Titre : | The association between socioeconomic position and the child's diet in the first two years of life and the potential mediating role of the maternal and paternal diets |
Auteurs : | Laura Pavicic ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
Type de document : | Mémoire |
Année de publication : | 2023 |
Description : | 52p. |
Langues: | Anglais |
Classement : | MPH23/ (Master EHESP International master of public health - MPH) |
Résumé : |
Context: Socioeconomic position (SEP) is an important factor influencing both parental and children’s diets, with migration acting as a moderator of the association between maternal education and maternal dietary patterns (DPs). However, the mechanisms underlying these associations require further investigation. Objective: The aim of this study was, thus, to test hypotheses on the potential mediating role of parental DPs in the association between parental SEP, as measured by parental education and household income, and children’s DPs.
Method: This study utilised data from the Elfe birth cohort (18, 329 children, 18, 040 mothers). Our study sample was divided in two (maternal and paternal), due to the vast differences in their dietary data availability. After excluding missing data, the maternal subsample had 6,915 observations at 9 months and 9, 176 at 2 years, while the paternal subsample consisted of 726 and 825 observations at the respective time points. Data used in this study were self-reported, with maternal and paternal SEP as exposures, their DPs as potential mediators, children’s DPs as outcomes, migration status as a potential moderator, and adjusted for confounders. Multivariable linear regressions and mediation analyses (using natural effect models from “medflex”) were employed. Results: Mediation analyses showed that both maternal and paternal DPs partially mediated the association between parental SEP and children’s DPs. Maternal migration status moderated the association in the mediation analysis involving maternal DPs. The largest indirect effect size was observed for the maternal “Balanced” DP, mediating half of the association between maternal SEP and children’s “Balanced/diversified” DP at 2 years among non-immigrants. Additionally, paternal “Balanced” DP mediated partially mediated relationship between paternal SEP and children’s “Balanced/diversified” and “Discretionary consumption” DPs. Conclusion: Our study emphasizes the importance of both maternal and paternal diets in the relationship between parental socioeconomic position and children’s dietary patterns, underscoring the need for comprehensive family-based health promotion programs. Understanding mechanisms underlying the association between parental SEP and children’s diets provides a leverage point for public health interventions to address social disadvantages in children’s diets. |
Diplôme : | Master MPH of public health |
Plan de classement simplifié : | Master of Public Health - master international de Santé Public (MPH) |
En ligne : | https://documentation.ehesp.fr/memoires/2023/mph/laura_pavicic.pdf |
Exemplaires (1)
Code-barres | Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|---|
096519 | MPH23/0005 | Mémoire | Rennes | Salle des Glénan | Empruntable Disponible |