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Research ArticleOriginal Research

CHAOS in the Home Environment and Child Weight-Related Outcomes

Gretchen J. R. Buchanan, Allan D. Tate, Katie A. Loth, Amanda C. Trofholz and Jerica M. Berge
The Journal of the American Board of Family Medicine November 2021, 34 (6) 1163-1173; DOI: https://doi.org/10.3122/jabfm.2021.06.210157
Gretchen J. R. Buchanan
From the Department of Family Social Science, University of Minnesota, Saint Paul, MN (GJRB); Department of Epidemiology & Biostatistics, University of Georgia, Athens, GA (ADT); Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (KAL, JMB).
MA, LMFT, LADC
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Allan D. Tate
From the Department of Family Social Science, University of Minnesota, Saint Paul, MN (GJRB); Department of Epidemiology & Biostatistics, University of Georgia, Athens, GA (ADT); Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (KAL, JMB).
PhD, MPH
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Katie A. Loth
From the Department of Family Social Science, University of Minnesota, Saint Paul, MN (GJRB); Department of Epidemiology & Biostatistics, University of Georgia, Athens, GA (ADT); Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (KAL, JMB).
PhD, MPH
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Amanda C. Trofholz
From the Department of Family Social Science, University of Minnesota, Saint Paul, MN (GJRB); Department of Epidemiology & Biostatistics, University of Georgia, Athens, GA (ADT); Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (KAL, JMB).
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Jerica M. Berge
From the Department of Family Social Science, University of Minnesota, Saint Paul, MN (GJRB); Department of Epidemiology & Biostatistics, University of Georgia, Athens, GA (ADT); Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (KAL, JMB).
PhD, MPH, LMFT
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Article Figures & Data

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    Figure 1.

    Home environment latent profiles

Tables

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    Table 1.

    Family Matters Phase I Demographic Characteristics (n = 150)

    Primary CaregiverTarget Child
    Participant CharacteristicsN (%)N (%)
    Female137 (91)71 (47)
    Age, years (SD)34.5 (7.1)6.4 (0.8)
    Relationship to Target Child
        Mom130 (87)—
        Dad13 (9)—
        Aunt2 (1)—
        Grandparent3 (2)—
        Other2 (1)—
        BMI (BMI percentile child)30.9 (7.2)75.9 (23.1)
    Weight Status
        Non-overweight35 (23)77 (51)
        Overweight38 (25)28 (19)
        Obese77 (51)45 (30)
    Race
        American Indian or Alaskan Native21 (14)25 (17)
        Asian25 (17)25 (17)
        Black or African American22 (15)25 (17)
        Native Hawaiian or Pacific Islander0 (0)0 (0)
        White27 (18)25 (17)
        Somali25 (17)25 (17)
        Hispanic23 (15)25 (17)
        Mixed/Other7 (5)0 (0)
    Household Characteristics
    Household Income
        Less than $20,00050 (33)—
        $20,000–$34,99955 (37)—
        $35,000–$49,99916 (11)—
        $50,000–$74,99912 (8)—
        $75,000–$99,9997 (5)—
        $100,000 or more9 (6)—
        Missing1 (1)—
    Number Adults in Home (mean [SD])2 (1.1)—
    Number Children in Home (mean [SD])3.3 (1.4)—
    Household Structure
        1 Parent (no other adults)37 (25)—
        1 Parent (with other adults)18 (12)—
        2 Parents (no other adults)78 (52)—
        2 Parents (with other adults)17 (11)—
    Work StatusPrimary CaregiverSignificant Other
    Working full-time63 (42)69 (46)
    Working part-time32 (21)14 (9)
    Stay-at-home caregiver25 (17)3 (2)
    Currently unemployed, seeking work18 (12)15 (10)
    Not working for pay(unable to work, retired, student, etc)11 (7)3 (2)
    Not applicable(eg, significant other not present)1 (1)46 (31)
    • BMI, body mass index; SD, standard error.

    • View popup
    Table 2.

    Bivariate Correlations for Home Environment Profile Indicators

    RushedZooPlans FailCan't ThinkParent StressParent DominatingParent WarmConsistent DisciplineChild Dominating
    Rushed—
    Zoo0.45***—
    Plans fail0.44***0.27*—
    Can't think0.43***0.44***0.42***—
    Parent stress0.37***0.230.32**0.32**—
    Parent dominating0.31**0.230.220.140.20—
    Parent warm0.260.210.130.100.040.23—
    Consistent discipline<.010.040.020.04−0.15−0.130.48***—
    Child dominating0.260.260.160.070.210.65***0.250.05—
    Child warm0.170.150.060.040.070.040.65***0.36***0.19
    • Note:

    • ↵* p is significant at the 0.05 level,

    • ↵** p is significant at the 0.01 level,

    • ↵*** p is significant at the 0.001 level.

    • View popup
    Table 3.

    Home Environment Profile Model Enumeration

    ModelLog-LikelihoodDFAICBIC
    2-class−2558.85405197.7065318.132
    3-class−2496.98525097.9585254.511
    4-class−2297.1594712.2034889.831
    5-class−2286.84704713.6794924.424
    • AIC, Akaike Information Criterion; BIC, Bayesian Information Criterion; DF, degrees of freedom.

    • View popup
    Table 4.

    Home Environment Profiles Among Family Matters Study Participants

    Profile No.Home Environment Profile NameHome Environment Profile Indicators
    Rushed*Zoo†Plans Fail‡Can't Think‡Parent StressfParent Dominating§Child Dominating§Parent Warm‖Child Warm‖Consistent Discipline¶
    1Collaborative-Chill (CC)Mean1.401.421.361.402.241.761.344.334.368.83
    SE0.130.140.120.132.940.270.240.210.240.11
    2Busy Bees (BB)Mean3.012.292.612.586.255.583.645.845.288.81
    SE0.150.170.170.210.480.310.330.220.330.11
    3Engaged (E)Mean2.121.921.681.543.485.923.946.365.408.96
    SE0.140.130.140.120.320.250.240.160.180.09
    4Inconsistent-Distant (ID)Mean2.181.781.701.714.815.532.883.123.293.29
    SE0.180.200.180.190.510.370.340.280.320.16
    Global Mean2.151.871.821.773.974.763.105.364.878.25
    Scale1 to 41 to 41 to 41 to 40 to 101 to 91 to 91 to 91 to 91 to 9
    • SE, standard error.

    • Note. Based on 95% confidence intervals.

    • ↵* BB highest; CC lower than Engaged &ID.

    • ↵† BB highest; CC lower with E and ID overlapping both.

    • ↵‡ BB highest, other 3 lowest overlapping.

    • ↵f BB highest; CC lowest; E on own in middle, ID overlaps BB and E.

    • ↵§ BB, E, and ID highest; CC lowest.

    • ↵‖ BB and E highest, ID lowest, CC on own in middle.

    • ↵¶ CC, BB, and E highest, ID lowest.

    • View popup
    Table 5.

    Regression Analyses Between Home Environment Profiles and Child Weight-Related Outcomes

    Child OutcomeβSEP value
    BMI
        Profile 2 (Busy Bees)5.355.84.36
        Profile 3 (Engaged)1.355.59.81
        Profile 4 (Inconsistent-Distant)21.775.80<.01
    HEI
        Profile 2 (Busy Bees)−2.322.79.41
        Profile 3 (Engaged)0.992.55.70
        Profile 4 (Inconsistent-Distant)−1.303.06.67
    Fussy
        Profile 2 (Busy Bees)0.000.16.99
        Profile 3 (Engaged)−0.040.14.77
        Profile 4 (Inconsistent-Distant)0.070.17.68
    Food Responsive
        Profile 2 (Busy Bees)0.460.22.04
        Profile 3 (Engaged)0.400.21.06
        Profile 4 (Inconsistent-Distant)0.880.30<.01
    Satiety Responsive
        Profile 2 (Busy Bees)0.450.19.02
        Profile 3 (Engaged)0.210.18.26
        Profile 4 (Inconsistent-Distant)0.360.21.10
    • BMI, body mass index; HEI, Healthy Eating Index; SE, standard error.

    • * Profile 1 (Collaborative-Chill) is the reference class.

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The Journal of the American Board of Family   Medicine: 34 (6)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 6
November/December 2021
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CHAOS in the Home Environment and Child Weight-Related Outcomes
Gretchen J. R. Buchanan, Allan D. Tate, Katie A. Loth, Amanda C. Trofholz, Jerica M. Berge
The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1163-1173; DOI: 10.3122/jabfm.2021.06.210157

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CHAOS in the Home Environment and Child Weight-Related Outcomes
Gretchen J. R. Buchanan, Allan D. Tate, Katie A. Loth, Amanda C. Trofholz, Jerica M. Berge
The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1163-1173; DOI: 10.3122/jabfm.2021.06.210157
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Keywords

  • Behavioral Sciences
  • Body Mass Index
  • Caregivers
  • Child Health
  • Counseling
  • Cross-Sectional Studies
  • Eating Habits
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