Journal article
The Moderating Effect of Coping on Stress and Childhood Obesity-Related Health Behaviors among Non-Hispanic Black Caregivers
Journal of racial and ethnic health disparities
02 Apr 2025
PMID: 40172803
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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Details
- Title
- The Moderating Effect of Coping on Stress and Childhood Obesity-Related Health Behaviors among Non-Hispanic Black Caregivers
- Creators
- Elizabeth Prout Parks - University of PennsylvaniaShiriki Kumanyika - University of PennsylvaniaReneé H Moore - Drexel UniversityE Thomaseo Burton - Children's Hospital of PhiladelphiaTimothy Khalil - Children's Hospital of PhiladelphiaLisa M Lewis - University of PennsylvaniaFrances K Barg - University of PennsylvaniaAndrew C Pool - Children's Hospital of PhiladelphiaYasmeen Bruton - Children's Hospital of PhiladelphiaDavid B Sarwer - Temple UniversityAnne E Kazak - Nemours Children's Health System
- Publication Details
- Journal of racial and ethnic health disparities
- Publisher
- SPRINGER INT PUBL AG; CHAM
- Number of pages
- 11
- Grant note
- Institution for Translational Medicine and Therapeutics (ITMAT) at the Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania
We thank Rev. Dr. Allyn E. Waller, Rev. Leroy Miles and the Enon Tabernacle Baptist Church, members of congregations throughout Philadelphia, and the patients and families of CHOP for their support and participation. We thank the Recruitment and Enrollment Core of CHOP for facilitating recruitment and data collection, and the Center for Human Phenomic Science for their help with 24-hour dietary recalls. We are grateful for the biostatistical support of Andrew Cucchiara, PhD and the Institution for Translational Medicine and Therapeutics (ITMAT) at the Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania. Special thanks to Amber Nauman, BS, Andrew Garrett, BS, Owasra Ayassar, BS, and Brittany Clark, MPH for their assistance in this project.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics
- Web of Science ID
- WOS:001458052400001
- Scopus ID
- 2-s2.0-105001684688
- Other Identifier
- 991022043970504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health