Neighborhood Socioeconomic Status and Feeding Practices in Finnish preschools
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Published on: November 16, 2014
Reetta Lehto1, Elviira Lehto1,2, Hanna Konttinen3,4
11 Folkhälsan Research Center, Helsinki, Finland.
Insights
Preschools in higher socioeconomic status neighborhoods are more likely to use food as rewards and less likely to offer special birthday foods. These findings highlight the influence of neighborhood socioeconomic status on early childhood education and nutrition practices.
Area of Science:
- Child Nutrition
- Early Childhood Education
- Public Health
Background:
- Recommended preschool feeding practices include role modeling healthy eating and encouragement.
- The association between preschool characteristics and feeding practices is not well understood.
- Socioeconomic status (SES) of the preschool neighborhood may influence feeding practices.
Purpose of the Study:
- To investigate the association between preschool neighborhood socioeconomic status (SES) and feeding practices.
- To determine if SES influences the implementation of recommended feeding strategies in preschools.
Main Methods:
- Cross-sectional study of 66 municipal preschools and 378 early childhood educators (ECEs).
- Preschool neighborhood SES assessed using map grid data.
- Feeding practices evaluated through questionnaires and direct lunchtime observation.
- Logistic regression analyses adjusted for ECE educational level and municipal policies.
Main Results:
- Higher SES neighborhood preschools showed increased likelihood of ECEs eating with children (OR 2.46) and using food rewards for vegetable consumption (OR 2.48).
- Preschools in high-SES neighborhoods were less likely to provide non-standard birthday foods (OR 0.29).
- After adjustment, food rewards remained significantly associated with neighborhood SES (OR 2.13).
Conclusions:
- Preschool neighborhood socioeconomic status is associated with specific feeding practices.
- Higher SES neighborhoods may exhibit different approaches to food rewards and birthday treats.
- Further research is needed to understand the mechanisms linking SES and preschool feeding environments.
Abstract:
Aims: Certain feeding practices, such as role modeling healthy eating and encouragement are recommended to be used in preschools. Little is known about whether preschool characteristics are associated with the use of these feeding practices. Our aim was to examine whether the socioeconomic status (SES) of the preschool neighborhood is associated with the feeding practices in preschools. Methods: This study was part of the cross-sectional DAGIS study. We studied 66 municipal preschools and 378 early childhood educators (ECEs). Preschool neighborhood SES was assessed with map grid data. Feeding practices were assessed by questionnaires and lunchtime observation. Associations between preschool neighborhood SES and feeding practices were tested with logistic regression analyses adjusted for ECEs' educational level and municipal policies on ECEs' lunch prices, and on birthday foods. Results: The crude model showed that in high-SES neighborhood preschools ECEs were more likely to eat the same lunch as the children (OR 2.46, 95% CI 1.42-4.24) and to reward children with other food for eating vegetables (OR 2.48, 95% CI 1.40-4.41). Furthermore, in high-SES preschools it was less likely that birthday foods outside of the normal menu were available on birthdays (OR 0.29, 95% CI 0.12-0.71). In the adjusted model, rewarding with other food remained associated with preschool neighborhood SES (OR 2.13, 95% CI 1.12-4.07).
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