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- Title
Familism, Self-Esteem, and Weight-Specific Quality of Life Among Latinx Adolescents With Obesity.
- Authors
Avalos, Marvyn R Arévalo; Ayers, Stephanie L; Patrick, Donald L; Jager, Justin; Castro, Felipe González; Konopken, Yolanda P; Olson, Micah L; Keller, Colleen S; Soltero, Erica G; Williams, Allison N; Shaibi, Gabriel Q; Arévalo Avalos, Marvyn R
- Abstract
<bold>Objective: </bold>Obesity is a critical public health condition affecting Latinx adolescents and contributes to health disparities across the lifespan. Childhood and adolescent obesity is associated with reduced quality of life (QoL) and decreased self-esteem. The purpose of this study is to examine the role of cultural (e.g., familism) and psychosocial (e.g., self-esteem) factors as predictors of weight-specific QoL among Latinx adolescents with obesity.<bold>Methods: </bold>Baseline data from 160 Latinx adolescents (ages 14-16 years) with obesity (BMI > 95th percentile for age and sex) who were recruited for a diabetes prevention intervention were used. Structural equation modeling tested the relationships between four latent constructs (familism, positive self-esteem, self-deprecation, and weight-specific QoL).<bold>Results: </bold>The model tested paths from familism to positive self-esteem, self-deprecation, and weight-specific QoL, and paths from positive self-esteem and self-deprecation to weight-specific QoL. Higher familism was positively associated with positive self-esteem but not self-deprecation. In turn, positive self-esteem was positively associated with higher weight-specific QoL, whereas self-deprecation was negatively associated. Furthermore, there was an indirect effect of familism on QoL via positive self-esteem.<bold>Conclusions: </bold>These data shed light into specific cultural and psychosocial constructs that influence QoL among Latinx adolescents with obesity. This study suggests that familism and positive self-esteem can operate as protective factors associated with higher weight-specific QoL in Latinx adolescents with obesity; whereas self-deprecation may operate as a risk factor for lower weight-specific QoL.
- Subjects
ADOLESCENT obesity; FAMILIALISM; SELF-esteem; QUALITY of life; STRUCTURAL equation modeling; OBESITY; BODY weight; SELF-perception; RESEARCH funding
- Publication
Journal of Pediatric Psychology, 2020, Vol 45, Issue 8, p848
- ISSN
0146-8693
- Publication type
journal article
- DOI
10.1093/jpepsy/jsaa047