The Moderating Effect of Coping on Stress and Childhood Obesity-Related Health Behaviors among Non-Hispanic Black Caregivers

Datos Bibliográficos

ID18936267
AutoresElizabeth Prout Parks (0000-0002-0188-8414, Children's Hospital of Philadelphia, autor de correspondencia), Shiriki Kumanyika (0000-0002-7798-4306, University of Pennsylvania), Reneé H Moore (0000-0003-4699-2714, Drexel University), E Thomaseo Burton (0000-0002-7772-6235, Children's Hospital of Philadelphia), Timothy Khalil (0009-0006-9167-6146, Children's Hospital of Philadelphia), Lisa M Lewis (0000-0002-5541-0846, University of Pennsylvania), F K Barg (0000-0003-3328-1980, University of Pennsylvania Health System), Andrew C Pool (0000-0001-7249-6090, Children's Hospital of Philadelphia), Yasmeen Bruton (0000-0002-5936-5245, Children's Hospital of Philadelphia), David B Sarwer (0000-0003-1033-5528, Temple University), Anne E Kazak (0000-0003-0553-0855, Thomas Jefferson University)
Año2025
Volumen13
Número3
Páginas2173-2183
Fecha de publicación2025-04-02
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Racial and Ethnic Health Disparities (JOURNAL)
Identificadores de la revistaISSN: 2196-8837 • E-ISSN: 2197-3792
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s40615-025-02408-7
PMID40172803
OpenAlexW4409119345
IdiomaEN
Referencias citadas35

Child health behaviors and weight status may be affected by caregivers' perception and experience of stress. However, little is known about the influence of caregiver coping strategies on childhood overweight and obesity, particularly among non-Hispanic Black caregivers. This study examined associations among specific caregiver stress types (i.e., general, parenting, race-related), child weight status, and health-related behaviors (i.e., intake of fruits and vegetables, consumption of fast food, engagement in physical activity) as well as the moderating effect of caregiver coping strategies. In addition to general coping, the study examined the role of religious coping. This cross-sectional study included 157 non-Hispanic Black caregiver and child (aged 3-7 years) dyads; all caregivers identified as Christian Protestant. Logistic regression models were fit to explore the associations among caregiver stress and child outcomes and to investigate moderation effects of caregiver coping. Models were adjusted for sociodemographic covariates. Association between parenting stress and child weight status was significantly moderated by acceptance coping while the relationship between general stress and child sugary drink intake was moderated by emotional coping. The combination of three stress types was significantly associated with increased child fast food intake. Future research should examine specific coping strategies to address varying levels and types of stress experienced by caregivers from minoritized backgrounds

Developmental psychology · Logistic regression · Moderation · Obesity · Overweight · Child and Adolescent Psychosocial and Emotional Development · Child Nutrition and Feeding Issues · Clinical Psychology · Food Security and Health in Diverse Populations · Medicine · Psychology · Social Psychology