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Caregiver's Country of Birth Is a Significant Determinant of Accurate Perception of Preschool-Age Children's Weight

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Title: Caregiver's Country of Birth Is a Significant Determinant of Accurate Perception of Preschool-Age Children's Weight
Language: English
Authors: Natale, Ruby, Uhlhorn, Susan B., Lopez-Mitnik, Gabriela, Camejo, Stephanie, Englebert, Nicole, Delamater, Alan M., Messiah, Sarah E.
Source: Health Education & Behavior. Apr 2016 43(2):191-200.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 10
Publication Date: 2016
Sponsoring Agency: US Department of Agriculture
Contract Number: 200905065
Document Type: Journal Articles
Reports - Research
Education Level: Early Childhood Education
Descriptors: Child Caregivers, Accuracy, Preschool Children, Body Weight, Child Health, Foreign Workers, Minority Groups, Obesity, Randomized Controlled Trials, Caregiver Attitudes, Statistical Analysis, Demography, Subcultures, Cultural Differences, Regression (Statistics)
Geographic Terms: Florida
DOI: 10.1177/1090198115599395
ISSN: 1090-1981
Abstract: Background: One in four preschool-age children in the United States are currently overweight or obese. Previous studies have shown that caregivers of this age group often have difficulty accurately recognizing their child's weight status. The purpose of this study was to examine factors associated with accurate/inaccurate perception of child body mass index (BMI) among a multicultural sample of caregivers who were predominantly low-income and foreign-born. Methods: A total of 980 caregivers (72% Hispanic, 71% born outside of the United States) of preschool-age children (N = 1,105) were asked if their child was normal weight, overweight, or obese. Answers were compared to actual child BMI percentile category via chi-square analysis. Logistic regression analysis was performed to assess predictors of accurate perception of child BMI percentile category. Results: More than one third of preschoolers were either overweight (18.4%) or obese (16.5%). The majority (92%) of caregivers of an overweight/obese child inaccurately perceived that their child was in a normal BMI category. Overall, foreign-born caregivers were significantly less likely to accurately perceive their child's BMI percentile category versus U.S.-born caregivers (odds ratio [OR] = 0.65, 95% confidence interval [CI] = 0.48-0.88). Specifically, those born in South America (OR = 0.59, 95% CI = 0.36-0.98), Central America/Mexico (OR = 0.59, 95% CI = 0.41-0.85), and Caribbean Hispanic nations (OR = 0.54, 95% CI = 0.35-0.83) were significantly less likely to accurately perceive their child's BMI category versus U.S.-born caregivers. Conclusions: The results of this study suggest that foreign-born caregivers of U.S. preschool-age overweight/obese children in particular do not accurately perceive their child's BMI status. Health care professionals serving foreign-born caregivers may consider additional culturally appropriate healthy weight counseling for these families.
Abstractor: As Provided
Number of References: 47
Entry Date: 2016
Accession Number: EJ1095963
Database: ERIC
FullText Text:
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  Data: Caregiver's Country of Birth Is a Significant Determinant of Accurate Perception of Preschool-Age Children's Weight
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  Data: <searchLink fieldCode="AR" term="%22Natale%2C+Ruby%22">Natale, Ruby</searchLink><br /><searchLink fieldCode="AR" term="%22Uhlhorn%2C+Susan+B%2E%22">Uhlhorn, Susan B.</searchLink><br /><searchLink fieldCode="AR" term="%22Lopez-Mitnik%2C+Gabriela%22">Lopez-Mitnik, Gabriela</searchLink><br /><searchLink fieldCode="AR" term="%22Camejo%2C+Stephanie%22">Camejo, Stephanie</searchLink><br /><searchLink fieldCode="AR" term="%22Englebert%2C+Nicole%22">Englebert, Nicole</searchLink><br /><searchLink fieldCode="AR" term="%22Delamater%2C+Alan+M%2E%22">Delamater, Alan M.</searchLink><br /><searchLink fieldCode="AR" term="%22Messiah%2C+Sarah+E%2E%22">Messiah, Sarah E.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. Apr 2016 43(2):191-200.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
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  Data: 10
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  Label: Publication Date
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  Data: 2016
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  Data: US Department of Agriculture
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  Data: 200905065
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="EL" term="%22Early+Childhood+Education%22">Early Childhood Education</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Child+Caregivers%22">Child Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Accuracy%22">Accuracy</searchLink><br /><searchLink fieldCode="DE" term="%22Preschool+Children%22">Preschool Children</searchLink><br /><searchLink fieldCode="DE" term="%22Body+Weight%22">Body Weight</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Health%22">Child Health</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Workers%22">Foreign Workers</searchLink><br /><searchLink fieldCode="DE" term="%22Minority+Groups%22">Minority Groups</searchLink><br /><searchLink fieldCode="DE" term="%22Obesity%22">Obesity</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+Controlled+Trials%22">Randomized Controlled Trials</searchLink><br /><searchLink fieldCode="DE" term="%22Caregiver+Attitudes%22">Caregiver Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+Analysis%22">Statistical Analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Demography%22">Demography</searchLink><br /><searchLink fieldCode="DE" term="%22Subcultures%22">Subcultures</searchLink><br /><searchLink fieldCode="DE" term="%22Cultural+Differences%22">Cultural Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+%28Statistics%29%22">Regression (Statistics)</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1177/1090198115599395
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1090-1981
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: One in four preschool-age children in the United States are currently overweight or obese. Previous studies have shown that caregivers of this age group often have difficulty accurately recognizing their child's weight status. The purpose of this study was to examine factors associated with accurate/inaccurate perception of child body mass index (BMI) among a multicultural sample of caregivers who were predominantly low-income and foreign-born. Methods: A total of 980 caregivers (72% Hispanic, 71% born outside of the United States) of preschool-age children (N = 1,105) were asked if their child was normal weight, overweight, or obese. Answers were compared to actual child BMI percentile category via chi-square analysis. Logistic regression analysis was performed to assess predictors of accurate perception of child BMI percentile category. Results: More than one third of preschoolers were either overweight (18.4%) or obese (16.5%). The majority (92%) of caregivers of an overweight/obese child inaccurately perceived that their child was in a normal BMI category. Overall, foreign-born caregivers were significantly less likely to accurately perceive their child's BMI percentile category versus U.S.-born caregivers (odds ratio [OR] = 0.65, 95% confidence interval [CI] = 0.48-0.88). Specifically, those born in South America (OR = 0.59, 95% CI = 0.36-0.98), Central America/Mexico (OR = 0.59, 95% CI = 0.41-0.85), and Caribbean Hispanic nations (OR = 0.54, 95% CI = 0.35-0.83) were significantly less likely to accurately perceive their child's BMI category versus U.S.-born caregivers. Conclusions: The results of this study suggest that foreign-born caregivers of U.S. preschool-age overweight/obese children in particular do not accurately perceive their child's BMI status. Health care professionals serving foreign-born caregivers may consider additional culturally appropriate healthy weight counseling for these families.
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  Data: As Provided
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  Data: 47
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  Data: 2016
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        Value: 10.1177/1090198115599395
    Languages:
      – Text: English
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      Pagination:
        PageCount: 10
        StartPage: 191
    Subjects:
      – SubjectFull: Child Caregivers
        Type: general
      – SubjectFull: Accuracy
        Type: general
      – SubjectFull: Preschool Children
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      – SubjectFull: Body Weight
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      – SubjectFull: Child Health
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      – SubjectFull: Foreign Workers
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      – SubjectFull: Minority Groups
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      – SubjectFull: Obesity
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      – SubjectFull: Randomized Controlled Trials
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      – SubjectFull: Caregiver Attitudes
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      – SubjectFull: Florida
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      – TitleFull: Caregiver's Country of Birth Is a Significant Determinant of Accurate Perception of Preschool-Age Children's Weight
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