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Soc Sci Med. 2017 Jul;184:15-22. doi: 10.1016/j.socscimed.2017.04.027. Epub 2017 Apr 21.

Ethnic-group socioeconomic status as an indicator of community-level disadvantage: A study of overweight/obesity in Asian American adolescents.

Author information

1
Alcohol Research Group, Public Health Institute, United States. Electronic address: wcook@arg.org.
2
University of California, Berkeley, United States.
3
University of California, Berkeley & Alcohol Research Group, Public Health Institute, United States.
4
Asian & Pacific Islander American Health Forum, United States.
5
Alcohol Research Group, Public Health Institute, United States.

Abstract

Asian American children and adolescents are an under-investigated subpopulation in obesity research. Informed by a wide socioeconomic diversity among Asian American ethnic groups, this study explored ethnic-group socioeconomic status (SES) as an indicator of community-level disadvantage that may influence overweight/obesity in Asian American adolescents. We hypothesized that ethnic-group SES was inversely associated with overweight/obesity in Asian American adolescents. Multiple logistic regression models were fitted using a sample of 1525 Asian American adolescents ages 12-17 from pooled 2007-2012 California Health Interview Survey (CHIS) data. Age, gender, nativity, individual-level SES (income and education), and two lifestyle variables (fast food consumption and physical activity) were controlled for. We found that adolescents in high- or middle-level SES ethnic groups were far less likely to be overweight/obese than those in low-SES ethnic groups. Further, these relationships were more pronounced for foreign-born adolescents but not significant for U.S.-born adolescents. Ethnic-group SES may be a meaningful indicator of community-level socioeconomic disparities that influence the health of Asian Americans and, potentially, other populations with high proportions of immigrants of diverse socioeconomic and ethnic backgrounds.

KEYWORDS:

Adolescent health; Asian American health; Childhood obesity; Health disparities; Socioeconomic disadvantage

PMID:
28486206
PMCID:
PMC6122598
DOI:
10.1016/j.socscimed.2017.04.027
[Indexed for MEDLINE]
Free PMC Article

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