Familism, Self-Esteem, and Weight-Specific Quality of Life Among Latinx Adolescents With Obesity

Autor: Gabriel Q. Shaibi, Yolanda P. Konopken, Micah L. Olson, Erica G. Soltero, Justin Jager, Felipe González Castro, Colleen Keller, Allison N. Williams, Donald L. Patrick, Marvyn R Arévalo Avalos, Stephanie L. Ayers
Rok vydání: 2020
Předmět:
Zdroj: J Pediatr Psychol
ISSN: 1465-735X
0146-8693
DOI: 10.1093/jpepsy/jsaa047
Popis: Objective Obesity is a critical public health condition affecting Latinx adolescents and contributes to health disparities across the lifespan. Childhood and adolescent obesity is associated with reduced quality of life (QoL) and decreased self-esteem. The purpose of this study is to examine the role of cultural (e.g., familism) and psychosocial (e.g., self-esteem) factors as predictors of weight-specific QoL among Latinx adolescents with obesity. Methods Baseline data from 160 Latinx adolescents (ages 14–16 years) with obesity (BMI > 95th percentile for age and sex) who were recruited for a diabetes prevention intervention were used. Structural equation modeling tested the relationships between four latent constructs (familism, positive self-esteem, self-deprecation, and weight-specific QoL). Results The model tested paths from familism to positive self-esteem, self-deprecation, and weight-specific QoL, and paths from positive self-esteem and self-deprecation to weight-specific QoL. Higher familism was positively associated with positive self-esteem but not self-deprecation. In turn, positive self-esteem was positively associated with higher weight-specific QoL, whereas self-deprecation was negatively associated. Furthermore, there was an indirect effect of familism on QoL via positive self-esteem. Conclusions These data shed light into specific cultural and psychosocial constructs that influence QoL among Latinx adolescents with obesity. This study suggests that familism and positive self-esteem can operate as protective factors associated with higher weight-specific QoL in Latinx adolescents with obesity; whereas self-deprecation may operate as a risk factor for lower weight-specific QoL.
Databáze: OpenAIRE