ORIGINAL PAPER
Children's Awareness of Healthy Behaviours - validity of Beauty & Health and Dietary Knowledge & Habits Scales
Submission date: 2018-12-18
Acceptance date: 2018-12-19
Online publication date: 2018-12-28
Publication date: 2018-12-28
Health Psychology Report 2018;6(4):361-374
KEYWORDS
TOPICS
health attitudes and behaviorincluding prevention and promotionchild and adolescent healthresearch methodology, measurement, and statistics in health psychology
ABSTRACT
Background:
The WHO identifies eating habits as the main factor determining body weight in both children and adults. Obesity and underweight are related to health as well as physical attractiveness. Children become aware of the role of healthy nutrition and its relationship to one’s body shape in early childhood. In order to perform a direct study in children aged 5 to 9, the Beauty & Health (B&H) and Dietary Knowledge & Habits (DKH) scales were developed.
Participants and procedure:
The validation procedure involved 721 children assigned to two groups divided with regard to age and education: years 0 to 1 (ages 5-7) and years 2 to 3 (ages 8-9).
Results:
The B&H scale allows one to determine how children attribute social success and health-related behaviors to women and men with different body shape. The B&H scale is composed of 18 questions. Some of them are supported with illustrations presenting various healthy behaviors. The child is asked to match each activity to one of three pictures presenting adults with different body shapes (slim, normal, and obese). The survey includes questions regarding social functioning of persons with the different body types. The questionnaire was prepared in two variants, for girls and boys, referring to women and men, respectively. The DKH scale comprises 50 illustrations of healthy and unhealthy food products. DKH consists of two subscales. The first assesses the child’s nutritional knowledge; the researcher shows various pictures of food while the child decides to which group (healthy, unhealthy) these meals belong. The second subscale allows the assessment of the child’s eating habits. The child is shown the same pictures and asked how often he/she eats these meals (very often, only sometimes, very rarely or never). Using the same pictures twice allows an estimate to be made of the cohesion of the child’s nutritional knowledge and their eating habits.
Conclusions:
The Beauty & Health and Dietary Knowledge & Habits scales show good psychometric values and can be successfully used to study children aged 5-9 for both scientific purposes and to help assess the effectiveness of school health programs.
The WHO identifies eating habits as the main factor determining body weight in both children and adults. Obesity and underweight are related to health as well as physical attractiveness. Children become aware of the role of healthy nutrition and its relationship to one’s body shape in early childhood. In order to perform a direct study in children aged 5 to 9, the Beauty & Health (B&H) and Dietary Knowledge & Habits (DKH) scales were developed.
Participants and procedure:
The validation procedure involved 721 children assigned to two groups divided with regard to age and education: years 0 to 1 (ages 5-7) and years 2 to 3 (ages 8-9).
Results:
The B&H scale allows one to determine how children attribute social success and health-related behaviors to women and men with different body shape. The B&H scale is composed of 18 questions. Some of them are supported with illustrations presenting various healthy behaviors. The child is asked to match each activity to one of three pictures presenting adults with different body shapes (slim, normal, and obese). The survey includes questions regarding social functioning of persons with the different body types. The questionnaire was prepared in two variants, for girls and boys, referring to women and men, respectively. The DKH scale comprises 50 illustrations of healthy and unhealthy food products. DKH consists of two subscales. The first assesses the child’s nutritional knowledge; the researcher shows various pictures of food while the child decides to which group (healthy, unhealthy) these meals belong. The second subscale allows the assessment of the child’s eating habits. The child is shown the same pictures and asked how often he/she eats these meals (very often, only sometimes, very rarely or never). Using the same pictures twice allows an estimate to be made of the cohesion of the child’s nutritional knowledge and their eating habits.
Conclusions:
The Beauty & Health and Dietary Knowledge & Habits scales show good psychometric values and can be successfully used to study children aged 5-9 for both scientific purposes and to help assess the effectiveness of school health programs.
REFERENCES (43)
1.
Anzman, S. L., Rollins, B. Y., & Birch, L. L. (2010). Parental influence on children’s early eating environments and obesity risk: implications for prevention. International Journal of Obesity, 34, 1116–1124. https://doi.org/10.1038/ijo.20....
2.
Asbury, M. B., & Woszidlo, A. (2016). Understanding the relationship between family communication and the development of weight stigma. Health Psychology Report, 4, 213–223. https://doi.org/10.5114/hpr.20....
3.
Bartolucci, F., Bacci, S., & Gnaldi, M. (2016). Statistical Analysis of Questionnaires. A Unified Approach Based on R and Stata. Boca Raton, FL: CRC Press, Taylor & Francis Group.
4.
Branca, F., & Nikogosian, H. T. L. (2007). Challenge of obesity in the WHO European Region and the strategies for response: summary. Denmark: World Health Organization.
5.
Cash, T. F., & Smolak, L. (2011). Understanding body images: Historical and contemporary perspectives. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice, and prevention. (pp. 3–11). New York, NY, US: Guilford Press.
6.
Coyne, S. M., Linder, J. R., Rasmussen, E. E., Nelson, D. A., & Birkbeck, V. (2016). Pretty as a Princess: Longitudinal Effects of Engagement with Disney Princesses on Gender Stereotypes, Body Esteem, and Prosocial Behavior in Children. Child Development, 87, 1909–1925. https://doi.org/10.1111/cdev.1....
7.
Davison, K. K., & Birch, L. L. (2004). Predictors of fat stereotypes among 9-year-old girls and their parents. Obesity Research, 12, 86–94. https://doi.org/10.1038/oby.20....
8.
de Lauzon-Guillain, B., Oliveira, A., Charles, M. A., Grammatikaki, E., Jones, L., Rigal, N., Lopes, C., Manios, Y., Moreira, P., Emmett, P., & Monnery-Patris, S. (2012). A review of methods to assess parental feeding practices and preschool children’s eating behavior: the need for further development of tools. Journal of the Academy of Nutrition and Dietetics, 112, 1578–1602. https://doi.org/10.1016/j.jand....
9.
Dohnt, H. K., & Tiggemann, M. (2005). Peer influences on body dissatisfaction and dieting awareness in young girls. British Journal of Developmental Psychology, 23, 103–116. https://doi.org/10.1348/026151....
10.
Eagly, A. H., Ashmore, R. D., Makhijani, M. G., & Longo, L. C. (1991). What is beautiful is good, but…: A meta-analytic review of research on the physical attractiveness stereotype. Psychological Bulletin, 110, 109–128. https://doi.org/10.1037/0033-2....
11.
Griffin, A. M., & Langlois, J. H. (2006). Stereotype Directionality and Attractiveness Stereotyping: Is Beauty Good or is Ugly Bad? Social Cognition, 24, 187–206. https://doi.org/10.1521/soco.2....
12.
Harriger, J. A., Calogero, R. M., Witherington, D. C., & Smith, J. E. (2010). Body Size Stereotyping and Internalization of the Thin Ideal in Preschool Girls. Sex Roles, 63, 609–620. https://doi.org/10.1007/s11199....
13.
Kułaga, Z., Grajda, A., Gurzkowska, B., Wojtyło, M. A., Góźdź, M., & Litwin, M. S. (2016a). The prevalence of overweight and obesity among Polish school-aged children and adolescents. Przegląd Epidemiologiczny, 70, 641–651.
14.
Kułaga, Z., Gurzkowska, B., Grajda, A., Wojtyło, M., Góźdź, M., & Litwin, M. (2016b). The prevalence of overweight and obesity among Polish pre-school-aged children. Developmental Period Medicine, 20, 143–149.
15.
Kułaga, Z., Litwin, M., Tkaczyk, M., Palczewska, I., Zajączkowska, M., Zwolińska, D., Krynicki, T., Wasilewska, A., Moczulska, A., Morawiec-Knysak, A., Barwicka, K., Grajda, A., Gurzkowska, B., Napieralska, E., & Pan, H. (2011). Polish 2010 growth references for school-aged children and adolescents. European Journal of Pediatrics, 170, 599–609. https://doi.org/10.1007/s00431....
16.
Lemay, E. P., Jr., Clark, M. S., & Greenberg, A. (2010). What is beautiful is good because what is beautiful is desired: physical attractiveness stereotyping as projection of interpersonal goals. Personality & Social Psychology Bulletin, 36, 339–353. https://doi.org/10.1177/014616....
17.
Lipowska, M., Bidzan, M., Mazurkiewicz, N., & Lipowski, M. (2015). Jakość życia w przewlekłej widocznej chorobie a poczucie stygmatyzacji u młodych kobiet [Quality of life chronic visible illness and the sense of stigmatization in young women]. Przegląd Psychologiczny, 58, 303–323.
18.
Lipowska, M., & Lipowski, M. (2015). Narcissism as a moderator of satisfaction with body image in young women with extreme underweight and obesity. PLoS One, 10, e0126724–e0126724. https://doi.org/10.1371/journa....
19.
Lipowska, M., Lipowski, M., Jurek, P., Jankowska, A. M., & Pawlicka, P. (2018). Gender and body-fat status as predictors of parental feeding styles and children’s nutritional knowledge, eating habits and behaviours. International Journal of Environmental Research and Public Health, 15, 852. https://doi.org/10.3390/ijerph....
20.
Lipowska, M., Lipowski, M., & Kosakowska-Bereze-cka, N. (2016). Children’s perception of social value of beauty – the role of parental gender stereotypization. Paper presented at the Appearance Matters 7, London.
21.
Lipowski, M., & Lipowska, M. (2015). Poziom narcyzmu jako moderator relacji pomiędzy obiektywnymi wymiarami ciała a stosunkiem do własnej cielesności młodych mężczyzn [The role of narcissism in the relationship between objective body measurements and body self-esteem of young men]. Polskie Forum Psychologiczne, 20, 31–46. https://doi.org/10.14656/PFP20....
22.
Llewellyn, C. H., van Jaarsveld, C. H. M., Boniface, D., Carnell, S., & Wardle, J. (2008). Eating rate is a heritable phenotype related to weight in children. The American Journal of Clinical Nutrition, 88, 1560–1566. https://doi.org/10.3945/ajcn.2....
23.
Loprinzi, P. D., & Trost, S. G. (2010). Parental influences on physical activity behavior in preschool children. Preventive Medicine, 50, 129–133. https://doi.org/10.1016/j.ypme....
24.
Lowes, J., & Tiggemann, M. (2003). Body dissatisfaction, dieting awareness and the impact of parental influence in young children. British Journal of Health Psychology, 8, 135–147. https://doi.org/10.1348/135910....
25.
Meule, A. (2017). Interactive effects between flexible and rigid control of eating behavior on body weight: a moderated serial multiple mediation model. Health Psychology Report, 5, 314–322. https://doi.org/10.5114/hpr.20....
26.
Nicklaus, S., Boggio, V., Chabanet, C., & Issanchou, S. (2005). A prospective study of food variety seeking in childhood, adolescence and early adult life. Appetite, 44, 289–297.
27.
Nishtar, S., Gluckman, P., & Armstrong, T. (2016). Ending childhood obesity: a time for action. The Lancet, 387, 825–827. https://doi.org/10.1016/S0140-....
28.
Obara-Gołębiowska, M., Brycz, H., Lipowska, M., & Lipowski, M. (2018). The Role of Motivation to Reduce Obesity among Elderly People: Response to Priming Temptation in Obese Individuals. International Journal of Environmental Research and Public Health, 15, 244.
29.
Puhl, R. M., & Latner, J. D. (2007). Stigma, obesity, and the health of the nation’s children. Psychological Bulletin, 133, 557–580. https://doi.org/10.1037/0033-2....
30.
Radoszewska, J. (2009). Otyły nastolatek w oczach rówieśników [Obese teenagers in the eyes of their peers]. Pediatric Endocrinology, Diabetes and Metabolism, 15, 167–171.
31.
Ramsey, J. L., & Langlois, J. H. (2002). Effects of the ‘beauty is good’ stereotype on children’s information processing. Journal of Experimental Child Psychology, 81, 320–340. https://doi.org/10.1006/jecp.2....
32.
Ridgeway, R. T., & Tylka, T. L. (2005). College Men’s Perceptions of Ideal Body Composition and Shape. Psychology of Men & Masculinity, 6, 209–220. https://doi.org/10.1037/1524-9....
33.
Scaglioni, S., Arrizza, C., Vecchi, F., & Tedeschi, S. (2011). Determinants of children’s eating behavior. The American Journal of Clinical Nutrition, 94, 2006S–2011S. https://doi.org/10.3945/ajcn.1....
34.
Skinner, J. D., Carruth, B. R., Bounds, W., Ziegler, P., & Reidy, K. (2002). Do food-related experiences in the first 2 years of life predict dietary variety in school-aged children? Journal of Nutrition Education and Behavior, 34, 310–315.
35.
Slater, A., & Tiggemann, M. (2016). Little girls in a grown up world: Exposure to sexualized media, internalization of sexualization messages, and body image in 6-9 year-old girls. Body Image, 18, 19–22. https://doi.org/10.1016/j.body....
36.
Strauss, R. S., & Pollack, H. A. (2003). Social marginalization of overweight children. Archives of Pediatrics & Adolescent Medicine, 157, 746–752. https://doi.org/10.1001/archpe....
37.
Swami, V., Frederick, D. A., Aavik, T., Alcalay, L., Allik, J., Anderson, D., … Zivcic-Becirevic, I. (2010). The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the international body project I. Personality & Social Psychology Bulletin, 36, 309–325. https://doi.org/10.1177/014616....
38.
Tiggemann, M. (2004). Body image across the adult life span: stability and change. Body Image, 1, 29–41.
39.
Tiggemann, M., & Wilson-Barrett, E. (1998). Children’s figure ratings: relationship to self-esteem and negative stereotyping. International Journal of Eating Disorders, 23, 83–88.
40.
Tod, D., & Edwards, C. (2013). Predicting drive for muscularity behavioural engagement from body image attitudes and emotions. Body Image, 10, 135–138. https://doi.org/10.1016/j.body....
41.
Utter, J., Scragg, R., Schaaf, D., & Mhurchu, C. N. (2008). Relationships between frequency of family meals, BMI and nutritional aspects of the home food environment among New Zealand adolescents. The International Journal of Behavioral Nutrition and Physical Activity, 5, 50–50. https://doi.org/10.1186/1479-5....
42.
Wojtyniak, B., & Goryński, P. (2016). Sytuacja zdrowotna ludności Polski i jej uwarunkowania [Health status of the Polish population and its determinants]. Warszawa: Narodowy Instytut Zdrowia Publicznego – Państwowy Zakład Higieny.
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