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Abstract：
BACKGROUND: Family functioning may impact children\'s cardiometabolic health; however, few studies have examined multiple cardiometabolic markers among a diverse racial/ethnic cohort. The relationship between child- and caregiver-reported family functioning and the cardiometabolic health of Hispanic/Latino youth was examined.
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.
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.
摘要：
背景：家庭功能可能会影响儿童的心脏代谢健康；然而，很少有研究在不同种族/族裔队列中检查多个心脏代谢标志物.检查了儿童和照顾者报告的家庭功能与西班牙裔/拉丁裔青年的心脏代谢健康之间的关系。
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。
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。
