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This study examined kitchen adequacy in a racially/ethnically diverse low-income sample and associations with child diet quality. Families with children age five to seven years old (n = 150) from non-Hispanic white, non-Hispanic Black, Hispanic, Native American, Hmong, and Somali families were recruited through primary care clinics. More than 85% of families had 15 of the 20 kitchen items queried, indicating that the sample had adequate kitchen facilities. Only one item (a kitchen table) was associated with higher overall diet quality of children. In contrast, children living in households with can openers and measuring spoons consumed more sodium and added sugars, respectively. [ABSTRACT FROM AUTHOR]

Objective Background Method Results Conclusion Implications The objective of this study was to examine the variability of child health and psychosocial outcomes in the context of maternal role overload and maternal depression.Role overload, characterized as time‐based role stress, is commonly linked to depression in mothers. However, it remains uncertain whether maternal role overload poses a risk for negative child health and wellness. Although maternal depression is a known risk factor for poor child health and psychosocial outcomes, the outcomes themselves often reveal variability.This study aimed to investigate the heterogeneity of child health and psychosocial outcomes using latent profile analyses. Multinomial logistic regression analyses were conducted to examine differences in profile membership based on the child's experiences of maternal role overload and depression. Data were from 1,172 mother–child dyads from the Family Matters study.The analyses unveiled four distinct profiles (i.e., moderate health/psychosocial wellness, poor health/moderate psychosocial wellness, struggling health/poor psychosocial wellness, thriving health/psychosocial wellness), each associated with varying levels of health and psychosocial wellness. Both maternal role overload and depression were found to heighten the risk of poor health and psychosocial wellness in children.Children with struggling and poor health and psychosocial outcomes had higher odds of maternal depression and maternal role overload than children in the thriving profile. These findings suggest that maternal role overload is a potential risk to child health and psychosocial outcomes.These findings emphasize the importance of continuous depression screening in mothers and the implementation of solution‐focused interventions targeting maternal role overload. [ABSTRACT FROM AUTHOR]

Introduction: Past research shows that structural racism contributes to disparities in cardiometabolic health among racially/ethnically minoritized populations., Methods: This cross-sectional study examined the correlation between census tract-level racialized economic segregation and child health metrics among a racially and ethnically diverse cohort of 350 children (ages 6.5-13.8) from Minneapolis-St. Paul, MN., Results: A consistent cardiometabolic and cortisol outcome gradient was observed across the index of concentration at the extremes tertiles, such that health risk factors increased as tract privilege decreased., Conclusion: Racialized economic segregation was associated with less favorable child health outcomes, underscoring the potential importance of place-based interventions for promoting children's health., (© Christopher P. Carr et al., 2024; Published by Mary Ann Liebert, Inc.)

Background: Ecological momentary assessment (EMA) has become a popular mobile health study design to understand the lived experiences of dynamic environments. The numerous study design choices available to EMA researchers, however, may quickly increase participant burden and could affect overall adherence, which could limit the usability of the collected data., Objective: This study quantifies what study design, participant attributes, and momentary factors may affect self-reported burden and adherence., Methods: The EMA from the Phase 1 Family Matters Study (n=150 adult Black, Hmong, Latino or Latina, Native American, Somali, and White caregivers; n=1392 observation days) was examined to understand how participant self-reported survey burden was related to both design and momentary antecedents of adherence. The daily burden was measured by the question "Overall, how difficult was it for you to fill out the surveys today?" on a 5-item Likert scale (0=not at all and 4=extremely). Daily protocol adherence was defined as completing at least 2 signal-contingent surveys, 1 event-contingent survey, and 1 end-of-day survey each. Stress and mood were measured earlier in the day, sociodemographic and psychosocial characteristics were reported using a comprehensive cross-sectional survey, and EMA timestamps for weekends and weekdays were used to parameterize time-series models to evaluate prospective correlates of end-of-day study burden., Results: The burden was low at 1.2 (SD 1.14) indicating "a little" burden on average. Participants with elevated previous 30-day chronic stress levels (mean burden difference: 0.8; P=.04), 1 in 5 more immigrant households (P=.02), and the language primarily spoken in the home (P=.04; 3 in 20 more non-English-speaking households) were found to be population attributes of elevated moderate-high burden. Current and 1-day lagged nonadherence were correlated with elevated 0.39 and 0.36 burdens, respectively (P=.001), and the association decayed by the second day (β=0.08; P=.47). Unit increases in momentary antecedents, including daily depressed mood (P=.002) and across-day change in stress (P=.008), were positively associated with 0.15 and 0.07 higher end-of-day burdens after controlling for current-day adherence., Conclusions: The 8-day EMA implementation appeared to capture momentary sources of stress and depressed mood without substantial burden to a racially or ethnically diverse and immigrant or refugee sample of parents. Attention to sociodemographic attributes (eg, EMA in the primary language of the caregiver) was important for minimizing participant burden and improving data quality. Momentary stress and depressed mood were strong determinants of participant-experienced EMA burden and may affect adherence to mobile health study protocols. There were no strong indicators of EMA design attributes that created a persistent burden for caregivers. EMA stands to be an important observational design to address dynamic public health challenges related to human-environment interactions when the design is carefully tailored to the study population and to study research objectives., (©Allan D Tate, Angela R Fertig, Junia N de Brito, Émilie M Ellis, Christopher Patrick Carr, Amanda Trofholz, Jerica M Berge. Originally published in JMIR Formative Research (https://formative.jmir.org), 24.04.2024.)