Research Article

Parental Perceptions of Child’s Medical Care and Neighborhood and Child’s Behavioral Risk Factors for Obesity in U.S. Children by Body Mass Index Classification

Table 2

Preventive medical care and risk factors for obesity.

ParameterNo preventive medical carePreventive medical care
Percent (95th CI)Percent (95th CI)

Watch television (4 or more hr/day)18.8 (16.6, 21.2)13.1 (12.3, 13.9)<0.001
Electronic devices (4 or more hr/day)19.3 (17.1, 21.7)15.0 (14.2, 15.9)<0.001
Adequate sleep (3 or less nights/wk)10.1 (8.5, 12.0)10.7 (10.0, 11.5)0.072
Physical activity moderate-to-vigorous (days/wk)<0.001
 024.8 (21.8, 28.1)75.2 (71.9, 78.2)
 1–329.9 (28.2, 21.7)80.1 (78.3, 81.8)
 4‐516.4 (14.9, 17.9)83.6 (82.1, 85.1)
 6‐715.5 (14.0, 17.2)84.5 (82.8, 86.0)
 Inadequate health insurance39.4 (36.6, 42.2)28.8 (27.7, 29.9)<0.001
 Second- or third-hand smoke exposure7.2 (6.2, 8.4)7.1 (6.6, 7.7)0.894
 % FPL (0–99)25.0 (22.5, 27.7)16.5 (15.6, 17.5)<0.001
Family meals0.001
 0–3 times per wk.27.7 (25.4, 30.1)27.0 (26.0, 28.1)
 4–6 times per wk.33.4 (30.8, 36.0)38.7 (37.5, 39.9)
 Every night38.9 (36.2, 41.8)34.3 (33.2, 35.4)
SexBoysGirlsBoysGirls0.043
54.0 (51.2, 56.8)46.0 (43.2, 48.8)50.9 (49.7, 52.1)49.9 (47.9, 50.3)
Parents perceived neighborhood not safe13.0 (11.1, 15.2)11.7 (10.8, 12.6)0.226
Parents perceived no neighborhood support15.5 (13.8, 17.4)15.5 (14.6, 16.5)0.968
Parents reported no playground and parks in neighborhood19.6 (17.6, 21.9)16.2 (15.4, 17.0)0.002

% within race/ethnicity no preventive medical careHispanicNHBOther racesNHW0.001
21.8a (19.1, 24.8)17.8b (15.8, 20.1)19.1a,b (16.3, 22.3)16.7b,c (15.7, 17.7)

NHB = non-Hispanic Black; Other Race = race/ethnicity other than categories provided such as Asian or mixed race; NHW = non-Hispanic White; FPL = federal poverty level. Note. preventive medical care was considered affirmative if the parents reported their child had at least one wellness visit in the past 12 months. Physical activity was considered times during the week that the child exercised, played a sport, or participated in physical activity for at least 20 minutes that made (him/her) sweat and breathe hard? Values are percent (95th CI) “within preventive care” unless otherwise specified. Age was not associated with preventive medical care ().