The Relationship between Relative-Provided Child Care and Obesity in 5th graders in the United States Público

Abstract

Abstract

The Relationship between Relative-Provided Child Care and Obesity in 5th graders in the United States

This study explores the relationship between relative provided childcare and childhood obesity in
round 6 (fifth grade) children of the Early Childhood Longitudinal Study- Kindergarten Cohort
1999 (N=9324). Survey adjusted logit models were used to assess the association between
obesity, as defined by the International Obesity Task Force cut-off points, and receipt of regular
relative care, the type of relative care provider, and type of non-parental care. First the bivariate
association was analyzed for each main exposure and then controlled for with child socio-
demographic characteristics, family socio-economic status (SES) variables, and household
structure variables. In the bivariate analysis, only receipt of regular relative care had an
association with obesity in the bivariate analysis. No association was found between relative care,
type of relative care provider and type of non-parental and childhood obesity once controlling
variables were added to the models. However, several socio-demographic, family SES and
household characteristics were found to be significantly associated with obesity in all of the
models, a finding consistent with prior research. In addition, many of these characteristics were
also significantly associated with children receiving relative provided child care. These results
provide insight that relative care may not be an independent risk factor for early childhood
obesity, but may be a characteristic of children who are already at risk for childhood obesity.

Table of Contents

Table of Contents

Introduction. 1

Chapter 1 Literature Review. 5

• Levels, Trends and Consequences of Obesity, 5
• Childcare and Obesity. 6
• Characteristics of Families Using Relative Care, 11
• Caregiver Perceptions of Obesity. 12
• Characteristics Related to Obesity. 14
  • Family Environment and Obesity. 15
  • Family Structure. 16
  • Socio-Economic Status. 17
  • Race. 19

Chapter 2 Conceptual Framework. 21

• Figure 1. The conceptual framework for childhood obesity and child care with mediating factors of the family environment and social factors. 21
• Rationale for Study. 24

Chapter 3 Methodology. 26

• ECLS-K Study Methodology. 26
  • ECLS-K Study Design and Data Collection27
  • Round 6 (Fifth Grade) Sample and Data Collection28
• Selection and Modification of Variables for Data Analysis. 28
  • Outcome Variable. 29
  • Main Exposure of Interest Variables30
  • Covariates. 33
• Methods. 36

Chapter 4 Results. 38

• Descriptive Results. 38
  • Obesity and Non-Parental Care. 38
  • Covariates. 38
• Analytic Results. 40
  • Received Relative Care, Type of Relative Care Provider and Type of Non-Parental Care Models, 40
  • Control Variables in Multivariate Analysis, 40
  • Determinants of receipt of Relative Care, 41

Chapter 5 Discussion. 43

• Limitations and Strengths. 46

Chapter 6 Conclusion and Recommendations: 47

Tables. 50

• Table 1. The differences in socio-demographic, family SES, household structure, and non-parental care characteristics between those who received relative care and those who did not in fifth grade children (n=9324). 50
• Table 1(Cont.). The differences in socio-demographic, family SES, household structure, and non-parental care characteristics between those who received relative care and those who did not in fifth grade children (n=9324). 51
• Table 2. The characteristics of regular relative care in fifth grade children (n=9324). 52
• Table 3. The characteristics of types of care received by when care is provided in fifth graders (n= 9324). 53
• Table 4. The survey adjusted logit model for the association between received relative care and obesity (n=9324). 54
• Table 4 (Cont.). The survey adjusted logit model for the association between received relative care and obesity (n=9324). 55
• Table 5. The survey adjusted logit model for the association between relative care provider and obesity in fifth graders (n=9324). 56
• Table 5 (Cont.). The survey adjusted logit model for the association between relative care provider and obesity in fifth graders (n=9324). 57
• Table 6. The survey adjusted logit model for the association between type of non-parental care and obesity in fifth graders (n=9324). 58
• Table 6 (Cont.). The survey adjusted logit model for the association between type of non-parental care and obesity in fifth graders (n=9324). 59
• Table 7. The characteristics predicting relative care and the sample characteristics of fifth graders (n=9324).60
• Table 7 (Cont.). The characteristics predicting relative care and the sample characteristics of fifth graders (n=9324). 61

References. 62

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Palavra-chave	United States Informal Care Child Care Obesity 5th grade Relative-Provided Non-Parental Care
Committee Chair / Thesis Advisor	Argeseanu, Solveig, Emory University
Partnering Agencies	Emory University schools, faculty or affiliated programs

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