TY - JOUR
T1 - Multilevel Prenatal Socioeconomic Predictors of Mexican American Children’s Cardiometabolic Health in Preschool and School Age
AU - Curci, Sarah G.
AU - Luecken, Linda J.
AU - Hernández, Juan C.
AU - Winstone, Laura K.
AU - Perez, Marisol
N1 - Publisher Copyright:
© 2023 American Psychological Association
PY - 2023
Y1 - 2023
N2 - Objective: Using a life course perspective, this longitudinal study examines the extent to which prenatal family- and neighborhood-level socioeconomic factors influence the cardiometabolic health of low-income Mexican American children. It was hypothesized that prenatal maternal residence in a more economically disadvantaged neighborhood and more family-level economic hardship would each be associated with higher adiposity and blood pressure (BP) at child age 4.5 years, and higher adiposity, BP, inflammation and a less healthy lipid profile at child age 7.5 years. Method: The sample consisted of 322 low-income, Mexican American mother–child dyads, 181 of whom completed the 7.5-year laboratory visit. Using maternal prenatal residence and U.S. census data, neighborhood concentrated disadvantage index was computed. Results: Higher prenatal neighborhood concentrated disadvantage predicted higher 4.5-year adiposity in children, which, in turn, predicted higher adiposity, BP, and inflammation, and less healthy lipid profile (higher triglycerides, lower high-density lipoprotein cholesterol) at 7.5 years. Higher child 4.5-year BP was concurrently associated with higher adiposity and predicted higher 7.5-year BP. Conclusions: Extending previous work with this sample, the current study found associations between cardiometabolic risk indicators as early as preschool among Mexican American children. Furthermore, this study builds on existing literature by expanding our understanding of the effect of prenatal neighborhood concentrated disadvantage on cardiometabolic phenotypes during early childhood.
AB - Objective: Using a life course perspective, this longitudinal study examines the extent to which prenatal family- and neighborhood-level socioeconomic factors influence the cardiometabolic health of low-income Mexican American children. It was hypothesized that prenatal maternal residence in a more economically disadvantaged neighborhood and more family-level economic hardship would each be associated with higher adiposity and blood pressure (BP) at child age 4.5 years, and higher adiposity, BP, inflammation and a less healthy lipid profile at child age 7.5 years. Method: The sample consisted of 322 low-income, Mexican American mother–child dyads, 181 of whom completed the 7.5-year laboratory visit. Using maternal prenatal residence and U.S. census data, neighborhood concentrated disadvantage index was computed. Results: Higher prenatal neighborhood concentrated disadvantage predicted higher 4.5-year adiposity in children, which, in turn, predicted higher adiposity, BP, and inflammation, and less healthy lipid profile (higher triglycerides, lower high-density lipoprotein cholesterol) at 7.5 years. Higher child 4.5-year BP was concurrently associated with higher adiposity and predicted higher 7.5-year BP. Conclusions: Extending previous work with this sample, the current study found associations between cardiometabolic risk indicators as early as preschool among Mexican American children. Furthermore, this study builds on existing literature by expanding our understanding of the effect of prenatal neighborhood concentrated disadvantage on cardiometabolic phenotypes during early childhood.
KW - Mexican American children
KW - cardiometabolic health
KW - neighborhood concentrated disadvantage
KW - prenatal determinants
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U2 - 10.1037/hea0001311
DO - 10.1037/hea0001311
M3 - Article
C2 - 37883036
AN - SCOPUS:85175219780
SN - 0278-6133
VL - 42
SP - 788
EP - 799
JO - Health Psychology
JF - Health Psychology
IS - 11
ER -