Current Family Functioning and Youth Cardiometabolic Health in the SOL Youth Study

Background Family functioning may impact children’s cardiometabolic health; however, few studies have examined multiple cardiometabolic markers among a diverse racial/ethnic cohort. The relationship between child- and caregiver-reported family functioning and the cardiometabolic health of Hispanic/L...

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Veröffentlicht in:International journal of behavioral medicine 2023-12, Vol.30 (6), p.914-923
Hauptverfasser: Suglia, Shakira F., Crookes, Danielle M., Belak, Lauren, Cammack, Alison L., Clark, Taylor L., Daviglus, Martha, Gallo, Linda C., Perreira, Krista M., Delamater, Alan M., Isasi, Carmen R.
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Sprache:eng
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Zusammenfassung:Background Family functioning may impact children’s cardiometabolic health; however, few studies have examined multiple cardiometabolic markers among a diverse racial/ethnic cohort. The relationship between child- and caregiver-reported family functioning and the cardiometabolic health of Hispanic/Latino youth was examined. Method Data were from the Hispanic Community Children’s Health Study/Study of Latino Youth (SOL Youth) (2012–2014), a population-based cohort study of children and adolescents whose parents participated in the HCHS/SOL (2008–2011). The relationship between youth- and caregiver-rated family functioning, and concordance of ratings is modeled, utilizing the general functioning subscale of the McMaster Family Assessment Device with youth objective cardiometabolic health markers (obesity, central adiposity, prediabetes/diabetes, prehypertension/hypertension, triglycerides, HDL cholesterol) adjusting for sociodemographic factors. Results Among boys, child/caregiver concordant ineffective family functioning rating was associated with higher cumulative cardiometabolic risk (adjusted B (95% CI): 0.30 (0.04, 0.56)), but no association was observed among girls (adjusted B (95% CI): 0.04 (−0.13, 0.21)). Among girls, ineffective child rating/effective caregiver rating was associated with higher cumulative cardiometabolic risk (adjusted B (95% CI): 0.27 (0.06, 0.48)), but no association was observed among boys (adjusted B (95% CI): 0.02 (−0.23, 0.27). Conclusion Findings suggest that family functioning among this Hispanic/Latino population may influence cardiometabolic risk among youth. Observed differences in the associations by youth sex and concordant/discordant reports of family functioning suggest interventions at the family level, targeting both caregivers and youth, that consider differential sex effects are warranted.
ISSN:1070-5503
1532-7558
1532-7558
DOI:10.1007/s12529-022-10148-9