Family Income Reduces Risk of Obesity for White but Not Black Children

Background: Although the protective effects of socioeconomic status (SES) on obesity and cardiovascular disease are well established, these effects may differ across racial and ethnic groups. Aims: Using a national sample, this study investigated racial variation in the association between family in...

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Main Author: Shervin Assari
Format: Article
Language:English
Published: MDPI AG 2018-06-01
Series:Children
Subjects:
Online Access:http://www.mdpi.com/2227-9067/5/6/73
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author Shervin Assari
author_facet Shervin Assari
author_sort Shervin Assari
collection DOAJ
description Background: Although the protective effects of socioeconomic status (SES) on obesity and cardiovascular disease are well established, these effects may differ across racial and ethnic groups. Aims: Using a national sample, this study investigated racial variation in the association between family income and childhood obesity in White and Black families. Methods: This cross-sectional study used data from the National Survey of Children’s Health (NSCH), 2003–2004, a nationally representative survey in the United States. This analysis included 76,705 children 2–17 years old who were either White (n = 67,610, 88.14%) or Black (n = 9095, 11.86%). Family income to needs ratio was the independent variable. Childhood obesity was the outcome. Race was the focal moderator. Logistic regression was used for data analysis. Results: Overall, higher income to needs ratio was protective against childhood obesity. Race, however, interacted with income to needs ratio on odds of childhood obesity, indicating smaller effects for Black compared to White families. Race stratified logistic regressions showed an association between family income and childhood obesity for White but not Black families. Conclusions: The protective effect of income against childhood obesity is smaller for Blacks than Whites. Merely equalizing population access to SES and economic resources would not be sufficient for elimination of racial disparities in obesity and related cardiovascular disease in the United States. Policies should go beyond access to SES and address structural barriers in the lives of Blacks which result in a diminished health return of very same SES resources for them. As the likely causes are multi-level barriers, multi-level interventions are needed to eliminate racial disparities in childhood obesity.
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spelling doaj.art-3041814187b341efaeb0bb354b9654912022-12-21T23:36:12ZengMDPI AGChildren2227-90672018-06-01567310.3390/children5060073children5060073Family Income Reduces Risk of Obesity for White but Not Black ChildrenShervin Assari0Department of Psychology, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USABackground: Although the protective effects of socioeconomic status (SES) on obesity and cardiovascular disease are well established, these effects may differ across racial and ethnic groups. Aims: Using a national sample, this study investigated racial variation in the association between family income and childhood obesity in White and Black families. Methods: This cross-sectional study used data from the National Survey of Children’s Health (NSCH), 2003–2004, a nationally representative survey in the United States. This analysis included 76,705 children 2–17 years old who were either White (n = 67,610, 88.14%) or Black (n = 9095, 11.86%). Family income to needs ratio was the independent variable. Childhood obesity was the outcome. Race was the focal moderator. Logistic regression was used for data analysis. Results: Overall, higher income to needs ratio was protective against childhood obesity. Race, however, interacted with income to needs ratio on odds of childhood obesity, indicating smaller effects for Black compared to White families. Race stratified logistic regressions showed an association between family income and childhood obesity for White but not Black families. Conclusions: The protective effect of income against childhood obesity is smaller for Blacks than Whites. Merely equalizing population access to SES and economic resources would not be sufficient for elimination of racial disparities in obesity and related cardiovascular disease in the United States. Policies should go beyond access to SES and address structural barriers in the lives of Blacks which result in a diminished health return of very same SES resources for them. As the likely causes are multi-level barriers, multi-level interventions are needed to eliminate racial disparities in childhood obesity.http://www.mdpi.com/2227-9067/5/6/73obesitybody mass indexsocioeconomic statusincomeethnic groupsBlacksethnicity
spellingShingle Shervin Assari
Family Income Reduces Risk of Obesity for White but Not Black Children
Children
obesity
body mass index
socioeconomic status
income
ethnic groups
Blacks
ethnicity
title Family Income Reduces Risk of Obesity for White but Not Black Children
title_full Family Income Reduces Risk of Obesity for White but Not Black Children
title_fullStr Family Income Reduces Risk of Obesity for White but Not Black Children
title_full_unstemmed Family Income Reduces Risk of Obesity for White but Not Black Children
title_short Family Income Reduces Risk of Obesity for White but Not Black Children
title_sort family income reduces risk of obesity for white but not black children
topic obesity
body mass index
socioeconomic status
income
ethnic groups
Blacks
ethnicity
url http://www.mdpi.com/2227-9067/5/6/73
work_keys_str_mv AT shervinassari familyincomereducesriskofobesityforwhitebutnotblackchildren