Environmental, personal, and behavioral influences on bmi and acculturation of second generation hmong children

Lisa Franzen-Castle, Chery Smith

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

This project investigated influences (environmental, personal, and behavioral) on body mass index (BMI) and acculturation of Hmong children born in the United States (US) using the social cognitive theory as the theoretical framework. Using formative information from 12 child focus groups (n = 68) and a review of the literature, a quantitative survey was developed and administered to Hmong children (n = 300) ≥ 9 ≤ 18 years-old. Heights, weights, and acculturation level were measured. B-US1 were raised in the US and 9-13 years-old (n = 144) and B-US2 were raised in the US and 14-18 years-old (n = 156). Approximately 50 % of children were classified as overweight/obese (BMI ≥ 85th percentile). Across age and gender sub-groups, questions from the environmental construct appeared to be the most predictive of variances in BMI percentiles (50-60 %). In contrast, acculturation scores were equally predicted by environmental, behavioral, and personal constructs for age and gender sub-groups. Sum acculturation score was significantly higher for B-US2 compared to B-US1, with B-US2 being more acculturated in language use and thought, overall dietary acculturation, and foods eaten at lunch. The high prevalence of obesity in Hmong children suggests that future studies investigate factors influencing obesity to identify the most effective method to reduce/prevent this problem. In particular, acculturation level of the child should be assessed to determine changed dietary behavior and possible risk for obesity.

Original languageEnglish (US)
Pages (from-to)73-89
Number of pages17
JournalMaternal and Child Health Journal
Volume18
Issue number1
DOIs
StatePublished - Jan 1 2014

Fingerprint

Acculturation
Body Mass Index
Obesity
Lunch
Risk-Taking
Focus Groups
Language
Weights and Measures
Food

Keywords

  • Acculturation
  • BMI
  • Hmong children
  • Social cognitive theory

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Cite this

Environmental, personal, and behavioral influences on bmi and acculturation of second generation hmong children. / Franzen-Castle, Lisa; Smith, Chery.

In: Maternal and Child Health Journal, Vol. 18, No. 1, 01.01.2014, p. 73-89.

Research output: Contribution to journalArticle

@article{4962776cf2be4f11b9e7e3c594c8e1cd,
title = "Environmental, personal, and behavioral influences on bmi and acculturation of second generation hmong children",
abstract = "This project investigated influences (environmental, personal, and behavioral) on body mass index (BMI) and acculturation of Hmong children born in the United States (US) using the social cognitive theory as the theoretical framework. Using formative information from 12 child focus groups (n = 68) and a review of the literature, a quantitative survey was developed and administered to Hmong children (n = 300) ≥ 9 ≤ 18 years-old. Heights, weights, and acculturation level were measured. B-US1 were raised in the US and 9-13 years-old (n = 144) and B-US2 were raised in the US and 14-18 years-old (n = 156). Approximately 50 {\%} of children were classified as overweight/obese (BMI ≥ 85th percentile). Across age and gender sub-groups, questions from the environmental construct appeared to be the most predictive of variances in BMI percentiles (50-60 {\%}). In contrast, acculturation scores were equally predicted by environmental, behavioral, and personal constructs for age and gender sub-groups. Sum acculturation score was significantly higher for B-US2 compared to B-US1, with B-US2 being more acculturated in language use and thought, overall dietary acculturation, and foods eaten at lunch. The high prevalence of obesity in Hmong children suggests that future studies investigate factors influencing obesity to identify the most effective method to reduce/prevent this problem. In particular, acculturation level of the child should be assessed to determine changed dietary behavior and possible risk for obesity.",
keywords = "Acculturation, BMI, Hmong children, Social cognitive theory",
author = "Lisa Franzen-Castle and Chery Smith",
year = "2014",
month = "1",
day = "1",
doi = "10.1007/s10995-013-1235-8",
language = "English (US)",
volume = "18",
pages = "73--89",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "1",

}

TY - JOUR

T1 - Environmental, personal, and behavioral influences on bmi and acculturation of second generation hmong children

AU - Franzen-Castle, Lisa

AU - Smith, Chery

PY - 2014/1/1

Y1 - 2014/1/1

N2 - This project investigated influences (environmental, personal, and behavioral) on body mass index (BMI) and acculturation of Hmong children born in the United States (US) using the social cognitive theory as the theoretical framework. Using formative information from 12 child focus groups (n = 68) and a review of the literature, a quantitative survey was developed and administered to Hmong children (n = 300) ≥ 9 ≤ 18 years-old. Heights, weights, and acculturation level were measured. B-US1 were raised in the US and 9-13 years-old (n = 144) and B-US2 were raised in the US and 14-18 years-old (n = 156). Approximately 50 % of children were classified as overweight/obese (BMI ≥ 85th percentile). Across age and gender sub-groups, questions from the environmental construct appeared to be the most predictive of variances in BMI percentiles (50-60 %). In contrast, acculturation scores were equally predicted by environmental, behavioral, and personal constructs for age and gender sub-groups. Sum acculturation score was significantly higher for B-US2 compared to B-US1, with B-US2 being more acculturated in language use and thought, overall dietary acculturation, and foods eaten at lunch. The high prevalence of obesity in Hmong children suggests that future studies investigate factors influencing obesity to identify the most effective method to reduce/prevent this problem. In particular, acculturation level of the child should be assessed to determine changed dietary behavior and possible risk for obesity.

AB - This project investigated influences (environmental, personal, and behavioral) on body mass index (BMI) and acculturation of Hmong children born in the United States (US) using the social cognitive theory as the theoretical framework. Using formative information from 12 child focus groups (n = 68) and a review of the literature, a quantitative survey was developed and administered to Hmong children (n = 300) ≥ 9 ≤ 18 years-old. Heights, weights, and acculturation level were measured. B-US1 were raised in the US and 9-13 years-old (n = 144) and B-US2 were raised in the US and 14-18 years-old (n = 156). Approximately 50 % of children were classified as overweight/obese (BMI ≥ 85th percentile). Across age and gender sub-groups, questions from the environmental construct appeared to be the most predictive of variances in BMI percentiles (50-60 %). In contrast, acculturation scores were equally predicted by environmental, behavioral, and personal constructs for age and gender sub-groups. Sum acculturation score was significantly higher for B-US2 compared to B-US1, with B-US2 being more acculturated in language use and thought, overall dietary acculturation, and foods eaten at lunch. The high prevalence of obesity in Hmong children suggests that future studies investigate factors influencing obesity to identify the most effective method to reduce/prevent this problem. In particular, acculturation level of the child should be assessed to determine changed dietary behavior and possible risk for obesity.

KW - Acculturation

KW - BMI

KW - Hmong children

KW - Social cognitive theory

UR - http://www.scopus.com/inward/record.url?scp=84892605634&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892605634&partnerID=8YFLogxK

U2 - 10.1007/s10995-013-1235-8

DO - 10.1007/s10995-013-1235-8

M3 - Article

C2 - 23430294

AN - SCOPUS:84892605634

VL - 18

SP - 73

EP - 89

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 1

ER -