Acculturation and Childhood overweight and obesity in American Samoa: Results from the Children's Healthy Living (CHL) Program
Objective/Purpose: This study examines the association between childhood overweight and obesity and caregiver acculturation in American Samoan children. We hypothesized those children with acculturated caregivers will have lower odds of being obese.
Methods: Cross-sectional data from the Children’s Healthy Living (CHL) Program were analyzed for 757 children. Data included demographic, anthropometric, and culture. Acculturation was assessed using an eight-item cultural affiliation questionnaire. Associations between caregiver acculturation (Traditional/Marginalized and Integrated/Assimilated) and child weight status (Not Overweight/Obese, Overweight, Obese) were examined. Logistic regression, comparing ‘Not Overweight’ vs ‘Overweight and ‘Not Overweight’ vs ‘Obese’, was used to calculate crude and adjusted odds ratios.
Results: In the crude model, where weight status was ‘Not Overweight’ vs ‘Overweight’, children of caregivers who were ‘Integrated/Assimilated’ had lower odds of being overweight compared to ‘Traditional/Marginalized’ (OR = 0.849, 95% CI = (0.604, 1.193). Comparing ‘Not Overweight’ to ‘Obese’, the protective effect of being ‘Integrated/Assimilated’ was strengthened (OR = 0.625, 95% CI = (0.449, 0.870). Results were attenuated when controlling for education; however, children whose caregivers were ‘Integrated/Assimilated’ still had lower odds of ‘Overweight’(vs ‘Not Overweight/Obese’) than those who were ‘Traditional/Marginalized’(OR = 0.847, 95% CI (0.6, 1.196)), as did those who were ‘Obese’ (vs ‘Not Overweight/Obese’) (OR = 0.707, 95% CI = (0.503, 0.994)).
Discussion/Conclusion: Results were not consistent with other studies on acculturation and obesity. Further examination of acculturation and lifestyle practices in American Samoa will be helpful to understand this relationship.
Learning Areas:Diversity and culture
Public health or related research
Social and behavioral sciences
Evaluate the role of acculturation in childhood overweight and obesity in American Samoa
Keyword(s): Access Immigration
Qualified on the content I am responsible for because: My academic development and research has focused on the role of social and environmental impact on obesity and related diseases among Pacific Islanders. I am originally from American Samoa and have a firm knowledge of its culture and social situations.
Any relevant financial relationships? Yes
|Name of Organization||Clinical/Research Area||Type of relationship|
|Children's Healthy Living Program For Remote Underserved Minority Populations In The Pacific Region||Childhood overweight and obesity||Student|
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.