TY - JOUR
T1 - Individual-, family-, and contextual-level variables do not explain the protective effect of parental nativity status on changes in 3–15-year-old children's BMI
AU - Acciai, Francesco
AU - Yellow Horse, Aggie J.
AU - Ohri-Vachaspati, Punam
N1 - Funding Information: This study was supported by grants from the Robert Wood Johnson Foundation , the Eunice Kennedy Shriver National Institute of Child Health and Human Development , National Institutes of Health ( 1R01HD071583-01A1 ), and the National Heart, Lung, and Blood Institute , National Institutes of Health ( 1R01HL137814-01 ). The funding sources had no role in the design or conduct of the study. We are grateful to Michael J. Yedidia and Glenn Firebaugh for their helpful comments on a previous draft of the manuscript. Publisher Copyright: © 2020 The Author(s)
PY - 2020/12
Y1 - 2020/12
N2 - Individual-, family-, and contextual-level factors can simultaneously and interactively affect a child's body mass index (BMI). We examine parental nativity as a key determinant of changes in children's BMI over time. Prior research on this topic has been inconclusive. A longitudinal sample of households with children residing in four low-income, high minority New Jersey cities provided data on demographics, socioeconomic status, anthropometric measures, as well as dietary and physical activity behaviors for one randomly selected child. The baseline interview for two separate cohorts took place in 2009/10 and 2014-15, with a follow-up interview 2–5 years later. The outcome variable, change in BMI z-score was divided into three categories (decrease in BMI z-score; no meaningful change; increase in BMI z-score) and analyzed using ordinal logistic regressions. About 28% of the children in the sample had at least one foreign-born parent. For the two major racial/ethnic groups, i.e., Hispanics and non-Hispanic blacks, having a foreign-born parent was associated with a favorable change in BMI—children of foreign-born parents were more likely to experience a decrease BMI z-score between baseline and follow-up. Multivariate analyses reveal that the initial association between parental nativity and children's BMI change (OR = 0.20; p < 0.001) persists after controlling for an extensive set of covariates, such as child dietary and physical activity behaviors, family-level variables, census tract characteristics, and measures of food environment (OR = 0.17; p < 0.001). Through a series of sensitivity analyses, we verified that our results are consistent across different model specifications. In our sample, having a foreign-born parent was a protective factor for children's BMI change that operates through different pathways than might be anticipated.
AB - Individual-, family-, and contextual-level factors can simultaneously and interactively affect a child's body mass index (BMI). We examine parental nativity as a key determinant of changes in children's BMI over time. Prior research on this topic has been inconclusive. A longitudinal sample of households with children residing in four low-income, high minority New Jersey cities provided data on demographics, socioeconomic status, anthropometric measures, as well as dietary and physical activity behaviors for one randomly selected child. The baseline interview for two separate cohorts took place in 2009/10 and 2014-15, with a follow-up interview 2–5 years later. The outcome variable, change in BMI z-score was divided into three categories (decrease in BMI z-score; no meaningful change; increase in BMI z-score) and analyzed using ordinal logistic regressions. About 28% of the children in the sample had at least one foreign-born parent. For the two major racial/ethnic groups, i.e., Hispanics and non-Hispanic blacks, having a foreign-born parent was associated with a favorable change in BMI—children of foreign-born parents were more likely to experience a decrease BMI z-score between baseline and follow-up. Multivariate analyses reveal that the initial association between parental nativity and children's BMI change (OR = 0.20; p < 0.001) persists after controlling for an extensive set of covariates, such as child dietary and physical activity behaviors, family-level variables, census tract characteristics, and measures of food environment (OR = 0.17; p < 0.001). Through a series of sensitivity analyses, we verified that our results are consistent across different model specifications. In our sample, having a foreign-born parent was a protective factor for children's BMI change that operates through different pathways than might be anticipated.
KW - BMI change
KW - BMI z-Score
KW - Body mass index (BMI)
KW - Parental nativity status
KW - Second-generation children
KW - Third or higher generation children
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U2 - 10.1016/j.ssmph.2020.100652
DO - 10.1016/j.ssmph.2020.100652
M3 - Article
SN - 2352-8273
VL - 12
JO - SSM - Population Health
JF - SSM - Population Health
M1 - 100652
ER -