Abstract
Background
The prevalence of childhood obesity among racial and ethnic minority groups is high.
Multiple factors affect the development of childhood obesity, including dietary practices.
Objective
To examine the racial and ethnic differences in reported dietary practices among the
largest minority groups of California children.
Methods
Data from the 2007 and 2009 California Health Interview Survey were analyzed using
multivariate regression with survey weights to examine how race, ethnicity, sociodemographic
characteristics, and child factors were associated with specific dietary practices.
Results
The sample included 15,902 children aged 2 to 11 years. In multivariate regressions,
substantial differences in fruit juice, fruit, vegetable, sugar-sweetened beverages,
sweets, and fast-food consumption were found among the major racial and ethnic groups
of children. Asians regardless of interview language were more likely than whites
to have low vegetable intake consumption (Asians English interview odds ratio [OR]
1.20, 95% CI 1.01 to 1.43; Asians non-English-interview OR 2.09, 95% CI 1.23 to 3.57)
and low fruit consumption (Asians English interview OR 1.69, 95% CI 1.41 to 2.03;
Asians non-English interview OR 3.04, 95% CI 2.00 to 4.6). Latinos regardless of interview
language were also more likely than whites to have high fruit juice (Latinos English
interview OR 1.54, 95% CI 1.28 to 1.84 and Latinos non-English interview OR 1.29,
95% CI 1.02 to 1.62) and fast-food consumption (Latinos English interview OR 1.74,
95% CI 1.46 to 2.08 and Latinos non-English interview OR 1.48, 95% CI 1.16 to 1.91);
but Latinos were less likely than whites to consume sweets (Latinos English interview
OR 0.81, 95% CI 0.66 to 0.99 and Latinos non-English interview OR 0.56, 95% CI 1.16
to 1.91).
Conclusions
Significant racial and ethnic differences exist in the dietary practices of California
children. Increased fruit and vegetable consumption appears to be associated with
parent education but not income. Our findings suggest that anticipatory guidance and
dietary counseling might benefit from tailoring to specific ethnic groups to potentially
address disparities in overweight and obesity.
Keywords
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Biography
A. D. Guerrero is an assistant professor of pediatrics, Department of Pediatrics, David Geffen School of Medicine at University of California, Los Angeles; University of California, Los Angeles Center for Healthier Children, Families, and Communities, Los Angeles; and Children’s Discovery and Innovation Institute Mattel Children’s Hospital University of California, Los Angeles.
Biography
P. Chung is an associate professor of pediatrics, Department of Pediatrics, David Geffen School of Medicine at University of California, Los Angeles; Children’s Discovery and Innovation Institute Mattel Children’s Hospital University of California, Los Angeles; Department of Health Policy & Management, University of California, Los Angeles Fielding School of Public Health, Los Angeles; and The Rand Corporation, Santa Monica, CA.
Article info
Publication history
Published online: October 01, 2015
Accepted:
August 19,
2015
Received:
January 7,
2015
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest reported by the authors.
FUNDING/SUPPORT Financial support for this research was provided by a grant from the Robert Wood Johnson Foundation's New Connections Program, with additional support from the Centers for Disease Control and Prevention (grant no. U48 DP001934), and in part by the National Institute of Child Health and Human Development (grant no. K23 HD080461-01A1).
Identification
Copyright
© 2016 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
