TY - JOUR
T1 - Intergenerational Educational Attainment and Cardiometabolic Health in Latino Individuals Living in the United States
AU - Crenshaw, Emma G.
AU - Fernández-Rhodes, Lindsay
AU - Martin, Chantel L.
AU - Gordon-Larsen, Penny
AU - Haan, Mary N.
AU - Aiello, Allison E.
N1 - Funding Information:
We are grateful to the Carolina Population Center for their training support of LFR and CLM (Grant T32‐HD007168) and for their general support of EGC, LFR, and CLM (grant P2C‐HD050924). This project was also made possible in part by support from the Office for Undergraduate Research at University of North Carolina at Chapel Hill through a William W. and Ida W. Taylor Honors Mentored Research Summer Undergraduate Research Fellowship awarded to EGC. Funding for the Sacramento Area Latino Study on Aging (SALSA) and Niños Lifestyle and Diabetes Study (NLDS) came from Grant support from the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (grant R01DK087864). Additional support for this work came from grants P60MD002249, R01AG012975, and DK60753.
Publisher Copyright:
© 2021 The Obesity Society
PY - 2021/7
Y1 - 2021/7
N2 - Objective: This study aimed to estimate the association between cycles of poverty, measured by intergenerational educational attainment (IEA), and the burden of obesity and metabolic dysfunction among Hispanic/Latino individuals in the United States. Methods: This is a cross-sectional study utilizing data from 392 adults linked to 286 biologic parents from the Niños Lifestyle and Diabetes Study and the Sacramento Area Latino Study on Aging. The educational attainment of parents and offspring was dichotomized in order to categorize IEA. Outcomes included obesity and metabolic syndrome (MetS). Model-based standardization with population weights was used to compare obesity and MetS across generations, and Poisson regression was used to estimate prevalence ratios by IEA. Results: A higher prevalence of obesity and MetS was observed in offspring (54% and 69%, respectively) compared with their parents (48% and 42%, respectively). Compared with stable-low IEA, any category with high offspring education was associated with lower obesity and MetS prevalence. The upwardly mobile group saw the greatest benefit; they were 38% (95% CI: 10%-57%) and 46% (95% CI: 21%-63%) less likely to have obesity or MetS. Conclusions: IEA strongly patterns cardiometabolic health among Hispanic/Latino individuals living in the United States, suggesting that promotion of higher education is associated with reductions in obesity and MetS, potentially benefitting future generations of this population.
AB - Objective: This study aimed to estimate the association between cycles of poverty, measured by intergenerational educational attainment (IEA), and the burden of obesity and metabolic dysfunction among Hispanic/Latino individuals in the United States. Methods: This is a cross-sectional study utilizing data from 392 adults linked to 286 biologic parents from the Niños Lifestyle and Diabetes Study and the Sacramento Area Latino Study on Aging. The educational attainment of parents and offspring was dichotomized in order to categorize IEA. Outcomes included obesity and metabolic syndrome (MetS). Model-based standardization with population weights was used to compare obesity and MetS across generations, and Poisson regression was used to estimate prevalence ratios by IEA. Results: A higher prevalence of obesity and MetS was observed in offspring (54% and 69%, respectively) compared with their parents (48% and 42%, respectively). Compared with stable-low IEA, any category with high offspring education was associated with lower obesity and MetS prevalence. The upwardly mobile group saw the greatest benefit; they were 38% (95% CI: 10%-57%) and 46% (95% CI: 21%-63%) less likely to have obesity or MetS. Conclusions: IEA strongly patterns cardiometabolic health among Hispanic/Latino individuals living in the United States, suggesting that promotion of higher education is associated with reductions in obesity and MetS, potentially benefitting future generations of this population.
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U2 - 10.1002/oby.23156
DO - 10.1002/oby.23156
M3 - Article
C2 - 34096684
AN - SCOPUS:85107216807
VL - 29
SP - 1178
EP - 1185
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - 7
ER -