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迁移作为导致美国和拉丁美洲儿童肥胖的一个决定因素。

Migration as a determinant of childhood obesity in the United States and Latin America.

机构信息

EQUIDE Research Institute for Equitable Development, Universidad Iberoamericana, Mexico City, Mexico.

Fielding School of Public Health, University of California, Los Angeles, California, USA.

出版信息

Obes Rev. 2021 Jun;22 Suppl 3(Suppl 3):e13240. doi: 10.1111/obr.13240. Epub 2021 May 3.

Abstract

International migration has economic and health implications. The acculturation process to the host country may be linked to childhood obesity. We use the Community Energy Balance (CEB) framework to analyze the relationship between migration and childhood obesity in Mexican households with international migrants. Using longitudinal data from the Mexican Family Life Survey (MxFLS), we examine how migrant networks affect childhood obesity in origin communities. We also review binational health programs that could be effective at tackling childhood obesity in migrant households from Mexico. Children embedded in migrant networks are at greater risk of developing overweight or obesity, suggesting a significant relationship between childhood obesity and international migration in Mexican households. Based on our search criteria, our analysis of health outreach programs shows that Ventanillas de Salud (VDS)/Health Windows has great promise to prevent childhood obesity in a culturally sensitive and trustful environment. The CEB framework is useful to understand how migration contributes to the risk of childhood overweight and obesity in migrant households. VDS is a feasible and replicable strategy with great potential to address childhood obesity among migrant families accounting for the dynamic and binational determinants of childhood obesity.

摘要

国际移民对经济和健康都有影响。移民到东道国的文化适应过程可能与儿童肥胖有关。我们使用社区能量平衡(CEB)框架来分析有国际移民的墨西哥家庭中移民与儿童肥胖之间的关系。我们利用来自墨西哥家庭生活调查(MxFLS)的纵向数据,研究移民网络如何影响原籍社区的儿童肥胖。我们还审查了可能在解决墨西哥移民家庭儿童肥胖问题方面有效的中墨双边卫生项目。嵌入移民网络中的儿童超重或肥胖的风险更高,这表明墨西哥家庭中儿童肥胖与国际移民之间存在显著关系。根据我们的搜索标准,我们对健康推广计划的分析表明,“健康窗口”(Ventanillas de Salud)/健康窗口在文化敏感和值得信赖的环境中预防儿童肥胖方面具有很大的潜力。CEB 框架有助于理解移民如何增加移民家庭儿童超重和肥胖的风险。“健康窗口”是一种可行且可复制的策略,具有很大的潜力来解决移民家庭的儿童肥胖问题,因为它考虑到了儿童肥胖的动态和中墨双边决定因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bede/8365698/60a90be21ed4/OBR-22-e13240-g001.jpg

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