Interpersonal Discrimination, Neighborhood Inequities, and Children's Body Mass Index: A Descriptive, Cross-Sectional Analysis.

Autor:	Kunin-Batson A; Department of Pediatrics and Center for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis (Dr Kunin-Batson); Department of Epidemiology and Biostatistics, University of Georgia, Athens (Mr Carr and Dr Tate); Department of Family Medicine and Community Health, University of Minnesota, Minneapolis (Ms Trofholz and Dr Berge); Children's Minnesota, Minneapolis (Dr Troy); Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis (Dr Hardeman); and Center for Antiracism Research for Health Equity, University of Minnesota, Minneapolis (Dr Hardeman)., Carr C, Tate A, Trofholz A, Troy MF, Hardeman R, Berge JM
Jazyk:	angličtina
Zdroj:	Family & community health [Fam Community Health] 2023 Oct-Dec 01; Vol. 46 (Suppl 1), pp. S30-S40.
DOI:	10.1097/FCH.0000000000000372
Abstrakt:	Psychosocial stressors have been implicated in childhood obesity, but the role of racism-related stressors is less clear. This study explored associations between neighborhood inequities, discrimination/harassment, and child body mass index (BMI). Parents of children aged 5-9 years from diverse racial/ethnic backgrounds (n = 1307), completed surveys of their child's exposure to discrimination/harassment. Census tract data derived from addresses were used to construct an index of concentration at the extremes, a measure of neighborhood social polarization. Child's height and weight were obtained from medical records. Multiple regression and hierarchical models examined child's BMI and racism at the individual and census tract levels. Children residing in the most Black-homogenous census tracts had 8.2 percentage units higher BMI percentile (95% confidence interval, 1.5-14.9) compared with white-homogenous tracts (P = .03). Household income and home values were lower, poverty rates higher, and single parent households more common among Black-homogeneous census tracts. Almost 30% of children experienced discrimination/harassment in the past year, which was associated with a 5.28-unit higher BMI percentile (95% confidence interval, 1.72-8.84; P = .004). Discrimination and racial/economic segregation were correlated with higher child BMI. Longitudinal studies are needed to understand whether these factors may be related to weight gain trajectories and future health. Competing Interests: The authors have no conflicts of interest relevant to this article to disclose. (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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