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Increased Prevalence of Psychosocial, Behavioral, and Socio-Environmental Risk Factors among Overweight and Obese Youths in Mexico and the United States.

Abstract

The aim of this study was to examine various psychosocial, behavioral, and socio-environmental factors in a multiethnic sample of healthy-weight, overweight, and obese youths in the United States (US) and Mexico and determine differences by sex. We conducted a cross-sectional analysis of 633 youths aged 11-18 years who completed a self-reported questionnaire. Height and weight were measured to determine body mass index (BMI). Overweight and obese youth in both countries were significantly more likely to report a higher body image dissatisfaction (Odds Ratio (OR) = 1.67 and OR= 2.95, respectively), depressive symptoms (OR = 1.08 and OR = 1.12, respectively), perceive themselves as overweight (OR = 2.57) or obese (OR = 5.30), and a lower weight-specific quality of life (OR = 0.97 and OR = 0.95, respectively) than healthy-weight youth. Obese youth have lower healthy lifestyle priorities (OR = 0.75) and are less likely to be physically active (OR = 0.79) and eat breakfast (OR = 0.47) than healthy-weight youth. Additionally, overweight and obese youth are more likely to engage in weight control behaviors (OR = 5.19 and OR = 8.88, respectively) and restrained eating than healthy-weight youth. All the aforementioned results had a p-value of <0.05, which was considered statistically significant. The association between these factors and overweight or obesity remained significant after controlling for age, sex, race/ethnicity, and country. In conclusion, obesity was associated with a range of psychosocial, behavioral, and socio-environmental risk factors in both countries. Our findings support the need for multifactorial approaches when developing interventions to address the growing problem of obesity among youth in the US and Mexico.

Authors+Show Affiliations

Unidad de Investigación Epidemiológica y en Servicios de Salud, Delegación Morelos, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos 62000, Mexico. ynflores@ucla.edu. UCLA Department of Health Policy and Management, Center for Cancer Prevention and Control Research, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, CA 90095, USA. ynflores@ucla.edu.UCLA Department of Epidemiology, Fielding School of Public Health, Los Angeles, CA 90095, USA. zuelmaarellano@ucla.edu.Unidad de Investigación Epidemiológica y en Servicios de Salud, Delegación Morelos, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos 62000, Mexico. paula_rzps@hotmail.com.Department of Health Services, School of Public Health, University of Washington, Seattle, WA 98195, USA. lsm2010@uw.edu.Department of Health Services, School of Public Health, University of Washington, Seattle, WA 98195, USA. toddce.uw@gmail.com.Unidad de Investigación Epidemiológica y en Servicios de Salud, Delegación Morelos, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos 62000, Mexico. kgallegosc13@gmail.com.Universidad Nacional Autónoma de México, Centro de Investigación en Políticas, Población y Salud. Ciudad Universitaria, Ciudad de México 04510, Mexico. jorge.salmec@gmail.com.UCLA Department of Community Health Sciences, Fielding School of Public Health, Los Angeles, CA 90095, USA. clang@ucla.edu.Unidad de Investigación Epidemiológica y en Servicios de Salud, Delegación Morelos, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos 62000, Mexico. nsportiche@gmail.com.Department of Health Services, School of Public Health, University of Washington, Seattle, WA 98195, USA. donald@uw.edu.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31052211

Citation

Flores, Yvonne N., et al. "Increased Prevalence of Psychosocial, Behavioral, and Socio-Environmental Risk Factors Among Overweight and Obese Youths in Mexico and the United States." International Journal of Environmental Research and Public Health, vol. 16, no. 9, 2019.
Flores YN, Contreras ZA, Ramírez-Palacios P, et al. Increased Prevalence of Psychosocial, Behavioral, and Socio-Environmental Risk Factors among Overweight and Obese Youths in Mexico and the United States. Int J Environ Res Public Health. 2019;16(9).
Flores, Y. N., Contreras, Z. A., Ramírez-Palacios, P., Morales, L. S., Edwards, T. C., Gallegos-Carrillo, K., ... Patrick, D. L. (2019). Increased Prevalence of Psychosocial, Behavioral, and Socio-Environmental Risk Factors among Overweight and Obese Youths in Mexico and the United States. International Journal of Environmental Research and Public Health, 16(9), doi:10.3390/ijerph16091534.
Flores YN, et al. Increased Prevalence of Psychosocial, Behavioral, and Socio-Environmental Risk Factors Among Overweight and Obese Youths in Mexico and the United States. Int J Environ Res Public Health. 2019 04 30;16(9) PubMed PMID: 31052211.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Increased Prevalence of Psychosocial, Behavioral, and Socio-Environmental Risk Factors among Overweight and Obese Youths in Mexico and the United States. AU - Flores,Yvonne N, AU - Contreras,Zuelma A, AU - Ramírez-Palacios,Paula, AU - Morales,Leo S, AU - Edwards,Todd C, AU - Gallegos-Carrillo,Katia, AU - Salmerón,Jorge, AU - Lang,Cathy M, AU - Sportiche,Noémie, AU - Patrick,Donald L, Y1 - 2019/04/30/ PY - 2019/01/29/received PY - 2019/04/22/revised PY - 2019/04/27/accepted PY - 2019/5/5/entrez PY - 2019/5/6/pubmed PY - 2019/5/6/medline KW - Latinos KW - Mexico KW - United States KW - adolescent KW - behavior KW - obesity KW - psychosocial KW - quality of life KW - risk factors KW - socio-environmental JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 16 IS - 9 N2 - The aim of this study was to examine various psychosocial, behavioral, and socio-environmental factors in a multiethnic sample of healthy-weight, overweight, and obese youths in the United States (US) and Mexico and determine differences by sex. We conducted a cross-sectional analysis of 633 youths aged 11-18 years who completed a self-reported questionnaire. Height and weight were measured to determine body mass index (BMI). Overweight and obese youth in both countries were significantly more likely to report a higher body image dissatisfaction (Odds Ratio (OR) = 1.67 and OR= 2.95, respectively), depressive symptoms (OR = 1.08 and OR = 1.12, respectively), perceive themselves as overweight (OR = 2.57) or obese (OR = 5.30), and a lower weight-specific quality of life (OR = 0.97 and OR = 0.95, respectively) than healthy-weight youth. Obese youth have lower healthy lifestyle priorities (OR = 0.75) and are less likely to be physically active (OR = 0.79) and eat breakfast (OR = 0.47) than healthy-weight youth. Additionally, overweight and obese youth are more likely to engage in weight control behaviors (OR = 5.19 and OR = 8.88, respectively) and restrained eating than healthy-weight youth. All the aforementioned results had a p-value of <0.05, which was considered statistically significant. The association between these factors and overweight or obesity remained significant after controlling for age, sex, race/ethnicity, and country. In conclusion, obesity was associated with a range of psychosocial, behavioral, and socio-environmental risk factors in both countries. Our findings support the need for multifactorial approaches when developing interventions to address the growing problem of obesity among youth in the US and Mexico. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/31052211/Increased_Prevalence_of_Psychosocial,_Behavioral,_and_Socio-Environmental_Risk_Factors_among_Overweight_and_Obese_Youths_in_Mexico_and_the_United_States L2 - http://www.mdpi.com/resolver?pii=ijerph16091534 DB - PRIME DP - Unbound Medicine ER -