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 |
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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. |
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ISSN: | 1070-5503 1532-7558 1532-7558 |
DOI: | 10.1007/s12529-022-10148-9 |