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- Title
Examination of the Interaction between Parental Military-Status and Race among Non-Hispanic Black and Non-Hispanic White Adolescents with Overweight/Obesity.
- Authors
Neyland, M K Higgins; Shank, Lisa M; Lavender, Jason M; Burke, Natasha L; Rice, Alexander; Gallagher-Teske, Julia; Markos, Bethelhem; Faulkner, Loie M; Djan, Kweku G; Kwarteng, Esther A; LeMay-Russell, Sarah; Parker, Megan N; Schvey, Natasha A; Sbrocco, Tracy; Wilfley, Denise E; Ford, Brian; Ford, Caitlin; Haigney, Mark; Klein, David A; Olsen, Cara H
- Abstract
<bold>Objectives: </bold>Adolescent military-dependents experience distinct risk and protective factors, which may necessitate additional clinical considerations. In civilian youth, overweight/obesity is associated with eating, internalizing, and externalizing difficulties, with some studies reporting more difficulties among non-Hispanic White (vs. non-Hispanic Black) youth. It is unknown if these disparities exist among adolescent military-dependents, or between civilian and military-dependent youth.<bold>Methods: </bold>Non-Hispanic Black (187 civilian, 38 military-dependent) and non-Hispanic White (205 civilian, 84 military-dependent) adolescents with overweight/obesity (14.7 ± 1.6 years; 73.9% girls; body mass index adjusted for age and sex 1.9 ± 0.5) completed a disordered-eating interview; parents completed a measure assessing their child's internalizing and externalizing difficulties. Multiple linear regressions examined parental military-status as a moderator of the relationship of participant race with eating, internalizing, and externalizing difficulties.<bold>Results: </bold>White civilian youth with overweight/obesity reported significantly greater disordered-eating than their Black peers (p < .001); there were no other significant racial differences. In all regressions, parental military-status significantly moderated the association between race and each dependent variable (ps < .047). Black military-dependents (vs. civilians) reported more disordered-eating and internalizing difficulties (ps = .01). White military-dependents (vs. civilians) reported fewer externalizing difficulties (p = .01).<bold>Conclusions: </bold>Black adolescent military-dependents with overweight/obesity may experience more eating and internalizing difficulties (vs. civilians), a pattern not observed among White participants. Future work should examine if being a military-dependent and a historically marginalized racial group member accounts for these findings. Such data may inform providers of youth with intersecting minority identities.
- Subjects
OBESITY; RESEARCH funding; BODY mass index; MILITARY personnel; PARENTS
- Publication
Journal of Pediatric Psychology, 2022, Vol 47, Issue 7, p743
- ISSN
0146-8693
- Publication type
journal article
- DOI
10.1093/jpepsy/jsac008