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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Acculturation and weight change in Asian-American children: Evidence from the ECLS-K:2011
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Acculturation and weight change in Asian-American children: Evidence from the ECLS-K:2011

机译：亚裔美国儿童的文化和体重变化：来自ECLS-K的证据：2011年

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Despite relatively low rates of overweight and obesity among Asian-American children, disparities exist based on acculturation, socioeconomic status, and Asian ethnicity. The purpose of this study was to examine the association between acculturation and weight change in Asian-American children. Secondary aims were to compare changes by Asian ethnic group and acculturation x socioeconomic status. Participants included 1200 Asian-American children from the Early Childhood Longitudinal Study, Kindergarten Class of 2010-11, a longitudinal study of U.S. children attending kindergarten in 2010-2011. Multinomial logistic regressions were conducted to predict weight change based on body mass indices in kindergarten (spring 2011) and second grade (spring 2013): consistently healthy weight, consistently overweight/obese, healthy weight change, and unhealthy weight change. Models included demographic, household, socioeconomic status, and acculturation measures, specifically mother's English proficiency and percentage of life spent in the U.S. Overall, 72.3% of children were at healthy weights in kindergarten and second grade. Of all Asian ethnic groups, Filipino children had the highest rate of being consistently overweight/obese (24.8%) and the lowest rate of being consistently healthy weight (62.9%). In addition, mother's English proficiency predicted unhealthy weight change (OR: 0.83; 95% CI: 0.75-0.92) and healthy weight change (OR: 0.75; 95% CI: 0.65-0.86), relative to "consistently healthy weight." English proficiency also predicted being consistently overweight/obese for children with less educated mothers. Findings enhance our understanding of obesity disparities within Asian Americans and highlight the need to disaggregate the population. Obesity interventions are needed for Filipino children and families with low socioeconomic status but high English proficiency. (C) 2017 Elsevier Inc. All rights reserved.
机译：尽管亚裔美国儿童的超重和肥胖率相对较低，但基于文化，社会经济地位和亚洲种族的差异存在。本研究的目的是审查亚裔美国儿童的文化和体重变化之间的关联。次要目标是通过亚洲族群和文化X社会经济地位进行比较。参与者包括来自2010-10年幼儿园纵向研究的1200名亚洲美洲儿童，2010-11年幼儿园班级，是2010 - 2011年幼儿园的美国儿童纵向研究。进行多项逻辑回归以预测基于幼儿园（2011年春季）和二级（2013年春季）的体重指数的重量变化：始终如一的健康体重，始终如一的超重/肥胖，健康的体重变化和不健康的体重变化。模型包括人口统计学，家庭，社会经济地位，以及文化措施，特别是母亲的英语水平和美国总体生活的百分比，72.3％的儿童在幼儿园和二年级的健康体重。在所有亚洲族裔群体中，菲律宾儿童持续超重/肥胖的速度最高（24.8％），持续健康体重的最低速度（62.9％）。此外，母亲的英语水平预测不健康的体重变化（或：0.83; 95％CI：0.75-0.92）和健康的体重变化（或：0.75; 95％CI：0.65-0.86），相对于“持续的健康重量”。英语水平还预测，对于较少受过教育的母亲的儿童持续超重/肥胖。调查结果加强了我们对亚裔美国人内肥胖差异的理解，并强调了分解人口的必要性。菲律宾儿童和社会经济地位低但英语水平高的家庭需要肥胖干预措施。 （c）2017年Elsevier Inc.保留所有权利。

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