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ARTICLE Predictions Across Race/Ethnicity, Immigrant Generation, and Sex Kathleen Mullan Harris, PhD; Krista M. Perreira, PhD; Dohoon Lee, PhD Objective: To trace how racial/ethnic and immigrant Main Exposures: Race/ethnicity, immigrant genera- disparities in body mass index (BMI) change over time tion, and sex. as adolescents (age, 11-19 years) transition to young adult- Outcome Measure: Body mass index. hood (age, 20-28 years). Results: Findings indicate significant differences in both Design: We used growth curve modeling to estimate the the level and change in BMI across age by sex, race/ pattern of change in BMI from adolescence through the ethnicity, and immigrant generation. Females, second- transition to adulthood. and third-generation immigrants, and Hispanic and black individuals experience more rapidly increasing BMIs from Setting: All participants in the study were residents of adolescence into young adulthood. Increases in BMI are the United States enrolled in junior high school or high relatively lower for males, first-generation immigrants, school during the 1994-1995 school year. and white and Asian individuals. Participants: More than 20 000 adolescents from na- Conclusion: Disparities in BMI and prevalence of over- tionally representative data interviewed at wave I (1994- weight and obesity widen with age as adolescents leave home 1995)
JAMA Pediatrics – American Medical Association
Published: Nov 1, 2009
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