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 |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Adolescent media_common.quotation_subject Structural equation modeling 03 medical and health sciences 0302 clinical medicine Quality of life Original Research Articles Developmental and Educational Psychology Humans Medicine 0501 psychology and cognitive sciences Obesity 030212 general & internal medicine Risk factor Child media_common business.industry Public health Body Weight 05 social sciences Self-esteem Overweight medicine.disease Self Concept humanities Health equity Pediatrics Perinatology and Child Health Quality of Life business Psychosocial 050104 developmental & child psychology Clinical psychology |
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 |
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