PERCEPTION TOWARDS FOOD CHOICE AMONG LOW-INCOME FACTORY WORKER PARENTS OF PRE-SCHOOL CHILDREN IN NORTHERN THAILAND: A QUALITATIVE STUDY

Jukkrit Wungrath; Yupa  Chanwikrai; Nuttida  Khumai; Piyawat  Sutan

Jukkrit Wungrath Faculty of Public Health, Chiang Mai University, Chiang Mai, Thailand
Yupa Chanwikrai School of Medical Sciences, University of Phayao, Phayao, Thailand
Nuttida Khumai Faculty of Public Health, Chiang Mai University, Chiang Mai, Thailand
Piyawat Sutan Faculty of Public Health, Chiang Mai University, Chiang Mai, Thailand

Keywords: Parent’s perception, Food choice, Pre-school children

Abstract

Balanced and healthy eating habits in children may be one of the most important determinants of human health as well as good growth and development booster. Multiple factors in various contexts influence the formation of eating choices in childhood. To promote healthy food choices, it is necessary to understand the factors influencing food choices in pre-school children. Parents have been acknowledged to be an important factor impacting their children's eating habits. This study investigates parents' perspectives on children's food choices. The study was conducted utilizing in-depth interviews using two focus groups. The participants included 44 parents (32 participants and 12 additional participants) of children aged between 2 and 5 years who work in the factory and live in a rural area of Hang Chat district, Lampang province, Thailand. Participants were recruited with the assistance of CCCs staff followed the inclusion ceriterias .Participants were given a list of potential factors and asked to identify the top five factors influencing their child's eating choices. The responses were debated in a group. The discussion was recorded for later analysis. The results demonstrated that family income, child's dietary preferences, peer influence, food advertising/marketing, parental nutritional knowledge, and food availability in the markets or shops were ranked as the most influential factors. This study highlights new and essential topics for future research and may help develop parent-child interventions to improve good eating habits in pre-school children.

References

Sirasa F, Mitchell L, Silva R, Harris N. Factors influencing the food choices of urban Sri Lankan preschool children: Focus groups with parents and caregivers. Appetite. 2020;150:104649.

Fisk CM, Crozier SR, Inskip HM, Godfrey KM, Cooper C, Robinson SM, et al. Influences on the quality of young children's diets: the importance of maternal food choices. Br J Nutr. 2011;105(2):287-96.

Chong KH, Lee ST, Ng SA, Khouw I, Poh BK. Fruit and vegetable intake patterns and their associations with sociodemographic characteristics, anthropometric status and nutrient intake profiles among Malaysian children aged 1–6 years. Nutrients. 2017;9(8):723.

Welker EB, Jacquier EF, Catellier DJ, Anater AS, Story MT. Room for improvement remains in food consumption patterns of young children aged 2–4 years. J Nutr . 2018;148(suppl_3):1536S-46S.

Bronfenbrenner U. Contexts of child rearing: Problems and prospects. American psychologist. 1979;34(10):844.

Hayter AK, Draper AK, Ohly HR, Rees GA, Pettinger C, McGlone P, et al. A qualitative study exploring parental accounts of feeding pre‐school children in two low‐income populations in the UK. Matern Child Nutr. 2015;11(3):371-84.

Herman AN, Malhotra K, Wright G, Fisher JO, Whitaker RC. A qualitative study of the aspirations and challenges of low-income mothers in feeding their preschool-aged children. Int J Behav Nutr Phys Act. 2012;9(1):1-13.

Sirasa F, Mitchell LJ, Rigby R, Harris N. Family and community factors shaping the eating behaviour of preschool-aged children in low and middle-income countries: A systematic review of interventions. Prev Med . 2019;129:105827.

Darmon N, Drewnowski A. Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: a systematic review and analysis. Nutr Rev. 2015;73(10):643-60.

Rylatt L, Cartwright T. Parental feeding behaviour and motivations regarding pre-school age children: A thematic synthesis of qualitative studies. Appetite. 2016;99:285-97.

Gibson EL, Cooke L. Understanding food fussiness and its implications for food choice, health, weight and interventions in young children: the impact of professor Jane Wardle. Curr Obes Rep. 2017;6(1):46-56.

Larsen JK, Hermans RC, Sleddens EF, Engels RC, Fisher JO, Kremers SP. How parental dietary behavior and food parenting practices affect children's dietary behavior. Interacting sources of influence? Appetite. 2015;89:246-57.

Roudsari AH, Vedadhir A, Amiri P, Kalantari N, Omidvar N, Eini-Zinab H, et al. Psycho-socio-cultural determinants of food choice: A qualitative study on adults in social and cultural context of Iran. Iran J Psychiatry. 2017;12(4):241.

Machín L, Giménez A, Curutchet MR, Martínez J, Ares G. Motives underlying food choice for children and perception of nutritional information among low-income mothers in a Latin American country. J Nutr Educ Behav. 2016;48(7):478-85. e1.

Puddephatt J-A, Keenan GS, Fielden A, Reaves DL, Halford JC, Hardman CA. ‘Eating to survive’: A qualitative analysis of factors influencing food choice and eating behaviour in a food-insecure population. Appetite. 2020;147:104547.

Campbell KJ, Crawford DA, Hesketh KD. Australian parents' views on their 5–6-year-old children's food choices. Health Promot Int. 2007;22(1):11-8.

Nicklaus S, Schwartz C. Early influencing factors on the development of sensory and food preferences. Curr Opin Clin Nutr Metab Care. 2019;22(3):230-5.

Ventura AK, Worobey J. Early influences on the development of food preferences. Curr Biol. 2013;23(9):R401-R8.

Russell CG, Worsley A, Liem DG. Parents’ food choice motives and their associations with children’s food preferences. Public Health Nutr. 2015;18(6):1018-27.

Diep CS, Beltran A, Chen T-A, Thompson D, O’Connor T, Hughes S, et al. Predicting use of effective vegetable parenting practices with the Model of Goal Directed Behavior. Public Health Nutr. 2015;18(8):1389-96.

Houldcroft L, Haycraft E, Farrow C. Peer and friend influences on children's eating. Soc Dev. 2014;23(1):19-40.

Ragelienė T, Grønhøj A. The influence of peers′ and siblings′ on children’s and adolescents′ healthy eating behavior. A systematic literature review. Appetite. 2020;148:104592.

Greenhalgh J, Dowey AJ, Horne PJ, Lowe CF, Griffiths JH, Whitaker CJ. Positive-and negative peer modelling effects on young children's consumption of novel blue foods. Appetite. 2009;52(3):646-53.

Kim EB, Chen C, Cheon BK. Using remote peers’ influence to promote healthy food choices among pre-school children. Dev Psychol. 2019;55(4):703.

Daboné C, Delisle H, Receveur O. Predisposing, facilitating and reinforcing factors of healthy and unhealthy food consumption in schoolchildren: a study in Ouagadougou, Burkina Faso. Glob Health Promot. 2013;20(1):68-77.

Ahn R, Nelson MR. Observations of food consumption in a daycare setting. Young Consumers. 2015.

Davidson E, Smith C, Wyllie J. Kid's Choice: An investigation into peer influences on children's food choices within school environment. 2014.

Boyland EJ, Halford JC. Television advertising and branding. Effects on eating behaviour and food preferences in children. Appetite. 2013;62:236-41.

Russell CG, Worsley A. Why don’t they like that? And can I do anything about it? The nature and correlates of parents’ attributions and self-efficacy beliefs about preschool children’s food preferences. Appetite. 2013;66:34-43.

Nicklas TA, Goh ET, Goodell LS, Acuff DS, Reiher R, Buday R, et al. Impact of commercials on food preferences of low-income, minority pre-school children. J Nutr Educ Behav. 2011;43(1):35-41.

Elliott CD, Den Hoed RC, Conlon MJ. Food branding and young children’s taste preferences: A reassessment. Can J Public Health. 2013;104(5):e364-e8.

Laska MN, Borradaile KE, Tester J, Foster GD, Gittelsohn J. Healthy food availability in small urban food stores: a comparison of four US cities. Public Health Nutr. 2010;13(7):1031-5.

Zenk SN, Powell LM, Rimkus L, Isgor Z, Barker DC, Ohri-Vachaspati P, et al. Relative and absolute availability of healthier food and beverage alternatives across communities in the United States. Am J Public Health. 2014;104(11):2170-8.

D'Angelo H, Suratkar S, Song H-J, Stauffer E, Gittelsohn J. Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City. Public health nutr. 2011;14(9):1632-9.

Franco M, Diez-Roux AV, Nettleton JA, Lazo M, Brancati F, Caballero B, et al. Availability of healthy foods and dietary patterns: the Multi-Ethnic Study of Atherosclerosis. Am J Clin Nutr. 2009;89(3):897-904.

Franco M, Roux AVD, Glass TA, Caballero B, Brancati FL. Neighborhood characteristics and availability of healthy foods in Baltimore. Am J Prev Med. 2008;35(6):561-7.

Larsen K, Gilliland J. Mapping the evolution of'food deserts' in a Canadian city: Supermarket accessibility in London, Ontario, 1961–2005. Int J Health Geogr. 2008;7(1):1-16.

Latham J, Moffat T. Determinants of variation in food cost and availability in two socioeconomically contrasting neighbourhoods of Hamilton, Ontario, Canada. Health Place. 2007;13(1):273-87.