Literature DB >> 23052250

Secular trends in the association between nativity/length of US residence with body mass index and waist circumference among Mexican-Americans, 1988-2008.

Sandra S Albrecht1, Ana V Diez Roux, Allison E Aiello, Amy J Schulz, Ana F Abraido-Lanza.   

Abstract

OBJECTIVES: We investigated whether associations between nativity/length of US residence and body mass index (BMI) and waist circumference (WC) varied over the past two decades.
METHODS: Mexican-Americans aged 20-64 years from the National Health and Nutrition Survey (NHANES) III (1988-1994), and NHANES (1999-2008). Sex-stratified multivariable linear regression models further adjusted for age, education, and NHANES period.
RESULTS: We found no evidence of secular variation in the nativity/length of US residence gradient for men or women. Foreign-born Mexican-Americans, irrespective of residence length, had lower mean BMI and WC than their US-born counterparts. However among women, education modified secular trends in nativity differentials: notably, in less-educated women, nativity gradients widened over time due to alarming increases in BMI among the US-born and little increase in the foreign-born.
CONCLUSIONS: Associations between nativity/length of US residence and BMI/WC did not vary over this 20-year period, but we noted important modifications by education in women. Understanding these trends is important for identifying vulnerable subpopulations among Mexican-Americans and for the development of effective health promotion strategies in this fast-growing segment of the population.

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Mesh:

Year:  2012        PMID: 23052250      PMCID: PMC3570586          DOI: 10.1007/s00038-012-0414-5

Source DB:  PubMed          Journal:  Int J Public Health        ISSN: 1661-8556            Impact factor:   3.380


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