TY - JOUR
T1 - Familism, self-esteem, and weight-specific quality of life among latinx adolescents with obesity
AU - Avalos, Marvyn R.Arévalo
AU - Ayers, Stephanie L.
AU - Patrick, Donald L.
AU - Jager, Justin
AU - Castro, Felipe González
AU - Konopken, Yolanda P.
AU - Olson, Micah L.
AU - Keller, Colleen S.
AU - Soltero, Erica G.
AU - Williams, Allison N.
AU - Shaibi, Gabriel Q.
N1 - Publisher Copyright:
© 2020 The Author(s).
PY - 2020/9/1
Y1 - 2020/9/1
N2 - Objective: Obesity is a critical public health condition affecting Latinx adolescents and contributes to health disparities across the lifespan. Childhood and adolescent obesity is associated with reduced quality of life (QoL) and decreased self-esteem. The purpose of this study is to examine the role of cultural (e.g., familism) and psychosocial (e.g., self-esteem) factors as predictors of weight-specific QoL among Latinx adolescents with obesity. Methods: Baseline data from 160 Latinx adolescents (ages 14-16 years) with obesity (BMI > 95th percentile for age and sex) who were recruited for a diabetes prevention intervention were used. Structural equation modeling tested the relationships between four latent constructs (familism, positive self-esteem, self-deprecation, and weight-specific QoL). Results: The model tested paths from familism to positive selfesteem, self-deprecation, and weight-specific QoL, and paths from positive self-esteem and selfdeprecation to weight-specific QoL. Higher familism was positively associated with positive selfesteem but not self-deprecation. In turn, positive self-esteem was positively associated with higher weight-specific QoL, whereas self-deprecation was negatively associated. Furthermore, there was an indirect effect of familism on QoL via positive self-esteem. Conclusions: These data shed light into specific cultural and psychosocial constructs that influence QoL among Latinx adolescents with obesity. This study suggests that familism and positive self-esteem can operate as protective factors associated with higher weight-specific QoL in Latinx adolescents with obesity; whereas self-deprecation may operate as a risk factor for lower weight-specific QoL.
AB - Objective: Obesity is a critical public health condition affecting Latinx adolescents and contributes to health disparities across the lifespan. Childhood and adolescent obesity is associated with reduced quality of life (QoL) and decreased self-esteem. The purpose of this study is to examine the role of cultural (e.g., familism) and psychosocial (e.g., self-esteem) factors as predictors of weight-specific QoL among Latinx adolescents with obesity. Methods: Baseline data from 160 Latinx adolescents (ages 14-16 years) with obesity (BMI > 95th percentile for age and sex) who were recruited for a diabetes prevention intervention were used. Structural equation modeling tested the relationships between four latent constructs (familism, positive self-esteem, self-deprecation, and weight-specific QoL). Results: The model tested paths from familism to positive selfesteem, self-deprecation, and weight-specific QoL, and paths from positive self-esteem and selfdeprecation to weight-specific QoL. Higher familism was positively associated with positive selfesteem but not self-deprecation. In turn, positive self-esteem was positively associated with higher weight-specific QoL, whereas self-deprecation was negatively associated. Furthermore, there was an indirect effect of familism on QoL via positive self-esteem. Conclusions: These data shed light into specific cultural and psychosocial constructs that influence QoL among Latinx adolescents with obesity. This study suggests that familism and positive self-esteem can operate as protective factors associated with higher weight-specific QoL in Latinx adolescents with obesity; whereas self-deprecation may operate as a risk factor for lower weight-specific QoL.
KW - Familism
KW - Latinx adolescents
KW - Quality of life
KW - Self-esteem
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U2 - 10.1093/jpepsy/jsaa047
DO - 10.1093/jpepsy/jsaa047
M3 - Article
C2 - 32632446
AN - SCOPUS:85089768357
SN - 0146-8693
VL - 45
SP - 848
EP - 857
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 8
ER -