Hardy L (2009) Promoting children’s health and well-being: broadening the therapy perspective. POP 29:27–43

    Google Scholar 

  • Early Child Development Knowledge Network (ECDKN) (2007) Early Child development: a powerful equalizer. Final Report of the Early Child Development Knowledge Network of the Commission on Social Determinants of Health. World Health Organization, Geneva

    Google Scholar 

  • Ford ES, Bergmann MM, Kroger J, Schienkiewitz A, Weikert C, Boeing H (2009) Healthy living is the best revenge: findings from the European Prospective Investigation into Cancer and Nutrition-Potsdam study. Arch Intern Med 169(15):1355–1362

    Article  PubMed  Google Scholar 

  • Gorin AA, Wiley J, Ohannessian CM, Hernandez D, Grant A, Cloutier MM (2014) Steps to Growing Up Healthy: a pediatric primary care based obesity prevention program for young children. BMC Public Health 14:72–81. doi:10.1186/1471-2458-14-72

    Article  PubMed Central  PubMed  Google Scholar 

  • Govindan M, Gurm R, Mohan S, Kline-Rogers E, Corriveau N, Goldberg C, Durussel-Weston J, Eagle KA, Jackson EA (2013) Gender differences in physiologic markers and health behaviors associated with childhood obesity. Pediatrics 132:468–474. doi:10.1542/peds.2012-2994

    Article  PubMed  Google Scholar 

  • Herd P, Goesling B, House JS (2007) Socioeconomic position and health: the differential effects of education versus income on the onset versus progression of health problems. J Health Soc Behav 48:223–238

    Article  PubMed  Google Scholar 

  • Kickbusch IS (2001) Health literacy: addressing the health and education divide. Health Promot Int 16:289–297

    Article  CAS  PubMed  Google Scholar 

  • Larson K, Halfon N (2010) Family income gradients in the health and health care access of US children. Matern Child Health J 14:332–342. doi:10.1007/s10995-009-0477-y

    Article  PubMed Central  PubMed  Google Scholar 

  • Lindsay J (2010) Healthy living guidelines and the disconnect with everyday life. Crit Public Health 20(4):475–487

    Article  Google Scholar 

  • Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, Das J, Knapp M, Patel V (2011) Poverty and mental disorders: breaking the cycle in low-income and middle-income countries. Lancet 378:1502–1514. doi:10.1016/s0140-6736(11)60754-x

    Article  PubMed  Google Scholar 

  • Marmot M (2005) Social determinants of health inequalities. Lancet 365:1099–1104. doi:10.1016/s0140-6736(05)71146-6

    Article  PubMed  Google Scholar 

  • McLoyd VC (1998) Socioeconomic disadvantage and child development. Am Psychol 53:185–204

    Article  CAS  PubMed  Google Scholar 

  • Mol A (2008) The logic of care. Routledge, London

    Google Scholar 

  • Pearce A, Lewis H, Law C (2013) The role of poverty in explaining health variations in 7-year-old children from different family structures: findings from the UK Millennium Cohort Study. J Epidemiol Community Health 67:181–189. doi:10.1136/jech-2012-200970

    Article  PubMed  Google Scholar 

  • People H (2011) About healthy people. Cancer 3:3–5

    Google Scholar 

  • Phelan JC, Link BG, Diez-Roux A, Kawachi I, Levin B (2004) “Fundamental causes” of social inequalities in mortality: a test of the theory. J Health Soc Behav 45:265–285

    Article  PubMed  Google Scholar 

  • Public Health Agency of Canada (2015) Healthy living and healthy weight. http://www.phac-aspc.gc.ca/hp-ps/dca-dea/publications/yjc/ch3_51_54-eng.php

  • Santiago S, Zazpe I, Marti A, Cuervo M, Martinez JA (2013) Gender differences in lifestyle determinants of overweight prevalence in a sample of Southern European children. Obes Res Clin Pract 7:e391–e400. doi:10.1016/j.orcp.2012.07.001

    Article  PubMed  Google Scholar 

  • Song IH, Kim SA, Park WS (2013) Family factors associated with children’s handwashing hygiene behavior. J Child Health Care 17:164–173. doi:10.1177/1367493512456106

    Article  PubMed  Google Scholar 

  • Steiger JH (1990) Structural model evaluation and modification: an interval estimation approach. Multivar Behav Res 25(2):173–180

    Article  CAS  Google Scholar 

  • Thomson E, Hanson TL, McLanahan SS (1994) Family structure and child well-being: economic resources vs. parental behaviors. Soc Forces 73:221–242

    Article  Google Scholar 

  • Turney K, Lee H, Mehta N (2013) The social determinants of child health. Soc Sci Med 95:1–5. doi:10.1016/j.socscimed.2013.07.015

    Article  PubMed  Google Scholar 

  • UNICEF (United Nations International Children's Emergency Fund) (2007) Child poverty in perspective: an overview of child well-being in rich countries. Innocenti Report Card 7. UNICEF Innocenti Research Centre, Florence

    Google Scholar 

  • van Grieken A, Renders CM, Veldhuis L, Looman CW, Hirasing RA, Raat H (2014) Promotion of a healthy lifestyle among 5-year-old overweight children: health behavior outcomes of the ‘Be active, eat right’ study. BMC Public Health 14:59. doi:10.1186/1471-2458-14-59

    Article  PubMed Central  PubMed  Google Scholar 

  • Weitoft GR, Hjern A, Haglund B, Rosen M (2003) Mortality, severe morbidity, and injury in children living with single parents in Sweden: a population-based study. Lancet 361:289–295. doi:10.1016/s0140-6736(03)12324-0

    Article  PubMed  Google Scholar 

  • Wen M (2008) Family structure and children’s health and behavior: data from the 1999 National Survey of America’s Families. J Fam Issues 29:1492–1519

    Article  Google Scholar 

  • World Health Organization (1986) Ottawa charter for health promotion. Available at: http://www.who.int/hpr/NPH/docs/ottawa_charter_hp.pdf

  • World Health Organization (2012) Global report for research on infectious disease of poverty. Available at: http://www.who.int/tdr/stewardship/global_report/en/

  • World Health Organization (2015) Healthy setting. Available at. http://www.who.int/healthy_settings/en/

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Acknowledgments

The study was based on longitudinal data from the Taiwan Birth Cohort Study, funded by the Health Promotion Administration, Ministry of Health and Welfare, Taiwan. The support and help are greatly appreciated.

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Authors and Affiliations

  1. College of Public Health, National Taiwan University, Room 621, No.17, Xu-Zhou Road, Taipei, 10055, Taiwan

    Yi-Ching Lin

  2. College of Education, National Taipei University of Education, 134, Sec. 2, Heping E. Road, Taipei, 10651, Taiwan

    Jennifer Chun-Li Wu

  3. National Yang-Ming University, Health Promotion Administration, Ministry of Health & Welfare, Taipei, Taiwan

    Shu-Ti Chiou

  4. College of Public Health, National Taiwan University, Room 620, No.17, Xu-Zhou Road, Taipei, 10055, Taiwan

    Tung-liang Chiang

Authors
  1. Yi-Ching Lin
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  2. Jennifer Chun-Li Wu
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  3. Shu-Ti Chiou
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  4. Tung-liang Chiang
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Corresponding author

Correspondence to Tung-liang Chiang.

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There are no conflicts of interest associated with this study.

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Lin, YC., Wu, J.CL., Chiou, ST. et al. Healthy living practices in families and child health in Taiwan. Int J Public Health 60, 691–698 (2015). https://doi.org/10.1007/s00038-015-0701-z

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  • DOI: https://doi.org/10.1007/s00038-015-0701-z

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