Skip to main content
Top
Published in: Journal of Public Health 2/2010

Open Access 01-04-2010 | Original Article

Gender and ethnic disparities contributing to overweight in California adolescents

Authors: Mary Ellen Wilkosz, Jyu-Lin Chen, Christine Kennedy, Sally Rankin

Published in: Journal of Public Health | Issue 2/2010

Login to get access

Abstract

Purpose

To explore differences in health behaviors and factors contributing to overweight among 12 to 17 year olds in California.

Methods

Data from the 2005 California Health Interview Survey for 3,315 adolescents self-identified as Latino, Asian, or white were reviewed. Adolescents reported their weight, height, gender, ethnicity, parents’ educational level, household income, physical activity, sedentary activity, breakfast consumption, and family meals.

Results

Overall 34% of boys and 22% of girls in this study were overweight (>85th percentile for age and gender). Approximately 38% of Latinos, 25% of whites, and 16% of Asians were overweight. Latinos were more than twice as likely to be overweight as whites (2.07) and Asians (2.53). Younger adolescents (12–13 years old) and adolescents whose family income is less than 200% of the federal poverty level were more likely to be overweight. Low level of parental education is a risk factor for Latino and Asian girls and white and Latino boys. White girls with a lower socioeconomic status and white boys with more than 2 h daily of television, video, and computer time were more likely to be overweight.

Conclusion

Results suggest gender and ethnic variations in factors that contribute to overweight in California adolescents. To influence the current overweight epidemic, clinicians must develop culturally sensitive and gender-specific interventions that address the unique needs of an ethnically diverse adolescent population.
Literature
go back to reference American Dietetic Association (ADA) (2006) Individual-, family-, school-, and community-based interventions for pediatric overweight. J Am Diet Assoc 106:925–945CrossRef American Dietetic Association (ADA) (2006) Individual-, family-, school-, and community-based interventions for pediatric overweight. J Am Diet Assoc 106:925–945CrossRef
go back to reference Atabek ME, Pirgon O, Kurtoglu S (2006) Prevalence of metabolic syndrome in obese Turkish children and adolescents. Diabetes Res Clin Pract 72(3):315–321CrossRefPubMed Atabek ME, Pirgon O, Kurtoglu S (2006) Prevalence of metabolic syndrome in obese Turkish children and adolescents. Diabetes Res Clin Pract 72(3):315–321CrossRefPubMed
go back to reference Berkey CS, Rockett HRH, Gillman MW et al (2003) Longitudinal study of skipping breakfast and weight change in adolescents. Int J Obes 27:1258–1266CrossRef Berkey CS, Rockett HRH, Gillman MW et al (2003) Longitudinal study of skipping breakfast and weight change in adolescents. Int J Obes 27:1258–1266CrossRef
go back to reference Boutelle K, Neumark-Sztainer D, Story M, Resnick M (2002) Weight control behaviors among obese, overweight, and nonoverweight adolescents. J Pediatr Psychol 27(6):531–540CrossRefPubMed Boutelle K, Neumark-Sztainer D, Story M, Resnick M (2002) Weight control behaviors among obese, overweight, and nonoverweight adolescents. J Pediatr Psychol 27(6):531–540CrossRefPubMed
go back to reference Brown ER, Holtby S, Zahnd E, Abbott GB (2005) Community-based participatory research in the California health interview survey. Prev Chronic Dis 2(4):1–8CrossRef Brown ER, Holtby S, Zahnd E, Abbott GB (2005) Community-based participatory research in the California health interview survey. Prev Chronic Dis 2(4):1–8CrossRef
go back to reference California Health Interview Survey (CHIS) (2007a) CHIS 2005 methodology series: report 1-sample design. UCLA Center for Health Policy Research, Los Angeles California Health Interview Survey (CHIS) (2007a) CHIS 2005 methodology series: report 1-sample design. UCLA Center for Health Policy Research, Los Angeles
go back to reference California Health Interview Survey (CHIS) (2007b) CHIS 2005 methodology series: report 4-response rates. UCLA Center for Health Policy Research, Los Angeles California Health Interview Survey (CHIS) (2007b) CHIS 2005 methodology series: report 4-response rates. UCLA Center for Health Policy Research, Los Angeles
go back to reference California Health Interview Survey (CHIS) (2007c) CHIS 2005 methodology series: report 2-data collection methods. UCLA Center for Health Policy Research, Los Angeles California Health Interview Survey (CHIS) (2007c) CHIS 2005 methodology series: report 2-data collection methods. UCLA Center for Health Policy Research, Los Angeles
go back to reference Chen JL (2009) Household income, maternal acculturation, maternal education level and health behaviors of Chinese-American children and mothers. J Immigr Minor Health (in press). doi:10.1007/s100903-008-9124-8 Chen JL (2009) Household income, maternal acculturation, maternal education level and health behaviors of Chinese-American children and mothers. J Immigr Minor Health (in press). doi:10.​1007/​s100903-008-9124-8
go back to reference Davison KK, Birch LL (2001) Childhood overweight: a contextual model and recommendations for future research. Obes Rev 2:159–171CrossRefPubMed Davison KK, Birch LL (2001) Childhood overweight: a contextual model and recommendations for future research. Obes Rev 2:159–171CrossRefPubMed
go back to reference Drewnowski A, Damon N (2005) The economics of obesity: dietary energy density and energy cost. Am J Clin Nutr 82(1 suppl):S265–S273 Drewnowski A, Damon N (2005) The economics of obesity: dietary energy density and energy cost. Am J Clin Nutr 82(1 suppl):S265–S273
go back to reference Eaton DK, Kann L, Kinchen S et al (2006) Youth risk behavior surveillance— United States, 2005. MMWR Surveill Summ 55(5):1–108PubMed Eaton DK, Kann L, Kinchen S et al (2006) Youth risk behavior surveillance— United States, 2005. MMWR Surveill Summ 55(5):1–108PubMed
go back to reference Freedman DS, Wang J, Thornton JC et al (2008) Racial/ethnic differences in body fatness among children and adolescents. Obesity 16(5):1105–1111CrossRefPubMed Freedman DS, Wang J, Thornton JC et al (2008) Racial/ethnic differences in body fatness among children and adolescents. Obesity 16(5):1105–1111CrossRefPubMed
go back to reference Fulkerson JA, Neumark-Sztainer D, Hannan PJ et al (2007) Family meal frequency and weight status among adolescents: cross-sectional and 5-year longitudinal associations. Obesity 16:2529–2534CrossRef Fulkerson JA, Neumark-Sztainer D, Hannan PJ et al (2007) Family meal frequency and weight status among adolescents: cross-sectional and 5-year longitudinal associations. Obesity 16:2529–2534CrossRef
go back to reference Gable S, Chang Y, Krull JL (2007) Television watching and frequency of family meals are predictive of overweight onset and persistence in a national sample of school-aged children. J Am Diet Assoc 107(1):53–61CrossRefPubMed Gable S, Chang Y, Krull JL (2007) Television watching and frequency of family meals are predictive of overweight onset and persistence in a national sample of school-aged children. J Am Diet Assoc 107(1):53–61CrossRefPubMed
go back to reference Gordon-Larsen P, McMurray RG, Popkin BM (1999) Adolescent physical activity and inactivity vary by ethnicity: the national longitudinal study of adolescent health. J Pediatr 135:301–306CrossRefPubMed Gordon-Larsen P, McMurray RG, Popkin BM (1999) Adolescent physical activity and inactivity vary by ethnicity: the national longitudinal study of adolescent health. J Pediatr 135:301–306CrossRefPubMed
go back to reference Gordon-Larsen P, Adair LS, Popkin BM (2003) The relationship of ethnicity, socioeconomic factors, and overweight in U.S. adolescents. Obes Res 11(1):121–129CrossRefPubMed Gordon-Larsen P, Adair LS, Popkin BM (2003) The relationship of ethnicity, socioeconomic factors, and overweight in U.S. adolescents. Obes Res 11(1):121–129CrossRefPubMed
go back to reference Holtby S, Zahnd E, Chia YJ et al (2008) Health of California’s adults, adolescents and children: findings from the CHIS 2005 and CHIS 2003. UCLA Center for Health Policy Research, Los Angeles Holtby S, Zahnd E, Chia YJ et al (2008) Health of California’s adults, adolescents and children: findings from the CHIS 2005 and CHIS 2003. UCLA Center for Health Policy Research, Los Angeles
go back to reference Laustsen G (2006) Environment, ecosystems and ecological behavior: a dialogue toward developing nursing ecological theory. Adv Nurs Sci 29(1):43–54 Laustsen G (2006) Environment, ecosystems and ecological behavior: a dialogue toward developing nursing ecological theory. Adv Nurs Sci 29(1):43–54
go back to reference Lopez-Zetina J, Lee H, Friis R (2006) The link between obesity and the built environment: evidence from an ecological analysis of obesity and vehicle miles of travel in California. Health Place 12(4):656–664CrossRefPubMed Lopez-Zetina J, Lee H, Friis R (2006) The link between obesity and the built environment: evidence from an ecological analysis of obesity and vehicle miles of travel in California. Health Place 12(4):656–664CrossRefPubMed
go back to reference Lustig RH (2006) Childhood obesity: behavioral aberration or biochemical drive? Reinterpreting the first law of thermodynamics. Endocrinol Metab 2(8):447–458 Lustig RH (2006) Childhood obesity: behavioral aberration or biochemical drive? Reinterpreting the first law of thermodynamics. Endocrinol Metab 2(8):447–458
go back to reference Must A, Bandini LG, Tybor DJ et al (2007) Activity, inactivity, and screen time in relation to weight and fatness over adolescence in girls. Obesity 23(suppl. 2):s2–s11 Must A, Bandini LG, Tybor DJ et al (2007) Activity, inactivity, and screen time in relation to weight and fatness over adolescence in girls. Obesity 23(suppl. 2):s2–s11
go back to reference Nader PR, Bradley RH, Houts RM et al (2008) Moderate-to-vigorous physical activity from age 9 to 15 years. JAMA 300(3):295–305CrossRefPubMed Nader PR, Bradley RH, Houts RM et al (2008) Moderate-to-vigorous physical activity from age 9 to 15 years. JAMA 300(3):295–305CrossRefPubMed
go back to reference Neumark-Sztainer DR, Hannan PJ, Story M et al (2003) Family meal patterns: association with sociodemographic characteristics and improved dietary intake among adolescents. J Am Dietetic Assoc 103:317–322CrossRef Neumark-Sztainer DR, Hannan PJ, Story M et al (2003) Family meal patterns: association with sociodemographic characteristics and improved dietary intake among adolescents. J Am Dietetic Assoc 103:317–322CrossRef
go back to reference Neumark-Sztainer DR, Wall MM, Haines JI et al (2007) Shared risk and protective factors for overweight and disordered eating in adolescents. Am J Prevent Med 33(5):359–369CrossRef Neumark-Sztainer DR, Wall MM, Haines JI et al (2007) Shared risk and protective factors for overweight and disordered eating in adolescents. Am J Prevent Med 33(5):359–369CrossRef
go back to reference Ogden CL, Carroll MD, Curtin LR et al (2006) Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 295(13):1549–1555CrossRefPubMed Ogden CL, Carroll MD, Curtin LR et al (2006) Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 295(13):1549–1555CrossRefPubMed
go back to reference Ogden CL, Carroll MD, Flegal KM (2008) High body mass index for age among U.S. children and adolescents, 2003–2006. JAMA 299(20):2401–2405CrossRefPubMed Ogden CL, Carroll MD, Flegal KM (2008) High body mass index for age among U.S. children and adolescents, 2003–2006. JAMA 299(20):2401–2405CrossRefPubMed
go back to reference Parizkova J (2008) Impact of education on food behavior, body composition and physical fitness in children. Br J Nutr 99(suppl 1):s26–s32PubMed Parizkova J (2008) Impact of education on food behavior, body composition and physical fitness in children. Br J Nutr 99(suppl 1):s26–s32PubMed
go back to reference Pearson N, Biddle SJH, Gorely T (2009) Family correlates of breakfast consumption among children and adolescents: a systematic review. Appetite 52:1–7CrossRefPubMed Pearson N, Biddle SJH, Gorely T (2009) Family correlates of breakfast consumption among children and adolescents: a systematic review. Appetite 52:1–7CrossRefPubMed
go back to reference Perry AC, Rosenblatt EB, Wang X (2004) Physical, behavioral, and body image characteristics in a tri-racial group of adolescent girls. Obes Res 12(10):1670–1679CrossRefPubMed Perry AC, Rosenblatt EB, Wang X (2004) Physical, behavioral, and body image characteristics in a tri-racial group of adolescent girls. Obes Res 12(10):1670–1679CrossRefPubMed
go back to reference Ponce NA, Lavarreda SA, Yen W et al (2004) The California health interview survey 2001: translation of a major survey for California’s multiethnic population. Pub Health Rep 119:388–395CrossRef Ponce NA, Lavarreda SA, Yen W et al (2004) The California health interview survey 2001: translation of a major survey for California’s multiethnic population. Pub Health Rep 119:388–395CrossRef
go back to reference Popkin BM, Udry JR (1998) Adolescent obesity increases significantly in second and third generation U.S. immigrants: the national longitudinal study of adolescent health. J Nutr 128(4):701–706PubMed Popkin BM, Udry JR (1998) Adolescent obesity increases significantly in second and third generation U.S. immigrants: the national longitudinal study of adolescent health. J Nutr 128(4):701–706PubMed
go back to reference Sallis JF, Owen N (1997) Ecological models. In: Glanz K, Lewis FM, Rimer BK (eds) Health behavior and health education: theory, research and practice, 2nd edn. Jossey-Bass, San Francisco, pp 403–424 Sallis JF, Owen N (1997) Ecological models. In: Glanz K, Lewis FM, Rimer BK (eds) Health behavior and health education: theory, research and practice, 2nd edn. Jossey-Bass, San Francisco, pp 403–424
go back to reference Sinha A, King S (2008) A review of adolescent obesity: prevalence, etiology, and treatment. Obesity Surg. 19:113–120CrossRef Sinha A, King S (2008) A review of adolescent obesity: prevalence, etiology, and treatment. Obesity Surg. 19:113–120CrossRef
go back to reference Timlin MT, Pereira MA, Story M et al (2008) Breakfast eating and weight change in a 5-year prospective analysis of adolescents: project EAT (Eating Among Teens). Pediatrics 121(3):e638–e645CrossRefPubMed Timlin MT, Pereira MA, Story M et al (2008) Breakfast eating and weight change in a 5-year prospective analysis of adolescents: project EAT (Eating Among Teens). Pediatrics 121(3):e638–e645CrossRefPubMed
go back to reference Wang Y, Beydoun MA (2007) The obesity epidemic in the United States—gender, age, socioeconomic, racial ethnic, and geographic characteristics: a systematic review and meta-analysis. Epidemiol Rev 29:6–28CrossRefPubMed Wang Y, Beydoun MA (2007) The obesity epidemic in the United States—gender, age, socioeconomic, racial ethnic, and geographic characteristics: a systematic review and meta-analysis. Epidemiol Rev 29:6–28CrossRefPubMed
go back to reference Zhang Q, Wang Y (2004) Trends in the association between obesity and socioeconomic status in U.S. adults: 1971 to 2000. Obes Res 12(10):1622–1632CrossRefPubMed Zhang Q, Wang Y (2004) Trends in the association between obesity and socioeconomic status in U.S. adults: 1971 to 2000. Obes Res 12(10):1622–1632CrossRefPubMed
Metadata
Title
Gender and ethnic disparities contributing to overweight in California adolescents
Authors
Mary Ellen Wilkosz
Jyu-Lin Chen
Christine Kennedy
Sally Rankin
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Journal of Public Health / Issue 2/2010
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-009-0300-7

Other articles of this Issue 2/2010

Journal of Public Health 2/2010 Go to the issue