H. Shonna Yin|Lee Sanders|Russell L. Rothman|Rachel J. Shustak|Svetlana K. Eden|Ayumi Shintani|Maria E. Cerra|Evelyn F. Cruzatte|Eliana M. Perrin
Parent Health Literacy and “Obesogenic” Feeding and Physical Activity-Related Infant Care Behaviors
New York University|Stanford University|Vanderbilt University Medical Center|New York University|Vanderbilt University Medical Center|Vanderbilt University Medical Center|New York University|New York University|University of North Carolina at Chapel Hill
objective examine relationship parent health literacy obesogenic infant care behaviors study design crosssectional analysis baseline data cluster randomized controlled trial primary carebased early childhood obesity prevention program greenlight english spanishspeaking parents 2monthold children enrolled n 844 primary predictor variable parent health literacy short test functional health literacy adults adequate 23 low 23 primary outcome variables involving selfreported obesogenic behaviors 1 feeding content formula breast milk sweet drinks early solid food introduction feeding stylerelated behaviors pressuring finish laissezfaire bottle proppingtelevision tv watching feeding nonresponsiveness letting child decide amount eat 2 physical activity tummy time tv multivariate logistic regression analyses binary proportional odds models performed adjusting child sex outofhome care women infants children program status parent age raceethnicity language number adultschildren home income site results eleven percent parents categorized low health literacy low health literacy significantly increased odds parent reporting feed formula breast milk aor 20 95 ci 1235 immediately feed child cries aor 18 1128 bottle prop aor 18 100231 infant tv watching aor 18 1130 inadequate tummy time 30 mind aor 30 1558 conclusions low parent health literacy associated certain obesogenic infant care behaviors behaviors may modifiable targets low health literacyfocused interventions help reduce childhood obesity examine relationship parent health literacy obesogenic infant care behaviors crosssectional analysis baseline data cluster randomized controlled trial primary carebased early childhood obesity prevention program greenlight english spanishspeaking parents 2monthold children enrolled n 844 primary predictor variable parent health literacy short test functional health literacy adults adequate 23 low 23 primary outcome variables involving selfreported obesogenic behaviors 1 feeding content formula breast milk sweet drinks early solid food introduction feeding stylerelated behaviors pressuring finish laissezfaire bottle proppingtelevision tv watching feeding nonresponsiveness letting child decide amount eat 2 physical activity tummy time tv multivariate logistic regression analyses binary proportional odds models performed adjusting child sex outofhome care women infants children program status parent age raceethnicity language number adultschildren home income site eleven percent parents categorized low health literacy low health literacy significantly increased odds parent reporting feed formula breast milk aor 20 95 ci 1235 immediately feed child cries aor 18 1128 bottle prop aor 18 100231 infant tv watching aor 18 1130 inadequate tummy time 30 mind aor 30 1558 low parent health literacy associated certain obesogenic infant care behaviors behaviors may modifiable targets low health literacyfocused interventions help reduce childhood obesity