Parental Perception of Child Bodyweight and Health Among Mexican-American Children with Acanthosis Nigricans

• Published in: Journal of immigrant and minority health Vol. 16; no. 5; pp. 874 - 881
• Main Authors: Su, Dejun, Huang, Terry T.-K., Anthony, Renaisa, Ramos, Athena, Toure, Drissa, Wang, Hongmei
• Format: Journal Article
• Language: English
• Published: Boston Springer Science + Business Media 01-10-2014; Springer US; Springer Nature B.V
• Subjects: Acanthosis Nigricans - ethnology; Acanthosis Nigricans - psychology; Adult; Attitude to Health; Body Composition; Body mass index; Body Weight; Child; Child Health; Childrens health; Comparative Law; Diabetes; Education Service Centers; Fathers; Fathers - psychology; Female; Hispanic Americans; Humans; International & Foreign Law; Male; Medicine; Medicine & Public Health; Mexican Americans - psychology; Mexican Americans - statistics & numerical data; Minority & ethnic groups; Mothers; Mothers - psychology; Obesity; ORIGINAL PAPER; Parents & parenting; Parents - psychology; Pediatric Obesity - ethnology; Pediatric Obesity - psychology; Perception; Perceptions; Private International Law; Public Health; Sex Factors; Sociology; Statistical analysis; Students; Texas - epidemiology; Texas; United States > US; USA, Texas; Obesity; Acanthosis nigricans; Mexican-American children; Diabetes; Parents
• ISSN: 1557-1912; 1557-1920
• DOI: 10.1007/s10903-013-9869-6

Acanthosis nigricans (AN) is a cutaneous marker associated with elevated risk of type 2 diabetes. This study assesses mother–father differences in perception of child’s bodyweight and health by Mexican-American parents with AN-positive children. The study used medical records in conjunction with survey data collected between 2011 and 2012 for 309 Mexican-American children with AN in South Texas. Multivariate logit models were estimated to assess mother–father differences in perception of child bodyweight and health controlling for selected childand parent-level covariates. About 91 % of the children in the sample were obese and 6.5 % were overweight. One fifth of mothers and 38.5 % of fathers in the sample expressed no concern of their children’s bodyweight. After adjusting for selected explanatory variables at both the child and parent level, the odds for fathers, relative to mothers, to be concerned about child’s bodyweight were 82 % lower (OR = 0.18, p < 0.05). Similar findings also hold for parental awareness of child’s AN (OR = 0.19, p < 0.05). Among Mexican-American families with AN-positive children, the lack of concern over child’s bodyweight, unawareness of AN, and misconception of child’s health on the part of many parents, especially of fathers, constitutes a challenge to diabetes prevention. Health education programs targeting Mexican-American families with AN-positive children might be more cost effective to consider mother–father differences in perception of child health and bodyweight.