Factors affecting maternal decision making about grandparents' cariogenic dietary choices for children: A qualitative study.
Mothers
child
diet, cariogenic
family conflict
grandparents
Journal
Journal of the American Dental Association (1939)
ISSN: 1943-4723
Titre abrégé: J Am Dent Assoc
Pays: England
ID NLM: 7503060
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
received:
02
08
2022
revised:
27
09
2022
accepted:
17
10
2022
pmc-release:
01
02
2024
pubmed:
27
11
2022
medline:
31
1
2023
entrez:
26
11
2022
Statut:
ppublish
Résumé
Added sugar in children's diets puts them at higher risk of developing caries. Researchers have reported that grandparents frequently give their grandchildren cariogenic foods and beverages (for example, those with added sugars) and disagreements between grandparents and parents can ensue over this issue. This study's objective was to examine factors that influence whether mothers address grandparents about giving their grandchildren cariogenic foods and beverages. In-person, semistructured qualitative interviews were conducted with 126 mothers of children aged 3 through 5 years from Pittsburgh, Pennsylvania, and West Virginia from 2018 through 2020. Qualitative data for this study were audio recorded, transcribed verbatim, imported into NVivo for coding, and analyzed using iterative theme development via a constant comparative process. In this study, 72% of mothers (91 of 126) indicated that grandparents gave their grandchildren cariogenic foods and beverages, and 51% of those mothers (46 of 91) addressed the issue with grandparents. Mothers described that the following factors influenced whether they addressed grandparents on this issue: frequency of interaction between grandparents and children, mothers' dependency on grandparents for childcare, quantity of cariogenic foods and beverages that grandparents provided, and strength of mothers' relationships with grandparents. There is evidence that some mothers consider the frequency and quantity of cariogenic foods and beverages, as well as social factors, when deciding whether to engage with grandparents about the cariogenic foods and beverages they give to their grandchildren. Initiatives aimed to decrease childhood caries should consider how interpersonal family relationships may need to be addressed as part of successful sugar-reduction interventions.
Sections du résumé
BACKGROUND
Added sugar in children's diets puts them at higher risk of developing caries. Researchers have reported that grandparents frequently give their grandchildren cariogenic foods and beverages (for example, those with added sugars) and disagreements between grandparents and parents can ensue over this issue. This study's objective was to examine factors that influence whether mothers address grandparents about giving their grandchildren cariogenic foods and beverages.
METHODS
In-person, semistructured qualitative interviews were conducted with 126 mothers of children aged 3 through 5 years from Pittsburgh, Pennsylvania, and West Virginia from 2018 through 2020. Qualitative data for this study were audio recorded, transcribed verbatim, imported into NVivo for coding, and analyzed using iterative theme development via a constant comparative process.
RESULTS
In this study, 72% of mothers (91 of 126) indicated that grandparents gave their grandchildren cariogenic foods and beverages, and 51% of those mothers (46 of 91) addressed the issue with grandparents. Mothers described that the following factors influenced whether they addressed grandparents on this issue: frequency of interaction between grandparents and children, mothers' dependency on grandparents for childcare, quantity of cariogenic foods and beverages that grandparents provided, and strength of mothers' relationships with grandparents.
CONCLUSIONS
There is evidence that some mothers consider the frequency and quantity of cariogenic foods and beverages, as well as social factors, when deciding whether to engage with grandparents about the cariogenic foods and beverages they give to their grandchildren.
PRACTICAL IMPLICATIONS
Initiatives aimed to decrease childhood caries should consider how interpersonal family relationships may need to be addressed as part of successful sugar-reduction interventions.
Identifiants
pubmed: 36435638
pii: S0002-8177(22)00614-6
doi: 10.1016/j.adaj.2022.10.003
pmc: PMC10427028
mid: NIHMS1918468
pii:
doi:
Substances chimiques
Sugars
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
122-129Subventions
Organisme : NIDCR NIH HHS
ID : R01 DE014899
Pays : United States
Informations de copyright
Copyright © 2023 American Dental Association. Published by Elsevier Inc. All rights reserved.
Références
Int J Dent. 2015;2015:469376
pubmed: 26089906
Public Health Nutr. 2004 Feb;7(1A):201-26
pubmed: 14972061
Fam Syst Health. 2013 Sep;31(3):274-9
pubmed: 24059275
Br J Nutr. 2008 Feb;99 Suppl 1:S15-21
pubmed: 18257946
J Dent Res. 2015 Oct;94(10):1341-7
pubmed: 26261186
Int J Aging Hum Dev. 1990;31(3):169-77
pubmed: 2272697
Pediatrics. 2019 Apr;143(4):
pubmed: 30910915
Nutr Diet. 2018 Jul;75(3):291-306
pubmed: 29446218
Int J Behav Nutr Phys Act. 2015 Jun 30;12:91
pubmed: 26122955
J Law Med Ethics. 2007 Spring;35(1):22-34
pubmed: 17341215
J Acad Nutr Diet. 2022 Dec;122(12):2288-2294
pubmed: 35395420
JDR Clin Trans Res. 2021 Dec 18;:23800844211059072
pubmed: 34927473
JAMA Netw Open. 2022 Apr 1;5(4):e226414
pubmed: 35363267
Soc Sci Med. 2016 Apr;154:28-35
pubmed: 26943011
Curr Biol. 2013 May 6;23(9):R401-8
pubmed: 23660363