Relationships of Family food environment with food and nutrition literacy in Chinese school-age children

Abstract

Background: Eating behavior is influenced by multiple factors and understanding the interplay of these factors is necessary to promote children’s healthy food choice. This study investigated the relations of family food environment (FFE) with food and nutrition literacy (FNL) in Chinese school-age children.Methods: A total of 605 children aged 7-13 years from Grade 1 to 5, and their caregivers participated in the cross-sectional study in Beijing of China during April 2019. The FFE was assessed by the validated Family Food Environment Questionnaire for Chinese School-age Children (FFEQ-SC). For the children of Grade 3 to 5 (n=260), the FNL, including cognitive and skill domains, was assessed by Food and Nutrition Literacy Questionnaire for Chinese School-age Children (FNLQ-SC). Both FFEQ-SC and FNLQ-SC were developed firstly for Chinese school-age children who had good reliability. The anthropometric data (height and weight) was derived from local health information management system for primary schools.Results: Overall, 68.9% of the children’s families had high level of FFE. The total FNL score of 260 children at Grade 3-5 was 63.2±10.3. Comparison of children’s FNL scores among different levels of FFE showed the children with higher level of FFE, especially higher level of caregiver’s educational degree and FNL, were more likely to have higher FNL scores (P<0.05). The multivariate analysis showed the children’s total FNL score was significantly related with family caregiver (β= -0.123, P=0.04) and caregiver’s nutritional literacy (β= 0.210, P=0.002). Furthermore, the children with higher level of caregiver’s nutritional knowledge were less likely to be overweighted or obesese (OR=0.043, P=0.04).Conclusions: Family food environment, especially caregivers’ FNL, was related with children’s FNL, even the risk of overweight. These findings highlight the importance of targeting nutritional knowledge of family caregivers to facilitate the children’s FNL to maintain good health.

[Retracted] Analysis of the Influence of Rural Family Education Environment on School‐Age Children’s Social Behavior and Patterns

“…The decrease in the number of peers among family members has led to preschool children being unwilling and not used to communicating with others, and also prematurely bearing family and social pressures [ 7 ]. The root causes of mental stress in only child children are motivational conflict, socioeconomic status, educational institution status, and psychological trauma.…”

“…e decrease in the number of peers among family members has led to preschool children being unwilling and not used to communicating with others, and also prematurely bearing family and social pressures [7].…”

Analysis of Pediatric Oncology Nursing Research in Mainland China, 2008–2018

“…114,118 Family-centered interventions highlighted the involvement of both children and families and included information support, interactive activities, and relationship cultivation. 109,[111][112][113] Multidisciplinary cooperation was reported to promote the implementation of family-centered care. 110…”

“…Three RCTs on family-centered care showed significant positive differences for the intervention group in social adaptability, QoL, family function, and self-efficacy. [109][110][111] Unfortunately, most studies in this area included in this review were not informed by a family theory, 109,110 which may limit the development of interventions rooted in available evidence. In addition, as stated in a new bibliometric review on global pediatric cancer research, there has been little work on palliative care for children with cancer.…”