[Relationship between economic disparity and eating habits of 3-year-old children]

Objectives　This study aimed to clarify the relationship between economic disparity and eating habits of young children to explore the support that should be provided to families with young children.Methods　We conducted an anonymous self-administered questionnaire survey of parents who brought their children to the 3-year-old health checkup in four wards in City A. Questionnaire items examined the children's eating habits and the childrearing environment, such as the parents' socioeconomic status. Of 1,150 parents asked to participate in the survey, 616 responded (response rate: 53.6%). Invalid questionnaires (e.g., with missing answers) were eliminated. The remaining 498 parents (effective response rate: 80.8%) were classified into two groups to examine the association of household financial status with their 3-year-old eating habits: the relative poverty group and the non-relative poverty group. The groups were divided according to the poverty line of the Comprehensive Survey of Living Conditions. Statistical analysis was performed using Fisher's exact test and the Mann-Whitney U test. Eating habits that were identified to be associated with relative poverty were further tested using logistic regression analysis.Results　Analysis of the children's eating habits in the two groups revealed that, compared with the non-relative poverty group, there was a higher proportion of 3-year-olds who ate vegetables less than 6 days a week (P=0.003) and who consumed snacks 6 days or more per week (P=0.034) in the relative poverty group. The associations of relative poverty with vegetable intake less than 6 days a week and snack consumption 6 days or more a week remained significant after adjusting for parents' age, highest educational attainment, and subjective views on the everyday economic situation. Regarding the childrearing environment, the relative poverty group had a higher proportion of parents who were younger than 30 years of age (P<0.001) and in single-parent households (P=0.007). The relative poverty group had a higher proportion of parents whose highest education level was high school (P<0.001). Furthermore, the subjective view of the everyday economic situation was more negative in the relative poverty group (P<0.001).Conclusion　Economic disparity was related to the eating habits of 3-year-old children. The study results indicate that identifying families with financial difficulties during pregnancy and childbirth is necessary to support them early on so that young children can acquire healthy eating habits.