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Parent Perceptions of Child Weight Status in Mexican-Origin Immigrant Families: An Investigation of Acculturation, Stress, and Coping Factors

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Abstract

Parents often underestimate their child’s weight status, particularly when the child is overweight or obese. This study examined acculturation, stress, coping, and involuntary responses to stress and their relation to estimation of child’s weight status among Mexican-origin immigrant families. Eighty-six families provided data on child’s height and weight, caregiver’s perception of their child’s weight status, and caregiver’s responses to acculturation, stress, and coping scales. Parents underestimated their child’s weight status, particularly when the child was overweight or obese. Although acculturation and stress were not associated with accuracy, parents’ responses to stress were linked to parent perceptions. Parents who reported more frequent use of involuntary engagement (e.g., rumination, physiological arousal) were more accurate. Future research, as well as healthcare providers, should consider how parents manage and respond to stress in order to fully understand the factors that explain weight perceptions among Mexican-origin immigrant parents.

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References

  1. Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: United States, 2011–2014. NCHS Data Brief. 2015;219(219):1–8.

    Google Scholar 

  2. Katz DL. Oblivobesity: looking over the overweight that parents keep overlooking. Child Obes. 2015;11(3):225–6. doi:10.1089/chi.2015.1131.

    Article  PubMed  Google Scholar 

  3. Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: a meta-analysis. Pediatrics. 2014;133(3):e689–e703. doi:10.1542/peds.2013-2690.

    Article  PubMed  Google Scholar 

  4. Chen H-Y, Lemon SC, Pagoto SL, Barton BA, Lapane KL, Goldberg RJ. Personal and parental weight misperception and self-reported attempted weight loss in US children and adolescents, National Health and Nutrition Examination Survey, 2007–2008 and 2009–2010. Prev Chronic Dis. 2014;11. doi:10.5888/pcd11.140123.

  5. Sylvetsky-Meni AC, Gillepsie SE, Hardy T, Welsh JA. The impact of parent’s categorization of their own weight and their child’s weight on healthy lifestyle promoting beliefs and practices. J Obes. 2015;2015:e307381. doi:10.1155/2015/307381.

    Article  Google Scholar 

  6. Jansen W, Brug J. Parents often do not recognize overweight in their child, regardless of their socio-demographic background. Eur J Public Health. 2006;16(6):645–7. doi:10.1093/eurpub/ckl100.

    Article  PubMed  Google Scholar 

  7. Huang JS, Donohue M, Becerra K, Ronghui Xu. Relationship between parents’ and children’s weight perceptions: results of a survey. ICAN Infant Child Adolesc Nutr. 2009;1(1):15–20. doi:10.1177/1941406408329218.

    Article  Google Scholar 

  8. Killion L, Hughes SO, Wendt JC, Pease D, Nicklas TA. Minority mothers’ perceptions of children’s body size. Int J Pediatr Obes. 2006;1(2):96–102. doi:10.1080/17477160600684286.

    Article  PubMed  Google Scholar 

  9. de Hoog MLA, Stronks K, van Eijsden M, Gemke RJBJ, Vrijkotte TGM. Ethnic differences in maternal underestimation of offspring’s weight: the ABCD study. Int J Obes. 2012;36(1). doi:10.1038/ijo.2011.199.

  10. Berry JW. Conceptual approaches to acculturation. In: Chun KM, Balls P, Mar G, editors. Acculturation: advances in theory, measurement, and applied research. Washington, DC: American Psychological Association; 2003. p. 17–37.

    Chapter  Google Scholar 

  11. Cuellar I, Arnold B, Maldonado R. Acculturation rating scale for Mexican Americans-II: a revision of the original ARSMA scale. Hisp J Behav Sci. 1995;17(3):275–304. doi:10.1177/07399863950173001.

    Article  Google Scholar 

  12. Kumanyika SK. Environmental influences on childhood obesity: ethnic and cultural influences in context. Physiol Behav. 2008;94(1):61–70. doi:10.1016/j.physbeh.2007.11.019.

    Article  CAS  PubMed  Google Scholar 

  13. Warren CS, Castillo LG, Gleaves DH. The sociocultural model of eating disorders in Mexican American women: behavioral acculturation and cognitive marginalization as moderators. Eat Disord. 2009;18(1):43–57. doi:10.1080/10640260903439532.

    Article  Google Scholar 

  14. Baker EH, Altman CE. Maternal ratings of child health and child obesity, variations by mother’s race/ethnicity and nativity. Matern Child Health J. 2014;19(5):1000–9. doi:10.1007/s10995-014-1597-6.

    Article  Google Scholar 

  15. Rosas LG, Harley KG, Guendelman S, Fernald LCH, Mejia F, Eskenazi B. Maternal perception of child weight among Mexicans in California and Mexico. Matern Child Health J. 2010;14(6):886–94. doi:10.1007/s10995-009-0534-6.

    Article  PubMed  Google Scholar 

  16. Chaparro MP, Langellier BA, Kim LP, Whaley SE. Predictors of accurate maternal perception of their preschool child’s weight status among Hispanic WIC participants. Obesity. 2011;19(10):2026–30. doi:10.1038/oby.2011.105.

    Article  PubMed  Google Scholar 

  17. Alegria M. The challenge of acculturation measures: what are we missing? A commentary on Thomson & Hoffman-Goetz. Soc Sci Med. 2009;69(7):996–998. doi:10.1016/j.socscimed.2009.07.006.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Cervantes RC, Goldbach JT, Padilla AM. Using qualitative methods for revising items in the Hispanic stress inventory. Hisp J Behav Sci. 2012;34(2):208–31. doi:10.1177/0739986312442495.

    Article  Google Scholar 

  19. Thomas TN. Acculturative stress in the adjustment of immigrant families. J Soc Distress Homeless. 1995;4(2):131–42. doi:10.1007/BF02094613.

    Article  Google Scholar 

  20. Tovar A, Hennessy E, Pirie A, et al. Feeding styles and child weight status among recent immigrant mother-child dyads. Int J Behav Nutr Phys Act. 2012;9:62. doi:10.1186/1479-5868-9-62.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Mellins CA, Brackis-Cott E, Dolezal C, Abrams EJ. The role of psychosocial and family factors in adherence to antiretroviral treatment in human immunodeficiency virus-infected children. Pediatr Infect Dis J. 2004;23(11):1035–41.

    Article  PubMed  Google Scholar 

  22. Connor-Smith JK, Compas BE, Wadsworth ME, Thomsen AH, Saltzman H. Responses to stress in adolescence: measurement of coping and involuntary stress responses. J Consult Clin Psychol. 2000;68(6):976–92. doi:10.1037/0022-006X.68.6.976.

    Article  CAS  PubMed  Google Scholar 

  23. Van der Elst K, De Cock D, Vecoven E, et al. Are illness perception and coping style associated with the delay between symptom onset and the first general practitioner consultation in early rheumatoid arthritis management? An exploratory study within the CareRA trial. Scand J Rheumatol. 2015:1–8. doi:10.3109/03009742.2015.1074278.

  24. Iturralde E, Weissberg-Benchell J, Hood KK. Avoidant coping and diabetes-related distress: Pathways to adolescents’ type 1 diabetes outcomes. Health Psychol Off J Div Health Psychol Am Psychol Assoc. 2016. doi:10.1037/hea0000445.

    Google Scholar 

  25. Smith C, Brinkmann A, Schneiderman JU. Latino caregiver psychosocial factors and health care services for children involved in the child welfare system. Child Youth Serv Rev. 2015;52:97–102. doi:10.1016/j.childyouth.2015.03.011.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Kuczmarski RJ, Ogden CL, Guo SS. 2000 CDC Growth Charts for the United States: Methods and Development. Hyattsville: National Center for Health Statistics; 2002.

    Google Scholar 

  27. Maynard LM, Galuska DA, Blanck HM, Serdula MK. Maternal perceptions of weight status of children. Pediatrics. 2003;111(Supplement 1):1226–31.

    PubMed  Google Scholar 

  28. Cervantes RC, Padilla AM, Salgado de Snyder N. The Hispanic stress inventory: a culturally relevant approach to psychosocial assessment. Psychol Assess J Consult Clin Psychol. 1991;3(3):438–47. doi:10.1037/1040-3590.3.3.438.

    Google Scholar 

  29. Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2007;150(1):12–7.e2. doi:10.1016/j.jpeds.2006.08.042.

    Article  PubMed  Google Scholar 

  30. Sosa ET. Mexican American mothers’ perceptions of childhood obesity: a theory-guided systematic literature review. Health Educ Behav. 2012;39(4):396–404. doi:10.1177/1090198111398129.

    Article  PubMed  Google Scholar 

  31. Wolff BC, Santiago CD, Wadsworth ME. Poverty and involuntary engagement stress responses: examining the link to anxiety and aggression within low-income families. Anxiety Stress Coping. 2009;22(3):309–25. doi:10.1080/10615800802430933.

    Article  PubMed  Google Scholar 

  32. Alloy LB, Abramson LY. Judgment of contingency in depressed and nondepressed students: sadder but wiser? J Exp Psychol Gen. 1979;108(4):441–85.

    Article  CAS  PubMed  Google Scholar 

  33. Moore MT, Fresco DM. Depressive realism: a meta-analytic review. Clin Psychol Rev. 2012;32(6):496–509. doi:10.1016/j.cpr.2012.05.004.

    Article  PubMed  Google Scholar 

  34. Robinson E, Sutin AR. Parents’ perceptions of their children as overweight and children’s weight concerns and weight gain. Psychol Sci. 2017;956797616682027. doi:10.1177/0956797616682027.

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Funding

This study was funded by the Foundation for Child Development (Grant Number: LUC-1-13).

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Correspondence to Dorothy L. McLeod.

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DM, CB, AH, and AB declare that they have no conflict of interest. CS received a research grant to fund this research from the Foundation for Child Development.

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Informed consent was obtained from all individual participants included in the study.

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McLeod, D.L., Bates, C.R., Heard, A.M. et al. Parent Perceptions of Child Weight Status in Mexican-Origin Immigrant Families: An Investigation of Acculturation, Stress, and Coping Factors. J Immigrant Minority Health 20, 441–447 (2018). https://doi.org/10.1007/s10903-017-0569-5

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  • DOI: https://doi.org/10.1007/s10903-017-0569-5

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