METHODS: Data were from the Hispanic Community Children\'s Health Study/Study of Latino Youth (SOL Youth) (2012-2014), a population-based cohort study of children and adolescents whose parents participated in the HCHS/SOL (2008-2011). The relationship between youth- and caregiver-rated family functioning, and concordance of ratings is modeled, utilizing the general functioning subscale of the McMaster Family Assessment Device with youth objective cardiometabolic health markers (obesity, central adiposity, prediabetes/diabetes, prehypertension/hypertension, triglycerides, HDL cholesterol) adjusting for sociodemographic factors.
RESULTS: Among boys, child/caregiver concordant ineffective family functioning rating was associated with higher cumulative cardiometabolic risk (adjusted B (95% CI): 0.30 (0.04, 0.56)), but no association was observed among girls (adjusted B (95% CI): 0.04 (-0.13, 0.21)). Among girls, ineffective child rating/effective caregiver rating was associated with higher cumulative cardiometabolic risk (adjusted B (95% CI): 0.27 (0.06, 0.48)), but no association was observed among boys (adjusted B (95% CI): 0.02 (-0.23, 0.27).
CONCLUSIONS: Findings suggest that family functioning among this Hispanic/Latino population may influence cardiometabolic risk among youth. Observed differences in the associations by youth sex and concordant/discordant reports of family functioning suggest interventions at the family level, targeting both caregivers and youth, that consider differential sex effects are warranted.
方法:数据来自西班牙裔社区儿童健康研究/拉丁裔青年研究(SOL青年)(2012-2014),一项针对父母参加HCHS/SOL的儿童和青少年的基于人群的队列研究(2008-2011).年轻和照顾者评级的家庭功能之间的关系,评级的一致性被建模,利用麦克马斯特家庭评估装置的一般功能分量表,将青少年客观的心脏代谢健康标记(肥胖,中心性肥胖,前驱糖尿病/糖尿病,高血压前期/高血压,甘油三酯,HDL胆固醇)调整社会人口统计学因素。
结果:在男孩中,儿童/照顾者一致的无效家庭功能评级与较高的累积心脏代谢风险相关(调整后B(95%CI):0.30(0.04,0.56)),但在女孩中未观察到相关性(调整后B(95%CI):0.04(-0.13,0.21)).在女孩中,无效儿童评级/有效照顾者评级与较高的累积心脏代谢风险相关(调整后B(95%CI):0.27(0.06,0.48)),但在男孩中没有观察到相关性(调整后B(95%CI):0.02(-0.23,0.27).
结论:研究结果表明,西班牙裔/拉丁裔人群的家庭功能可能会影响年轻人的心脏代谢风险。观察到的青年性别协会的差异和家庭功能的一致/不一致的报告表明在家庭层面的干预措施,以照顾者和年轻人为目标,考虑到性别差异的影响是有道理的。