Targeting family functioning, acculturative stress, and sugar-sweetened beverage consumption for obesity prevention: findings from the Hispanic community children’s health study/study of Latino youth

BMC Public Health

Daniela Sotres-Alvarez¹  Carmen R. Isasi²  Josiemer Mattei³  Alan M. Delamater⁴  Martha Daviglus⁵  Linda Van Horn⁵  Linda C. Gallo⁶  Krista M. Perreira⁷  Roger Figueroa⁸  Amanda C. McClain⁹ 

[1] Department of Biostatistics, Gillings School of Global Health, University of North Carolina, Chapel Hill, NC, USA;Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA;Department of Nutrition, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;Department of Pediatrics, Mailman Center for Child Development, University of Miami, Miami, FL, USA;Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;Department of Psychology, San Diego State University, San Diego, CA, USA;Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA;Division of Nutritional Sciences, College of Human Ecology, Cornell University, Ithaca, NY, USA;School of Exercise and Nutritional Sciences, San Diego State University, San Diego, CA, USA;

关键词: Hispanic/Latino;    Acculturation;    Adolescence;    Sugar-sweetened beverages (SSB) consumption;    Family functioning;   

DOI  :  10.1186/s12889-020-09658-6

来源: Springer

【 摘 要 】

BackgroundMaintaining a bond with one’s family as well coping with stress while acculturating to the US may protect Hispanic/Latino youth from increased sugar-sweetened beverages (SSB) consumption, which heightens the risk for overweight and obesity. This study aims to examine associations between acculturative stress, family functioning, and SSB consumption by acculturation status among U.S. Hispanic/Latino youth.MethodsWith cross-sectional data on 1465 youth 8-16y (49.6% females) participating in the Hispanic Community Children’s Health Study/Study of Latino Youth, we classified youths into four acculturation groups – assimilated, integrated, marginalized/separated, and unclassified. SSB consumption was assessed through two 24-h diet recalls and defined as intake frequency of soda, fruit juice, sweetened soft and fruit drinks. Multi-group path regression models were used to test associations of Hispanic/Latino youth’ acculturative stress and family functioning with SSB consumption, as well as the moderating role of acculturation status.ResultsWhen controlling for age, sex, and study site, acculturative stress (β = − 0.13, p = 0.01) was inversely associated with SSB, and poor family functioning (β = 0.11, p = 0.07) was only marginally associated with SSB consumption among youth classified as assimilated but not among youth classified as integrated, marginalized/separated, or unclassified.ConclusionsA socio-ecological perspective that incorporates the role of key acculturation-related factors across multiple levels may aid efforts to identify mechanisms that influence the relationship between acculturation status and diet among Hispanic/Latino youth and their families.

【 授权许可】

CC BY