Associations between socioeconomic and family determinants and weight-control behaviours among adolescents
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ORIGINAL ARTICLE
Associations between socioeconomic and family determinants and weight-control behaviours among adolescents Aviad Tur-Sinai1,2
•
Tanya Kolobov3 • Riki Tesler4 • Orna Baron-Epel5 • Keren Dvir6 • Yossi Harel-Fisch3
Received: 13 February 2019 / Accepted: 25 September 2020 Swiss School of Public Health (SSPH+) 2020
Abstract Objectives Family factors may play a role in adolescents’ weight-control behaviours (WCB), and economic determinants strongly affect adolescents’ health in terms of unhealthy weight-control behaviours (UWCB). This study examines the nexus of socioeconomic status, perceived family wealth, and number of employed parents and Israeli adolescents’ WCB and asks whether family-related variables mediate WCB. Methods Data from the 2014 Israeli Health Behaviour in School-Aged Children study are analysed using structural equation modelling. Results High family affluence and high perceived family wealth are negatively associated with UWCB. Having two employed parents related to lower levels of UWCB. Family-related variables such as family communication and support and parental monitoring mitigate UWCB. Family meals have a significantly positive effect on healthy weight-control behaviour (HWCB) and a significantly negative impact on unhealthy weight-control activities. Conclusions The findings suggest that economic factors such as socioeconomic status and number of employed parents should be taken into account in long-term weight-control practice. The combination of WCB and family meals is the most effective method for adolescents’ healthy weight-control behaviour. Keyword Adolescents Weight control Socioeconomic status Family communication Family meal
Introduction
& Aviad Tur-Sinai [email protected] 1
Department of Health Systems Management, The Max Stern Yezreel Valley College, POB 1930000, Yezreel Valley, Israel
2
School of Nursing, University of Rochester Medical Center, Rochester, NY, USA
3
The International Research Program on Adolescent WellBeing and Health, School of Education, Faculty of Social Sciences, Bar-Ilan University, Ramat Gan, Israel
4
Department of Health System Management, Faculty of Health Science, Ariel University, Ariel, Israel
5
School of Public Health, Faculty of Welfare and Health Sciences, Haifa University, Haifa, Israel
6
Henrietta Szold Institute, The National Institute for Research in the Behavioural Sciences, Jerusalem, Israel
Children and adolescents are often concerned about their weight (Xu et al. 2018); attempts to control weight are common in individuals of this age worldwide (NeumarkSztainer et al. 2012) and among Israeli adolescents in particular (Peng et al. 2017). Weight-control behaviour (WCB) is defined as participation in activities that influence weight loss and weight-loss maintenance (Quick et al. 2014). Weight-control strategies range from healthy behaviours (HWCB), including moderate dieting, exercise, and participating in an organised weight-control program (Christoph
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