TY - JOUR
T1 - Current Family Functioning and Youth Cardiometabolic Health in the SOL Youth Study
AU - Suglia, Shakira F.
AU - Crookes, Danielle M.
AU - Belak, Lauren
AU - Cammack, Alison L.
AU - Clark, Taylor L.
AU - Daviglus, Martha
AU - Gallo, Linda C.
AU - Perreira, Krista M.
AU - Delamater, Alan M.
AU - Isasi, Carmen R.
N1 - Publisher Copyright:
© 2023, International Society of Behavioral Medicine.
PY - 2023/12
Y1 - 2023/12
N2 - 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.
AB - 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.
KW - BMI
KW - Family environment
KW - Hispanic/Latino
KW - Sex differences
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U2 - 10.1007/s12529-022-10148-9
DO - 10.1007/s12529-022-10148-9
M3 - Article
C2 - 36624323
AN - SCOPUS:85145903611
SN - 1070-5503
VL - 30
SP - 914
EP - 923
JO - International Journal of Behavioral Medicine
JF - International Journal of Behavioral Medicine
IS - 6
ER -