Introduction: This study utilizes triadic data to examine the association between motherfather- adolescent concordance (agreement) and discordance (disagreement) on home environment factors (i.e., parental encouragement of dieting, family functioning) and adolescent unhealthy weight control behaviors and binge eating. Method: A subsample of adolescentmother- father triads (n = 833; adolescents ages 10-22) from two coordinated populationbased studies (EAT 2010 and F-EAT) were used. Poisson regression analysis was used to estimate the relative risks of each eating disordered behavior. Results: Triads were more concordant (range 9-42%) than discordant (range 4-24%). Triadic agreement that parents did not encourage dieting was associated with a lower risk of adolescent eating disordered behaviors in some triadic combinations. Additionally, triadic concordance on high family functioning was also associated with a lower risk of adolescent eating disordered behaviors among some triadic combinations. Discussion: Results suggest that triadic concordance on healthy home environment factors is associated with fewer adolescent disordered eating behaviors in some triads. Family based interventions may want to consider focusing on strategies to help move mother-father-adolescent triads closer on seeing the home environment more similarly. Future research is needed on triadic concordance/discordance and disordered eating behaviors to confirm study results and to inform the development of family based interventions.
Bibliographical noteFunding Information:
The authors have no financial relationships relevant to this article to disclose. Research is supported by grant R03 HD074677 from the National Institute of Child Health and Human Development (Co-PI’s: Jerica M. Berge and Richard F. MacLehose), R01 HL093247 (PI: Dianne Neumark-Sztainer) and R01 HL084064 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development or the National Institutes of Health. Berge and MacLehose had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
- Binge eating
- Encouragement of dieting
- Family functioning
- Unhealthy weight control behaviors