scholarly journals The Developmental Impact of Reverse-Migration Separation on Low-Income Chinese-American Children—Provider Perspectives

2017 ◽  
Vol 05 (05) ◽  
pp. 146-165 ◽  
Author(s):  
Kenny Kwong
2008 ◽  
Vol 6 (1) ◽  
pp. 31-42 ◽  
Author(s):  
Robyn Matloff ◽  
Angela Lee ◽  
Roland Tang ◽  
Doug Brugge

Despite nearly 12 million Asian Americans living in the United States and continued immigration, this increasingly substantial subpopulation has consistently been left out of national obesity studies. When included in national studies, Chinese-American children have been grouped together with other Asian Americans, Pacific Islanders or simply as “other,” yielding significantly lower rates of overweight and obesity compared to non-Asians. There is a failure to recognize the ethnic diversity of Asian Americans as well as the effect of acculturation. Results from smaller studies of Chinese American youth suggest that they are adopting lifestyles less Chinese and more Americans and that their share of disease burden is growing. We screened 142 children from the waiting room of a community health center that serves primarily recent Chinese immigrants for height, weight and demographic profile. Body Mass Index was calculated and evaluated using CDC growth charts. Overall, 30.1 percent of children were above the 85th we found being male and being born in the U .S. to be statistically significant for BMI > 85th percentile (p=0.039, p=0.001, respectively). Our results suggest that being overweight in this Chinese American immigrant population is associated with being born in the U.S. A change in public policy and framework for research are required to accurately assess the extent of overweight and obesity in Chinese American children. In particular, large scale data should be stratified by age, sex, birthplace and measure of acculturation to identify those at risk and construct tailored interventions.


2020 ◽  
pp. 15-26
Author(s):  
Lea Shaver

This chapter talks about country music star Dolly Parton, who is also a poet at heart. She is an avid reader, with an extensive book collection. As a child growing up in Appalachia, however, Dolly experienced book hunger first-hand. It explains how Dolly's own childhood experience motivated her to found the Imagination Library as a way to ensure that all children could experience the joy of book ownership. The chapter also discusses other organizations like First Book that reinvents the traditional book supply chain. Rather than relying on for-profit bookstores as an intermediary, First Book and Imagination Library have innovated alternative, more cost-effective systems to deliver books to children from low-income backgrounds. Through a combination of charitable dollars and cost savings, innovative nonprofits are bringing books to millions of American children who otherwise could not afford them.


2020 ◽  
Vol 201 (1) ◽  
pp. 54-63 ◽  
Author(s):  
Karyn A. Allee-Herndon ◽  
Sherron Killingsworth Roberts

The amount of intentional, instructional, purposeful play has decreased in primary grades, and didactic, test-driven instruction has increased. Emerging neuroscientific evidence is beginning to highlight the significant effects the toxic stress from poverty has on developing brains. Almost half of American children can be considered to come from low-income to high-poverty households. Purposeful play may be the best solution to help ensure an equal and equitable educational playing field. This reflection establishes a research-based rationale for a more play-based pedagogy in primary grades and posits how striking balance between purposeful play and rigorous educational expectations is key to better developmental outcomes.


2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Ewelina Swierad ◽  
Terry T.-K. Huang ◽  
Ellis Ballard ◽  
Karen Flórez ◽  
Sheng Li

The purpose of this study was to develop a qualitative and socioculturally tailored systems model of childhood obesity in the Chinese American community in Manhattan’s Chinatown. We utilized group model building (GMB) methodology as a form of participatory systems modeling. The study was conducted in Manhattan’s Chinatown community. We recruited 16 Chinese American adults from the community. GMB workshops engendered a causal loop diagram (CLD), the visualization of a complex systems model illustrating the structures, feedbacks, and interdependencies among socioculturally specific pathways underlying childhood obesity, in Manhattan’s Chinatown community. The analysis of CLD revealed that participants considered the following factors to influence childhood obesity: (1) traditional social norms affecting body image, how children are raised, parental pressure to study, and trust in health of traditional foods; (2) grandparents’ responsibility for children; (3) limited time availability of parents at home; and (4) a significant amount of children’s time spent indoors. GMB represents a novel method to understand the complexity of childhood obesity in culturally specific populations and contexts. The study identified sociocultural subsystems that may underlie the development and perpetuation of childhood obesity among Chinese American children. Insights from the study can be useful in the design of future empirical studies and interventions.


2020 ◽  
Vol 23 (15) ◽  
pp. 2663-2670
Author(s):  
Jennifer D Lau ◽  
Laminasti Elbaar ◽  
Eda Chao ◽  
Olivia Zhong ◽  
Chihang Ray Yu ◽  
...  

AbstractObjective:The aim is to determine the disparity between the overweight and obesity prevalence of Chinese American school-aged children and adolescents as measured by the Centers for Disease Control and Prevention (CDC) growth reference and the prevalence as measured by international and ethnic-specific-growth references.Design:This retrospective, cross-sectional study measured overweight and obesity prevalence among a paediatric population using the CDC, International Obesity Task Force (IOTF), World Health Organization (WHO) and an ethnic Chinese growth curve.Setting:A community health centre in New York City, USA.Participants:Chinese American children aged 6–17 years in 2017 (N 9160).Results:The overweight prevalence was 24 % (CDC), 23 % (IOTF), 30 % (WHO) and 31 % (China). The obesity prevalence was 10 % (CDC), 5 % (IOTF), 10 % (WHO) and 10 % (China). When disaggregated by age and sex, the difference was the most prominent in girls; using the China reference compared with using the CDC reference almost doubles the overweight prevalence (school-aged: 31 v. 17 %, P < 0·001, adolescent: 27 v. 14 %, P < 0·001) and the obesity prevalence (school-aged: 11 v. 5 %, P < 0·001, adolescent: 7 v. 4 %, P < 0·001).Conclusions:Use of the CDC reference compared with the Chinese ethnic-specific reference results in lower overweight and obesity prevalence in Chinese American girls. Almost half of the girls who were overweight and half of the girls who were obese were not identified using the CDC reference. Using ethnic-specific references or ethnic-specific cut-points may help improve overweight identification for Chinese American children.


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