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Socio-economic position as a moderator of 9–13-year-old children’s non-core food intake

  • Dorota M Zarnowiecki (a1), Natalie Parletta (a1) and James Dollman (a2)
Abstract
Abstract Objective

There is limited understanding as to why children of low socio-economic position (SEP) consume poorer diets than children of high SEP. Evidence suggests that determinants of dietary intake may differ between SEP groups. The present study aimed to determine if SEP moderated associations of personal and environmental predictors with children’s non-core food and sweetened drink intakes and unhealthy dietary behaviours.

Design

Children completed online questionnaires and parents completed computer-assisted telephone interviews to assess intrapersonal and environmental dietary predictors. Dietary intake was measured using an FFQ. Parents reported demographic information for maternal education, occupation and employment, and household income.

Setting

Twenty-six primary schools in South Australia, Australia.

Subjects

Children aged 9–13 years and their parents (n 395).

Results

Multiple personal and home environment factors predicted non-core food and sweetened drink intakes, and these associations were moderated by SEP. Maternal education moderated associations of girls’ sweetened drink intake with self-efficacy, cooking skills and pressure to eat, and boys’ non-core food intake with monitoring, parent’s self-efficacy and home environment. Maternal occupation and employment moderated associations of sweetened drink intake with attitudes, self-efficacy, pressure to eat and food availability, and non-core food intake with parents’ self-efficacy and monitoring. Income moderated associations with pressure to eat and home environment.

Conclusions

Identifying differences in dietary predictors between socio-economic groups informs understanding of why socio-economic gradients in dietary intake may occur. Tailoring interventions and health promotion to the particular needs of socio-economically disadvantaged children may produce more successful outcomes and reduce socio-economic disparities in dietary intake.

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Corresponding author
* Corresponding author: Email dorota.zarnowiecki@unisa.edu.au
References
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1. Lobstein T, Baur LA & Uauy A (2004) Obesity in children and young people: a crisis in public health. Obes Rev 5, 485.
2. Juhola J, Magnussen CG, Viikari JSA et al. (2011) Tracking of serum lipid levels, blood pressure and body mass index from childhood to adulthood: the Cardiovascular Risk in Young Finns Study. J Pediatr 159, 584590.
3. Lien N, Lytle LA & Klepp KI (2001) Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med 33, 217226.
4. Rasmussen M, Holstein BE & Due P (2012) Tracking of overweight from mid-adolescence into adulthood: consistent patterns across socio-economic groups. Eur J Public Health 22, 885887.
5. Suppli CH, Due P, Henriksen PW et al. (2013) Low vigorous physical activity at ages 15, 19 and 27: childhood socio-economic position modifies the tracking pattern. Eur J Public Health 23, 1924.
6. Rasmussen M, Krølner R, Klepp KI et al. (2006) Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part I: Quantitative studies. Int J Behav Nutr Phys Act 3, 22.
7. Shrewsbury V & Wardle J (2008) Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990–2005. Obesity (Silver Spring) 16, 275284.
8. Cameron AJ, Ball K, Pearson N et al. (2012) Socioeconomic variation in diet and activity-related behaviours of Australian children and adolescents aged 2–16 years. Pediatr Obes 7, 329342.
9. Cartwright M, Wardle J, Steggles N et al. (2003) Stress and dietary practices in adolescents. Health Psychol 22, 362369.
10. Sweeting H & West P (2005) Dietary habits and children’s family lives. J Hum Nutr Diet 18, 9397.
11. Haerens L, Craeynest M, Deforche B et al. (2008) The contribution of psychosocial and home environmental factors in explaining eating behaviours in adolescents. Eur J Clin Nutr 62, 5159.
12. Ball K, Macfarlane A, Crawford D et al. (2009) Can social cognitive theory constructs explain socio-economic variations in adolescent eating behaviours? A mediation analysis. Health Educ Res 24, 496506.
13. Zarnowiecki D, Ball K, Parletta N et al. (2014) Describing socioeconomic gradients in children’s diets – does the socioeconomic indicator used matter? Int J Behav Nutr Phys Act 11, 44.
14. Moore GF, Tapper K, Murphy S et al. (2007) Associations between deprivation, attitudes towards eating breakfast and breakfast eating behaviours in 9–11-year-olds. Public Health Nutr 10, 582589.
15. O’Dea JA & Wilson R (2006) Socio-cognitive and nutritional factors associated with body mass index in children and adolescents: possibilities for childhood obesity prevention. Health Educ Res 21, 796805.
16. Bere E, Van Lenthe F, Klepp K et al. (2008) Why do parents’ education level and income affect the amount of fruits and vegetables adolescents eat? Eur J Public Health 18, 611615.
17. Edmonds J, Baranowski T, Baranowski J et al. (2001) Ecological and socioeconomic correlates of fruit, juice, and vegetable consumption among African-American boys. Prev Med 32, 476481.
18. Macfarlane A, Crawford D, Ball K et al. (2007) Adolescent home food environments and socioeconomic position. Asia Pac J Clin Nutr 16, 748756.
19. Sandvik C, Gjestad R, Samdal O et al. (2010) Does socio-economic status moderate the associations between psychosocial predictors and fruit intake in schoolchildren? The Pro Children Study. Health Educ Res 25, 121134.
20. Hupkens CL, Knibbe RA, Van Otterloo AH et al. (1998) Class differences in the food rules mothers impose on their children: a cross-national study. Soc Sci Med 47, 13311339.
21. Loth KA, Maclehose RF, Fulkerson JA et al. (2013) Eat this, not that! Parental demographic correlates of food-related parenting practices. Appetite 60, 140147.
22. Fairchild AJ & Mackinnon DP (2009) A general model for testing mediation and moderation effects. Prev Sci 10, 8799.
23. Ho S, Wong BY, Lo W et al. (2010) Neighbourhood food environment and dietary intakes in adolescents: sex and perceived family affluence as moderators. Int J Pediatr Obes 5, 420427.
24. Wouters EJ, Larsen JK, Kremers SP et al. (2010) Peer influence on snacking behavior in adolescence. Appetite 55, 1117.
25. Waters E, De Silva-Sanigorski A, Hall BJ et al. (2011) Interventions for preventing obesity in children. Cochrane Database Syst Rev issue 12, CD001871.
26. Sallis JF, Owen N & Fisher EB (2008) Ecological models of health behavior. In Health Behavior and Health Education: Theory, Research and Practice, 4th ed., pp. 465485 [K Glanz, BK Rimer and K Viswanath, editors]. San Francisco, CA: Jossey-Bass.
27. Zarnowiecki DM, Parletta N & Dollman J (2014) The role of socio-economic position as a moderator of children’s healthy food intake. Br J Nutr 112, 830840.
28. Wilson AM, Magarey AM & Mastersson N (2008) Reliability and relative validity of a child nutrition questionnaire to simultaneously assess dietary patterns associated with positive energy balance and food behaviours, attitudes, knowledge and environments associated with healthy eating. Int J Behav Nutr Phys Act 5, 5.
29. Hannon PA, Bowen DJ, Moinpour CA et al. (2003) Correlations in perceived food use between the family food preparer and their spouses and children. Appetite 40, 7783.
30. Australian Bureau of Statistics (2006) Australian and New Zealand Standard Classification of Occupations (ANZSCO), First Edition. ABS Catalogue no. 1220.0. Canberra: ABS.
31. Madigson J (2010) Correlated component regression: a prediction/classification methodology for possibly many features (Reprinted from the 2010 American Statistical Association Proceedings with Edits). http//statisticalinnovations.com/technicalsupport/CCR.AMSTAT.pdf
32. Johnson L, Van Jaarsveld CHM & Wardle J (2011) Individual and family environment correlates differ for consumption of core and non-core foods in children. Br J Nutr 105, 950959.
33. Cohen RY, Brownell KD & Felix MR (1990) Age and sex differences in health habits and beliefs of schoolchildren. Health Psychol 9, 208224.
34. O’Dea JA & Caputi P (2001) Association between socioeconomic status, weight, age and gender, and the body image and weight control practices of 6- to 19-year-old children and adolescents. Health Educ Res 16, 521532.
35. Wardle J, Haase AM, Steptoe A et al. (2004) Gender differences in food choice: the contribution of health beliefs and dieting. Ann Behav Med 27, 107116.
36. Gibson EL, Wardle J & Watts CJ (1998) Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite 31, 205228.
37. Hendrie GA, Coveney J & Cox D (2008) Exploring nutrition knowledge and the demographic variation in knowledge levels in an Australian community sample. Public Health Nutr 11, 13651372.
38. Rimal RN (2003) Intergenerational transmission of health: the role of intrapersonal, interpersonal, and communicative factors. Health Educ Behav 30, 1028.
39. Van Otterloo AH (1995) Taste, food regimens and fatness. A study in social stratification. In Social Aspects of Obesity, pp. 111126 [I de Garine and NJ Pollock, editors]. Amsterdam: Gordon and Breach Publishers.
40. Birch LL & Davison KK (2001) Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am 48, 893907.
41. Ogden J, Reynolds R & Smith A (2006) Expanding the concept of parental control: a role for overt and covert control in children’s snacking behaviour? Appetite 47, 100106.
42. Brown KA, Ogden J, Vögele C et al. (2008) The role of parental control practices in explaining children’s diet and BMI. Appetite 50, 252259.
43. Birch LL, Fisher JO, Grimm-Thomas K et al. (2001) Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite 36, 201210.
44. Kröller K & Warschburger P (2008) Associations between maternal feeding style and food intake of children with a higher risk for overweight. Appetite 51, 166172.
45. Boshoff K, Dollman J & Magarey A (2007) An investigation into the protective factors for overweight among low socio-economic status children. Health Promot J Aust 18, 135142.
46. Campbell KJ, Crawford DA, Salmon J et al. (2007) Associations between the home food environment and obesity-promoting eating behaviours in adolescence. Obesity (Silver Spring) 15, 719730.
47. Vereecken CA, Keukelier E & Maes L (2004) Influence of mother’s educational level on food parenting practices and food habits of young children. Appetite 43, 93103.
48. Kuyper EM, Smith D & Kaiser LL (2009) Does food insecurity influence child feeding practices? J Hunger Environ Nutr 4, 147157.
49. Cawley J & Liu F (2012) Maternal employment and childhood obesity: a search for mechanisms in time use data. Econ Hum Biol 10, 352364.
50. Crepinsek MK & Burstein NR (2004) Maternal Employment and Children’s Nutrition. Volume I, Diet Quality and the Role of the CACFP. Report no. E-FAN-04-006-1. Washington, DC: US Department of Agriculture, Economic Research Service.
51. Berg C, Jonsson I, Conner MT et al. (1998) Sources of bias in a dietary survey of children. Eur J Clin Nutr 52, 663667.
52. Turrell G, Patterson C, Oldenburg B et al. (2003) The socio-economic patterning of survey participation and non-response error in a multilevel study of food purchasing behaviour: area- and individual-level characteristics. Public Health Nutr 6, 181189.
53. Department of Education, Employment and Workplace Relations (2011) Smarter schools national partnership for literacy and numeracy. http://smarterschools.gov.au/nationalpartnerships/Pages/LiteracyandNumeracy.aspx (accessed June 2012).
55. Dollman J, Ridley K, Magarey A et al. (2007) Dietary intake, physical activity and TV viewing as mediators of the association of socioeconomic status with body composition: a cross-sectional analysis of Australian youth. Int J Obes (Lond) 31, 4552.
56. Zarnowiecki DM, Sinn N, Petkov J et al. (2012) Parental nutrition knowledge and attitudes as predictors of 5–6-year-old children’s healthy food knowledge. Public Health Nutr 15, 12841290.
57. Timperio A, Ball K, Roberts R et al. (2008) Children’s fruit and vegetable intake: associations with the neighbourhood food environment. Prev Med 46, 331335.
58. Campbell KJ, Crawford DA & Hesketh KD (2007) Australian parents’ views on their 5–6 year old children’s food choices. Health Promot Int 22, 1118.
59. Ball K, Crawford D & Mishra G (2006) Socioeconomic inequalities in women’s fruit and vegetable intakes: a multilevel study. Public Health Nutr 9, 623630.
60. Williams L, Ball K & Crawford D (2010) Why do some socioeconomically disadvantaged women eat better than others? An investigation of the personal, social and environmental correlates of fruit and vegetable consumption. Appetite 55, 441446.
61. Jackson C, Bee-Gates DJ & Henriksen L (1994) Authoritative parenting, child competencies, and initiation of cigarette smoking. Health Educ Behav 21, 103116.
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