TY - JOUR
T1 - Examination of the Interaction between Parental Military-Status and Race among Non-Hispanic Black and Non-Hispanic White Adolescents with Overweight/Obesity
AU - Higgins Neyland, M K
AU - Shank, Lisa M
AU - Lavender, Jason M
AU - Burke, Natasha L
AU - Rice, Alexander
AU - Gallagher-Teske, Julia
AU - Markos, Bethelhem
AU - Faulkner, Loie M
AU - Djan, Kweku G
AU - Kwarteng, Esther A
AU - LeMay-Russell, Sarah
AU - Parker, Megan N
AU - Schvey, Natasha A
AU - Sbrocco, Tracy
AU - Wilfley, Denise E
AU - Ford, Brian
AU - Ford, Caitlin
AU - Haigney, Mark
AU - Klein, David A
AU - Olsen, Cara H
AU - Quinlan, Jeffrey
AU - Jorgensen, Sarah
AU - Brady, Sheila
AU - Shomaker, Lauren B
AU - Yanovski, Jack A
AU - Tanofsky-Kraff, Marian
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Adolescent military-dependents experience distinct risk and protective factors, which may necessitate additional clinical considerations. In civilian youth, overweight/obesity is associated with eating, internalizing, and externalizing difficulties, with some studies reporting more difficulties among non-Hispanic White (vs. non-Hispanic Black) youth. It is unknown if these disparities exist among adolescent military-dependents, or between civilian and military-dependent youth.Non-Hispanic Black (187 civilian, 38 military-dependent) and non-Hispanic White (205 civilian, 84 military-dependent) adolescents with overweight/obesity (14.7 ± 1.6 years; 73.9\ body mass index adjusted for age and sex 1.9 ± 0.5) completed a disordered-eating interview; parents completed a measure assessing their child’s internalizing and externalizing difficulties. Multiple linear regressions examined parental military-status as a moderator of the relationship of participant race with eating, internalizing, and externalizing difficulties. White civilian youth with overweight/obesity reported significantly greater disordered-eating than their Black peers (p \lt; .001); there were no other significant racial differences. In all regressions, parental military-status significantly moderated the association between race and each dependent variable (ps \lt; .047). Black military-dependents (vs. civilians) reported more disordered-eating and internalizing difficulties (ps = .01). White military-dependents (vs. civilians) reported fewer externalizing difficulties (p = .01). Black adolescent military-dependents with overweight/obesity may experience more eating and internalizing difficulties (vs. civilians), a pattern not observed among White participants. Future work should examine if being a military-dependent and a historically marginalized racial group member accounts for these findings. Such data may inform providers of youth with intersecting minority identities.
AB - Adolescent military-dependents experience distinct risk and protective factors, which may necessitate additional clinical considerations. In civilian youth, overweight/obesity is associated with eating, internalizing, and externalizing difficulties, with some studies reporting more difficulties among non-Hispanic White (vs. non-Hispanic Black) youth. It is unknown if these disparities exist among adolescent military-dependents, or between civilian and military-dependent youth.Non-Hispanic Black (187 civilian, 38 military-dependent) and non-Hispanic White (205 civilian, 84 military-dependent) adolescents with overweight/obesity (14.7 ± 1.6 years; 73.9\ body mass index adjusted for age and sex 1.9 ± 0.5) completed a disordered-eating interview; parents completed a measure assessing their child’s internalizing and externalizing difficulties. Multiple linear regressions examined parental military-status as a moderator of the relationship of participant race with eating, internalizing, and externalizing difficulties. White civilian youth with overweight/obesity reported significantly greater disordered-eating than their Black peers (p \lt; .001); there were no other significant racial differences. In all regressions, parental military-status significantly moderated the association between race and each dependent variable (ps \lt; .047). Black military-dependents (vs. civilians) reported more disordered-eating and internalizing difficulties (ps = .01). White military-dependents (vs. civilians) reported fewer externalizing difficulties (p = .01). Black adolescent military-dependents with overweight/obesity may experience more eating and internalizing difficulties (vs. civilians), a pattern not observed among White participants. Future work should examine if being a military-dependent and a historically marginalized racial group member accounts for these findings. Such data may inform providers of youth with intersecting minority identities.
U2 - 10.1093/jpepsy/jsac008
DO - 10.1093/jpepsy/jsac008
M3 - Article
SN - 0146-8693
VL - 47
SP - 743
EP - 753
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 7
ER -