School of Social Work, University of Southern California, Los Angeles, CA, USA.
Child Maltreat. 2013 Nov;18(4):264-73. doi: 10.1177/1077559513508236. Epub 2013 Oct 16.
This retrospective medical chart review examined the prevalence of overweight/obesity (≥85th percentile) and obesity (≥95th percentile) in Hispanic foster children aged 2-18 years in Los Angeles, California. Logistic regression was used for boys and girls separately to analyze polyvictimization (i.e., one vs. two or more types of maltreatment), type of maltreatment (abuse vs. neglect), and age-group as risk factors for overweight and obesity. Almost 40% of participants were overweight/obese, with the highest prevalence (47.7%) observed among children aged 12-18. Children aged 6-18 were at an increased risk of overweight/obesity and obesity compared with children aged 2-5. Although polyvictimization has been shown to have adverse health effects, in this study, it was related to slightly lower odds of obesity for boys but was unrelated to high weight for girls. Addressing the obesity epidemic among Hispanic foster children is vital to preventing continued obesity and the development of obesity-related health problems, especially by focusing on important community and family influences.
本回顾性医学图表研究调查了加利福尼亚州洛杉矶的 2-18 岁西班牙裔寄养儿童超重/肥胖(≥第 85 百分位数)和肥胖(≥第 95 百分位数)的流行情况。采用逻辑回归分别对男孩和女孩进行分析,以研究多受害情况(即一种与两种或更多种虐待类型)、虐待类型(虐待与忽视)以及年龄组作为超重和肥胖的风险因素。近 40%的参与者超重/肥胖,其中 12-18 岁儿童的肥胖率最高(47.7%)。与 2-5 岁儿童相比,6-18 岁儿童超重/肥胖和肥胖的风险增加。尽管多受害情况已被证明对健康有不利影响,但在本研究中,它与男孩肥胖的几率略有降低有关,但与女孩体重偏高无关。解决西班牙裔寄养儿童的肥胖症流行问题对于预防肥胖的持续发展和肥胖相关健康问题至关重要,特别是要关注重要的社区和家庭影响。