Details

Autor(en) / Beteiligte

• Lynch, Brian A.
• Finney Rutten, Lila J.
• Wilson, Patrick M.
• Kumar, Seema
• Phelan, Sean
• Jacobson, Robert M.
• Fan, Chun
• Agunwamba, Amenah

Titel

The impact of positive contextual factors on the association between adverse family experiences and obesity in a National Survey of Children

Ist Teil von

• Preventive medicine, 2018-11, Vol.116, p.81-86

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2018

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals Complete

Beschreibungen/Notizen

• Adverse family experiences (AFEs) are associated with childhood obesity. We evaluated whether certain positive contextual factors reduce the risk of obesity and overweight among children exposed to AFEs in a nationally representative sample. Using data derived from the National Survey of Children's Health 2011–12 (N = 43,864), we calculated the distribution of positive contextual factors (very good/excellent maternal mental health, neighborhood and school safety, and child resilience) and AFEs across weight status. The AFEs composite score was modeled as a categorical measure (0 or ≥1 AFEs). Positive contextual factors, AFEs and their interactions were evaluated in weighted, adjusted, multinomial logistic regression models predicting the odds of overweight and obesity. Children exposed to lack of very good/excellent maternal mental health and at least one AFE were at risk for overweight (OR = 1.43; 95% CI: 1.16, 1.76) and obesity (OR = 1.53; 95% CI: 1.22, 1.93). Unsafe school or neighborhood environment and exposure to 1 or more AFEs was. associated with overweight (OR = 1.32; 95% CI: 1.08, 1.61) and obesity (OR = 1.66; 95% CI: 1.34, 2.05). Lack of child resilience and exposure to 1 or more AFEs was associated with an increased risk of obesity (OR = 1.45; 95% CI: 1.17, 1.90) and overweight (OR = 1.29; 95% CI: 1.06, 1.57). These odds of obesity and overweight all decreased when positive contextual factors were present. Among children exposed to AFEs, overweight and obesity risk is reduced with positive contextual factors. Optimizing the early childhood environment can impact obesity risk. •Exposure to adverse family experiences (AFEs) is associated with obesity.•Presence of positive contextual factors is associated with lower odds of obesity.•Positive contextual factors are protective against the influence of AFEs on obesity.•Positive contextual factors act independently from AFEs on childhood obesity risk.•Optimizing the early childhood living environment can impact the obesity epidemic.