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REPORT

Observations of Parent-Child Co-Shoppers in


Supermarkets: Childrens Involvement in Food
Selections, Parental Yielding, and Refusal Strategies
Maureen ODougherty, PhD; Mary Story, PhD, RD; Jamie Stang, PhD, MPH, RD

ABSTRACT
The study aimed to collect descriptive information on the decision-making processes of adult
shoppers around food purchases when young children are present. Anthropological field observations
were conducted on adult-child grocery shoppers. Eleven supermarkets in the Minneapolis-St. Paul
metropolitan region. A convenience sample (n 142) of adult-child shoppers at 8 budget and 3
deluxe supermarkets located in diverse urban and suburban areas. Observations registered adult-child
interactions over food selections, including parental yielding or refusal strategies and child engage-
ment in shopping. Means and frequencies were calculated for food items considered. In 67 (50.4%)
of the total 133 observations, a child initiated a request. Half (55.2%) of the requests were for sweets
or snacks. Nearly half (47.8%) of adults yielded to the childs request. Brands and marketing
techniques appeared to be a factor in 28.6% of selections. The most frequent adult refusals either
provided an explanation or ignored the request. Adults yield to childrens requests for sweets and
snacks nearly as often as they refuse them. However, effective refusal strategies are used by many
adults. Opportunities exist in the grocery store for adults to reinforce young childrens interest in
food and nutrition.
Key Words: child nutrition, child feeding, parenting, grocery shopping
(J Nutr Educ Behav. 2006;38:183-188)

INTRODUCTION process of food selection and ultimately determines what to


purchase or not. Yet children influence what food is ac-
The dramatic increase in childhood overweight1 calls for quired in a household. Past research has shown parents
better understanding of the environmental and behavioral yielding to childrens food purchase requests 45% to 65% of
factors2,3 affecting childrens food preferences. One envi- the time.17-20
ronmental factor understood to shape childrens food pref- These research findings may, in part, reflect trends in
erences is food advertising.4,5 Children are a sought-after parenting styles away from authoritarian or restrictive par-
market6 estimated to bring in $300 billion in yearly sales enting. Contemporary parenting styles, both permissive and
as direct spenders and by influencing their parents spend- authoritative, appear to be associated with granting requests
ing.7 More than half the 20,000-40,000 ads that children
for food.21-23 Parents and children also spend more time
may view per year are of foods.8 Of the $7.3 billion spent on
shopping. Among 3- to 5-year-olds, the amount of time
food ads in 1999, $2.5 billion were ads for breakfast cereals,
spent shopping (at any store) rose 45% from 1981-1997,
candy and gum, soft drinks, and snacks.9 Ad viewing of
from 2.35 hours to 3.44 hours per week. For 6- to 8-year-
foods is associated with childrens food preferences.10,11
olds the increase was 168%, from 0.59 hours to 2.38 hours
Behavioral perspectives maintain the centrality of par-
per week.24 Carruth et al22 found that although parents
ents in the formation of young childrens food preferences,
reported frequently refusing childrens requests, they also
by exposing children to food and their modeling
often asked children their preferences as they co-shopped.
practices.12-16 Indeed, the bottom line for the home food
environment is the parent or guardian who mediates the By the age of 2, children make consumer decisions.25 The
ways that adult coshopping practices socialize children as
consumers of food and other products remain largely
Division of Epidemiology and Community Health, School of Public Health, Uni-
versity of Minnesota, Minneapolis, MN
unexplored.
Address for correspondence: Maureen ODougherty, Postdoctoral Fellow, Division of
In a social environment where food-marketing messages
Epidemiology, School of Public Health, University of Minnesota, 1300 South 2nd far overshadow public health messages,26 and where parent-
Street, Suite 300, Minneapolis, MN 55454; Phone: 612-626-8878; Fax: 612-624- ing styles may favor childrens consumer decisions, parents
0315; E-mail: odougherty@epi.umn.edu
2006 SOCIETY FOR NUTRITION EDUCATION influence over childrens food behaviors have come into
doi: 10.1016/j.jneb.2005.11.034 question. Simply put, are parents a weak link in creating
184 ODougherty et al/OBSERVATIONS OF PARENT-CHILD CO-SHOPPERS IN SUPERMARKETS

a nutritious home food environment? Prior observational researcher (lead author), a cultural anthropologist trained
research has been limited to considering childrens attempts in site observation methods and linguistics, unobtrusively
to influence parents food purchases,17-20 leaving unknown observed adult and child shoppers as they stopped to con-
what other kinds of interactions over food selections occur sider an item in any food aisle. At each store, the researcher
between parent and child coshoppers. Notably absent from began at the produce section. If a target shopper was
studies on childrens food preferences and purchase requests present, an observation took place. If not, the researcher
is an accounting of what adults actual strategies are with followed the flow of shoppers and sought out the next
children when they shop together. Qualitative field re- available target shopper. It is important to note that the
search into childrens and parents actual interactions over observation did not take as starting point a childs verbal
food selections at point of purchase offers an appropriate request, but rather a moment when a shopper stopped to
starting point for the study of parental decision making over look at an item. Once a selection or a rejection occurred (or
family food purchases. no more than 2 minutes had passed), the researcher always
The objective of this study was to collect descriptive moved out of the viewing range of those shoppers to record
information on food purchases in families with young chil- the event. Field observations recorded what item or items
dren by directly observing the point of purchase decision were sought or requested, and selected or rejected, and as
making of adults over food items in supermarkets when close as possible, a near-verbatim account of the event.
accompanied by a young child. When a brand was unambiguously a criterion for selection,
this fact was noted. The field researcher also made a sub-
jective, best guess assessment of the race or ethnicity of the
STUDY DESIGN adult shoppers, based on phenotype and/or language and
Subject population estimated the childs approximate age. Once an observation
was recorded, the researcher looked for the next target
The target population consisted of adults and children aged shopper in the immediate area, gradually moving through
approximately 8 and younger who were shopping together the store, then returning to the produce section for the next
at supermarkets. No recruitment took place for this obser- round. The instrument developed for the observations is
vation of public behavior; therefore, the relationship be- available upon request.
tween adults and children was not known except in the
frequent instances where kin terms were used. The adults
with accompanying children were presumed to be parents
or guardians. The research study received permission from Analysis of the observations
supermarket chain store managements and was approved by
The items under consideration for selection by shoppers
the Institutional Review Board of the University of
were classified into the following food categories: fruits and
Minnesota.
vegetables, dairy, meats, prepackaged meals, grains and
Two store chains were chosen that market their price
cereals, seasonings and condiments, oils, sweets and snacks.
savings. A third chain was chosen that caters to shoppers
The sweets and snacks category was further subclassified
seeking specialty foods, such as imported cheese. Four of the
into four groups: sweets and desserts; presweetened break-
budget stores were located in low-income, racially and
fast cereals; salty snacks; soda and Kool-Aid.
ethnically diverse neighborhoods of St. Paul and Minneap-
Following guidelines for qualitative data analysis,28,29
olis, in which the population of color was 38% and 50%,
the field observer (lead author) coded all observations and
respectively, and where 12-15% of families lived below the
found two main categories: observations in which a nego-
poverty level and median family income averaged
tiation over an item occurred between a parent or guardian
$38,000.27 Four other budget supermarkets were in middle-
and a child, and observations in which a child did not take
income areas. Most deluxe supermarket observations were
part in the decision making. Under the first category, there
conducted in a high-income Twin Cities suburb with 0.8%
were 2 possible situations and 4 outcomes: a child initiated
of families living below poverty, median family income of
a request for an item, and received a yes or no response;
$76,000, and 10% population of color.27 In the budget
a parent or guardian initiated a request, ie, asked if the child
supermarkets, where we hoped to obtain at least 90 obser-
wanted an item, and received a yes or no response. The
vations, we targeted equal numbers of observations of Af-
second main category of observations, in which a negotia-
rican American, Latino, and Caucasian families. We aimed
tion between parent and child did not occur over a food
to collect about 30 observations in the deluxe supermarkets.
selection, was categorized in two ways: those observations
in which the child was engaged in the grocery shopping at
Procedures that moment, and those in which the child was not engaged
in grocery shopping. These two types of observations and
The methods employed in this study consisted of anthro- six possible subcategories accounted for all observations.
pological field observation techniques. The specific tech- Means and frequencies were calculated. Content anal-
nique used is known as spot sampling 28 through unobtru- ysis of field notes was conducted by the field observer/lead
sive observations. During weekend visits, the field author, following qualitative analysis methods.28,29
Journal of Nutrition Education and Behavior Volume 38, Number 5, May/June 2006 185

Table 2. Food Items Considered for Selection During the Observation


FINDINGS
Overview Food Items Frequency
(%)
Field observations were collected at three supermarket Fruits and Vegetables 30 (22.6)
chains and 11 stores across the greater Minneapolis-St. Paul Dairy 11 (8.3)
metropolitan region. Observations took place in low- Prepackaged Meals 11 (8.3)
income areas (52 observations), middle-income areas (61 Seasonings/Condiments 8 (6.0)
observations), and high-income areas (29 observations), Meat 6 (4.5)
yielding a total of 142 observations. In 9 observations, the Grains and Cereals (nonsweet) 6 (4.5)
item of interest to the child was not food; these were Oils 2 (1.5)
excluded from analysis of negotiated foods, leaving 133 Sweets/Snacks: 59 (44.4)
coded food-related interactions. Sweets/Desserts 25 (18.8)
Table 1 presents shopper characteristics by apparent Presweetened Cereals 9 (6.8)
race or ethnicity, shopping groups (adults shopping alone Salty Snacks 11 (8.3)
with a child or children, adults in pairs) and numbers of Soda Pop/Kool-Aid 14 (10.5)
accompanying children. Approximately equal numbers of Total 133 (100.0)
shoppers appearing to be African American, Caucasian, or
Latino were observed in the budget supermarkets. The most
frequently observed combination was an adult woman
shopping with a child or children (60.6%). Of the total 210 Table 3 presents adult-child interactions during food
children observed in the shopping groups, 128 (61%) were selections. In about half (67 of the 133 observations, or
girls. 50.4%) of food selections, a child initiated the food request.
Table 2 presents food items being considered for selec- In 32 of these 67 observations, or 47.8% of the time, the
tion at the moment of observation. The largest category of adult agreed to a childs request for a food item. Eighteen of
food item observed was sweets and snacks, accounting for these 32 granted requests were for sweets and snacks. These
44.4% of all observations, followed by fruits and vegetables items included sweetened breakfast cereal, candy, Cheetos,
(22.6%). Prepackaged meals and dairy products accounted ice cream, Poptarts, cookies, crackers, popcorn with butter,
for 8.3% of observations each. and donuts. The other 14 requests granted were fruits and
vegetables, dairy (yogurt), prepackaged meals (two Lunch-
ables, one Kid Cuisine), and breads (hamburger buns and
Table 1. Observed Characteristics of Study Sample (n 142) extra rich biscuits).
In addition to adults granting requests, ten of the 77
Characteristics Frequency negotiated selections (13.0%) involved parents asking
(%) whether the child or children would like a food item, as in
Observed Race/Ethnicity the following example from field notes of a white father and
African American 33 (23.2) three sons walking by the bakery area at a deluxe super-
Latino 33 (23.2) market. Dad sees Entenmanns display and stops, saying: Do
Caucasian 60 (42.3) you guys want any of these? Dad soon reaches for Enten-
Other 16 (11.3) manns chocolate donut holes in a pink [valentines] package.
Total 142 (100.0) Eight of the ten items offered and always accepted were
Configuration of Adult Shoppers Cheetos, ice cream, cookies, sweetened cereal, candies,
Female Only 86 (60.6) waffles, and donuts (two requests). Considering the yes
Male Only 22 (15.5) category as including both the requests granted and the
Female/Male Duo 27 (19.0)
Female Duo 6 (4.2)
Table 3. Parent-Child Co-Shopping Interactions over Food [n 133]
Male Duo 1 (0.7)
Total 142 (100.0)
Negotiated Selections Frequency
Configuration of Child Co-Shoppers
(%)
One Child 85 (59.9)
Child Requests [n 67]
Two Children 48 (33.8)
Interactions where parent said yes 32 (47.8)
Three or more Children 9 (6.3)
Interactions where parent said no 35 (52.2)
Total 142 (100.0)
Parent Requests [n 10]
Total Number of Children Interactions where child said yes 10 (100)
Girls 128 (61) Nonnegotiated Selections [n 56]
Boys 82 (39) Child Engaged 40
Total 210 Child Not Engaged 16
186 ODougherty et al/OBSERVATIONS OF PARENT-CHILD CO-SHOPPERS IN SUPERMARKETS

food items parents successfully offered to children, 42 child was actively engaged in grocery shopping, as the
(54.5%) of the 77 total negotiated selections resulted in a examples below illustrate.
yes.
Taking all childrens requests together (ie, those receiv-
ing yes and no responses), 37 requests (55.2%) were for Selecting fruits and vegetables. Children actively
sweets and snacks. Adult offers tipped the scales such that participated as parents selected produce in 14 observations,
in 63.4% of all parent-child negotiated selections, a child or nearly half of the 30 observations in the produce section.
received a sweet or a snack. On the other hand, in 35 other At a budget supermarket, a Latino husband, wife and chil-
negotiations, or 52.2% of the time, parents denied the dren (girl, aged 6, and boy, aged 4) revealed a somewhat
childs food request, and 19 (54.3%) of the food items that coordinated process. Dad is selecting roma tomatoes, Mom
parents declined to buy were sweets or snacks. The remain- holding plastic bag openfilling it with a good 20 tomatoes.
ing 16 denied requests were for prepackaged meals (two Mom gives girl bag to bring to cart. Dad then quickly places bag
Lunchables requests), hot dogs, cheese, chocolate milk, in cart. Little boy having fun picking up tomatoes and tossing
fruits, and vegetables. them back onto pile.
Were two adult shoppers together more effective as As the next example suggests, children frequently ex-
co-shoppers with a child than a single adult? Thirty-four of pressed interest in identifying food. In the following exam-
the 142 shopping groups (23%) were duo shoppers. One- ple, while an African American mother was selecting po-
third of the interactions where adults said yes was of duo tatoes in the produce section, her three children (girls, aged
shoppers, and one-half of observations where the child was 5 and 7, boy aged 11) were extremely interested in the fruit:
not engaged was of duo shoppers. Older girl with brother walking by apples, then pears. Boy
exclaims, ugly fruit! Littler girl touches apple and says, ap-
ple, then touches pear and says, pa-er. Similarly, a white
girl in the deluxe supermarket was curious about brussels
Refusal strategies
sprouts: Mom, whats this? A small lettuce?
Adults were just as likely to refuse a childs request as grant It should be noted that many times, the interest was not
one, and did so with three main refusal strategies. In some about food per se. Instead, a child displayed interest in
instances, a no response was verbal, as in this exchange at reading, spelling, or counting food. At a budget supermar-
a budget supermarket in the dairy section between a Latino ket, an African American grandmother gets frozen chicken
child, aged 5 or so, and her mother. Mom is looking at butter; fingers, calls girl over as she goes toward dairy. Girl (aged 7-8)
girl has noted Nestles chocolate milk in a plastic tubelike con- happily reads out loud sign over area, Milk, eggs, and cheese!
tainer on other side of the aisle. Girl: Mami, puede comprar,
si o no? [Mommy, can you buy it, yes or no?] Mom: no. A Selecting sweets and snacks. Parents also encour-
far more common strategy was a soft no, where the
aged children to make choices about specific criteria for
parent gave an explanation, as in this exchange at a deluxe
sweets and snacks. For instance, a white father at a budget
supermarket between a white woman and her 4-5 year old
supermarket was himself searching for Goldfish crackers.
girl: Girl at display of individual pastries, sees cake donuts with
Upon reaching them, he asked his 7-year-old daughter:
colorful sprinkles on them. Mom? pointing at donuts. Mom:
Should we get the regular ones or [cant hear]. They get the
but we dont need any of those today. Just as often, the
colored ones. On two occasions, parents (one African Amer-
parent did not say or clearly indicate the word no, but
ican, one white) were observed taking the time to allow
rather appeared to ignore or be unaware of the request
their toddlers to select frozen waffles by choosing from
sometimes indicated by walking away. The harder verbal
among yellow, red, and blue packaging.
no was employed just three times out of 37 total refusals.
The soft no was employed 16 times; of these, 9 occurred
at a deluxe supermarket. The no via avoidance method Selecting brands. Overall, in 38 of all observations
was used by many adults. (28.6%), adults or children indicated the role of brands
and/or marketing techniques in their food selection. Of
these, in 28 observations (21.1%), a child either clearly
Encouraging childrens knowledge and indicated a preference for a specific brand (eg, Mom, get
interest in food the Lunchables; Mom, can we get Jolly Ranchers?) or
appeared to respond positively to a child-directed market-
To capture a broader array of co-shopping practices beyond ing method (eg, colorful sprinkles on brand-name cookies).
those in which a child generated a request for food, we In the other 10 instances, the adult showed brand prefer-
chose to begin observations at the point of decision making. ence (eg, I dont see the Oscar Meyer weiners).
In 56 observations (42.1%), children were not part of the Because sweetened beverages are a particular pediatric
decision making process. In just 16 of the total observations concern,30-31 we examined the 14 instances where soda pop
(10%), the child exhibited lack of interest or engagement or Kool-Aid was under consideration and whether the child
in the family shopping. In 40 of these observations, the was engaged in the decision. Four times a child unsuccess-
Journal of Nutrition Education and Behavior Volume 38, Number 5, May/June 2006 187

fully made a request (3 for Kool-Aid); and 4 times a parent gator. The observations, however, provided a cross-section
made the decision to select the beverage and engaged the of a diverse population.
child by allowing him or her to select the Kool-Aid flavors.
By contrast, in the 6 instances where the parent was select-
ing soda pop, the child was not engaged. Implications for research and practice
The findings of this study underscore that parents can be
Selecting for nutritional content. In just 4 obser- either a strong or a weak link in the food selection
vations, nutrional content was explicit as a criterion for process for children. The literature on child nutrition con-
selection or rejection. All the examples occurred in budget tinues to emphasize the central role of parents in shaping
supermarkets. In one, a mother told her toddler that they childrens food preferences by making foods available to
were going to get the low-fat yogurt. In 2 instances, it was children, by meal structure, by food modeling, control, and
the grade school-aged children themselves who pointed out other food socialization practices.12-16,32-35 To date, most
nutritional content. A health-related explanation was not attention has been to home-based food socialization prac-
explicitly given as a reason for or against purchasing an tices. Because shopping is increasingly part of childrens
item in any of the other 129 observations. If a reason was routine activities, more research attention is needed on
given for rejection, it tended to be somewhat vague like the adult-child co-shopping as a space in which parental mod-
statement noted earlier, but we dont need any of those eling of food preferences also occurs. Of particular concern,
today (regarding donuts) or you dont want that stuff however, are single, working, and low-income parents, who
(regarding candy). may be less likely to have the time to use shopping excur-
sions as a teaching opportunity or to be able to leave
children with a sitter while shopping, as nutrition educa-
DISCUSSION tion variously recommends.36,37
This study illustrates how formative methodologies that
This research found parents collectively responding affir- involve field observations offer a means to capture the
matively to childrens requests for food items nearly half the actual decision-making process of parents of young children
time and rejecting their requests slightly more than half the over food selections. There is a need for further research to
time. More than half of the requests offered and granted learn more about how diverse parents make decisions about
across shoppers were for sweets and snacks. Such findings their childrens food requests. Although this study focused
point to the need for parents overall to employ effective on the individual household level, further research is
refusal strategies and encouragement for childrens interest needed that examines marketing techniques directed at
in fruits and vegetables. Fortunately, this study also found children, including in the store environment.
evidence of such practices. Observations showed parents
mainly employed a soft no (explaining why in a non-
confrontational way) and a nonverbal no, ignoring or ACKNOWLEDGMENTS
walking away. These findings suggest that parents can ef-
fectively use no sparingly. This study was conducted as part of postdoctoral training
Although parents may be shopping with their children received through the National Heart, Lung, and Blood
out of necessity owing to lack of other available Institute (grant #2T32HL0328).
caregiverit is clear from observations that children are
generally engaged in grocery shopping, as it affords learning
opportunities beyond asking for treats. Certain foods, no- REFERENCES
tably fruits and vegetables, appeared to be of great interest
1. Ogden C, Flegal KM, Carroll MD, Johnson C. Prevalence and trends
to children, whether as food or as an opportunity to expand
in overweight among U.S. children and adolescents, 1999-2000.
knowledge and vocabulary. Observations also showed par- JAMA. 2002; 288(14):1728-1732.
ents encouraging children to develop criteria for food se- 2. Ebbeling C, Pawlak D, Ludwig D. Childhood obesity: Public health
lection, albeit as much for sweets and snacks as for fruits crisis, common sense cure. Lancet. 2000;10(9331):473.
and vegetables. Observations did not show parents offering 3. Story M, Neumark-Sztainer D, French S. Individual and environmen-
health-related explanations for food selections or educating tal influences on adolescent eating behaviors. J Am Diet Assoc. 2002;
102(3):suppl:40-51.
children about nutritional content. 4. Coon KA, Tucker KL. Television and childrens consumption pat-
This study had limitations: the sample size was not large terns. Minerva Pediatr. 2000;54:423-436.
enough to identify significant differences by presumed SES, 5. Gamble M, Cotugna N. A quarter century of TV food advertising
race or ethnicity, or gender. Field observations didnt track targeted at children. Am J Health Behav. 1999;23(4):261-267.
6. McNeal JU. Kids as Customers: A Handbook of Marketing to Children.
individual shoppers. Doing so would have afforded an op-
New York: Lexington Books; 1992.
portunity to see the total array of foods selected and types 7. Strasburger VC. Children and TV advertising: nowhere to run, no-
of negotiation strategies employed by individuals. The ob- where to hide. J Dev Behav Pediatr. 2001;22(3):185-187.
servations and coding were conducted by a single investi- 8. Kotz K, Story M. Food Advertisements during childrens Saturday
188 ODougherty et al/OBSERVATIONS OF PARENT-CHILD CO-SHOPPERS IN SUPERMARKETS

morning television programming: are they consistent with dietary product choices at a simulated point of purchase and mothers
recommendations? J Am Diet Assoc 1994;94:1296-1300. consumer practices. J Nutr Educ. 2000;32(3):146-151.
9. Economic Research Service. USDA Web site. Harris JM, Kaufman P, 23. Carlson L, Grossbart S. Parental style and consumer socialization of
Martinez S, Price C. US Food Marketing System, 2002. Available at: children. J Consum Res. 1988;15:77-94.
http://www.ers.usda.gov/publications/aer811. Accessed January 22, 24. Hofferf SL, Sandberg JF. Changes in American childrens time, 1981-
2006. 1887. In: Hofferth SL, Owens TJ, eds. Children at the Millenium: Where
10. Goldberg M, Gorn GJ, Gibson G. TV Messages for snack and break- Have We Come From, Where Are We Going? Vol. 6. Amsterdam: JAI
fast foods: do they influence childrens preferences? J Consum Res. Publications; 2001:193-229.
1976;5:73-81. 25. John DR. Consumer socialization of children: a retrospective look at
11. Borzekowski DLG, Robinson TN. The 30-second effect: an experi- twenty-five years of research. J Consum Res. 1999;26:183-213.
ment revealing the impact of television commercials on food prefer- 26. Jeffery RW, Utter J. The changing environment and population
ences of preschoolers. J Am Diet Assoc. 2001;101(1):42-46. obesity in the United States. Obes Res. 2003;11(suppl, Oct.):12s-22s.
12. Birch L, Fisher J. Eating behaviors among children and adolescents. 27. Fact Sheets. US Census Bureau Web site. Census 2000 Demographic
Pediatrics. 1998;101(suppl 3):539-549. Profile Highlights for St Paul city, Minnesota, Minneapolis city,
13. Skinner J, Carruth BR, Moran III J, et al. Toddlers food preferences: Minnesota, and Woodbury city, Minnesota. Available at: http://
concordance with family members preferences. J Nutr Educ. 1998;30: factfinder.census.gov. Accessed January 22, 2006.
17-22. 28. Bernard HR. Research Methods in Anthropology: Qualitative and Quan-
14. Wardle J, Herrera ML, Cooke L, Gibson EL. Modifying childrens food titative Methods 2nd edition. Walnut Creek, CA: Altamira Press; 1995.
preferences: the effects of exposure and reward on acceptance of an 29. Miles MB, Huberman AM. Qualitative Data Analysis: A Sourcebook of
unfamiliar vegetable. Eur J Clin Nutr. 2003;57(2):341-348. New Methods. Beverly Hills, CA: Sage Publications; 1984.
15. Nicklas TA, Baranowski T, Baranowski TJC, Cullen K, Rittenberry L, 30. Harnack LJ, Stang J, Story M. The soft drink consumption among
Olvera N. Family and child-care provider influences on preschool U.S. children and adolescents: nutritional consequences. J Am Dietetic
childrens fruit, juice and vegetable consumption. Nutr Rev 1999; Assoc. 1999; 99:436-441.
59(7):224-235. 31. Ludwig D, Peterson KE, Gortmaker SL. Relation between consump-
16. Hill AJ. Developmental issues in attitudes to food and diet. Proc Nutr tion of sugar-sweetened drinks and childhood obesity: a prospective,
Soc. 2000;61(2):259-266. observational analysis. Lancet. 2001;357:505-508.
17. Galst JP, White MA. The unhealthy persuader: the reinforcing value 32. Nicklas T, Johnson R. Position of the American Dietetic Association:
of television and childrens purchase-influencing attempts at the su- dietary guidance for healthy children ages 2 to 11 years. J Am Diet
permarket. Child Dev. 1976;47:1089-1096. Assoc. 2004;104(4); 660-677.
18. Atkin C. Observation of parent-child interaction in supermarket 33. Benton D. Role of parents in the determination of the food prefer-
decision-making. J Mark. 1978;42:41-45. ences of children and the development of obesity. Int J Obes Relat
19. Isler L, Popper ET, Ward S. Childrens purchase requests and parental Metab Disord. 2004;28(7):858-869.
responses: results from a diary study. J Advert Res. 1987;October/ 34. Westenhoefer J. Establishing good dietary habits capturing the
November:28-39. minds of children. Public Health Nutr. 2001;4(1A):125-129.
20. Rust L. Observations of parents and children shopping together: a new 35. Koivisto H. Factors influencing childrens food choice. Ann Med.
approach to the qualitative analysis of observational data. J Advert Res. 2001;31 (Suppl1):26-32.
1993;July/August:65-70. 36. USDA/FNS newsletter. Nibbles for health: family food shopping:
21. Manchanda RV, Moore-Shay E. Mom, I want that!: the effects of spend less, get more. Available at http://www.fns.usda.gov/tn/
parental style, gender and materialism on childrens choice of influ- resources/Nibbles/family-shop.pdf/. Accessed January 22, 2006.
ence strategy. American Marketing Association. 1994;Winter:81-90. 37. USDA/FNS newsletter. Supermarket Sleuths. Available at: www.fns.
22. Carruth BR, Skinner JD, Moran JD, Coletta C. Preschoolers food usda.gov/tn/Parents/sleuth.html. Accessed January 22, 2006.

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