Model Parents Is parental sugar sweetened beverage consumption a risk factor for children's sugar sweetened beverage consumption? Public

Abstract

Background : Rising rates of obesity, risk factors for diabetes, and other chronic diseases in children have been linked to energy imbalance and sugar sweetened beverage (SSB) overconsumption. Access to SSBs, parenting style, and parental modeling may play a strong role in influencing child SSB consumption.

Methods : A sample of 1,139 parent/child dyads from throughout the U.S. was examined to test the association of parents' and children's SSB intake. The relationship between parent and child consumption was examined in bivariate and multivariate logistic regression models.

Results : This study finds a statistically significant association between parent and child SSB consumption. An unadjusted odds ratio shows that the odds of a child consuming SSBs daily are 2.01 times higher in children that have parents who are themselves daily SSB consumers. This relationship is reduced to an odds ratio of 1.89 when demographic variables and potential interactions are introduced into the analysis, and race/ethnicity proves to be an effect modifier in the relationship between parent and child SSB consumption.

Conclusion : Results suggest that parent SSB consumption is associated with child SSB consumption; however this association was statistically significant only in white parent/child dyads. This association between parent and child SSB consumption can influence public health practices and initiatives aimed at curbing childhood obesity and chronic disease by encouraging policy makers and public health professionals to make parents the focus of interventions.

Table of Contents

1. INTRODUCTION ....................................................................................1

2. COMPREHENSIVE REVIEW OF THE LITERATURE............................................4

2.1 SSB Consumption Trends.......................................................................4

2.2 SSB Consumption and Health ................................................................6

2.3 Family Environment..............................................................................7

2.3.1 Access to SSBs. ..............................................................................7

2.3.2 Parenting Style.................................................................................9

2.3.3 Parental Modeling............................................................................ 11

2.3.4 Family Characteristics....................................................................... 14

3. PROJECT CONTENT...............................................................................17

3.1 Conceptual framework.........................................................................17

3.2 Methods...........................................................................................18

3.3 Results............................................................................................ 24

4. DISCUSSION, CONCLUSION, AND RECOMMENDATIONS.................................29

4.1 Discussion......................................................................................... 29

4.2 Conclusion.........................................................................................30

TABLES..................................................................................................32

APPENDIX............................................................................................... 45

REFERENCES............................................................................................46

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	MSPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Mot-clé	Parent/Child Dyad Sugar Sweetened Beverage Obesity Modeling
Committee Chair / Thesis Advisor	Argeseanu, Solveig, Emory University
Committee Members	Heidi, Blanck, CDC Onufrak, Stephen, CDC
Partnering Agencies	Emory University schools, faculty or affiliated programs CDC

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