Determinants of Parenting Practices Related to Monitoring Sugar Sweetened Beverages Among Hispanic Mothers


The purpose of this study was to evaluate Hispanic mothers (n = 238) of 2–5 year old children and determinants of their monitoring practices related to their preschooler’s consumption of sugar-sweetened beverages (SSB). Hispanic mothers were recruited from numerous areas (i.e. churches, community agencies, and daycares) in southwest Oklahoma City. Constructs of the Reasoned Action Approach (RAA) were evaluated along with demographic questions. Most mothers (92%) were born outside the US, and a majority had been in the US ≥ 11 years (61%). The RAA constructs autonomy, capacity (or self-efficacy), and descriptive norms predicted a significant amount of the variance of SSB monitoring practices (14.7%). Results show that public health interventions that promote maternal monitoring practices related to SSB for Hispanic mothers should focus on promoting capacity, autonomy, and norms. Such interventions can take place in community centers, clinics, and day cares.

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  1. 1.

    Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 2014;311(8):806–14.

  2. 2.

    Ogden CL, Carroll MD, Lawman HG, Fryar CD, Kruszon-Moran D, Kit BK, Flegal KM. Trends in obesity prevalence among children and adolescents in the United States, 1988–1994 through 2013–2014. JAMA 2016;315(21):2292–9.

  3. 3.

    Sharma M, Branscum P. Childhood obesity: Need for multipronged approach. Obes Res Open J. 2014;1(1):1–4.

  4. 4.

    Haughton CF, Wang ML, Lemon SC. Racial/ethnic disparities in meeting 5-2-1-0 recommendations among children and adolescents in the United States. J Pediatr. 2016;175:188–94.

  5. 5.

    National Cancers Institutes. Mean Intake of Added Sugar & Percentage Contribution (kcal) of Various Foods Among U.S. Children & Adolescents, by Race/Ethnicity & Family Income, NHANES 2005-06. 2018. Accessed 10 Aug 2018.

  6. 6.

    National Cancers Institutes. Mean Intake of Energy and Percentage Contribution of Various Foods Among U.S. Population, by Race/Ethnicity and Family Income, NHANES 2005-06. 2018. Accessed 10 Aug 2018.

  7. 7.

    Ford CN, Ng SW, Popkin BM. Ten-year beverage intake trends among US preschool children: rapid declines between 2003 and 2010 but stagnancy in recent years. Pediatr Obes. 2016;11(1):47–53.

  8. 8.

    Michie SF, West R, Campbell R, Brown J, Gainforth H. ABC of behaviour change theories. London: Silverback Publishing;2014.

  9. 9.

    Steinmetz H, Knappstein M, Ajzen I, Schmidt P, Kabst R. How effective are behavior change interventions based on the theory of planned behavior? A three-level meta-analysis. Z Psychol. 2016;224(3):216.

  10. 10.

    Fishbein M, Ajzen I. Predicting and changing behaviour: the reasoned action approach. New York: Psychology Press; 2010.

  11. 11.

    Branscum P, Lora K. Development and validation of an instrument measuring theory-based determinants of monitoring obesogenic behaviors of preschoolers among Hispanic mothers. Int J Environ Res Public Health. 2016;13(6):1–14.

  12. 12.

    Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9(2):183–205.

  13. 13.

    Marin G, Marin BV. Research with Hispanic populations. Thousand Oaks: Sage Publications, Inc;1991.

  14. 14.

    McEachan R, Taylor N, Harrison R, Lawton R, Gardner P, Conner M. Meta-analysis of the reasoned action approach (RAA) to understanding health behaviors. Ann Behav Med. 2016;50:592–612.

  15. 15.

    World Health Organization. Social Determinants of Health. 2017. Accessed 10 Aug 2018.

  16. 16.

    United States Department of Health and Human Services. Social Determinants of Health. 2017. Accessed 10 Aug 2018.

  17. 17.

    Hamilton K, Thomson CE, White KM. Promoting active lifestyles in young children: investigating mothers’ decisions about their child’s physical activity and screen time behaviours. Matern Child Health J. 2013;17(5):968–76.

  18. 18.

    Housely A, Branscum P, Cheney M, Hofford C. Predicting parental monitoring behaviours for sugar-sweetened beverages in parents of school-aged children: an application of the Integrative Behavioural Model. Health Educ J. 2016;75(5):577–88.

  19. 19.

    Leung CW, Epel ES, Ritchie LD, Crawford PB, Laraia BA. Food insecurity is inversely associated with diet quality of lower-income adults. J Acad Nutr Diet. 2014;114(12):1943–53.

  20. 20.

    Mazarello Paes V, Hesketh K, O’Malley C, et al. Determinants of sugar-sweetened beverage consumption in young children: a systematic review. Obes Rev. 2015;16(11):903–13.

  21. 21.

    Clark HR, Goyder E, Bissell P, Blank L, Peters J. How do parents’ child-feeding behaviours influence child weight? Implications for childhood obesity policy. J Public Health (Oxf). 2007;29(2):132–41.

  22. 22.

    Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in preventing childhood obesity. Future Child. 2006;16(1):169–86.

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Funding for this study was supported by the National Institute of General Medical Sciences of the National Institutes of Health under Award Number U54GM104938 to the Oklahoma Share Clinical and Translational Resources (Dr. Lora, Pilot Project Awardee). The study sponsor did not have a role in the study design, collection and analysis of data, interpretation of findings, or manuscript writing.

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Correspondence to Paul Branscum.

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Branscum, P., Lora, K. Determinants of Parenting Practices Related to Monitoring Sugar Sweetened Beverages Among Hispanic Mothers. J Immigrant Minority Health 22, 120–125 (2020).

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  • Childhood obesity
  • Hispanic health
  • Health disparities
  • Reasoned Action Approach