Disparities in Obesity and Overweight Prevalence Among US Immigrant Children and Adolescents by Generational Status
Disparities in Obesity and Overweight Prevalence Among US Immigrant Children and Adolescents by Generational Status
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DOI：
10.1007/s10900-009-9148-6
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发表时间：
2009-08-01
影响因子：
5.9
通讯作者：
Yu, Stella M.
中科院分区：
文献类型：
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作者：
Singh, Gopal K.;Kogan, Michael D.;Yu, Stella M.
我们研究了46,707名10-17岁移民和美国出生的儿童和青少年中肥胖和超重的患病率和社会行为相关性。2003年全国儿童健康调查被用来估计12个移民群体中儿童肥胖和超重的流行程度，按种族/民族和代际地位分层。使用Logistic回归来检验移民在肥胖和超重患病率和几率方面的差异。肥胖和超重的患病率从第二代亚洲移民的6%和18%低到本地出生的黑人儿童（美国出生的黑人儿童和美国出生的父母）的24%和42%高。在调整了年龄、性别、种族、社会经济地位、感知到的社区安全、看电视、使用电脑和体育锻炼等因素后，第一代移民儿童的肥胖几率总体上比本土出生的儿童低26%。黑人和白人移民儿童的肥胖和超重患病率低于当地出生的儿童，而西班牙裔儿童的肥胖和超重患病率没有显着的代际差异。与本土出生的白人儿童相比，本土出生的黑人儿童肥胖的调整后几率高64%，第二代西班牙裔移民高55%，第一代亚洲移民低63%。调整后的移民在超重风险方面的差异也很明显。社会经济因素、人口统计学因素和行为因素分别占种族移民肥胖和超重患病率差异的61%和35%。儿童肥胖和超重的移民模式因种族和代际地位而有很大差异。为了缩小差距，肥胖预防项目必须针对移民和美国出生父母的高危儿童。
We examined the prevalence and socio-behavioral correlates of obesity and overweight among 46,707 immigrant and US-born children and adolescents aged 10-17 years. The 2003 National Survey of Children's Health was used to estimate obesity and overweight prevalence among children in 12 immigrant groups, stratified by race/ethnicity and generational status. Logistic regression was used to examine immigrant differentials in the prevalence and odds of obesity and overweight. Obesity and overweight prevalence varied from a low of 6 and 18% for second-generation Asian immigrants to a high of 24 and 42% for native-born black children (US-born black children with US-born parents), respectively. After adjusting for age, gender, ethnicity, socioeconomic status, perceived neighborhood safety, television viewing, computer use, and physical activity, first-generation immigrant children, overall, had 26% lower odds of obesity than native-born children. Obesity and overweight prevalence was lower for immigrant black and white children than their native-born counterparts, while obesity and overweight prevalence among Hispanic children did not vary significantly by generational status. Compared with native-born white children, the adjusted odds of obesity were 64% higher for native-born blacks, 55% higher for second-generation Hispanic immigrants, and 63% lower for first-generation Asian immigrants. Adjusted immigrant differentials in overweight risks were also marked. Socioeconomic, demographic, and behavioral factors accounted for 61 and 35% of ethnic-immigrant disparities in obesity and overweight prevalence, respectively. Immigrant patterns in childhood obesity and overweight vary substantially by ethnicity and generational status. To reduce disparities, obesity prevention programs must target at-risk children of both immigrant and US-born parents.