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Ravanbakht SN, Skinner AC, Armstrong S, Weinberger M, Hassmiller-Lich K, Frerichs L. Effects of caregiver-child acculturation on child obesity among US Latino individuals. Obesity (Silver Spring) 2023; 31:2103-2109. [PMID: 37394865 PMCID: PMC10523851 DOI: 10.1002/oby.23791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 02/03/2023] [Accepted: 03/27/2023] [Indexed: 07/04/2023]
Abstract
OBJECTIVE The goal of this study was to assess the association of Latino caregiver-child nativity status (US- and foreign-born) with child obesity using a nationally representative sample. METHODS Using data from the National Health and Nutrition Examination Survey (NHANES 1999-2018), this study used generalized linear models to identify associations between caregiver-child nativity status (as a proxy for acculturation) and children's BMI. RESULTS Compared with foreign-born caregiver-child dyads, US-born caregiver-child dyads had 2.35 times the risk of class 2 obesity (95% CI: 1.59-3.47) and 3.60 times the risk of class 3 obesity (95% CI: 1.86-6.96). Foreign-born caregiver and US-born child dyads had 2.01 times the risk of class 2 obesity (95% CI: 1.42-2.84) and 2.47 times the risk of class 3 obesity (95% CI: 1.38-4.44; p < 0.05 for class 2 and class 3). CONCLUSIONS Compared with foreign-born Latino caregiver-child dyads, dyads with US-born caregivers and children and dyads with foreign-born caregivers and US-born children had significantly increased risk across the severe classes of obesity. Examining the influence and relationship of varying acculturation levels in an immigrant household will help guide more effective clinical and policy guidelines surrounding obesity and weight management in both pediatric and adult US Latino populations.
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Affiliation(s)
- Sophie N Ravanbakht
- Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
- Duke Center for Childhood Obesity Research, Durham, North Carolina, USA
| | - Asheley C Skinner
- Duke Center for Childhood Obesity Research, Durham, North Carolina, USA
- Department of Population Health Sciences, Duke University, Durham, North Carolina, USA
| | - Sarah Armstrong
- Duke Center for Childhood Obesity Research, Durham, North Carolina, USA
- Department of Pediatrics, Duke University, Durham, North Carolina, USA
| | - Morris Weinberger
- Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Kristen Hassmiller-Lich
- Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Leah Frerichs
- Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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Perez M, Winstone LK, Curci SG, Hernández JC, Somers JA, Luecken LJ. Longitudinal associations between early child weight gain, parent feeding, child self-regulation, and later child body mass index. Pediatr Obes 2022; 17:e12864. [PMID: 34676989 PMCID: PMC11037896 DOI: 10.1111/ijpo.12864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 08/12/2021] [Accepted: 10/04/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND Few longitudinal studies have examined associations of child weight trajectories, maternal demandingness and responsiveness during feeding, and child self-regulation. OBJECTIVE We examined if child weight-for-length trajectories from 6 weeks to 2 years of age were associated with maternal demandingness and responsiveness at child age 3 years old, and if maternal feeding dimensions predicted child BMI trajectories from 4.5 to 7.5 years among Mexican American children from low-income families. Child self-regulation was evaluated as a potential mechanism linking maternal feeding with child BMI. METHOD Child (N = 322) weight and length/height were assessed at 10 timepoints from 6 weeks through 7.5 years. Mothers completed the Caregiver Feeding Style Questionnaire when the child was 3 years of age. RESULTS A steeper slope of weight-for-length z scores from 6 weeks to 2 years (indicating more rapid weight gain) was associated with less maternal demands during feeding at 3 years. More maternal demandingness at child age 3 years predicted lower child BMI at 4.5 years, but not trajectories from 4.5 to 7 years. Child self-regulation was not associated with child BMI from 4.5 to 7.5 years. CONCLUSION The findings highlight how the relationship between mothers and children during feeding can be bidirectional and potentially influenced by the developmental stage.
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Affiliation(s)
- Marisol Perez
- Department of Psychology, Arizona State University, Tempe, Arizona, USA
| | - Laura K Winstone
- Department of Psychology, Arizona State University, Tempe, Arizona, USA
| | - Sarah G Curci
- Department of Psychology, Arizona State University, Tempe, Arizona, USA
| | - Juan C Hernández
- Department of Psychology, Arizona State University, Tempe, Arizona, USA
| | - Jennifer A Somers
- Department of Psychology, Arizona State University, Tempe, Arizona, USA
| | - Linda J Luecken
- Department of Psychology, Arizona State University, Tempe, Arizona, USA
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The Hispanic/Latinx Perinatal Paradox in the United States: A Scoping Review and Recommendations to Guide Future Research. J Immigr Minor Health 2020; 23:1078-1091. [DOI: 10.1007/s10903-020-01117-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2020] [Indexed: 10/23/2022]
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Conradt E, Carter SE, Crowell SE. Biological Embedding of Chronic Stress Across Two Generations Within Marginalized Communities. CHILD DEVELOPMENT PERSPECTIVES 2020. [DOI: 10.1111/cdep.12382] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Chatham RE, Mixer SJ. Cultural Influences on Childhood Obesity in Ethnic Minorities: A Qualitative Systematic Review. J Transcult Nurs 2019; 31:87-99. [PMID: 31423926 DOI: 10.1177/1043659619869428] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Introduction: Childhood obesity remains an unrelenting public health problem disproportionately affecting ethnic minorities. Although research has examined ethnicity as a factor of childhood obesity, few studies have examined cultural influences. The purpose of this systematic review was to examine the qualitative evidence of cultural influences on childhood obesity in ethnic minority groups. Methodology: Selective sampling of studies since 2008 yielded 251 articles. Twelve articles that addressed cultural influences on childhood obesity were identified for review. The Culture Care Theory Sunrise Enabler factors were used as an a priori framework for theme coding. Results: Nine themes emerged: child feeding, family, gender roles, food, healthy child appearance, physical activity, sedentary activity, food cost, and obesogenic environment. Discussion: Cultural care practices such as traditional foods and family meals are protective factors in childhood obesity and should be encouraged by nurses caring for and working with ethnic minority populations.
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Bigman G, Wilkinson AV, Pérez A, Homedes N. Acculturation and Breastfeeding Among Hispanic American Women: A Systematic Review. Matern Child Health J 2019; 22:1260-1277. [PMID: 30003522 DOI: 10.1007/s10995-018-2584-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Introduction Hispanic immigrants are more likely to breastfeed than are Hispanics born in the US, in part due to their acculturation. This paper aims to systematically review the existing literature on the association between acculturation and Hispanics' breastfeeding behaviors. Methods The systematic search used major databases such as Medline and PubMed, and it followed the PRISMA checklist. The scientific quality of the studies was rated using the Quality Assessment Tool for Quantitative Studies. Results We identified 1943 potential citations, of which 18 studies met the eligibility criteria. Overall, while 13 studies suggested that high-acculturated Hispanics were less likely to breastfeed compared with low-acculturated, five studies did not find significant evidence of such an association. Moreover, 12 studies used a static measure or a linear scale, which is not optimal; only three studies utilized bi/multidimensional scales to assess acculturation. Intention to breastfeed was examined in six studies, but the results were inconsistent. Breastfeeding initiation was examined in 11 studies, and two out of eight studies that examined breastfeeding duration, specifically analyzed exclusive breastfeeding at 6 months. Discussion Our results agree with the general hypothesis that higher acculturation is inversely related to breastfeeding rates, independently of income. Researchers used different methodologies to study acculturation and breastfeeding practices, limiting our ability to reach more detailed conclusions. Owing to the lack of a standard methodology for measuring acculturation, future studies should utilize bi/multidimensional scales when studying breastfeeding, in particular, in relation to breastfeeding intention and exclusive breastfeeding at 6 months; preferably according to Hispanic subgroups.
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Affiliation(s)
- Galya Bigman
- Epidemiology, Human Genetics and Environmental Sciences, School of Public Health - Austin Regional Campus, The University of Texas Health Science Center at Houston, 1616 Guadalupe, Austin, TX, 78701, USA.
| | - Anna V Wilkinson
- Epidemiology, Human Genetics and Environmental Sciences, School of Public Health - Austin Regional Campus, The University of Texas Health Science Center at Houston, 1616 Guadalupe, Austin, TX, 78701, USA
| | - Adriana Pérez
- Biostatistics and Data Science, School of Public Health - Austin Regional Campus, The University of Texas Health Science Center at Houston, 1616 Guadalupe, Austin, TX, 78701, USA
| | - Nuria Homedes
- Management Policy and Community Health, School of Public Health, University of Texas, El Paso, TX, USA
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Wilson M, Thayer Z. Impact of acculturation on depression, perceived stress and self-esteem in young Middle Eastern American adults. Ann Hum Biol 2018; 45:346-353. [PMID: 30200786 DOI: 10.1080/03014460.2018.1484160] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
BACKGROUND Human biologists have a longstanding interest in understanding the biological and health impacts of migration. Acculturation, the cultural adjustment that a group or individual experiences when previously separate cultures interact, has been found to be one pathway through which migration may impact human biology and health, not only for the migrants themselves, but also their descendants. AIM The authors conducted a pilot study to examine the relationship between acculturation and perceived stress, self-esteem and depression among young Middle-Eastern American adults. SUBJECT AND METHODS Survey data were collected from 48 young Middle-Eastern American adults. Participants were divided into one of two acculturation categories, integrated (American and Middle Eastern culture oriented) and assimilated (American culture oriented). Health measures were compared between these acculturation categories. RESULTS Integrated individuals had significantly lower stress (F = 8.1, p < 0.01) and depression (F = 10.8, p < 0.01) than assimilated individuals. Integrated individuals had lower self-esteem than assimilated individuals (F = 5.0, p < 0.05). Generational status, a proxy used for acculturation, was only significantly associated with self-esteem (F = 3.15, p = 0.05). CONCLUSION This pilot study furthers understanding of the effects acculturation can have on perceived stress and mental health among young Middle-Eastern Americans. Future research should incorporate biological measures of stress to determine the physiological impacts of acculturation.
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Affiliation(s)
- Meredith Wilson
- a Department of Anthropology , University of Illinois , Urbana-Champaign , IL , USA
| | - Zaneta Thayer
- b Department of Anthropology & Ecology , Evolution, Ecosystems & Society Program, Dartmouth College , Hanover , NH , USA
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Li TC, Chu CC, Meng FC, Li Q, Mo D, Li B, Tsai SB. Will Happiness Improve the Psychological Integration of Migrant Workers? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15050900. [PMID: 29751489 PMCID: PMC5981939 DOI: 10.3390/ijerph15050900] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 04/16/2018] [Accepted: 04/17/2018] [Indexed: 12/01/2022]
Abstract
Happiness is a major factor that influences people’s perceptions and behavior. Two-stage least squares regression was applied to investigate the effect of happiness on the psychological integration of migrant workers in China. The data for a total of 1625 individuals were obtained from the 2014 China Labor-force Dynamics Survey (CLDS). This study describes happiness from three main aspects: happiness, life satisfaction, and economic satisfaction. The psychological integration includes two dimensions of settlement willingness, and trust level; these have gone through dimension-reduced processing by using the weighted average method. The empirical evidence shows, first, that happiness has a significantly positive effect on the psychological integration of migrant workers and second, that the sense of life satisfaction in particular plays a more significant role. The acceleration of the social and political integration in migrant workers will enhance their psychological integration. Additionally, social, cultural and economic integration is found to influence migrant workers’ psychological integration by promoting happiness. Happiness between different generations of migrant workers was found to have a noticeably positive impact on their psychological integration; however, the happiness of the younger migrant workers was more perceivable than that of the other generations. Preferential policies should therefore be provided to improve the happiness of migrant workers.
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Affiliation(s)
- Tian-Cheng Li
- College of Economics and Management, South China Agricultural University, Guangzhou 510642, China.
| | - Chien-Chi Chu
- Department of Finance, Business School, Shantou University, Shantou 515063, China.
- Research Institute for Guangdong-Taiwan Business Cooperation, Shantou University, Shantou 515063, China.
| | - Fan-Cun Meng
- College of Economics and Management, South China Agricultural University, Guangzhou 510642, China.
| | - Qin Li
- College of Economics and Management, South China Agricultural University, Guangzhou 510642, China.
| | - Di Mo
- School of Economics, Finance and Marketing, College of Business, RMIT University, Melbourne, VIC 3000, Australia.
| | - Bin Li
- Department of Accounting, Finance and Economics, Griffith University, Brisbane, QLD 4111, Australia.
| | - Sang-Bing Tsai
- Zhongshan Institute, University of Electronic Science and Technology of China, Guangzhou 528400, China.
- Research Center for Environment and Sustainable Development of China Civil Aviation, Civil Aviation University of China, Tianjin 300300, China.
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Beck AL, Hoeft KS, Takayama JI, Barker JC. Beliefs and practices regarding solid food introduction among Latino parents in Northern California. Appetite 2017; 120:381-387. [PMID: 28951238 DOI: 10.1016/j.appet.2017.09.023] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Revised: 09/06/2017] [Accepted: 09/22/2017] [Indexed: 12/19/2022]
Abstract
Latino children are more likely to be obese than non-Hispanic white children, and feeding patterns that begin in infancy may contribute to this disparity. The objective of this study was to elucidate beliefs and practices related to the introduction of solids and solid food feeding in the first year of life among low-income Latino parents residing in Northern California. We conducted 26 semi-structured interviews that explored the timing of introduction of solids, selection of foods to serve to infants, feeding strategies, sources of information on solid food feeding and concerns about infant weight. We found that most parents relied on traditional practices in selecting first foods for infants and had a strong preference for homemade food, which was often chicken soup with vegetables. Parents generally described responsive feeding practices; however a minority used pressuring practices to encourage infants to eat more. Very few parents practiced repeated gentle introduction of unfamiliar food to increase acceptance. High calorie low nutrient foods were typically introduced at around 12 months of age and parents struggled to limit such foods once children were old enough to ask for them. Parents were concerned about the possibility of infants becoming overweight and considered health care providers to be an important source of information on infant weight status. The results of this study can be used to inform the development of interventions to prevent obesity in Latino children with similar demographics to our study population.
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Affiliation(s)
- Amy L Beck
- Department of Pediatrics, School of Medicine, University of California San Francisco, 550 16th Ave. #5763, San Francisco, CA, 94158, USA.
| | - Kristin S Hoeft
- Department of Preventive and Restorative Dental Sciences, School of Dentistry, Department of Pediatrics, School of Medicine, University of California San Francisco, USA
| | - John I Takayama
- Department of Pediatrics, School of Medicine, University of California San Francisco, USA
| | - Judith C Barker
- Department of Anthropology, History and Social Medicine, School of Medicine, University of California, San Francisco, USA
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