Health-related behaviors and overweight: a study of Latino adolescents in the United States of America / Conductas relacionadas con la salud y sobrepeso: estudio en adolescentes latinoamericanos residentes en los Estados Unidos de América

OBJECTIVES: This study examined, by gender, differences in being overweight among adolescents of Mexican, Puerto Rican, and other Latin American heritage who live in the United States of America, and investigated the relationships between these differences and socioeconomic status, health-related behaviors, and family characteristics. METHODS: This cross-sectional survey study obtained and analyzed data from nationally representative samples of Latino 8th and 10th graders in the Monitoring the Future study from 1991 to 2004 (N = 11 265). RESULTS: A higher proportion of Mexican-American girls were overweight than other Latin American girls, both before and after adjusting for many confounders. For both genders, being overweight was inversely associated with socioeconomic status and frequency of vigorous exercise, and positively associated with the amount of television viewing. No family characteristic variable examined was associated with overweight. CONCLUSIONS: Time spent exercising and time spent watching television are two potentially modifiable risk factors that, if targeted, may result in important reductions in overweight. The findings indicate the need to identify gender- and culturally-appropriate interventions that can increase physical activity and reduce sedentary activities among Latino adolescents, particularly in families of low socioeconomic status.

OBJETIVOS: Analizar las diferencias, según el sexo, en el sobrepeso de adolescentes de origen mexicano, puertorriqueño y de otros países latinoamericanos que viven en los Estados Unidos de América e investigar la relación entre esas diferencias y el estatus socioeconómico, las conductas relacionadas con la salud y las características familiares. MÉTODOS: En este estudio transversal por encuesta se obtuvieron y analizaron los datos de muestras representativas para el país de estudiantes latinoamericanos del 8.° y 10.° grados del estudio Monitoring the Future de 1991 a 2004 (N = 11 265). RESULTADOS: Se observó una mayor proporción de niñas estadounidenses de origen mexicano con sobrepeso que de niñas latinoamericanas de otro origen, tanto antes como después de ajustar por numerosos factores de confusión. Independientemente del sexo, el sobrepeso estuvo asociado inversamente con el estatus socioeconómico y la frecuencia de los ejercicios físicos fuertes, y directamente asociado con el tiempo dedicado a ver televisión. No se encontró asociación entre el sobrepeso y las características familiares. CONCLUSIONES: El tiempo dedicado a realizar ejercicios y a ver televisión son dos factores susceptibles de modificar y, si se plantean como objetivo, se puede lograr una importante reducción del sobrepeso. Estos resultados demuestran la necesidad de identificar intervenciones apropiadas, desde el punto de vista cultural y según el sexo, que permitan aumentar la actividad física y reducir las actividades sedentarias en los adolescentes hispanoamericanos, especialmente en las familias de bajo estatus socioeconómico.

The epidemiology of alcohol, marijuana, and cocaine use among Mexican American, Puerto Rican, Cuban American, and other Latin American eighth-grade students in the United States: 1991-2002.

OBJECTIVES: We compared trends in and correlates of marijuana use, cocaine use, and heavy alcohol use for adolescents of Mexican American, Puerto Rican, Cuban, and other Latin American heritage in the United States. METHODS: We used/examined data from nationally representative samples of eighth-grade Hispanic students who participated in the Monitoring the Future study during the years 1991-2002 (n=24235). RESULTS: Drug use was significantly higher among boys and adolescents of almost all Hispanic ethnicities who did not live with both parents. In addition, drug use differed considerably according to ethnic group on language first spoken, parental education, urbanicity, and region. CONCLUSIONS: A better understanding of the homogeneity and heterogeneity of drug use patterns within and between Hispanic groups should assist in the development of prevention programs.

Tobacco, alcohol, and illicit drug use: racial and ethnic differences among U.S. high school seniors, 1976-2000.

OBJECTIVE: This study examines differences in adolescents' use of tobacco, alcohol, and illicit drugs by racial and ethnic groups. METHODS: The authors analyzed questionnaire data from large, nationally representative samples of U.S. high school seniors to examine differences in drug use prevalence and trends among racial and ethnic groups between 1976 and 2000. RESULTS: On average, American Indian seniors showed the highest levels of tobacco, alcohol, and illicit drug use. Cuban American and white seniors also tended to have relatively high levels of substance use, followed by Mexican American and Puerto Rican seniors. Other Latin American, African American, and Asian American seniors reported the lowest levels of drug use. Most of these differences are longstanding, but some have widened and others narrowed during the past 25 years. CONCLUSION: Significant differences exist in adolescent use of tobacco, alcohol, and illicit drugs by racial and ethnic groups, and these differences have changed over time. Future research should examine these differences and seek to identify the sources and consequences of the disparities.