Obesity, race/ethnicity and the multiple dimensions of socioeconomic status during the transition to adulthood: A factor analysis approach (original) (raw)

Racial Differences in Mechanisms Linking Childhood Socioeconomic Status With Growth in Adult Body Mass Index: The Role of Adolescent Risk and Educational Attainment

The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018

The present study examined whether risk factors during adolescence, including substance use, depression, overweight status, and young adult educational attainment, mediated the association between low childhood socioeconomic status (SES) and higher body mass index (BMI) in adulthood. We also evaluated whether the hypothesized pathways differed based on racial group status. Participants from the Seattle Social Development Project were followed from ages 10 to 39 years. The present study included white (n = 381), African American (n = 207), and Asian American (n = 171) participants. Structural equation models tested pathways linking low childhood SES to BMI from ages 24 to 39 years. Multiple-group modeling was used to test potential racial differences. Analyses indicated racial differences in the pathways linking low childhood SES with adult BMI. For whites, overweight status and educational attainment were significant mediators. For Asian Americans, there was an unmediated and signif...

The Relationship of Ethnicity, Socioeconomic Factors, and Overweight in U.S. Adolescents**

Obesity, 2003

GORDON-LARSEN, PENNY, LINDA S. ADAIR, AND BARRY M. POPKIN. The relationship of ethnicity, socioeconomic factors, and overweight in U.S. Adolescents Obes Res. 2003;11:121-129. Objective: To examine the extent to which race/ethnic differences in income and education account for sex-specific disparities in overweight prevalence in white, African American, Hispanic, and Asian U.S. teens.

Associations Between Socioeconomic Status and Obesity in Diverse, Young Adolescents

2015

This study examined the association between socioeconomic status (SES) and obesity risk during early adolescence, ages 10-13 years, and whether this association is present in different racial/ethnic and gender groups during 2 time points in early adolescence. Method: Data were from the Healthy Passages study, which enrolled 4,824 African American, Hispanic, and White 5th graders (ages 10-11) in a population-based, longitudinal study conducted in 3 U.S. metropolitan areas, and assessed them again 2 years later. Weight status was classified from measured body mass index using standard criteria into nonobese and obese (27% in 5th grade). SES was indexed based on highest education attainment in the household. Results: Youth in the highest SES had a significantly lower prevalence of obesity than those of lower SES at both 5th and 7th grades when disregarding race/ethnicity. Withinracial/ethnic group analyses mostly confirmed this pattern for Hispanic and White youth, but not for African American youth. When also considering gender, the SES differential in obesity risk was more pronounced among White girls and 5th-grade Hispanic boys. Conclusion: Growing up in a high SES home, marked by having a member with at least a college degree, is associated with lower risk for obesity among Hispanic and White youth. For African American youth, there appears to be no association between SES and obesity. Thus the health advantage generally attributed to higher SES does not appear consistently across racial/ethnic groups for obesity in youth. Further research should identify influences on weight status beyond SES, especially among African American youth.

Associations between socioeconomic status and obesity in diverse, young adolescents: Variation across race/ethnicity and gender

Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2015

This study examined the association between socioeconomic status (SES) and obesity risk during early adolescence, ages 10-13 years, and whether this association is present in different racial/ethnic and gender groups during 2 time points in early adolescence. Data were from the Healthy Passages study, which enrolled 4,824 African American, Hispanic, and White 5th graders (ages 10-11) in a population-based, longitudinal study conducted in 3 U.S. metropolitan areas, and assessed them again 2 years later. Weight status was classified from measured body mass index using standard criteria into nonobese and obese (27% in 5th grade). SES was indexed based on highest education attainment in the household. Youth in the highest SES had a significantly lower prevalence of obesity than those of lower SES at both 5th and 7th grades when disregarding race/ethnicity. Within-racial/ethnic group analyses mostly confirmed this pattern for Hispanic and White youth, but not for African American youth. ...

Racial and Ethnic Disparities in Obesity During the Transition to Adulthood: The Contingent and Nonlinear Impact of Neighborhood Disadvantage

Journal of Youth and Adolescence, 2012

Neighborhood disadvantage in early adolescence may help explain racial and ethnic disparities in obesity during the transition to adulthood; however the processes may work differently for males and females and for minority groups compared to Whites. The present study examines the relationship between neighborhood disadvantage and young adult obesity and the extent to which it contributes to racial/ethnic disparities among males and females. Data are from waves I and III of The National Longitudinal Study of Adolescent Health (Add Health), a nationally representative sample of adolescents administered between 1994 and 2002. The final sample of 5,759 adolescents was 54% female, 63% White, 21% African American, 16% Hispanic, and 14 years of age, on average, at wave I. Using hierarchical logit models and controlling for prior obesity status, findings indicate that, for females, adolescent neighborhood disadvantage partially explains racial/ethnic disparities in young adult obesity. Further, neighborhood disadvantage increases the odds of becoming obese for adolescent females in a curvilinear form, and this relationship significantly varies between Whites and Hispanics. Neighborhood disadvantage does not increase the risk of obesity for males, regardless of race/ethnicity. Implications for obesity prevention are discussed.

Adolescents' health behaviors and obesity: Does race affect this epidemic?

Nutrition research and practice, 2010

This study explores the influence of health behaviors and individual attributes on adolescent overweight and obesity using data from Wave II (Add Health). Structural equation model/path analysis using maximum likelihood estimation was utilized to analyze the relationships of health behaviors and attributes with obesity. Results of the model reveal that the causal paths (adolescents' attributes and health behaviors) for overweight and obesity were different for African American and Caucasian adolescents. Generally, African Americans were more susceptible to overweight and obesity than Caucasians. Although increasing levels of vigorous physical activities lowers the risk for obesity among African American and Caucasian adolescents alike, low family SES and being sedentary were associated with overweight and obesity among Caucasians. No significant associations were found among African Americans. Increased hours of sleep at night relate positively with obesity among African America...