1
|
Xiong M, Hu Z. Relative deprivation and depressive symptoms among Chinese migrant children: The impacts of self-esteem and belief in a just world. Front Public Health 2022; 10:1008370. [PMID: 36339152 PMCID: PMC9631309 DOI: 10.3389/fpubh.2022.1008370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 10/04/2022] [Indexed: 01/27/2023] Open
Abstract
Background Studies have shown that relative deprivation is a risk factor for depressive symptoms, but the underlying mechanisms are not yet clarified. Thus, this study formulated a moderated mediation model to investigate the mediating role of self-esteem and the moderating role of belief in a just world between relative deprivation and depressive symptoms among rural-to-urban migrant children. Methods A sample of 1,076 Chinese migrant children (M age = 12.25 years, SD = 1.66) completed measurements of relative deprivation, self-esteem, belief in a just world, and depressive symptoms. Furthermore, the mediating mechanism and moderating effect of the study were explored with the SPSS PROCESS macro (Models 4 and 7). Results The results showed a significant positive association between relative deprivation and depressive symptoms, with self-esteem partially mediating this association. Moreover, belief in a just world moderated the association between relative deprivation and self-esteem. Namely, the indirect effect of self-esteem was moderated by belief in a just world. Specifically, the mediating effect was stronger for migrant children with higher levels of belief in a just world. Conclusion These findings broaden our knowledge of how and when relative deprivation influences depressive symptoms among migrant children. Therefore, appropriate measures should be taken to prevent and manage migrant children' depression and provide them with corresponding guidance. Some measures could be taken by schools and educators to help migrant children with high relative deprivation in improving their self-esteem and belief in a just world, such as self-reference tasks and psychological intervention programs.
Collapse
Affiliation(s)
- Meng Xiong
- School of Education and Sports Sciences, Yangtze University, Jingzhou, China,Department of Psychology, University of Edinburgh, Edinburgh, United Kingdom,*Correspondence: Meng Xiong
| | - Zhiqin Hu
- School of Education and Sports Sciences, Yangtze University, Jingzhou, China
| |
Collapse
|
2
|
Foster BA, Weinstein K, Padilla T, Martinez C, Angeles-Ramos D. Growing Healthy Together: A Randomized Clinical Trial Using Parent Mentors for Early Childhood Obesity in Low-Income, Latino Families. Child Obes 2022; 18:168-177. [PMID: 34613828 PMCID: PMC8982108 DOI: 10.1089/chi.2021.0165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Background: Parent mentors are a potential community-based mechanism for delivering behavioral interventions. For communities at a higher risk of obesity and challenges with access to care, such as migrant and seasonal farm workers, this may be an effective intervention for obesity. This study examined the effect of parent mentors on weight outcomes. Methods: This randomized clinical trial assigned parents of 2- to 5 year-old children enrolled in Head Start 1:1:1 to control, a parent mentor teaching We Can!, or a parent mentor teaching an intervention derived from positive deviance methods. The parent mentor arms were designed to have weekly interactions and monthly community meetings over 6 months. The primary outcome was change in adiposity, as measured by body mass indices. Results: We randomized 188 parents, and 155 completed the 6-month visit. Most parents, 107 (58%), had less than a high school education, and 170 (90%) reported Latino ethnicity. In the intention-to-treat analysis, no difference between the groups was observed for change in percent distance from the median or BMI z-score. The median number of interactions was 14 (IQR 10-20) over 6 months for those who did engage, though 24 of 118 (20%) had no interaction. Those with no interactions in We Can! had a mean increase in change from median of 6.7 [standard deviation (SD) = 8.2]; those with higher participation experienced a 0.4 (SD = 9.2) change, p = 0.04. Conclusions: Parent mentors were not effective in changing the adiposity indices in this study overall, with some evidence of efficacy after accounting for participation. Clinicaltrials.gov registration number: NCT03330743.
Collapse
Affiliation(s)
- Byron A. Foster
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
- School of Public Health, Oregon Health & Science University and Portland State University, Portland, OR, USA
- Address correspondence to: Byron A. Foster, MD, MPH, Department of Pediatrics, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, CDRC-P, Portland, OR 97239, USA
| | - Kelsey Weinstein
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
| | - Thalia Padilla
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
| | - Cynthia Martinez
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
| | - Diana Angeles-Ramos
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
| |
Collapse
|
3
|
Gamba RJ, Eskenazi B, Madsen K, Hubbard A, Harley K, Laraia BA. Early Life Exposure to Food Insecurity is Associated with Changes in BMI During Childhood Among Latinos from CHAMACOS. J Immigr Minor Health 2021; 23:733-740. [PMID: 33389393 DOI: 10.1007/s10903-020-01125-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2020] [Indexed: 10/22/2022]
Abstract
Early life exposures have been associated with obesity later in life. We aim to assess the association between early life exposure to food insecurity and change in BMI throughout childhood and adolescents. Food security status and growth variables from 243 Mother-child dyads from the Center for the Health Assessment of Mothers and Children of Salinas study were assessed 7 times over a 12-year period. Generalized log linear models with Poisson distributions and linear regression models were implemented to assess the associations between early life food insecurity and obesity and growth. Early life food insecurity was associated with a 0.43 (0.01, 0.82) kg/m2 decrease in BMI from age 2 to 3.5, and a 0.92 kg/m2 (0.38, 1.46) increase in BMI among boys from ages 3.5 to 5, after adjusting for covariates. Sex and age modify the association between early life exposure to food insecurity and BMI.
Collapse
Affiliation(s)
- Ryan J Gamba
- Department of Health Sciences, California State University East Bay, 25800 Carlos Bee Boulevard, SF 535, Hayward, CA, 94542, USA.
| | - Brenda Eskenazi
- Center for Children's Environmental Health Research, University of California Berkeley, Berkeley, CA, USA
| | - Kristine Madsen
- Division of Community Health Sciences, University of California Berkeley, Berkeley, CA, USA
| | - Alan Hubbard
- Division of Biostatistics, University of California Berkeley, Berkeley, CA, USA
| | - Kim Harley
- Center for Environmental Research and Children's Health (CERCH), School of Public Health, University of California, 1995 University Avenue, BerkeleyBerkeley, CA, USA
| | - Barbara A Laraia
- Division of Community Health Sciences, University of California Berkeley, Berkeley, CA, USA
| |
Collapse
|
4
|
Rosado JI, Ramirez A, Montgomery J, Reyes E, Wang Y. Adverse childhood experiences and its association with emotional and behavioral problems in U.S. children of Latino immigrants. CHILD ABUSE & NEGLECT 2021; 112:104887. [PMID: 33401158 DOI: 10.1016/j.chiabu.2020.104887] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 12/03/2020] [Accepted: 12/10/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Research has long shown that Adverse Childhood Experiences (ACEs) are correlated with major risk factors for several of the leading causes of death in adults. However, only recently have studies begun to measure the impact of ACEs during childhood and on underserved populations. OBJECTIVE This study assessed the prevalence of 8 ACEs, including physical, emotional, and sexual abuse, among rural U.S. Latino children of immigrant parents. We examined the association of those adversities with several factors including emotional and behavioral difficulties, health problems and healthcare utilization. PARTICIPANTS AND SETTING A total of 100 Latino subjects (ages 8-17) were recruited from a community health center in Southwest Florida. METHODS Parents and children were asked to complete the Child Trust Events Survey to measure child ACEs; Parents were asked to complete the Strengths and Difficulties Questionnaire to measure child emotional and behavioral problems. RESULTS Child ACEs ranged from 1.38 (parent-report) to 1.56 (child self-report) with emotional abuse, incarceration, and loss/separation from a caregiver being the most common. ACEs were correlated with emotional symptoms (p = .038 for child-report; p = .043 for parent-report), hyperactivity/inattention problems (p = .011 for parent-report), and with total behavioral difficulties (p = .021 for parent-report). There was a negative correlation between ACES and child chronic health diagnosis (p = .038 for parent-report; p = .010 for child-report) and total health problems (p = .021). There was no significant relationship between ACEs and healthcare utilization. CONCLUSIONS ACEs appear to be more prevalent among rural Latino youth in immigrant families and may be associated with emotional and behavioral problems during childhood.
Collapse
Affiliation(s)
- Javier I Rosado
- Florida State University College of Medicine - Immokalee Health Education Site, 1441 Heritage Blvd, Immokalee, FL, 34142, United States.
| | - Andrea Ramirez
- Florida State University College of Medicine, 1115 West Call St., Tallahassee, FL, 32306, United States.
| | - Jordan Montgomery
- Florida State University College of Medicine - Immokalee Health Education Site, 1441 Heritage Blvd, Immokalee, FL, 34142, United States.
| | - Elena Reyes
- Florida State University College of Medicine - Immokalee Health Education Site, 1441 Heritage Blvd, Immokalee, FL, 34142, United States.
| | - Yuxia Wang
- Florida State University College of Medicine, 1115 West Call St., Tallahassee, FL, 32306, United States.
| |
Collapse
|
5
|
Rosado JI, Rivera A, Fernandez T. Perceived Role of Built and Social Environments on Childhood Obesity: A PhotoVoice Approach With Latino Migrant Farmworking Families. FAMILY & COMMUNITY HEALTH 2020; 43:221-228. [PMID: 32427669 DOI: 10.1097/fch.0000000000000257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The childhood obesity epidemic in the United States is well documented; however, limited attention has been given to Latino children from migrant farmworking families, and there is little research on how environmental and social factors contribute to overweight among this population. This article presents qualitative themes related to the role of the built and social environments in influencing diet, physical activity, and ultimately, health and weight status. Themes were identified through the PhotoVoice method, with 13 parent participants representing 30 children from a rural farmworking community in Southwest Florida.
Collapse
|
6
|
Evich CD, Jones BL, Schmitt SA, Taylor ZE. Parental restrictive feeding with Latinx adolescents: Examining the role of adolescent effortful control. Appetite 2019; 143:104406. [PMID: 31430523 DOI: 10.1016/j.appet.2019.104406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 07/03/2019] [Accepted: 08/15/2019] [Indexed: 11/20/2022]
Abstract
The objective of this study was to test if youth effortful control, a general process of self-regulation that is rooted in temperament, uniquely predicts maternal restrictive feeding with Latinx adolescents above and beyond demographic/contextual factors, prior use of restrictive feeding, and common markers of obesity-proneness. The study sample consisted of Latinx fifth and sixth graders and their mothers residing in the Midwestern U.S. (N = 97 dyads). Effortful control, maternal restrictive feeding, demographic/contextual factors, and markers of obesity proneness were measured across two waves of data collection approximately one year apart. Results demonstrated an inverse relation between effortful control and maternal restrictive feeding after controlling for Time 1 demographic/contextual factors, maternal BMI, maternal restrictive feeding, youth BMI z-score, and perceived youth weight. Future directions include testing for the presence of an ironic feedback process such that Latinx mothers' attempts to overcome deficits in their children's self-regulation skills through restrictive feeding may be inadvertently maintaining the problem.
Collapse
Affiliation(s)
- Carly D Evich
- Purdue University, Department of Human Development and Family Studies, United States.
| | - Blake L Jones
- Brigham Young University, Department of Psychology, United States
| | - Sara A Schmitt
- Purdue University, Department of Human Development and Family Studies, United States
| | - Zoe E Taylor
- Purdue University, Department of Human Development and Family Studies, United States
| |
Collapse
|
7
|
Foster BA, Weinstein K, Shannon J. Growing Healthy Together: protocol for a randomized clinical trial using parent mentors for early childhood obesity intervention in a Latino community. Trials 2019; 20:235. [PMID: 31023345 PMCID: PMC6485154 DOI: 10.1186/s13063-019-3342-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 04/02/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Latino children in the US experience high rates of obesity, increasing their risk of subsequent diabetes. There are few clinical trials among low-income, Latino families to test interventions that account for and address their unique situation. METHODS/DESIGN This trial, conducted in a Head Start (early childhood education) setting, randomly assigns children 2-5 years of age who have obesity by CDC (Centers for Disease Control and Prevention) guidelines (at least 95th percentile body mass index) and their parents to one of three conditions: (1) control, (2) parent mentor with an experimental curriculum, or (3) parent mentor with a standard curriculum (active control). We designed the experimental arm (2) using data from positive deviants: low-income, Latino families who had been successful in moving their child toward a healthy weight. Parent mentors are recruited and trained from the Head Start centers. Parent mentors then facilitate the teaching and coaching of parent-child dyads with weekly interactions over the course of a 6-month period. The primary outcome is change in adjusted body mass index z-score at the end of intervention and at 6 months post-intervention. Secondary outcomes include generalized self-efficacy, dietary intake, the home food environment, and reported physical activity. DISCUSSION This clinical trial contributes to the field by evaluating parent mentoring interventions that are potentially scalable for a population at high risk for continued obesity and subsequent morbidity and mortality. TRIAL REGISTRATION This trial was registered on October 31, 2017 (ClinicalTrials.gov identifier: NCT03330743 ).
Collapse
Affiliation(s)
- Byron A. Foster
- School of Medicine, Oregon Health and Science University, 3303 SW Bond Avenue CH16D, Portland, OR 97239 USA
| | - Kelsey Weinstein
- School of Medicine, Oregon Health and Science University, 3303 SW Bond Avenue CH16D, Portland, OR 97239 USA
| | - Jackilen Shannon
- School of Public Health, Oregon Health and Science University and Portland State University, 3181 SW Sam Jackson Park Road GH230, Portland, OR 97239 USA
| |
Collapse
|
8
|
Mojica CM, Liang Y, Foster BA, Parra-Medina D. The Association Between Acculturation and Parental Feeding Practices in Families With Overweight and Obese Hispanic/Latino Children. FAMILY & COMMUNITY HEALTH 2019; 42:180-188. [PMID: 31107728 PMCID: PMC6581037 DOI: 10.1097/fch.0000000000000226] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study examines the association between acculturation and parental feeding practices in low-income Latinos. Overweight/obese children (N = 117), aged 5 to 14 years, and their parents were recruited from a rural health clinic. Findings show that more acculturated parents have greater control over their child's eating behavior (P = .04). Parents who perceive their child as having a weight problem also have more control over their child's eating behavior (P = .02). Control measured from regulation of how much and when the child should eat to offering sweets and screen time for good behavior. Results underscore the need for interventions to consider parental acculturation and perceptions of child weight.
Collapse
Affiliation(s)
- Cynthia M Mojica
- School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis (Dr Mojica); Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore (Dr Liang); Division of Hospital Medicine, School of Medicine, Oregon Health & Science University, Portland (Dr Foster); and Director, Latino Research Institute, Mexican American and Latina/o Studies, University of Texas at Austin (Dr Parra-Medina)
| | | | | | | |
Collapse
|
9
|
Marshall SA, Ip EH, Suerken CK, Arcury TA, Saldana S, Daniel SS, Quandt SA. Relationship between maternal depression symptoms and child weight outcomes in Latino farmworker families. MATERNAL & CHILD NUTRITION 2018; 14:e12614. [PMID: 29740933 PMCID: PMC6298031 DOI: 10.1111/mcn.12614] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Revised: 03/06/2018] [Accepted: 03/15/2018] [Indexed: 12/14/2022]
Abstract
This study sought to characterize depressive symptoms among mothers in Latino farmworker families, determine if maternal depression increases children's risk of obesity, and ascertain whether relevant risk factors such as physical activity, diet, and feeding style mediate this relationship. Mothers from 248 families completed the 10-item Center for Epidemiologic Studies Depression Scale 9 times over a 2-year period. Four distinct patterns were used to describe mothers: few symptoms, moderate episodic symptoms, severe episodic symptoms, and chronic symptoms. Approximately two-thirds of women experienced moderate symptoms of depression at least once. Children of mothers fitting each pattern were compared. At the end of the study, children of mothers with severe episodic and chronic symptoms were significantly more likely to be overweight and obese than children of mothers with few symptoms (p < .05). After controlling for covariates, differences in weight status for children of mothers with severe episodic symptoms remained significant. Children of mothers with either moderate episodic or chronic symptoms were fed in a less responsive fashion (p < .05), and children of chronically symptomatic mothers had lower diet quality (p < .01). Although nonresponsive feeding has been linked to childhood obesity, in this analysis, feeding style did not mediate the relationship between maternal depression and diet quality. Elevated levels of depressive symptoms are common in this population, and those symptoms, especially when severe or chronic in nature, may increase children's risk of obesity. Additional research is needed to characterize the pathways through which maternal depression influences children's weight.
Collapse
Affiliation(s)
| | - Edward H. Ip
- Wake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | | | | | | | | | - Sara A. Quandt
- Wake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| |
Collapse
|
10
|
Exploring the Role of Depression as a Moderator of a Workplace Obesity Intervention for Latino Immigrant Farmworkers. J Immigr Minor Health 2018; 21:383-392. [PMID: 29737446 DOI: 10.1007/s10903-018-0743-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
We explored if and how depression moderated the treatment effect of Pasos Saludables, a successful pilot workplace obesity intervention for Latino immigrant farmworkers. The original randomized controlled study assigned 254 participants 2:1 to a 10-session educational intervention versus control. We assessed the relationship between change in BMI (primary outcome) and interaction of treatment allocation and baseline risk for depression. Baseline CES-D scores indicated that 27.3% of participants were at risk for depression. The interaction between treatment allocation and baseline risk for depression was significant (p = 0.004). In adjusted models among women, intervention participants with no indication of depression at baseline reduced their BMI by 0.77 on average (95% CI - 1.25, - 0.30) compared to controls. The reduction im BMI between the intervention group at risk for depression at baseline and either control was not significantly different from zero. Findings from our post-hoc, exploratory study indicate that depression may inhibit significant weight loss.
Collapse
|
11
|
Quandt SA, Trejo G, Suerken CK, Pulgar CA, Ip EH, Arcury TA. Diet Quality among Preschool-Age Children of Latino Migrant and Seasonal Farmworkers in the United States. J Immigr Minor Health 2017; 18:505-512. [PMID: 26514151 DOI: 10.1007/s10903-015-0304-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Dietary quality has been linked to obesity in children. Obesity among children of farmworker families exceeds that of other US Hispanic children. Knowledge of their dietary quality is needed to understand the origins and prevention of this obesity. Mothers (n = 237) of 3-year old children in farmworker families completed 3 24-hour recalls with trained interviewers using the Nutrition Data System for Research (NDS-R). Output was used to calculate total and component scores of the Revised Children's Diet Quality Index (RC-DQI). Mean total score was 62 (range 36-86) of an optimal score of 90. Scores for total fat, total grains, excess juice and iron were >80 % of the optimum, but scores for added sugar, whole grains, fruits, and vegetables were considerably lower. Children in farmworker families have low overall dietary quality. Intervention targeted to specific food issues may be an efficient way to addressing the problem.
Collapse
Affiliation(s)
- Sara A Quandt
- Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
| | - Grisel Trejo
- Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA
| | - Cynthia K Suerken
- Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA
| | - Camila A Pulgar
- Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA
| | - Edward H Ip
- Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA
| | - Thomas A Arcury
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA
| |
Collapse
|
12
|
Ip EH, Marshall SA, Arcury TA, Suerken CK, Trejo G, Skelton JA, Quandt SA. Child Feeding Style and Dietary Outcomes in a Cohort of Latino Farmworker Families. J Acad Nutr Diet 2017; 118:1208-1219. [PMID: 28966049 DOI: 10.1016/j.jand.2017.07.024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Accepted: 07/27/2017] [Indexed: 01/26/2023]
Abstract
BACKGROUND The high level of obesity in Latino children, especially in farmworker families, may be partly attributed to feeding styles of parents. Feeding styles used in Latino farmworker families have not been well characterized. OBJECTIVE This study sought to identify and describe feeding styles used by mothers in farmworker families with 2.5- to 3.5-year-old children, describe how styles change over time, and characterize the relationship of feeding styles to dietary outcomes and measures of overweight and obesity. DESIGN This was a longitudinal cohort study, with families participating for a 2-year period; surveys were administered to mothers with varying frequency depending on the instrument, and dietary measurements were collected at baseline and 12 and 24 months. PARTICIPANTS/SETTING Eligible participants were self-identified Latino women with a co-resident child aged 2.5 to 3.5 years old and at least one household member engaged in farm work during the previous year. The sample included 248 farmworker families enrolled between 2011 and 2012 in the Niños Sanos study, a longitudinal investigation of Latino mothers and their young children in rural North Carolina. Eleven families provided incomplete dietary data, so the analysis included 237 families. Fifteen families were lost to follow-up and 12 withdrew during the course of the study. MAIN OUTCOME MEASURES Feeding style was assessed using items from the Caregiver's Feeding Style Questionnaire, selected dietary components were assessed using the Revised Children's Diet Quality Index, and weight outcomes were determined using body mass index-for-age percentile. Performance on the Caregiver's Feeding Style Questionnaire items was used to assign mothers to one of four feeding style states. STATISTICAL ANALYSES PERFORMED Exploratory factor analysis was conducted on baseline data to verify the replicability of the factor structure of the instrument Caregiver's Feeding Style Questionnaire. Hidden Markov Model analysis was used to delineate different subtypes of feeding style. Multivariable mixed-effects regression models were used to assess the impact of feeding style on selected dietary components, energy intake, and body mass index-for-age percentile. RESULTS Four distinct states emerged from the Hidden Markov Model: low parent-centered (PC)/moderate child-centered (CC) feeding style (28% at baseline), high PC/CC without physical control (24%), high PC/CC (26%), and moderate PC/CC (22%). The low PC/moderate CC state increased in prevalence over time. Compared to high PC/CC, the low PC/moderate CC state was associated with greater intake of added sugars (P<0.01), lower intake of whole grains and vegetables (P<0.01), and lower overall diet quality (P<0.05). Children in low PC/moderate CC also had higher mean body mass index percentiles (76.2 percentile vs 66.7 percentile in high PC/CC; P<0.001). CONCLUSIONS High PC feeding along with high CC feeding is associated with improved diet quality and weight outcomes for children in the study.
Collapse
|
13
|
Ip EH, Marshall SA, Saldana S, Skelton JA, Suerken CK, Arcury TA, Quandt SA. Determinants of Adiposity Rebound Timing in Children. J Pediatr 2017; 184:151-156.e2. [PMID: 28242030 PMCID: PMC5404387 DOI: 10.1016/j.jpeds.2017.01.051] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2016] [Revised: 12/02/2016] [Accepted: 01/20/2017] [Indexed: 02/08/2023]
Abstract
OBJECTIVE Adiposity rebound (AR) or BMI (body mass index) rebound refers to the increase in BMI following the minimum BMI in early childhood. Early AR (before age 5) is predictive of adult obesity. To determine how 4 domains - demographics, maternal BMI, food security, and behavioral characteristics - may affect timing of AR. STUDY DESIGN A total of 248 children, ages 2.5-3.5 years, in Latino farmworker families in North Carolina were examined at baseline and every 3 months for 2 years. BMI was plotted serially for each child and the onset of BMI rebound was determined by visual inspection of the graphs. Given the ages of the children, all rebounds were detected before age 5 years and were deemed "early," whereas other children were classified as "nonrebounders." Classes were then compared in terms of the 4 domains with the use of bivariate analyses and linear mixed models. RESULTS A total of 131 children demonstrated early rebound, 59 children were nonrebounders, and a further 35 had inconclusive data. Parents of early rebounders were less likely to have documentation permitting legal residence in the US. Mothers of early rebounders were on average 3 BMI units heavier. Sex, household food security, diet quality, caloric intake, and daily activity did not differ between classes. In multivariable analysis, female sex, limited maternal education, increased maternal BMI, and increased caloric intake were significant predictors of early rebound. CONCLUSION High maternal BMI was the strongest predictor of early BMI rebound, but increased caloric intake also was significant. Limiting excess calories could delay premature AR and lower the risk of future obesity.
Collapse
Affiliation(s)
- Edward H. Ip
- Department of Biostatistical Sciences, Wake Forest School of
Medicine
| | - Sarah A. Marshall
- Department of Biostatistical Sciences, Wake Forest School of
Medicine
| | - Santiago Saldana
- Department of Biostatistical Sciences, Wake Forest School of
Medicine
| | | | | | - Thomas A. Arcury
- Department of Family and Community Medicine, Wake Forest School of
Medicine
| | - Sara A. Quandt
- Department of Epidemiology and Prevention, Wake Forest School of
Medicine
| |
Collapse
|
14
|
Reyes I, Higgins M. Parental perception of child's body mass index and health within primary care. J Am Assoc Nurse Pract 2017; 29:375-383. [PMID: 28440560 DOI: 10.1002/2327-6924.12463] [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: 11/16/2016] [Revised: 03/03/2017] [Accepted: 03/10/2017] [Indexed: 11/11/2022]
Abstract
BACKGROUND AND PURPOSE Overweight and obesity are sensitive issues to address with pediatric patients during any visit. Patients and families may not recognize that their child is overweight or obese and may not be ready to make change. The goals for this study were to collect overall statistics on the clinic in regards to weight status of children presenting for well child visits and to capture parental perception of the child's weight status in relation to child's age. METHODS A consecutive sample of parents and caregivers with a child aged 2-18 completed the survey and consented for the study on the day of the survey during a well child visit. CONCLUSIONS Parents, regardless of culture and age tended to underestimate the weight of their child. These findings further support the literature in that the younger the child, the more likely it is that the parent underestimates their weight status. IMPLICATIONS FOR PRACTICE Interventions should include early education with parents on what a healthy weight is and how it can predict future health. Addressing and recognizing early concerns and assessing parental perception can be important if educational messages are delivered throughout the span of the early years.
Collapse
Affiliation(s)
- Imelda Reyes
- Emory University and Children's Healthcare of Atlanta, Atlanta, Georgia
| | | |
Collapse
|
15
|
Arcury TA, Suerken CK, Ip EH, Moore JB, Quandt SA. Residential Environment for Outdoor Play Among Children in Latino Farmworker Families. J Immigr Minor Health 2017; 19:267-274. [PMID: 27485188 PMCID: PMC5290218 DOI: 10.1007/s10903-016-0473-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Child health and development benefit from physical activity. This analysis describes the residential play environment for children aged 2-4 years in farmworker families, their parent-reported levels of play and media time, and the association of residential environment with play and media time. Mothers with a child aged 2-4 years in farmworker families (n = 248) completed interviews over 2 years. Outcome measures were daily outdoor play time and media time. Measures of the residential environment included physical and social components. The mean min/day for outdoor play was 81.8 (SD 57.3) at baseline, 111.4 (SD 90.1) at year 1 follow-up, and 103.6 (SD 76.2) at year 2 follow-up. The mean media min/day at baseline was 83.8 (SD 64.3), 93.7 (SD 80.3) min/day at year 1 follow-up, and 59.9 min/day (SD (45.6) at year 2 follow-up. One additional person per bedroom was associated with 6 fewer min/day with media. The addition of each age appropriate toy was associated with an additional 12.3 min/day of outdoor play. An additional type of inappropriate media was associated with 6.8 more min/day with media. These results suggest changes to the residential environment to improve physical activity among children in Latino farmworker families.
Collapse
Affiliation(s)
- Thomas A Arcury
- Department of Family and Community Medicine, Medical Center Boulevard, Wake Forest School of Medicine, Winston-Salem, NC, 27157-1084, USA.
| | - Cynthia K Suerken
- Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Edward H Ip
- Division of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Justin B Moore
- Department of Family and Community Medicine, Medical Center Boulevard, Wake Forest School of Medicine, Winston-Salem, NC, 27157-1084, USA
| | - Sara A Quandt
- Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA
| |
Collapse
|
16
|
Grzywacz JG, Arcury TA, Trejo G, Quandt SA. Latino Mothers in Farmworker Families' Beliefs About Preschool Children's Physical Activity and Play. J Immigr Minor Health 2017; 18:234-42. [PMID: 24522435 DOI: 10.1007/s10903-014-9990-1] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Document beliefs about the contribution of physical activity to preschool-aged children's health held by Latino mothers in farmworker families, and delineate their perceived barriers or constraints that impose limits on preschool-aged children's physical activity. Qualitative data obtained through semi-structured in-depth interviews (N = 33) with mothers of preschool-aged children living in Latino farmworker families in North Carolina. Mothers universally agree that regular vigorous physical activity is good for preschool-aged children's health, including obesity prevention. However, excessive physical activity can produce illnesses, as well as other physical and emotional problems, and should be limited. Mothers wanted their children to engage in more sedentary forms of activity because they believed it would benefit learning. Physical and chemical hazards in rural environments, distance to parks and play spaces, and lack of familiarity and concerns about neighbors constrained children's physical activity. Although physical activity is believed to be beneficial, strong cultural beliefs and real contextual barriers undermine preschool-aged Latino farmworker children's level of physical activity.
Collapse
Affiliation(s)
- Joseph G Grzywacz
- Department of Human Development and Family Science, Oklahoma State University, 700 N. Greenwood Avenue, Tulsa, OK, 74106, USA.
| | - Thomas A Arcury
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA
| | - Grisel Trejo
- Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA
| | - Sara A Quandt
- Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, 27157, USA
| |
Collapse
|
17
|
Lim YM, Song S, Song WO. Prevalence and Determinants of Overweight and Obesity in Children and Adolescents from Migrant and Seasonal Farmworker Families in the United States-A Systematic Review and Qualitative Assessment. Nutrients 2017; 9:nu9030188. [PMID: 28245565 PMCID: PMC5372851 DOI: 10.3390/nu9030188] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2016] [Revised: 02/14/2017] [Accepted: 02/20/2017] [Indexed: 02/07/2023] Open
Abstract
Overweight and obesity (OW/OB) is a pressing health concern among migrant and seasonal farmworker (MSFW) families in the US. The limited number of previously reported research on MSFW families suggests that their unique sociodemographic characteristics and lifestyle predispose them to poor health outcomes including OW/OB. We aimed to synthesize and assess available data on the prevalence and modifiable health determinants of OW/OB in MSFW children and adolescents. Literature search, study selection, data extraction and synthesis, and qualitative assessment of selected studies were performed independently by two authors. Ten cross-sectional studies met the inclusion criteria: articles or dissertations investigating prevalence and association between health determinants and OW/OB in MSFW children and adolescents (<20 years) in the US. The prevalence of OW, OB, and OW/OB ranged from 10%–33%, 15%–37%, and 31%–73%, respectively. Children’s education, household food insecurity, parents’ weight status, parents’ distorted perception of their children’s weight status, and parents’ participation in the federal nutrition assistance program were significantly associated with the children’s and adolescents’ risk of OW/OB. Promotion of culturally relevant public health programs and implementation of a systematic health surveillance plan for MSFWs and their children should be emphasized to combat OW/OB among MSFW children and adolescents.
Collapse
Affiliation(s)
- Yuen Mei Lim
- Department of Food Science and Human Nutrition, Michigan State University, 469 Wilson Road, Trout FSHN Building, East Lansing, MI 48824, USA.
| | - SuJin Song
- Department of Food Science and Human Nutrition, Michigan State University, 469 Wilson Road, Trout FSHN Building, East Lansing, MI 48824, USA.
| | - Won O Song
- Department of Food Science and Human Nutrition, Michigan State University, 469 Wilson Road, Trout FSHN Building, East Lansing, MI 48824, USA.
| |
Collapse
|
18
|
White C, Murphy T, Hodges EA, Berry DC. Barriers for Hispanic Caregivers With Obese Preschool Children. HISPANIC HEALTH CARE INTERNATIONAL 2016; 14:141-55. [PMID: 27553227 DOI: 10.1177/1540415316665355] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Childhood obesity is a growing epidemic, and the rates are disproportionately higher in minorities. Clinical guidelines have contributed to decreased prevalence overall, but the rates in Hispanic preschoolers have increased. METHOD This review of the literature summarizes the perceptions and beliefs of caregivers of Hispanic preschool children regarding weight status and feeding behaviors, as well as the perceived cultural barriers to guideline adherence. A search of the CINAHL, PubMed, Joanna Briggs, and Global Health databases identified studies performed between January 1, 2008, and April 1, 2016. Search terms included Hispanics, guideline adherence, gap, barriers, obesity, overweight, and attitude to obesity. RESULTS Fifteen studies met the inclusion criteria, including some about Hispanic caregivers of preschool-aged children. Several cultural perceptions and beliefs were identified. CONCLUSION Further study is needed to develop more culturally relevant and sensitive guidelines and to design specific and effective interventions for this population.
Collapse
Affiliation(s)
| | | | - Eric A Hodges
- The University of North Carolina at Chapel Hill, NC, USA
| | - Diane C Berry
- The University of North Carolina at Chapel Hill, NC, USA
| |
Collapse
|
19
|
Qenani E, Roy S, MacDougall N. Vigorous Physical Work and Obesity?-the Paradox of the Californian Farmworker Population. J Racial Ethn Health Disparities 2016; 4:696-705. [PMID: 27535038 DOI: 10.1007/s40615-016-0273-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Revised: 07/21/2016] [Accepted: 07/25/2016] [Indexed: 10/21/2022]
Abstract
A good understanding of underlying causes of obesity prevalence in the farmworker population is critical in finding effective strategies to fight obesity and related chronic diseases. There is growing evidence that the population of farmworkers fares poorly with regard to health status, but available data on obesity levels and related chronic diseases is scarce or missing. This study examined the prevalence of overweight and obesity among a sample of farmworker population in California. Results of the regression model indicate that along with demographic variables such as age and gender, several lifestyle and behavioral risk factors are associated with obesity of the farmworkers. Results from this study will inform the design of intervention efforts and policies to help improve the health status of the farmworker population at the community level and beyond.
Collapse
Affiliation(s)
- Eivis Qenani
- California Polytechnic State University, San Luis Obispo, CA, USA.
| | - Soma Roy
- California Polytechnic State University, San Luis Obispo, CA, USA
| | - Neal MacDougall
- California Polytechnic State University, San Luis Obispo, CA, USA
| |
Collapse
|
20
|
Arcury TA, Skelton JA, Ip EH, Suerken CK, Trejo G, Quandt SA. Anticipatory Guidance about Child Diet and Physical Activity for Latino Farmworker Mothers. J Health Care Poor Underserved 2016; 27:1064-79. [PMID: 27524752 DOI: 10.1353/hpu.2016.0136] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND This analysis describes farmworker child health care utilization, anticipatory guidance for child weight, and the association of anticipatory guidance with personal characteristics, practice characteristics, and child's health care utilization. METHODS Data are from interviews conducted with 221 North Carolina Latino farmworker mothers with a child aged 4-5 years. RESULTS Half of the children were healthy weight, 19.0% were overweight, and 28.5% were obese. Most (56.4%) had been with the usual practice for two years or longer; most had well-child visits less frequently than once per year (71.5%). Fewer children with well-child visits than without were obese (14.8% vs. 35.5%; p=.01). More children with obesity than with healthy weight or overweight received guidance messages; more children without a well-child care visit in the past 12 months received guidance messages. CONCLUSIONS Health care providers are addressing anticipatory guidance when the opportunity arises. Creative approaches to address disparate primary care for farmworker families are important.
Collapse
|
21
|
Physical Activity States of Preschool-Aged Latino Children in Farmworker Families: Predictive Factors and Relationship With BMI Percentile. J Phys Act Health 2016; 13:726-32. [PMID: 26800568 DOI: 10.1123/jpah.2015-0534] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Obesity disproportionately affects children of Latino farmworkers. Further research is needed to identify patterns of physical activity (PA) in this group and understand how PA affects Body Mass Index (BMI) percentile. METHODS Two hundred and forty-four participants ages 2.5 to 3.5 in the Niños Sanos longitudinal study wore accelerometers that measured daily PA. Several PA-related parameters formed a profile for conducting hidden Markov modeling (HMM), which identified different states of PA. RESULTS Latino farmworker children were generally sedentary. Two different states were selected using HMM-less active and more active. In the more active state; members spent more minutes in moderate-vigorous physical activity (MVPA). Most children were in the less active state at any given time; however, switching between states occurred commonly. One variable-mother's concern regarding lack of PA-was a marginally significant predictor of membership in the more active state. State did not predict BMI or weight percentile after adjusting for caloric intake. CONCLUSION Most children demonstrated high amounts of sedentary behavior, and rates of MVPA fell far below recommended levels for both states. The lack of statistically significant results for risk factors and PA state on weight-related outcomes is likely due to the homogeneous behaviors of the children.
Collapse
|
22
|
Zur J, Jones E. Racial and Ethnic Disparities among Pediatric Patients at Community Health Centers. J Pediatr 2015; 167:845-50. [PMID: 26239926 DOI: 10.1016/j.jpeds.2015.07.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Revised: 05/22/2015] [Accepted: 07/01/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To assess racial/ethnic disparities in pediatric utilization of community health centers (CHCs) among a nationally representative sample. STUDY DESIGN Using the 2009 Health Center Patient Survey, a nationally representative sample of CHC patients, demographic characteristics, health conditions, and service utilization were examined for patients under 18 years old (n = 590). Negative binomial and logistic regression models assessed disparities in access to routine care, ambulatory service intensity, and hospital utilization. RESULTS Racial/ethnic disparities were not present for well-child visits or dental checkups. However, disparities in ambulatory care service intensity and hospital use were observed. Compared with white children, Hispanic children had fewer CHC visits (incidence rate ratio [IRR] 0.62; 95% CI 0.41-0.95), and fewer visits to other ambulatory providers (IRR 0.30; 95% CI 0.15-0.61). Black children had fewer CHC visits (IRR 0.46; 95% CI 0.31-0.70) and fewer visits to other ambulatory providers (IRR 0.23; 95% CI 0.06-0.91), and were also less likely to have been hospitalized (OR 0.04; 95% CI 0.01-0.26). CONCLUSIONS Study limitations included the cross-sectional study design, the self-reported data, and the age of the data. Nevertheless, this study demonstrates that there are fewer disparities among children who visit CHCs in comparison with national trends, but there is still room for improvement. Future initiatives should address remaining challenges in ensuring access to care for all children in underserved communities.
Collapse
Affiliation(s)
- Julia Zur
- Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC.
| | - Emily Jones
- Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC; Division of Behavioral Health and Intellectual Disabilities Policy, Office of Disability, Aging, and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, United States Department of Health and Human Services, Washington, DC
| |
Collapse
|
23
|
Lee K, Pond D. The Impact of Head Start Enrollment Duration on Migrant Children's Health Outcomes. SOCIAL WORK IN HEALTH CARE 2015; 54:869-891. [PMID: 26671242 DOI: 10.1080/00981389.2015.1061087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The purpose of this study is to examine whether family characteristics and the length of children's enrollment in Migrant Head Start affects children's health treatment. Children in the Michigan Migrant Head Start were classified depending on years of enrollments: One year (n = 638), two years (n = 293), and three or more years (n = 426). Logistic regression analyses were conducted to examine whether the probability of children receiving health treatment differed depending on years of enrollment. There is a higher health treatment rate among children who attended Head Start for multiple years than for those who attended for one year. Children's special needs status, of siblings, ethnicity, parental educational level, and marital status were related to preventative dental and physical health treatment outcomes. Although the primary goal of Head Start is school readiness rather than health improvement, migrant and seasonal farmworker children are likely to receive more health treatment if they attend more years of comprehensive intervention, such as Head Start, for positive physical and dental health.
Collapse
Affiliation(s)
- Kyunghee Lee
- a School of Social Work , Michigan State University , East Lansing , Michigan , USA
| | - Debora Pond
- a School of Social Work , Michigan State University , East Lansing , Michigan , USA
| |
Collapse
|
24
|
Quandt SA, Grzywacz JG, Trejo G, Arcury TA. Nutritional strategies of Latino farmworker families with preschool children: identifying leverage points for obesity prevention. Soc Sci Med 2014; 123:72-81. [PMID: 25462607 DOI: 10.1016/j.socscimed.2014.10.029] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2014] [Revised: 10/14/2014] [Accepted: 10/15/2014] [Indexed: 01/17/2023]
Abstract
Obesity and overweight are significant problems for children in the US, particularly for Hispanic children. This paper focuses on the children in families of immigrant Hispanic farmworkers, as farm work is the portal though which many immigrants come to the US. This paper (1) describes a model of the nutritional strategies of child feeding in farmworker families; and (2) uses this model to identify leverage points for efforts to improve the nutritional status of these children. In-depth interviews were conducted in Spanish with 33 mothers of 2-5 year old children in farmworker families recruited in North Carolina in 2010-2011. The purposive sample was balanced by farmworker status (migrant or seasonal), child age, and child gender. Interviews were transcribed and translated. Multiple coders and a team approach to analysis were used. Nutritional strategies centered on domains of procuring food, using food, and maintaining food security. The content of these domains reflected environmental factors (e.g., rural isolation, shared housing), contextual factors (e.g., beliefs about appropriate food, parenting style), and available resources (e.g., income, government programs). Environmental isolation and limited access to resources decrease the amount and diversity of household food supplies. Parental actions (parental sacrifices, reduced dietary variety) attempt to buffer children. Use of government food sources is valuable for eligible families. Leverage points are suggested that would change nutritional strategy components and lower the risk of overweight and obesity. Further prospective research is needed to verify the nutritional strategy identified and to test the ability of leverage points to prevent childhood obesity in this vulnerable population.
Collapse
Affiliation(s)
- Sara A Quandt
- Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
| | - Joseph G Grzywacz
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA; Department of Human Development and Family Science, Oklahoma State University, Tulsa, OK 74106, USA
| | - Grisel Trejo
- Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| | - Thomas A Arcury
- Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
| |
Collapse
|
25
|
Grzywacz JG, Suerken CK, Zapata Roblyer MI, Trejo G, Arcury TA, Ip EH, Lang W, Quandt SA. Physical activity of preschool-aged Latino children in farmworker families. Am J Health Behav 2014; 38:717-25. [PMID: 24933141 DOI: 10.5993/ajhb.38.5.9] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To describe time spent in sedentary and moderate-to-vigorous physical activity (MVPA) by children in Latino farmworker families and delineate sources of variation in sedentary and MVPA. METHOD Data were from mother-child dyads (N = 248) in Latino farmworker households in North Carolina. Physical activity was assessed using accelerometers; mothers described their children's characteristics and their physical and social environments. RESULTS Children spent 6.2 hours/day sedentary (Median=369 minutes), and 6.0 minutes/day in MVPA. Children in Head Start spent more time sedentary, whereas children living where dogs roam freely were less sedentary. Children whose mothers limited screen time spent 2 more minutes in MVPA. CONCLUSIONS Preschool-aged Latino children in farmworker families are sedentary, engaging in little MVPA.
Collapse
Affiliation(s)
- Joseph G Grzywacz
- Oklahoma State University, Center for Family Resilience, Department of Human Development and Family Science, Tulsa OK, USA.
| | - Cynthia K Suerken
- Wake Forest School of Medicine, Department of Biostatistical Sciences, Winston-Salem, NC, USA
| | | | - Grisel Trejo
- Wake Forest School of Medicine, Department of Epidemiology and Prevention
| | - Thomas A Arcury
- Wake Forest School of Medicine, Department of Family and Community Medicine
| | - Edward H Ip
- Wake Forest School of Medicine, Department of Biostatistical Sciences
| | - Wei Lang
- Wake Forest School of Medicine, Department of Biostatistical Sciences
| | - Sara A Quandt
- Wake Forest School of Medicine, Department of Epidemiology and Prevention
| |
Collapse
|
26
|
A research network to prevent obesity among Latino children. Am J Prev Med 2013; 44:S173-4. [PMID: 23415179 DOI: 10.1016/j.amepre.2012.11.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2012] [Revised: 11/29/2012] [Accepted: 11/29/2012] [Indexed: 11/23/2022]
|
27
|
Parker L, Fineberg HV. Building strategies and leadership for change: the obesity epidemic in Latino children. Am J Prev Med 2013; 44:S292-3. [PMID: 23415196 DOI: 10.1016/j.amepre.2012.12.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2012] [Revised: 12/04/2012] [Accepted: 12/04/2012] [Indexed: 10/27/2022]
Affiliation(s)
- Lynn Parker
- IOM of the National Academies, Washington DC 20001, USA.
| | | |
Collapse
|
28
|
Ramirez AG, Ayala GX. An introduction to Salud America!: a research network to prevent obesity among Latino children. Am J Prev Med 2013; 44:S175-7. [PMID: 23415180 DOI: 10.1016/j.amepre.2012.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2012] [Revised: 11/30/2012] [Accepted: 12/04/2012] [Indexed: 11/24/2022]
Affiliation(s)
- Amelie G Ramirez
- Institute for Health Promotion Research, University of Texas Health Science Center, San Antonio, Texas 78229, USA.
| | | |
Collapse
|
29
|
Flores GR. Seeking environmental and policy solutions to address Latino childhood obesity. Am J Prev Med 2013; 44:S290-1. [PMID: 23415195 DOI: 10.1016/j.amepre.2012.11.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2012] [Revised: 11/29/2012] [Accepted: 11/29/2012] [Indexed: 10/27/2022]
|