Sociodemographic Characteristics, Parenting Styles, and Feeding Practices of Primary Caregivers of Malnourished Children
DOI:
https://doi.org/10.64397/nepj.v01i03.2026.a35Keywords:
Child nutrition, Feeding practices, Parenting styles, Sociodemographic factorsAbstract
Introduction: Malnutrition, encompassing both undernutrition and overnutrition, remains a significant public health concern for children aged two to five. Urban malnutrition persists despite current interventions, underscoring the need to investigate underexplored factors, such as caregiving and nutritional dynamics.
Aim: This study aimed to investigate the multifaceted interplay of parenting styles, feeding practices, and sociodemographic characteristics among primary caregivers of malnourished children.
Methods: This quantitative descriptive study collected data from 220 primary caregivers of malnourished children aged 2-5 years in Baguio City using adopted questionnaires: the Parenting Style Four Factor Questionnaire (PS-FFQ, α = 0.92) and the Feeding Practices and Structure Questionnaire (FPSQ-28, RMSEA < 0.08, CFI > 0.90, TLI > 0.90, α > 0.70). Sociodemographic data and BMI-for-age z-scores for nutritional status were analyzed using descriptive statistics and Fisher’s exact test.
Results: The study revealed that moderate acute malnutrition was the most prevalent type among children in Baguio City (72.7%). Most primary caregivers demonstrated an authoritative parenting style (77.7%), with persuasive feeding identified as the most common feeding practice (31.4%). Parenting style showed a statistically significant difference in the nutritional status of children (p = 0.05), whereas feeding practice did not yield a significant difference (p = 0.327). Among the sociodemographic factors, caregiver age (p = 0.019), highest educational attainment (p = 0.008), type of working arrangement (p = 0.019), and family structure (p = 0.025) showed statistically significant differences. Conversely, the primary caregiver’s role (p = 0.608) and household size (p = 0.802) did not yield statistically significant differences.
Conclusion: Findings highlight the dynamic nature of child malnutrition in Baguio City, emphasizing the role of broader household dynamics and caregiver behaviors in shaping nutritional outcomes. Health sectors and policymakers should consider these concepts to drive the development of nutrition programs and policies that reflect caregivers’ unique realities, fostering supportive environments for children.
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References
1. Adeyemi, O., Van Den Bold, M., Nisbett, N., & Covic, N. (2022). Changes in Nigeria’s enabling environment for nutrition from 2008 to 2019 and challenges for reducing malnutrition. Food Security, 15(2), 343–361. https://doi.org/10.1007/s12571-022-01328-2
2. Agresti, A. (2006). An introduction to categorical data analysis. In Wiley series in probability and statistics. https://doi.org/10.1002/0470114754
3. Ahmad, D., Afzal, M., & Imtiaz, A. (2020, August 30). Effect of socioeconomic factors on malnutrition among children in Pakistan. Future Business Journal, 6(1). https://fbj.springeropen.com/articles/10.1186/s43093-020-00032-x
4. Aktar, M. S., Israt, A., Shahrear, M. A., & Macsud , M. A. (2025). Factors of Acute Malnutrition among Under Five Years Children in Northern Bangladesh. East West Medical College Journal, 13(1), 35–42. https://doi.org/10.3329/ewmcj.v13i1.77623
5. Alahmadi, R. A. (2019). The Effects of Parenting style and feeding style on child weight Status: A Systematic review. The Keep. https://thekeep.eiu.edu/theses/4427/
6. Alampay, L. P. (2024). Cultural values, parenting and child adjustment in the Philippines. International Journal of Psychology, 59(4). https://doi.org/10.1002/ijop.13117
7. Alsagon, C. A., Jr, Ganancial, K. C., Taparan, J. G., & Caluza, L. J. B. (2023). Parenting Styles and Influences of Millennial Parents in the Development of Values System of Grade 7 Learners in Negros Occidental: a case study. Zenodo (CERN European Organization for Nuclear Research). https://ejournals.ph/article.php?id=21615
8. Amarra, M. S., & Cayabyab, B. (2022). Low-income Filipino mothers’ cultural perceptions of healthy mothers and children do not align with standard nutritional recommendations. The Journal of Community Health Management, 9(4), 191–198. https://doi.org/10.18231/j.jchm.2022.036
9. Atoloye, A. T., Samuel, F., Aluko, O. O., Torimiro, N., Bamgbade, B., Areola, A. A., Otegbayo, B., Leger, D., & Bersamin, A. (2024). Factors associated with caregivers’ food safety knowledge, behavior, perception of food safety control, and the nutrition status of under-5 children in Nigeria. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20183-8
10. Awiszus, A., Koenig, M., & Vaisarova, J. (2022, August 31). Parenting Styles and Their Effect on Child Development and Outcome. ResearchGate; rScroll. https://www.researchgate.net/publication/369670311_Parenting_Styles_and_Their_Effect_on_Child_Development_and_Outcome
11. Baguio City Health Services Office. (2024). Baguio City Nutrition Situation Report 2024.
12. Balantekin, K. N., Anzman‐Frasca, S., Francis, L. A., Ventura, A. K., Fisher, J. O., & Johnson, S. L. (2020). Positive parenting approaches and their association with child eating and weight: A narrative review from infancy to adolescence. Pediatric Obesity, 15(10). https://doi.org/10.1111/ijpo.12722
13. Barnuevo, M. K. M., & Roma, G. M. R. (2023). Cultivating Consumer Choices: Exploring the impact of product packaging design on purchasing behavior in the food processing Industry of Metro Baguio (MBLISTTDA). International Journal for Multidisciplinary Research, 5(5). https://doi.org/10.36948/ijfmr.2023.v05i05.6981
14. Barska, A., Wojciechowska-Solis, J., Wyrwa, J., & Jędrzejczak-Gas, J. (2023). Practical Implications of the Millennial Generation’s Consumer Behaviour in the Food Market. International Journal of Environmental Research and Public Health, 20(3), 2341. https://doi.org/10.3390/ijerph20032341
15. Baumrind, D. (1968). Authoritarian v. authoritative parental control. Adolescence, 3, 255-272.
16. Bee, M. A. (2017). “The Relationship between Parenting Styles and Self-Esteem for Successive Generations”. Undergraduate Theses. 19. https://scholarworks.bellarmine.edu/ugrad_theses/19
17. Bewick, V., Cheek, L., & Ball, J. (2004). Statistics review 8: Qualitative data - tests of association. Critical Care, 8(1), 46. https://doi.org/10.1186/cc2428
18. Breiner, H., Ford, M., & Gadsden, V. L. (2016). Parenting Knowledge, Attitudes, and Practices. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK402020
19. Calcaterra, V., Cena, H., Rossi, V., Santero, S., Bianchi, A., & Gian Vincenzo Zuccotti. (2023). Ultra-Processed Food, Reward System and Childhood Obesity. Children, 10(5), 804–804. https://doi.org/10.3390/children10050804
20. Candelario, M. C. (2023). Assessing the Progress of the Philippine Plan of Action for Nutrition From 1974 to 2022: A Narrative Review. Food and Nutrition Bulletin, 44(3), 207–220. https://doi.org/10.1177/03795721231192742
21. Cawis, R. M. (2023). Governor Diclas calls to eliminate stunting in Benguet. HERALD EXPRESS | News in Cordillera and Northern Luzon. https://baguioheraldexpressonline.com/governor-diclas-calls-to-eliminate-stunting-in-benguet/
22. Chen, B., Kattelmann, K., Comstock, C., McCormack, L., Wey, H., & Meendering, J. (2021). Parenting styles, food parenting practices and dietary intakes of preschoolers. Nutrients, 13(10), 3630. https://doi.org/10.3390/nu13103630
23. Ciptanurani, C., & Chen, H. (2021). Household structure and concurrent stunting and overweight among young children in Indonesia. Public Health Nutrition, 24(9), 2629–2639. https://doi.org/10.1017/s1368980021001385
24. Colozza, D., Wang, Y.-C., & Avendano, M. (2023). Does urbanisation lead to unhealthy diets? Longitudinal evidence from Indonesia. Health & Place, 83, 103091. https://doi.org/10.1016/j.healthplace.2023.103091
25. Cruz, M. A. (2024, January 31). Malnutrition prevalence among zero to 59 months old children in CAR declines. PIA. https://mirror.pia.gov.ph/news/2024/01/31/malnutrition-prevalence-among-zero-to-59-months-old-children-in-car-declines
26. Cruz, M. A. (2024b, August 28). Malnutrition prevalence in Cordillera declines in 2024 - Philippine Information Agency. Philippine Information Agency. https://pia.gov.ph/news/malnutrition-prevalence-in-cordillera-declines-in-2024
27. Daniel, W. W., & Cross, C. L. (2018). Biostatistics: A foundation for analysis in the health sciences (11th ed.). Wiley. https://www.wiley.com/en-us/Biostatistics%3A+A+Foundation+for+Analysis+in+the+Health+Sciences%2C+11th+Edition-p-9781119496571
28. Dayani, T. R., Doewes, M., Bachnas, M. A., & Dirgahayu, P. (2024). Parenting and Nutritional Status of Children Health: Results from a Cross-Sectional Survey. In Advances in health sciences research/Advances in Health Sciences Research (pp. 251–259). https://doi.org/10.2991/978-94-6463-604-8_22
29. Doronila, R. J., Fanuncial, G., Gafate, R. K. A., & Alave, M. J. (2024). Parenting of Generation Z with Generation Alpha Children: A Case Study. Zenodo (CERN European Organization for Nuclear Research). https://doi.org/10.5281/zenodo.13771434
30. de Buhr, E., & Tannen, A. (2020). Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-08881-5
31. Del Campo, C., Bouzas, C., & Tur, J. A. (2025). Risk Factors and Consequences of Food Neophobia and Pickiness in Children and Adolescents: A Systematic review. Foods, 14(1), 69. https://doi.org/10.3390/foods14010069
32. El‐Khani, A., Maalouf, W., Baker, D. A., Zahra, N., Noubani, A., & Cartwright, K. (2019). Caregiving for children through conflict and displacement: a pilot study testing the feasibility of delivering and evaluating a light touch parenting intervention for caregivers in the West Bank. International Journal of Psychology, 55(S1), 26–39. https://doi.org/10.1002/ijop.12591
33. Estrem, H. H., Pados, B. F., Park, J., Knafl, K. A., & Thoyre, S. M. (2016). Feeding problems in infancy and early childhood: evolutionary concept analysis. Journal of Advanced Nursing, 73(1), 56–70. https://doi.org/10.1111/jan.13140
34. Global Nutrition Report. (2022). Country Nutrition Profiles - Global Nutrition Report. https://globalnutritionreport.org/resources/nutrition-profiles/asia/south-eastern-asia/philippines/
35. Gombart, A. F., Pierre, A., & Maggini, S. (2020). A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection. Nutrients, 12(1), 236. https://doi.org/10.3390/nu12010236
36. Gutierrez, J. (2024). The Experiences of Left-Behind Fathers: Breaking the Traditional Filipino Paternal Roles in Parenting. The Journal of Society & Media, 8(1), 64–81. https://doi.org/10.26740/jsm.v8n1.p64-81
37. Hayes, J. (2024, January 15). Millennials, the New Generation of Caregivers - Benjamin Rose. Benjamin Rose. https://www.benrose.org/resource/millennials-the-new-generation-of-caregivers/
38. Hennessy, E., Hughes, S. O., Goldberg, J. P., Hyatt, R. R., & Economos, C. D. (2012). Permissive Parental Feeding Behavior Is Associated with an Increase in Intake of Low-Nutrient-Dense Foods among American Children Living in Rural Communities. Journal of the Academy of Nutrition and Dietetics, 112(1), 142–148. https://doi.org/10.1016/j.jada.2011.08.030
39. IBM. (2022). IBM SPSS Statistics: Fisher’s Exact Test with Monte Carlo Simulation. IBM Knowledge Center. https://www.ibm.com/docs/en/spss-statistics
40. Ibrahim, M. K., Zambruni, M., Melby, C. L., & Melby, P. C. (2017). Impact of Childhood Malnutrition on Host Defense and Infection. Clinical Microbiology Reviews, 30(4), 919–971. https://doi.org/10.1128/cmr.00119-16
41. Inbaraj, L. R., Khaja, S., George, C. E., & Norman, G. (2020). Paternal involvement in feeding and its association with nutritional status of children in an urban slum in a low-resource setting: A cross-sectional study. Nutrition, 74, 110735. https://doi.org/10.1016/j.nut.2020.110735
42. Jansen, E., Thapaliya, G., Aghababian, A., Sadler, J., Smith, K., & Carnell, S. (2021). Parental stress, food parenting practices and child snack intake during the COVID-19 pandemic. Appetite, 161, 105119. https://doi.org/10.1016/j.appet.2021.105119
43. Jansen, E., Williams, K. E., Mallan, K. M., Nicholson, J. M., & Daniels, L. A. (2016). The Feeding Practices and Structure Questionnaire (FPSQ-28): A parsimonious version validated for longitudinal use from 2 to 5 years. Appetite, 100, 172–180. https://doi.org/10.1016/j.appet.2016.02.031
44. Jansen, P. W., Derks, I. P. M., Mou, Y., Rijen, E. H. M., Gaillard, R., Micali, N., Voortman, T., & Hillegers, M. H. J. (2020). Associations of parents’ use of food as reward with children’s eating behaviour and BMI in a population‐based cohort. Pediatric Obesity, 15(11). https://doi.org/10.1111/ijpo.12662
45. Jones, B. L., Orton, A. L., Tindall, S. W., Christensen, J. T., Enosakhare, O., Russell, K. A., Robins, A., Larriviere-McCarl, A., Sandres, J., Cox, B., Thomas, C., & Reynolds, C. (2023). Barriers to Healthy Family Dinners and Preventing Child Obesity: Focus Group Discussions with Parents of 5-to-8-Year-Old Children. Children, 10(6), 952. https://doi.org/10.3390/children10060952
46. Jongenelis, M. I., & Budden, T. (2023). The Influence of Grandparents on Children’s Dietary Health: A Narrative review. Current Nutrition Reports, 12(3), 395–406. https://doi.org/10.1007/s13668-023-00483-y
47. Kharbanda, G., Nair, S., & Mathur, P. (2025, January). Knowledge, Attitudes, and Practices of Caregivers on Dietary adherence and medical food Usage: A Study on the Impact of Education. https://www.researchgate.net/publication/387658914_Knowledge_Attitudes_and_Practices_of_Caregivers_on_Dietary_Adherence_and_Medical_Food_Usage_A_Study_on_the_Impact_of_Education
48. Kiefner-Burmeister, A., & Hinman, N. (2020). The Role of General Parenting Style in Child Diet and Obesity Risk. Current Nutrition Reports, 9(1), 14–30. https://doi.org/10.1007/s13668-020-00301-9
49. Kim, H. (2017). Statistical notes for clinical researchers: Chi-squared test and Fisher’s exact test. Restorative Dentistry & Endodontics, 42(2), 152. https://doi.org/10.5395/rde.2017.42.2.152
50. Kosendiak, A. A., Adamczak, B. B., Kuźnik, Z., & Makles, S. (2024). How Dietary Choices and Nutritional Knowledge Relate to Eating Disorders and Body Esteem of Medical Students? A Single-Center Cross-Sectional Study. Nutrients, 16(10), 1414. https://doi.org/10.3390/nu16101414
51. Krupa-Kotara, K., Nowak, B., Markowski, J., Rozmiarek, M., & Grajek, M. (2024). Food Neophobia in Children Aged 1–6 Years—Between Disorder and Autonomy: Assessment of Food Preferences and Eating Patterns. Nutrients, 16(17), 3015. https://doi.org/10.3390/nu16173015
52. Lang, D. (2020, May 18). Family Systems Theory. Pressbooks. https://iastate.pressbooks.pub/parentingfamilydiversity/chapter/the-family-systems-theory/
53. Lansford J. E. (2022). Annual Research Review: Cross-cultural similarities and differences in parenting. Journal of child psychology and psychiatry, and allied disciplines, 63(4), 466–479. https://doi.org/10.1111/jcpp.13539
54. Lederman, N. G., Zeidler, D. L., & Lederman, J. S. (2023). Handbook of Research on Science Education. https://doi.org/10.4324/9780367855758
55. Lee, H. Y., Zhou, A. Q., Lee, R. M., & Dillon, A. L. (2020). Parents’ functional health literacy is associated with children’s health outcomes: Implications for health practice, policy, and research. Children and Youth Services Review, 110, 104801. https://doi.org/10.1016/j.childyouth.2020.104801
56. Leyts, M. (2024, September 20). Gen Z Parents: How Gen Zers’ Parenting Style and Approach to Parenting Are Shaping Parenthood—Insights for Millennials on the New Generation of Parents. Generation ZALPHA. https://www.generationzalpha.com/blog/gen-z-parents
57. Liao, H. E., & Deng, Y. M. (2021). The Role of Caregiver’s Feeding Pattern in the Association between Parents’ and Children’s Healthy Eating Behavior: Study in Taichung, Taiwan. Children, 8(5), 369. https://doi.org/10.3390/children8050369
58. Lopez, N. V., Schembre, S., Belcher, B. R., O’Connor, S., Maher, J. P., Arbel, R., Margolin, G., & Dunton, G. F. (2018). Parenting styles, food-related parenting practices, and children’s healthy eating: A mediation analysis to examine relationships between parenting and child diet. Appetite, 128, 205–213. https://doi.org/10.1016/j.appet.2018.06.021
59. Maccoby, E. E., & Martin, J. A. (1983). Socialization in the context of the family: Parent–child interaction. In P. H. Mussen (Series Ed.) & E. M. Hetherington (Vol. Ed.), Handbook of child psychology: Vol. 4. Socialization, personality, and social development (pp. 1–101). Wiley.
60. Majeed, Z., & Joshi, D. G. (2024). To examine the role of Parenting Styles in development and maintenance of Anxiety and its influence on Coping Styles. International Journal of Interdisciplinary Approaches in Psychology, 2(5), 2231:2249–2231:2249. https://www.psychopediajournals.com/index.php/ijiap/article/view/437
61. Manjunatha, N. (2019). Descriptive Research. Journal of Emerging Technologies and Innovative Research, 6(6). https://www.jetir.org/papers/JETIR1908597.pdf
62. Masuke, R., Msuya, S. E., Mahande, J. M., Diarz, E. J., Stray-Pedersen, B., Jahanpour, O., & Mgongo, M. (2021). Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi, Northern Tanzania: Cohort study. PLOS ONE, 16(5), e0250562. https://doi.org/10.1371/journal.pone.0250562
63. McDonald, J. H. (2014). Introduction. In Handbook of Biological Statistics (3rd ed., pp. 1–2). Sparky House Publishing. https://www.biostathandbook.com/
64. Milovanska-Farrington, P. (2021). Job loss and food insecurity during the COVID-19 pandemic (IZA Discussion Paper No. 14273). IZA Institute of Labor Economics. https://ssrn.com/abstract=3823640
65. Mishra, A., & Sharma, M. (2023). Work from home: Benefits and challenges. Management Dynamics, 22(2). https://doi.org/10.57198/2583-4932.1313
66. Mitchodigni, I. M., Amoussa Hounkpatin, W., Ntandou-Bouzitou, G., Avohou, H., Termote, C., Kennedy, G., & Hounhouigan, D. J. (2017). Complementary feeding practices: determinants of dietary diversity and meal frequency among children aged 6–23 months in Southern Benin. Food Security, 9(5), 1117–1130. https://doi.org/10.1007/s12571-017-0722-y
67. Mogre, V., Yakubu, A., Fuseini, M., Amalba, A., & Aguree, S. (2017). Nurses’ knowledge and attitudes regarding malnutrition in children and its management in Ghana. Curationis, 40(1), e1–e8. https://doi.org/10.4102/curationis.v40i1.1618
68. Morales, F., Montserrat-de la Paz, S., Leon, M. J., & Rivero-Pino, F. (2023). Effects of Malnutrition on the Immune System and Infection and the Role of Nutritional Strategies Regarding Improvements in Children’s Health Status: A Literature Review. Nutrients, 16(1), 1. https://doi.org/10.3390/nu16010001
69. Morowatisharifabad, M. A., Khankolabi, M., Mozaffari-Khosravi, H., Fallahzade, H., Gerami, M. H., & Salehi-Abargouei, A. (2016). Parenting style, parental feeding practices and children’s nutritional status in Authoritative Parenting style model: a Structural Equation Modeling. Iranian Red Crescent Medical Journal, 19(3). https://www.ircmj.com/article_194928_a0f931a9184e8a56e78a4eda88d36fcd.pdf
70. Nadhila, L. F., Ningrum, A. G., & Sampurna, M. T. A. (2023). EFFECT OF PARENTING STYLE ON NUTRITIONAL STATUS OF TODDLERS IN SURABAYA. Indonesian Midwifery and Health Sciences Journal, 7(3), 267–275. https://doi.org/10.20473/imhsj.v7i3.2023.267-275
71. Noor, S., Tajik, O., & Golzar, J. (2022). Simple Random Sampling. International Journal of Education and Language Studies, 1(2). https://doi.org/10.22034/ijels.2022.162982
72. Oudat, Q., Miller, E. L., Couch, S. C., Lee, R. C., & Bakas, T. (2025). Understanding caregivers’ influence on preschoolers’ eating behaviors: An integrative review guided by the theory of planned behavior. Children, 12(2), 163. https://doi.org/10.3390/children12020163
73. Philippine Council For Health Research And Development. (2018). National ethical guidelines for health and health-related research, 2017. Department Of Science And Technology - Philippine Council For Health Research And Development.
74. Philippine Health Research Ethics Board. (2017). National Ethical Guidelines for Health and Health-Related Research 2017 (NEGHHR 2017)
75. Philippine Statistics Authority. (2024, October 30). Deaths Due to Malnutrition 2023 | Philippine Statistics Authority | Region I. Psa.gov.ph. https://rsso01.psa.gov.ph/infographics/deaths-due-malnutrition-2023-0
76. Picard, C. (2023, February 16). Gen Zers and Millennials Have Very Different Ideas of What It Means to Be the “Perfect Parent.” What to Expect. https://www.whattoexpect.com/news/first-year/gen-z-millennials-perfect-parent
77. Powell, F., Farrow, C., Meyer, C., & Haycraft, E. (2016). The importance of mealtime structure for reducing child food fussiness. Maternal and Child Nutrition, 13(2), e12296. https://doi.org/10.1111/mcn.12296
78. Prasetyo, Y. B., Permatasari, P., & Susanti, H. D. (2023). The effect of mothers’ nutritional education and knowledge on children’s nutritional status: a systematic review. International Journal of Child Care and Education Policy, 17(1). https://doi.org/10.1186/s40723-023-00114-7
79. Rezaeizadeh, G., Mansournia, M. A., Keshtkar, A., Farahani, Z., Zarepour, F., Sharafkhah, M., Roya Kelishadi, & Hossein Poustchi. (2024). Maternal education and its influence on child growth and nutritional status during the first two years of life: a systematic review and meta-analysis. EClinicalMedicine, 71, 102574–102574. https://doi.org/10.1016/j.eclinm.2024.102574
80. Robinson, T. N., Banda, J. A., Hale, L., Lu, A. S., Fleming-Milici, F., Calvert, S. L., & Wartella, E. (2017). Screen Media Exposure and Obesity in Children and Adolescents. Pediatrics, 140(Supplement_2), S97–S101. https://doi.org/10.1542/peds.2016-1758K
81. Rollins, B. Y., Loken, E., Savage, J. S., & Birch, L. L. (2014). Effects of restriction on children’s intake differ by child temperament, food reinforcement, and parent’s chronic use of restriction. Appetite, 73, 31–39. https://doi.org/10.1016/j.appet.2013.10.005
82. Rosenberg, B. D., & Siegel, J. T. (2018). A 50-year review of psychological reactance theory: Do not read this article. Motivation Science, 4(4), 281–300. https://doi.org/10.1037/mot0000091
83. Rouf, A., Sadaf, T., Iqbal, M., Rauf, Z., & Tabasam, N. (2023). Effect of maternal employment on nutritional status of children in Faisalabad City. Journal of Education and Social Studies, 4(2), 271–282. https://doi.org/10.52223/jess.20234205
84. Samuel, K., Fitala Obssie, G., & Tamiru, D. (2025). Suboptimal complementary feeding practice and its related factors among caregivers of children 6-23 months in Western Ethiopia. The journal of medicine access, 9, 27550834251366847. https://doi.org/10.1177/27550834251366847
85. Sanvictores, T., & Mendez, M. (2022, September 18). Types of Parenting Styles and Effects on Children. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK568743/
86. Save the Children Philippines. (2019). Save the Children Philippines expands nutrition programs to protect children from stunting. www.savethechildren.org.ph. https://www.savethechildren.org.ph/our-work/our-stories/story/nurture-in-samar/
87. Scaglioni, S., De Cosmi, V., Ciappolino, V., Parazzini, F., Brambilla, P., & Agostoni, C. (2018). Factors Influencing Children’s Eating Behaviours. Nutrients, 10(6), 706. https://doi.org/10.3390/nu10060706
88. Sdravou, K., Fotoulaki, M., Emmanouilidou-Fotoulaki, E., Andreoulakis, E., Makris, G., Sotiriadou, F., & Printza, A. (2021). Feeding Problems in Typically Developing Young Children, a Population-Based Study. Children, 8(5), 388. https://doi.org/10.3390/children8050388
89. See, D. A. (2022, February 25). Underweight kids down; overweight up. HERALD EXPRESS | News in Cordillera and Northern Luzon. https://baguioheraldexpressonline.com/underweight-kids-down-overweight-up/
90. Sheely, A. (2022). More than money? Job quality and food insecurity among employed lone mother households in the United States. Social Policy and Society, 23(1), 35–52. https://doi.org/10.1017/S1474746421000877
91. Shyny, T. Y. (2017). Construction and validation of PS-FFQ (Parenting Style Four factor questionnaire). International Journal of Engineering Development and Research, 5(3), 426–437. https://www.rjwave.org/ijedr/papers/IJEDR1703064.pdf
92. Siddiqui, F., Salam, R. A., Lassi, Z. S., & Das, J. K. (2020). The intertwined relationship between malnutrition and poverty. Frontiers in Public Health, 8(453). https://doi.org/10.3389/fpubh.2020.00453
93. Siedlecki, S. L. (2019). Understanding descriptive research designs and methods. Clinical Nurse Specialist, 34(1), 8–12. https://doi.org/10.1097/nur.0000000000000493
94. Slepian, R. C., Vincent, A. C., Patterson, H., & Furman, H. (2024). “social media, wearables, telemedicine and digital health,”—a Gen Y and Z perspective. Comprehensive Precision Medicine, 524–544. https://doi.org/10.1016/b978-0-12-824010-6.00072-1
95. Soharwardi, M. A., Malik, N. I., Anjum, R., Haleem, M. S., Leghari, I. U., Ahmad, J. B., Maryam, R., Nazir, M., Fatima, S., Ahmed, F., & Tang, K. (2025). Role of Maternal Empowerment in Addressing Child Malnutrition: Evidence from Asian Developing Countries. Children, 12(5), 597. https://doi.org/10.3390/children12050597
96. Sokol, R. L., Qin, B., & Poti, J. M. (2017). Parenting styles and body mass index: a systematic review of prospective studies among children. Obesity Reviews, 18(3), 281–292. https://doi.org/10.1111/obr.12497
97. Sridhar, G. R., & Gumpeny, L. (2024). Built environment and childhood obesity. World Journal of Clinical Pediatrics, 13(3). https://doi.org/10.5409/wjcp.v13.i3.93729
98. Stangor, C., & Walinga, J. (2014, October 17). 3.2 Psychologists use descriptive, correlational, and experimental research designs to understand behaviour. Pressbooks. https://opentextbc.ca/introductiontopsychology/chapter/2-2-psychologists-use-descriptive-correlational-and-experimental-research-designs-to-understand-behavior/
99. Tahreem, A., Rakha, A., Anwar, R., Rabail, R., Maerescu, C. M., Socol, C. T., Criste, F. L., Abdi, G., & Aadil, R. M. (2025). Impact of maternal nutritional literacy and feeding practices on the growth outcomes of children (6–23 months) in Gujranwala: a cross-sectional study. Frontiers in Nutrition, 11. https://doi.org/10.3389/fnut.2024.1460200
100. Toro, C. M., Carriedo, A., Tamayo, E. M. P., & Crosbie, E. (2023). Barriers to overcoming child hunger and malnutrition: Applying a human rights approach to improve policy and action. International Journal of Public Health, 68. https://doi.org/10.3389/ijph.2023.1605969
101. United Nations Children’s Fund (UNICEF). (2024). Caring for the caregiver: Training of trainers manual. https://www.unicef.org/media/165016/file/UNICEF-caring-for-caregiver-training-of-trainers-manual-2024.pdf
102. United Nations Children’s Fund (UNICEF). (2021). Early childhood development. Unicef.org. https://www.unicef.org/early-childhood-development#
103. United Nations Children’s Fund (UNICEF). (2023). Children’s ‘lived experience’ of the food environment in the Philippines UNICEF Philippines. https://www.unicef.org/philippines/reports/childrens-lived-experience-food-environment-philippines
104. Varela, E. G., McVay, M. A., Shelnutt, K. P., & Mobley, A. R. (2022). The Determinants of Food Insecurity Among Hispanic/Latinx Households With Young Children: A Narrative Review. Advances in Nutrition, 14(1). https://doi.org/10.1016/j.advnut.2022.12.001
105. Ventura, A. K., & Birch, L. L. (2008). Does parenting affect children’s eating and weight status? International Journal of Behavioral Nutrition and Physical Activity, 5(1), 15. https://doi.org/10.1186/1479-5868-5-15
106. Viajar, R. V., Dorado, J. B., Azaña, G. P., Ibarra, H. A., Ferrer, E. B., & Capanzana, M. V. (2020). Process Evaluation of Nutrition Intervention Strategy in a Local Philippine Setting. Journal of Primary Care & Community Health, 11. https://doi.org/10.1177/2150132720915407
107. Viajar, R. V., Dorado, J. B., Maniego, L. V., Gulay, J. J. S., Amita, P. I. G., & Angeles-Agdeppa, I. (2023). Determinants of underweight and stunting among 6–59-month-old indigenous children in the Philippines. Philippine Journal of Science, 152(3), 1065–1083. https://www.researchgate.net/publication/383691989_Determinants_of_Underweight_and_Stunting_among_6-59-months-old_Indigenous_Children_in_the_Philippines
108. Walde, P., & Völlm, B. A. (2023). The TRAPD approach as a method for questionnaire translation. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1199989
109. Wehrly, S. E., Bonilla, C., Perez, M., & Liew, J. (2014). Controlling parental feeding practices and child body composition in ethnically and economically diverse preschool children. Appetite, 73, 163–171. https://doi.org/10.1016/j.appet.2013.11.009
110. Westerbotn, M., Monfors, F., Reusser, J., & Tyrrell, M. (2023). Promoting health and preventing malnutrition among children in rural Bangladesh: A qualitative study. Nursing Open, 10(8), 5693–5700. https://doi.org/10.1002/nop2.1815
111. William & Mary. (n.d.). The Socioecological Model. https://www.wm.edu/offices/wellness/ohp/about/sem/
112. World Health Organization. (2020). Improving early childhood development. Geneva: WHO
113. World Health Organization. (2022). Joint Child Malnutrition Estimates. Www.who.int. https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-who-wb
114. World Health Organization. (2024, March 1). Malnutrition. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/malnutrition
115. World Health Organization. (2024). Prevalence of overweight in children under 5 (%). Datadot. https://data.who.int/indicators/i/3AA5F44/64E2430
116. World Health Organization. (2022). SDG targets 2.2 malnutrition. World Health Organization. https://www.who.int/data/gho/data/themes/topics/sdg-target-2_2-malnutrition
117. World Health Organization. (2024). Table 1, World Health Organization (WHO) classification of nutritional status of infants and children - Guideline: Assessing and Managing Children at Primary Health-Care Facilities to Prevent Overweight and Obesity in the Context of the Double Burden of Malnutrition - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK487900/table/fm.s1.t1/
118. World Health Organization. (2025, May 7). Obesity and Overweight. World Health Organization.https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
119. Xiong, R., Spaccarotella, K., Quick, V., & Byrd-Bredbenner, C. (2019). Generational Differences: A Comparison of Weight-Related Cognitions and Behaviors of Generation X and Millennial Mothers of Preschool Children. International Journal of Environmental Research and Public Health, 16(13), 2431. https://doi.org/10.3390/ijerph16132431
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