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Racial and Ethnic Disparities in Dietary Intake among California Children
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Details:
  • Pubmed ID:
    26433453
  • Pubmed Central ID:
    PMC4769954
  • Description:
    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, socio-demographics, and child factors were associated with specific dietary practices.

    Results

    The sample included 15,902 children ages 2-11. 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 (Asians English interview OR, 1.20; 95% CI, 1.01-1.43; Asians non-English-interview OR, 2.09; 95% CI, 1.23-3.57) and low fruit (Asians English interview OR, 1.69; 95% CI, 1.41-2.03; Asians non-English interview OR, 3.04; 95% CI, 2.00-4.62) consumption. Latinos regardless of interview language were also more likely than Whites to have high fruit juice (Latinos English interview OR, 1.54; 95% CI and 1.28-1.84; Latinos non-English interview OR, 1.29; 95% 1.02-1.62) and fast food (Latinos English interview OR 1.74; 95% CI, 1.46-2.08 2.16; Latinos non-English interview OR 1.48; 95% CI, 1.16-1.91) consumption; but Latinos were less likely than Whites to consume sweets (Latinos English interview OR, 0.81; 95% CI, 0.66-0.99; Latinos non-English interview OR, 0.56; 95% CI 1.16-1.91).

    Conclusions

    Significant racial and ethnic differences exist in the dietary practices of California children. Increased fruit and vegetable consumption appears to be associated with parental 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.

  • Document Type:
  • Collection(s):
  • Funding:
    K23 HD080461/HD/NICHD NIH HHS/United States
    KL2 TR000122/TR/NCATS NIH HHS/United States
    U48 DP001934/DP/NCCDPHP CDC HHS/United States
    K23 HD080461-01A1/HD/NICHD NIH HHS/United States
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