Parental absence during childhood and weight status in adulthood among middle‐aged community dwellers in rural Vietnam

Autor: Aki Yazawa, Ichiro Kawachi, Rachana Manandhar Shrestha, Ami Fukunaga, Thuy Thi Phuong Pham, Chau Que Nguyen, Dong Van Hoang, Danh Cong Phan, Masahiko Hachiya, Dong Van Huynh, Huy Xuan Le, Hung Thai Do, Tetsuya Mizoue, Yosuke Inoue
Rok vydání: 2022
Předmět:
Zdroj: American Journal of Human Biology. 35
ISSN: 1520-6300
1042-0533
1955-1975
DOI: 10.1002/ajhb.23827
Popis: While adverse childhood experiences (ACEs) have been shown to be associated with adulthood obesity, less is known about their association with underweight. We examined the associations between parental absence (i.e., a major component of ACEs) and both underweight and excess weight among middle-aged rural community dwellers in Vietnam, where experiences of parental absence was not uncommon during and after the Vietnam War (1955-1975).Data came from 3000 middle-aged adults who participated in the baseline survey of Khánh Hòa Cardiovascular Study. Parental absence was defined as parental absence due to death, divorce, or out-migration. Using information on the timing of such events, we categorized participants into those who experienced parental absence before the age of 3, between the ages of 3 and 15, and those without such experiences. BMI was calculated based on measured height and weight (kg/mParental absence that occurred before the age of 3 was marginally significantly associated with underweight (relative risk ratio [RRR] = 1.44, 95% confidence interval [CI] 0.95, 2.20) but not with overweight/obesity. Parental divorce was associated with overweight/obesity (RRR = 2.48, 95% CI 1.28, 4.81), but not parental absence due to migratory work.While previous studies in Western settings focused almost exclusively on the risk of obesity in relation to exposure to ACEs, our findings point to the potential importance of considering the risk of underweight in low- and middle-income countries.
Databáze: OpenAIRE
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