关键词: centrality child children coviewing diet dietary eating entertainment food food depictions food preference food preferences foods health longitudinal linkage study media nutrition nutritional panel pediatric pediatrics preference preferences unhealthy food preferences

来  源:   DOI:10.2196/51429   PDF(Pubmed)

Abstract:
UNASSIGNED: Entertainment media content is often mentioned as one of the roots of children\'s unhealthy food consumption. This might be due to the high quantity of unhealthy foods presented in children\'s media environments. However, less is known about the role of the centrality of food placement, that is, whether foods are interacted with, consumed, verbally mentioned, or appear unobtrusively. We also lack longitudinal research measuring both children\'s unhealthy and healthy food consumption behaviors as outcomes.
UNASSIGNED: The aim is to connect content analytical data based on children\'s actual media diet with panel data in order to explain children\'s food preferences. Moreover, this study not only focuses on the amount of healthy and unhealthy foods children are exposed to, but also on how these foods are presented (ie, centrally or not). Furthermore, we looked at the question of how parental coviewing can diminish (or enhance) the effects of unhealthy (or healthy) food depictions, and we measured healthy and unhealthy consumption as dependent variables.
UNASSIGNED: We conducted a 2-wave panel study with children and one of their parents (of 2250 parents contacted, 829 responded, for a response rate of 36.84%; 648 valid cases, ie, parent-child pairs, were used for analysis), with 6 months between the 2 panel waves. We linked the 2-wave panel data for the children and their parents to content analytical data for movies (n=113) and TV series (n=134; 3 randomly chosen episodes per TV series were used) that children were exposed to over the course of 6 months.
UNASSIGNED: There was no significant relationship between exposure to unhealthy food presentation and unhealthy (b=0.008; P=.07) or healthy (b=-0.003; P=.57) food consumption over time. Also, healthy food presentation was unrelated to unhealthy (b=0.009; P=.18) or healthy (b=0.000; P=.99) food consumption over time. However, there was a significant, positive interaction between unhealthy food presentation and presentation centrality on unhealthy food consumption (b=0.000; P=.03), suggesting that the effects of unhealthy food presentation rise with increasing levels of centrality. There was no interaction between unhealthy food presentation and presentation centrality on the consumption of healthy foods (b=0.000; P=.10). Also, exposure to healthy food presentation interacted with centrality (b=-0.001; P=.003). That is, when a healthy product was presented at maximum centrality, it led to less unhealthy food consumption in children. Coviewing did not interact with exposure to unhealthy foods when explaining unhealthy (b=0.003; P=.08) or healthy (b=-0.001; P=.70) food consumption.
UNASSIGNED: We conclude that simply presenting more healthy foods is not sufficient to combat children\'s unhealthy food preferences. Further regulations may be necessary with respect to representations of unhealthy foods in children\'s media.
摘要:
娱乐媒体内容经常被称为儿童不健康食品消费的根源之一。这可能是由于儿童媒体环境中存在大量不健康食品。然而,人们对食物放置中心的作用知之甚少,也就是说,食物是否相互作用,消费,口头提到,或者显得不显眼。我们也缺乏纵向研究来衡量儿童的不健康和健康食品消费行为作为结果。
目的是将基于儿童实际媒体饮食的内容分析数据与面板数据联系起来,以解释儿童的食物偏好。此外,这项研究不仅关注儿童接触的健康和不健康食品的数量,还有这些食物是如何呈现的(即,中央或不中央)。此外,我们研究了父母共同观看如何减少(或增强)不健康(或健康)食物描绘的影响的问题,我们测量健康和不健康的消费作为因变量。
我们对孩子及其父母之一进行了2波小组研究(与2250名父母联系,829回答,有效率为36.84%;648例有效病例,ie,父子对,用于分析),在2个面板波之间有6个月。我们将儿童及其父母的2波面板数据与儿童在6个月内接触的电影(n=113)和电视连续剧(n=134;每个电视连续剧使用3个随机选择的剧集)的内容分析数据相关联。
随着时间的推移,暴露于不健康的食物呈现与不健康(b=0.008;P=.07)或健康(b=-0.003;P=.57)食物消耗之间没有显着关系。此外,随着时间的推移,健康食物的呈现与不健康(b=0.009;P=.18)或健康(b=0.000;P=.99)食物消耗无关.然而,有一个重要的,不健康食品的呈现与不健康食品消费的呈现中心性之间的正相互作用(b=0.000;P=0.03),这表明不健康食物呈现的影响随着中心性水平的增加而增加。不健康食品的呈现与健康食品消费的呈现中心之间没有相互作用(b=0.000;P=.10)。此外,暴露于健康食物呈现与中心性相互作用(b=-0.001;P=.003)。也就是说,当一个健康的产品以最大的中心地位呈现时,它减少了儿童不健康的食物消费。在解释不健康(b=0.003;P=.08)或健康(b=-0.001;P=.70)的食物消耗时,观察与不健康食物的暴露没有相互作用。
我们得出的结论是,仅仅提供更多的健康食品不足以对抗儿童的不健康食品偏好。关于儿童媒体中不健康食品的陈述,可能需要进一步的监管。
公众号