Effect of Literacy on Breast-feeding Outcomes

KAUFMAN, HOLLY; Skipper, Betty; SMALL, LORELYNN; Terry, Toni; McGrew, Martha

doi:10.1097/00007611-200103000-00005

Cited by 43 publications

(61 citation statements)

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“…Consistent with prior studies, 19 we found that parents with low health literacy were significantly more likely to formula feed their children. This finding suggests that use of a health literacy-sensitive approach in counseling parents regarding breast and formula feeding may be beneficial as an obesity prevention strategy during early childhood.…”

Section: Discussionsupporting

confidence: 91%

“…10,19,29 Greater provider counseling regarding the potential negative effects of controlling and laissez-faire type feeding practices may be needed during well-child visits, with a particular focus on parents with low health literacy. Recommendations regarding counseling strategies will need to be informed by studies examining why parents with low health literacy may choose a controlling or laissez-faire type feeding practice over feeding practices that are more responsive to a child’s cues.…”

Section: Discussionmentioning

confidence: 99%

“…17 Defined as the “degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions,” 18 low parent health literacy has been independently associated with poor child health outcomes. 16 Although few studies have assessed the association between health literacy and behaviors which may directly impact early childhood obesity, 11 caregivers with low health literacy have been found to be less likely to breastfeed, 19 have trouble understanding growth charts, 20 and are more likely to have difficulty understanding food labels and portion sizes. 17 As there has been limited study of the relationship between parent health literacy and obesogenic infant care behaviors, we sought to examine these associations in this study.…”

mentioning

confidence: 99%

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Parent Health Literacy and “Obesogenic” Feeding and Physical Activity-Related Infant Care Behaviors

Yin

Sanders

Rothman

et al. 2014

The Journal of Pediatrics

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Objective To examine the relationship between parent health literacy and “obesogenic” infant care behaviors. Study design Cross-sectional analysis of baseline data from a cluster randomized controlled trial of a primary care-based, early childhood obesity prevention program (Greenlight). English and Spanish-speaking parents of 2 month old children enrolled (n=844). The primary predictor variable was a parent health literacy (Short Test of Functional Health Literacy in Adults (STOFHLA); adequate>=23; low<23). Primary outcome variables involving self-reported obesogenic behaviors: (1) feeding content (more formula than breastmilk, sweet drinks, early solid food introduction) and feeding style-related behaviors (pressuring to finish, laissez-faire bottle propping/television [TV] watching while feeding, non-responsiveness in letting child decide amount to eat); and (2) physical activity (tummy time, TV). Multivariate logistic regression analyses (binary, proportional odds models) performed adjusting for child sex, out of home care, WIC status, parent age, race/ethnicity, language, number of adults/children in home, income, and site. Results 11.0% of parents were categorized as having low health literacy. Low health literacy significantly increased the odds of a parent reporting that they feed more formula than breast milk (AOR=2.0 [95%CI:1.2–3.5]), immediately feed when their child cries (AOR=1.8[1.1–2.8]), bottle prop (AOR=1.8 [1.002–3.1]), any infant TV watching (AOR=1.8 [1.1–3.0]), and inadequate tummy time (<30 minutes/day) (AOR=3.0[1.5–5.8]). Conclusions Low parent health literacy is associated with certain obesogenic infant care behaviors. These behaviors may be modifiable targets for low health literacy-focused interventions to help reduce childhood obesity.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Parent Health Literacy and “Obesogenic” Feeding and Physical Activity-Related Infant Care Behaviors

Yin

Sanders

Rothman

et al. 2014

The Journal of Pediatrics

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“…Mean child BMI Z-score (SD) was 2.3(0.40); median child age (Inter-quartile range) was 11.5(10–16); 53% were female; 80% were Medicaid recipients. Mean child STOFHLA was 22.9(9.0); mean parental STOFHLA was 29.1(8.6).…”

Section: Resultsmentioning

confidence: 99%

Relationship between child health literacy and body mass index in overweight children

Sharif

Blank

2010

Patient Education and Counseling

105

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Objective To test the relationship between child health literacy and body mass index (BMI) -z score in overweight children. Methods Cross-sectional survey of overweight children and parents. Parent and child health literacy was measured by the Short Test of Functional Health Literacy (STOFHLA). Linear regression tested for predictors of childhood BMI z-score, adjusting for confounders. Results Of 171 total children, 107(62%) participated, of whom 78 (73%) had complete data for analysis. Mean child BMI Z-score (SD) was 2.3(0.40); median child age (Inter-quartile range) was 11.5(10–16); 53% were female; 80% were Medicaid recipients. Mean child STOFHLA was 22.9(9.0); mean parental STOFHLA was 29.1(8.6). Child STOFHLA correlated negatively with BMI Z-score (r=−0.37, p=0.0009) and positively with child eating self-efficacy (r=0.40, p<0.0001). After adjusting for confounders, child STOFHLA was independently associated with child BMI Z-score (standardized B=−0.43, p<0.0001). Overall adjusted r-squared for the regression model was 38%. Child STOFHLA contributed 13% to the overall model. Conclusions Child health literacy was negatively correlated with BMI Z-scores in overweight children, suggesting the need to consider health literacy in the intersection between self-efficacy and behavior change when planning interventions that aim to improve child BMI.

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“…Many studies have investigated the effect of health literacy and health-related outcomes. For instance, a low health literacy is associated with limited knowledge of healthcare services [38–42], a high risk of hospitalization [43, 44], high mortality [45–49], decreased probability of screening and prevention [50, 51], limited understanding of medical instructions [52–58], and less desirable health behaviors and treatment adherence [59–64]. In addition, studies using health literacy as an intervening factor addressed the effects of interventions designed to explain the effects of low health literacy.…”

Section: Introductionmentioning

confidence: 99%

An exploratory study of inactive health information seekers

Kim¹

2015

International Journal of Medical Informatics

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Purpose This study aims to identify people who do not actively seek out health information and the demographic characteristics of Inactive Seekers. The possible determinants of inactive seeking behaviors is also explored. Design and Measurements A total of 14,420 survey respondents were drawn from the 2009 Annenberg National Health Communication Survey (ANHCS) data. K-means clustering was used to discriminate Inactive Seekers from Active Seekers. The inactive information seeker group was formed based on their experience with health information seeking. The potential determinants that were tested to predict inactive seeking included the following: health condition, health service use, health media exposure, and computer/Internet activities. Results Within this national survey data, the respondents were more likely to be included in the Inactive Seekers (N=8,312, 58.5%) compared to Active Seekers (N=5,908, 41.5%). The demographic characteristics indicated that the Inactive Seekers were identified as younger, male, highly educated, White, and high household income people. The binary logistic regression results from the study model indicated that healthier people were less likely to seek out health information than their counterparts. In addition, those who were exposed to various media were almost 1.6 times more likely to seek out health information than those who were not exposed to such media. Within this study data, the statistically significant determinants identified were health condition and health media exposure while computer/Internet activities did not show strong indications in predicting inactive seeking behavior. Conclusion The development of more generalizable measures for health literacy or behavioral patterns will bolster advanced study on inactive seeking relating to knowledge of technology and health context. Further study should be directed at estimating the negative aspects of information seeking such as information ignorance or information avoidance.

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Effect of Literacy on Breast-feeding Outcomes

Cited by 43 publications

References 0 publications

Parent Health Literacy and “Obesogenic” Feeding and Physical Activity-Related Infant Care Behaviors

Parent Health Literacy and “Obesogenic” Feeding and Physical Activity-Related Infant Care Behaviors

Relationship between child health literacy and body mass index in overweight children

An exploratory study of inactive health information seekers

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