Disparities in parent confidence managing child weight-related behaviors

• Parents of obese children reported low confidence managing weight-related behaviors.
• Parents of Hispanic ethnicity reported lower confidence levels.
• Parents of lower education levels reported lower confidence levels.
• Counseling for parents of obese children should be culturally and literacy-sensitive.

ObjectiveTo describe ethnic disparities in parental confidence managing child weight-related behaviors.MethodsThis was a cross-sectional survey of 59 parents of children with obesity between 4 and 7 years of age presenting to a tertiary care pediatric weight management clinic. Parents completed a validated measure assessing their confidence managing their child's weight-related behaviors (parent confidence score). Student's t-tests and linear regression analyses were used to determine parent and child characteristics associated with parent confidence score.ResultsFamilies were ethnically diverse with half being of Hispanic ethnicity. Mean parent confidence score was 159 (SD 66) with 71% of parents with parent confidence scores below the clinical cut-off for the measure. Parent confidence score was lower among Hispanic (mean 133, SD 67) compared to non-Hispanic parents (mean 184, SD 55, p < 0.01). Parent confidence score was most strongly associated with parental ethnicity (β = −0.39, p = 0.002, adjusted R2 = 0.14).ConclusionParental confidence managing weight-related behaviors was low among parents of young obese children, especially those of Hispanic ethnicity.Practice implicationsThis study highlights the need to assess parental confidence in managing weight-related behaviors as part of pediatric obesity care and to provide counseling to improve parental management of weight-related behaviors in a culturally-appropriate manner.