Abstract
The family and home environment are important in shaping the dietary patterns of children, yet research among low-income, minority groups is limited. We examined ethnic differences in the home food environment and parental practices among 706 low-income, African-American and Hispanic families of preschoolers. Questionnaires measured the access and availability of various foods in the home, parental practices, and meal consumption behaviors. Mixed model logistic regression and ANCOVA were used to assess ethnic differences. Unhealthy foods were available for both groups. Hispanic families were more likely to have fresh vegetables (AOR = 2.9, P ≤ 0.001), fruit (AOR = 2.0, P = 0.004), and soda available (AOR = 1.40, P = 0.001) compared to African-Americans. African-Americans families were more likely to restrict (AOR = 0.63, P ≤ 0.001) and reward with dessert (AOR = 0.69, P ≤ 0.001). Hispanic families consumed more family meals together (P = 0.003) and less meals in front of the television (P ≤ 0.006). Health promotion interventions should consider the behavioral differences between ethnicities.
Similar content being viewed by others
References
Ogden C, Carroll M, Curtin L, et al. Prevalence of high body mass index in US children and adolescents: 2007–2008. J Am Med Assoc. 2010;303:242–9.
Wang Y, Beydoun MA. The obesity epidemic in the United States–gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29:6–28.
Lutfiyya MN, Garcia R, Dankwa CM, et al. Overweight and obese prevalence rates in African American and Hispanic children: an analysis of data from the 2003–2004 national survey of children’s health. J Am Board Fam Med. 2008;21:191–9.
Hoelscher D, Day S, Lee E, et al. Measuring the prevalence of overweight in Texas schoolchildren. Am J Public Health. 2004;94:1002–8.
Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101:539–49.
Davis MM, Gance-Cleveland B, Hassink S, et al. Recommendations for prevention of childhood obesity. Pediatrics. 2007;120:S229–53.
O’Connor TM, Hughes SO, Watson KB, et al. Parenting practices are associated with fruit and vegetable consumption in pre-school children. Public Health Nutr. 2010;13:91–101.
Hearn MD, Baranowski T, Baranowski J, et al. Environmental influences on dietary behavior among children: availability and accessibility of fruits and vegetables enable consumption. J Health Educ. 1998;29:26–32.
Baranowski T, Cullen KW, Baranowski J. Psychosocial correlates of dietary intake: advancing dietary intervention. Annu Rev Nutr. 1999;19:17–40.
Cooke LJ, Wardle J, Gibson EL, et al. Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutr. 2004;7:295–302.
Dave JM, Evans AE, Pfeiffer KA, et al. Correlates of availability and accessibility of fruits and vegetables in homes of low-income Hispanic families. Health Educ Res. 2009;25:97–108.
Birch LL, Fisher JO. Apetite and eating behavior in children. In: Gaull GE, editor. The pediatric clinics of North America: pediatric nutrition. Philadelphia, PA: W.B. Saunders; 1995. p. 931–53.
Patrick H, Nicklas TA, Hughes SO, Morales M. The benefits of authoritative feeding style: caregiver feeding styles and children’s food consumption patterns. Appetite. 2005;44:243–9.
Birch LL, Fisher JO, Davison KK. Learning to overeat: maternal use of restrictive feeding practices promotes girls’ eating in the absence of hunger. Am J Clin Nutr. 2003;78:215–20.
Wardle J, Carnell S, Cooke L. Parental control over feeding and children’s fruit and vegetable intake: how are they related? J Am Diet Assoc. 2005;105:227–32.
De Bourdeaudhuij I. Family food rules and healthy eating in adolescents. J Health Psycho. 1997;2:45–56.
Spruijt-Metz D, Lindquist CH, Birch LL, et al. Relation between mothers’ child-feeding practices and children’s adiposity. Am J Clin Nutr. 2002;75:581–6.
Gillman MW, Rifas-Shiman SL, Frazier AL, et al. Family dinner and diet quality among older children and adolescents. Arch Fam Med. 2000;9:235–40.
Videon TM, Manning CK. Influences on adolescent eating patterns: the importance of family meals. J Adolesc Health. 2003;32:365–73.
Patrick H, Nicklas TA. A review of family and social determinants of children’s eating patterns and diet quality. J Am Coll Nutr. 2005;24:83–92.
Hammons AJ, Fiese BH. Is frequency of shared family meals related to the nutritional health of children and adolescents? Pediatrics. 2011;127:e1565.
Gable S, Chang Y, Krull JL. Television watching and frequency of family meals are predictive of overweight onset and persistence in a national sample of school-aged children. J Am Diet Assoc. 2007;107:53–61.
Anderson SE, Whitaker RC. Household routines and obesity in US preschool-aged children. Pediatrics. 2010;125:420–8.
Coon KA, Goldberg J, Rogers BL, Tucker KL. Relationships between use of television during meals and children’s food consumption patterns. Pediatrics. 2001;107:e7.
Feldman S, Eisenberg ME, Neumark-Sztainer D, Story M. Associations between watching TV during family meals and dietary intake among adolescents. J Nutr Educ Behav. 2007;39:257–63.
Hughes SO, Anderson CB, Power TG, et al. Measuring feeding in low-income African-American and Hispanic parents. Appetite. 2006;46:215–23.
Baumrind D. The development of instrumental competence through socialization. In: Pick A, editor. Minnesota symposium on child psychology. Minneapolis: University of Minnesota Press; 1973.
Iannotti RJ, O’Brien RW, Spillman DM. Parental and peer influences on food consumption of preschool African-American children. Percept Mot Skills. 1994;79:747–52.
Bryant MJ, Ward DS, Hales D, et al. Reliability and validity of the healthy home survey: a tool to measure factors within homes hypothesized to relate to overweight in children. Int J Behav Nutr Phys Act. 2008;5:23.
Centers for Disease Control and Prevention (CDC) Defining overweight and obesity. http://www.cdc.gov/nccdphp/dnpa/obesity/defining.htm. Accessed 9 Feb 2008.
Murray DM. Design and analysis of group-randomized trials. USA: Oxford University Press; 1998.
U.S. Department of Health and Human Services The 2011 HHS poverty guidelines. http://aspe.hhs.gov/poverty/11poverty.shtml. Accessed 26 May 2011.
Strauss RS, Knight J. Influence of the home environment on the development of obesity in children. Pediatrics. 1999;103(6):e85.
Thompson B, Coronado GD, Solomon CC, et al. Cancer prevention behaviors and socioeconomic status among Hispanics and non-Hispanic whites in a rural population in the united states. Cancer Cause Control. 2002;13:719–28.
Yeh MC, Ickes SB, Lowenstein LM, et al. Understanding barriers and facilitators of fruit and vegetable consumption among a diverse multi-ethnic population in the USA. Health Promot Int. 2008;23:42–51.
Haerens L, Craeynest M, Deforche B, et al. The contribution of psychosocial and home environmental factors in explaining eating behaviours in adolescents. Eur J Clin Nutr. 2007;62:51–9.
Cullen KW, Baranowski T, Owens E, et al. Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children’s dietary behavior. Health Educ Behav. 2003;30:615–26.
Befort C, Kaur H, Nollen N, et al. Fruit, vegetable, and fat intake among non-hispanic black and non-Hispanic white adolescents: associations with home availability and food consumption settings. J Am Diet Assoc. 2006;106:367–73.
Hildebrand DA, Shriver LH. A quantitative and qualitative approach to understanding fruit and vegetable availability in low-income African-American families with children enrolled in an urban head start program. J Am Diet Assoc. 2010;110:710–8.
Campbell KJ, Crawford DA, Salmon J, et al. Associations between the home food environment and obesity-promoting eating behaviors in adolescence. Obesity. 2007;15:719–30.
Drewnowski A. Obesity and the food environment: dietary energy density and diet costs. Am J Prev Med. 2004;27:154–62.
Warner ML, Harley K, Bradman A, et al. Soda consumption and overweight status of 2-year-old Mexican-American children in California. Obesity. 2006;14:1966–74.
Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001;357:505–8.
Storey ML, Forshee RA, Anderson PA. Beverage consumption in the US population. J Am Diet Assoc. 2006;106:1992–2000.
Garcia SE, Kaiser LL, Dewey KG. The relationship of eating frequency and caloric density to energy intake among rural Mexican preschool children. Eur J Clin Nutr. 1990;44:381–7.
Eisenberg ME, Olson RE, Neumark-Sztainer D, et al. Correlations between family meals and psychosocial well-being among adolescents. Arch Pediatr Adolsec Med. 2004;158:792–6.
Vargas CM, Monajemy N, Khurana P, Tinanoff N. Oral health status of preschool children attending head start in Maryland, 2000. Pediatr Dent. 2002;24:257–63.
Acknowledgments
We would like to recognize the authors and developers of the original Healthy Home Survey, Maria J. Bryant, Dianne Ward, Derek Hales, Amber Vaughn, Rachael Tabak, and June Stevens. This survey was modified for use in this study. We would also like to acknowledge the Michael & Susan Dell Center for Healthy Living, HCDE Head Start director Ms Venetia Peacock, HCDE Head Start Health Services Manager Ms. Gulshan Rahman and all HCDE Head Start Center managers and staff for their support. We would also like to acknowledge the data collectors and data entry staff who made this manuscript possible. This work was supported by funding from the Michael and Susan Dell Center for Healthy Living, the University of Texas, School of Public Health; and the Pre-doctoral Fellowship, University of Texas School of Public Health Cancer Education and Career Development Program-National Cancer Institute/NIH [Grant #2 R25 CA57712]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute of the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Skala, K., Chuang, RJ., Evans, A. et al. Ethnic Differences in the Home Food Environment and Parental Food Practices Among Families of Low-Income Hispanic and African-American Preschoolers. J Immigrant Minority Health 14, 1014–1022 (2012). https://doi.org/10.1007/s10903-012-9575-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-012-9575-9