Racial and Ethnic Health Disparities among Fifth-Graders in Three Cities

Schuster, Mark A.; Elliott, Marc N.; Kanouse, David E.; Wallander, Jan L.; Tortolero, Susan R.; Ratner, Jessica A.; Klein, David J.; Cuccaro, Paula; Davies, Susan L.; Banspach, Stephen W.

doi:10.1056/nejmsa1114353

Cited by 145 publications

(165 citation statements)

References 46 publications

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“…We used data from Healthy Passages ™ , a multisite community cohort study of adolescent at NTNU -Trondheim on December 5, 2014 hpq.sagepub.com Downloaded from health and health behaviors initiated in 2004 (Schuster et al, 2012;Windle et al, 2004). Data were collected from the same cohort of youth while in fifth grade and then 2 years later when they generally were in seventh grade.…”

Section: Methodsmentioning

confidence: 99%

Regular physical activity has differential association with reduced obesity among diverse youth in the United States

et al. 2016

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This study examined whether daily or almost daily lower-intensity physical activity was associated with reduced obesity, among 4824 African American, Hispanic, and White youth assessed in fifth and seventh grades. Regular lower-intensity physical activity was associated with reduced obesity only among Hispanic and White males and only in seventh grade, and not among youth in fifth grade, females, or African American males or females. Findings from this study suggest that the reduced obesity risk generally attributed to physical activity may not be consistent across racial/ethnic and gender groups of early adolescents.

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Section: Methodsmentioning

confidence: 99%

Regular physical activity has differential association with reduced obesity among diverse youth in the United States

et al. 2016

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“…We used data from Healthy Passages, a multisite, longitudinal community cohort study of adolescent health and health behaviors and their correlates (Schuster et al, 2012;Windle et al, 2004). Wave I data were collected from the cohort in fifth grade and Wave II data 2 years later when most were in seventh grade.…”

Section: Methodsmentioning

confidence: 99%

Associations between socioeconomic status and obesity in diverse, young adolescents: Variation across race/ethnicity and gender.

Fradkin¹,

Wallander²,

Elliott³

et al. 2015

Health Psychology

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Objective: This study examined the association between socioeconomic status (SES) and obesity risk during early adolescence, ages 10–13 years, and whether this association is present in different racial/ethnic and gender groups during 2 time points in early adolescence. Method: Data were from the Healthy Passages study, which enrolled 4,824 African American, Hispanic, and White 5th graders (ages 10–11) in a population-based, longitudinal study conducted in 3 U.S. metropolitan areas, and assessed them again 2 years later. Weight status was classified from measured body mass index using standard criteria into nonobese and obese (27% in 5th grade). SES was indexed based on highest education attainment in the household. Results: Youth in the highest SES had a significantly lower prevalence of obesity than those of lower SES at both 5th and 7th grades when disregarding race/ethnicity. Within-racial/ethnic group analyses mostly confirmed this pattern for Hispanic and White youth, but not for African American youth. When also considering gender, the SES differential in obesity risk was more pronounced among White girls and 5th-grade Hispanic boys. Conclusion: Growing up in a high SES home, marked by having a member with at least a college degree, is associated with lower risk for obesity among Hispanic and White youth. For African American youth, there appears to be no association between SES and obesity. Thus the health advantage generally attributed to higher SES does not appear consistently across racial/ethnic groups for obesity in youth. Further research should identify influences on weight status beyond SES, especially among African American youth.

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“…30 Prior multivariate analyses of these data demonstrated that Black youth were more likely to have perpetrated both physical aggression (e.g., hit another child) and nonphysical aggression (e.g., put down another child to their face) than were White youth; although Latino youth were more likely to have perpetrated aggression than were White youth in bivariate analyses, this disparity was reversed in multivariate analyses. 31 Perceived discrimination was associated with mental health problems for both Black and Latino youth. 32 …”

Section: Introductionmentioning

confidence: 99%

Association Between Perceived Discrimination and Racial/Ethnic Disparities in Problem Behaviors Among Preadolescent Youths

et al. 2013

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Objectives-We examined the contribution of perceived racial/ethnic discrimination to disparities in problem behaviors among pre-adolescent Black, Latino, and White youth.Methods-We used cross-sectional data from Healthy Passages, a three-community study of 5,119 fifth-graders and their parents. Multivariate regressions were used to examine the relationships of perceived racial/ethnic discrimination and race/ethnicity to problem behaviors Contributor Statement: LM Bogart was responsible for conceptualization of the research questions and interpretation of findings, and led the writing the article. MN Elliott contributed to the conceptualization of the research questions and writing of the article, and led the design of the analysis plan. DE Kanouse contributed to the conceptualization of the overall study and interpretation of findings, and reviewed the article. DJ Klein contributed to the conception of the analysis plan, conducted the data analyses, helped to interpret the results, and contributed to the writing of the article. SL Davies, PM Cuccaro, SW Banspach, and MF Peskin contributed to the interpretation of findings and reviewed the article. MA Schuster led the conceptualization of the overall study, contributed to interpretation of findings, and reviewed the article.Human Participant Protection: Institutional review boards at each study site and the Centers for Disease Control and Prevention approved this study. (physical and non-physical aggression, retaliatory behaviors, and delinquency). We used values from these regressions to calculate the percentage of disparities in problem behaviors associated with the discrimination effect. HHS Public AccessAuthor manuscript Am J Public Health. Author manuscript; available in PMC 2014 June 01.Results-In multivariate models, perceived discrimination was associated with greater problem behaviors among Black and Latino youth. Compared to Whites, Blacks were significantly more likely to report problem behaviors, whereas Latinos were significantly less likely (a "reverse disparity"). When Blacks' and Latinos' discrimination experiences were set to zero, the adjusted disparity between Blacks and Whites was reduced by an estimated one-third to two-thirds; the reverse adjusted disparity favoring Latinos widened by about one-fifth to one-half. Conclusions-Resultssuggest that the elimination of discrimination could lead to considerable reductions in mental health issues, including problem behaviors, among Black and Latino youth.

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Racial and Ethnic Health Disparities among Fifth-Graders in Three Cities

Cited by 145 publications

References 46 publications

Regular physical activity has differential association with reduced obesity among diverse youth in the United States

Regular physical activity has differential association with reduced obesity among diverse youth in the United States

Associations between socioeconomic status and obesity in diverse, young adolescents: Variation across race/ethnicity and gender.

Association Between Perceived Discrimination and Racial/Ethnic Disparities in Problem Behaviors Among Preadolescent Youths

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