Individual and Environmental Influences on Intake of Calcium-rich Food and Beverages by Young Hmong Adolescent Girls

ObjectiveTo identify individual and environmental factors affecting intake of calcium-rich food and beverages by early adolescent Hmong girls.DesignCross-sectional survey of girls, in-depth interviews with parents.SettingGirl Scout and 4-H programs in the Minneapolis/St. Paul metropolitan area.ParticipantsConvenience samples of 10-13-year-old Hmong girls (n = 102) and their parents (n = 20).AnalysisSpearman correlation analysis, constant comparative method.Variables MeasuredIndividual and environmental factors for girls and reported intake of calcium-rich food and beverages.ResultsFew girls observed parents drinking milk or were encouraged by parents to drink milk. Many reported low intake of milk with dinner meals and snacks. Only one third reported that calcium-rich food such as yogurt, cheese, and tofu were available at home, and intake of these food items was associated with availability. Parents accommodated child preferences and had few expectations for their child to eat certain calcium-rich food items. Parents did not commonly consume dairy products but indicated they made milk available for children. Knowledge of calcium requirements was limited, but most parents related calcium to bone health.Conclusions and ImplicationsEnvironmental factors may limit calcium intake by Hmong girls. Education should involve parents and children and address environmental factors that affect intake.