Health literacy and parent attitudes about weight control for children

Janet M. Liechty, Jaclyn A. Saltzman, Salma M. Musaad, Kristen Harrison, Kelly Bost, Brent McBride, Sharon Donovan, Diana Grigsby-Toussaint, Juhee Kim, Angela Wiley, Margarita Teran-Garcia, Barbara Fiese, STRONG Kids Team The STRONG Kids Team

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to examine associations between parental health literacy and parent attitudes about weight control strategies for young children. Parental low health literacy has been associated with poor child health outcomes, yet little is known about its relationship to child weight control and weight-related health information-seeking preferences. Data were drawn from the STRONG Kids Study, a Midwest panel survey among parents of preschool aged children (n = 497). Parents endorsed an average of 4.3 (SD = 2.8) weight loss strategies, 53% endorsed all three recommended weight loss strategies for children, and fewer than 1% of parents endorsed any unsafe strategies. Parents were most likely to seek child weight loss information from healthcare professionals but those with low (vs. adequate) health literacy were significantly less likely to use the Internet or books and more likely to use minister/clergy as sources. Poisson and logistic regressions showed that higher health literacy was associated with endorsement of more strategies overall, more recommended strategies, and greater odds of endorsing each specific recommended strategy for child weight control, after adjusting for parent age, education, race/ethnicity, income, marital status, weight concern, and child BMI percentile. Findings suggest that health literacy impacts parental views about child weight loss strategies and health information-seeking preferences. Pediatric weight loss advice to parents should include assessment of parent attitudes and prior knowledge about child weight control and facilitate parent access to reliable sources of evidence-informed child weight control information.

Original languageEnglish (US)
Pages (from-to)200-208
Number of pages9
JournalAppetite
Volume91
DOIs
StatePublished - Aug 1 2015

Fingerprint

Health Literacy
Weights and Measures
Weight Loss
Parents
Clergy
Health
Marital Status
Preschool Children
Internet
Logistic Models
Pediatrics
Delivery of Health Care
Education

Keywords

  • Child weight control
  • Dieting
  • Health communication
  • Health literacy
  • Information-seeking
  • Weight loss strategies

ASJC Scopus subject areas

  • Psychology(all)
  • Nutrition and Dietetics

Cite this

Liechty, J. M., Saltzman, J. A., Musaad, S. M., Harrison, K., Bost, K., McBride, B., ... The STRONG Kids Team, STRONG. K. T. (2015). Health literacy and parent attitudes about weight control for children. Appetite, 91, 200-208. https://doi.org/10.1016/j.appet.2015.04.010

Health literacy and parent attitudes about weight control for children. / Liechty, Janet M.; Saltzman, Jaclyn A.; Musaad, Salma M.; Harrison, Kristen; Bost, Kelly; McBride, Brent; Donovan, Sharon; Grigsby-Toussaint, Diana; Kim, Juhee; Wiley, Angela; Teran-Garcia, Margarita; Fiese, Barbara; The STRONG Kids Team, STRONG Kids Team.

In: Appetite, Vol. 91, 01.08.2015, p. 200-208.

Research output: Contribution to journalArticle

Liechty, JM, Saltzman, JA, Musaad, SM, Harrison, K, Bost, K, McBride, B, Donovan, S, Grigsby-Toussaint, D, Kim, J, Wiley, A, Teran-Garcia, M, Fiese, B & The STRONG Kids Team, STRONGKT 2015, 'Health literacy and parent attitudes about weight control for children', Appetite, vol. 91, pp. 200-208. https://doi.org/10.1016/j.appet.2015.04.010
Liechty, Janet M. ; Saltzman, Jaclyn A. ; Musaad, Salma M. ; Harrison, Kristen ; Bost, Kelly ; McBride, Brent ; Donovan, Sharon ; Grigsby-Toussaint, Diana ; Kim, Juhee ; Wiley, Angela ; Teran-Garcia, Margarita ; Fiese, Barbara ; The STRONG Kids Team, STRONG Kids Team. / Health literacy and parent attitudes about weight control for children. In: Appetite. 2015 ; Vol. 91. pp. 200-208.
@article{1d63447e5c6b465db88ca59dc7a5b538,
title = "Health literacy and parent attitudes about weight control for children",
abstract = "The purpose of this study was to examine associations between parental health literacy and parent attitudes about weight control strategies for young children. Parental low health literacy has been associated with poor child health outcomes, yet little is known about its relationship to child weight control and weight-related health information-seeking preferences. Data were drawn from the STRONG Kids Study, a Midwest panel survey among parents of preschool aged children (n = 497). Parents endorsed an average of 4.3 (SD = 2.8) weight loss strategies, 53{\%} endorsed all three recommended weight loss strategies for children, and fewer than 1{\%} of parents endorsed any unsafe strategies. Parents were most likely to seek child weight loss information from healthcare professionals but those with low (vs. adequate) health literacy were significantly less likely to use the Internet or books and more likely to use minister/clergy as sources. Poisson and logistic regressions showed that higher health literacy was associated with endorsement of more strategies overall, more recommended strategies, and greater odds of endorsing each specific recommended strategy for child weight control, after adjusting for parent age, education, race/ethnicity, income, marital status, weight concern, and child BMI percentile. Findings suggest that health literacy impacts parental views about child weight loss strategies and health information-seeking preferences. Pediatric weight loss advice to parents should include assessment of parent attitudes and prior knowledge about child weight control and facilitate parent access to reliable sources of evidence-informed child weight control information.",
keywords = "Child weight control, Dieting, Health communication, Health literacy, Information-seeking, Weight loss strategies",
author = "Liechty, {Janet M.} and Saltzman, {Jaclyn A.} and Musaad, {Salma M.} and Kristen Harrison and Kelly Bost and Brent McBride and Sharon Donovan and Diana Grigsby-Toussaint and Juhee Kim and Angela Wiley and Margarita Teran-Garcia and Barbara Fiese and {The STRONG Kids Team}, {STRONG Kids Team}",
year = "2015",
month = "8",
day = "1",
doi = "10.1016/j.appet.2015.04.010",
language = "English (US)",
volume = "91",
pages = "200--208",
journal = "Appetite",
issn = "0195-6663",
publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Health literacy and parent attitudes about weight control for children

AU - Liechty, Janet M.

AU - Saltzman, Jaclyn A.

AU - Musaad, Salma M.

AU - Harrison, Kristen

AU - Bost, Kelly

AU - McBride, Brent

AU - Donovan, Sharon

AU - Grigsby-Toussaint, Diana

AU - Kim, Juhee

AU - Wiley, Angela

AU - Teran-Garcia, Margarita

AU - Fiese, Barbara

AU - The STRONG Kids Team, STRONG Kids Team

PY - 2015/8/1

Y1 - 2015/8/1

N2 - The purpose of this study was to examine associations between parental health literacy and parent attitudes about weight control strategies for young children. Parental low health literacy has been associated with poor child health outcomes, yet little is known about its relationship to child weight control and weight-related health information-seeking preferences. Data were drawn from the STRONG Kids Study, a Midwest panel survey among parents of preschool aged children (n = 497). Parents endorsed an average of 4.3 (SD = 2.8) weight loss strategies, 53% endorsed all three recommended weight loss strategies for children, and fewer than 1% of parents endorsed any unsafe strategies. Parents were most likely to seek child weight loss information from healthcare professionals but those with low (vs. adequate) health literacy were significantly less likely to use the Internet or books and more likely to use minister/clergy as sources. Poisson and logistic regressions showed that higher health literacy was associated with endorsement of more strategies overall, more recommended strategies, and greater odds of endorsing each specific recommended strategy for child weight control, after adjusting for parent age, education, race/ethnicity, income, marital status, weight concern, and child BMI percentile. Findings suggest that health literacy impacts parental views about child weight loss strategies and health information-seeking preferences. Pediatric weight loss advice to parents should include assessment of parent attitudes and prior knowledge about child weight control and facilitate parent access to reliable sources of evidence-informed child weight control information.

AB - The purpose of this study was to examine associations between parental health literacy and parent attitudes about weight control strategies for young children. Parental low health literacy has been associated with poor child health outcomes, yet little is known about its relationship to child weight control and weight-related health information-seeking preferences. Data were drawn from the STRONG Kids Study, a Midwest panel survey among parents of preschool aged children (n = 497). Parents endorsed an average of 4.3 (SD = 2.8) weight loss strategies, 53% endorsed all three recommended weight loss strategies for children, and fewer than 1% of parents endorsed any unsafe strategies. Parents were most likely to seek child weight loss information from healthcare professionals but those with low (vs. adequate) health literacy were significantly less likely to use the Internet or books and more likely to use minister/clergy as sources. Poisson and logistic regressions showed that higher health literacy was associated with endorsement of more strategies overall, more recommended strategies, and greater odds of endorsing each specific recommended strategy for child weight control, after adjusting for parent age, education, race/ethnicity, income, marital status, weight concern, and child BMI percentile. Findings suggest that health literacy impacts parental views about child weight loss strategies and health information-seeking preferences. Pediatric weight loss advice to parents should include assessment of parent attitudes and prior knowledge about child weight control and facilitate parent access to reliable sources of evidence-informed child weight control information.

KW - Child weight control

KW - Dieting

KW - Health communication

KW - Health literacy

KW - Information-seeking

KW - Weight loss strategies

UR - http://www.scopus.com/inward/record.url?scp=84928713632&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928713632&partnerID=8YFLogxK

U2 - 10.1016/j.appet.2015.04.010

DO - 10.1016/j.appet.2015.04.010

M3 - Article

C2 - 25868552

AN - SCOPUS:84928713632

VL - 91

SP - 200

EP - 208

JO - Appetite

JF - Appetite

SN - 0195-6663

ER -