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

Shakira F. Suglia, Danielle M. Crookes, Lauren Belak, Alison L. Cammack, Taylor L. Clark, Martha Daviglus, Linda C. Gallo, Krista M. Perreira, Alan M. Delamater, Carmen R. Isasi

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
JournalInternational Journal of Behavioral Medicine
DOIs
StateAccepted/In press - 2023

Keywords

  • BMI
  • Family environment
  • Hispanic/Latino
  • Sex differences

ASJC Scopus subject areas

  • Applied Psychology

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