Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, D.C..
Department of Psychology, University of Georgia, Athens, Georgia.
J Adolesc Health. 2024 Jan;74(1):71-77. doi: 10.1016/j.jadohealth.2023.08.026. Epub 2023 Oct 10.
Rising rates of cardiometabolic risk and mental health problems are serious public health concerns for US adolescents, particularly those of Latinx origin. This research examines how Latinx youth's internalizing symptoms during early adolescence are related to sleep problems, overweight/obesity, sedentary behavior, physical activity, healthy diet, and hypertension or diabetes risk during middle and late adolescence.
Participants included 547 adolescents listed as "Hispanic" on 2017-18 middle school enrollment lists in a suburban Atlanta, GA school district. Survey data collected at baseline (2018) and four years later (2022) were analyzed using Structural Equation Model. Path estimates from baseline internalizing symptoms to later health behaviors and physical health outcomes adjusted for demographics, the follow-up measure of internalizing symptoms, and correlations among outcome variables. Missing data were handled using Full Information Maximum Likelihood.
At baseline, the 244 (44.6%) male and 303 (55.4%) female participants had a mean (standard deviation) age in years of 13.31 (0.97). Early adolescent internalizing symptoms were associated positively with later sleep problems (ß = 0.36 [95% confidence interval (CI), 0.24-0.48]), overweight/obesity (adjusted odds ratio, 2.57; 95% CI, 1.29-5.15), sedentary behavior (ß = 0.19 [95% CI, 0.09-0.30]), and internalizing symptoms (ß = 0.48 [95% CI, 0.39-0.56]) and inversely with later physical activity (ß = -0.16 [95% CI, -0.27 to -0.05]) and a healthy diet (ß = -0.21 [95% CI, -0.32 to -0.09]).
Latinx youth's internalizing symptoms during early adolescence not only track into later adolescence, but they also relate to health behaviors and outcomes underlying cardiometabolic risk during middle and late adolescence.
心血管代谢风险和心理健康问题的发生率不断上升，这是美国青少年面临的严重公共卫生问题，尤其是拉丁裔青少年。本研究探讨了拉丁裔青少年在青春期早期的内化症状与睡眠问题、超重/肥胖、久坐行为、身体活动、健康饮食以及青春期中期和晚期的高血压或糖尿病风险之间的关系。
参与者包括佐治亚州亚特兰大郊区一所学校学区 2017-18 年中学入学名单上列出的 547 名“西班牙裔”青少年。使用结构方程模型分析了 2018 年基线调查和四年后（2022 年）收集的调查数据。从基线内化症状到后期健康行为和身体健康结果的路径估计值调整了人口统计学、内化症状的后续测量值以及结果变量之间的相关性。使用完全信息极大似然法处理缺失数据。
基线时，244 名（44.6%）男性和 303 名（55.4%）女性参与者的平均（标准差）年龄为 13.31（0.97）岁。青少年早期的内化症状与后期的睡眠问题（ß=0.36[95%置信区间（CI）：0.24-0.48]）、超重/肥胖（调整后的比值比，2.57；95%CI：1.29-5.15）、久坐行为（ß=0.19[95%CI：0.09-0.30]）和内化症状（ß=0.48[95%CI：0.39-0.56]）呈正相关，与后期身体活动（ß=-0.16[95%CI：-0.27 至-0.05]）和健康饮食（ß=-0.21[95%CI：-0.32 至-0.09]）呈负相关。
拉丁裔青少年在青春期早期的内化症状不仅会延续到青春期后期，而且还与青春期中期和后期心血管代谢风险相关的健康行为和结果有关。
