The Association of the Parent–Child Language Acculturation Gap with Obesity and Cardiometabolic Risk in Hispanic/Latino Youth: Results from the Hispanic Community Children’s Health Study/Study of Latino Youth (SOL Youth)

Background Hispanic/Latino youth are disproportionately burdened by obesity and have a high prevalence of prediabetes and dyslipidemia. Differences in parent and child acculturation related to language use and preference (i.e., language acculturation) are associated with adverse cardiometabolic health behaviors, but no study has examined associations with cardiometabolic markers. Purpose To determine whether discordance in parent–child language acculturation (parent–child acculturation gap) was associated with poor youth cardiometabolic health. Methods Hispanic/Latino 8–16-year-olds (n = 1,466) and parents from the Hispanic Community Children’s Health Study/Study of Latino Youth (SOL Youth) were examined. Mean scores for the Brief ARSMA-II’s Anglo (AOS) and Latino (LOS) Orientation Scales represented language acculturation. Cardiometabolic markers included youth body mass index (BMI) percentile, blood pressure percentiles, and dysglycemia and hyperlipidemia measures. Missing data were imputed. Survey-weighted multivariable linear regression examined the association of youth, parent, and youth × parent (the acculturation gap) AOS and LOS scores separately with each cardiometabolic marker. Results Youth reported greater English and lower Spanish use than parents. Greater discordance in AOS scores was associated with elevated BMI percentile only (p-for-interaction < .01). The LOS acculturation gap was not associated with any outcome. Adjustment for acculturative stress, family functioning and closeness, parenting style, and youth’s diet and physical activity did not alter findings. Removal of nonsignificant acculturation gaps did not indicate an association between individual youth or parent AOS or LOS scores and any cardiometabolic marker. Conclusions Discordance in Hispanic/Latino parent–child dyads’ English use may relate to increased risk for childhood obesity. Future studies should identify mediators of this association.

Abstract MP03: The Association of the Parent-Child Acculturation Gap With Obesity and Cardiometabolic Risk in Hispanic/Latino Youth: Results From the Hispanic Community Children's Health Study/Study of Latino Youth (SOL Youth)

Introduction: Hispanic/Latino youth are disproportionately burdened by obesity and have a high prevalence of pre-diabetes and dyslipidemia. Acculturation may help explain this elevated cardiometabolic risk. Within immigrant families, parents and children acculturate at different rates. A difference in the degree of acculturation, known as the “acculturation gap”, between parents and their children has been associated with behaviors that may increase cardiometabolic risk in youth. However, no previous studies have investigated the association between the parent-child acculturation gap and cardiometabolic health. Hypothesis: We tested whether greater gaps in parent-child acculturation were associated with worse cardiometabolic health in Hispanic/Latino youth. Methods: Hispanic/Latino youth ( n =1466, 8-16-year-olds) and parents from the Hispanic Community Children’s Health Study/Study of Latino Youth (SOL Youth) were examined. Mean scores on the Brief Acculturation Rating Scale for Mexican Americans-II (ARSMA-II) Anglo and Latino Orientation Scales (AOS and LOS, respectively) were used to represent parent and youth acculturation. The Brief ARSMA-II primarily assesses language use patterns on a 5-point Likert-type scale, with higher scores on the AOS indicating a preference for English and higher scores on the LOS indicating a preference for Spanish. Cardiometabolic markers included youth body mass index (BMI) percentile, blood pressure percentiles, fasting glucose, HOMA-IR, HbA1c, cholesterol, triglycerides, and hsCRP. Missing data were addressed using multiple imputation. Survey-weighted multivariable linear regression examined associations of youth, parent, and youth x parent (the acculturation gap) scores for the AOS and LOS scales separately with each cardiometabolic marker. Results: On average, compared to their parents, youth reported a greater preference for English and a lower preference for Spanish (AOS=4.2 vs. 2.7; LOS=3.1 vs. 4.2, respectively). Greater discordance (i.e., an acculturation gap) in parent and youth AOS scores was associated with elevated BMI percentile only (p-for-interaction≤0.001). The LOS acculturation gap was not associated with any cardiometabolic measures. Adjustment for acculturative stress, family functioning and closeness, parenting style, and youth’s diet and physical activity did not alter the findings. Removal of non-significant acculturation gaps indicated an inverse association between parent AOS score and youth SBP percentile (β=-2.47, 95% CI: -4.73, -0.21) and between parent LOS score and youth total cholesterol (β=-2.87, 95% CI: -5.52, -0.21). Conclusions: Discrepancies in English language use in parent-child dyads may relate to increased obesity risk in Hispanic/Latino youth. Future studies are needed to identify mediators of this association, such as general stress and English language fluency.

Short Acculturation Scale for Hispanics (SASH-Y and SASH) Reliability and Validity in Low-Income, Mexican-Heritage Youth and Parents

The Short Acculturation Scale for Hispanics (SASH) is a popular acculturation measure. Although SASH has been validated, conflicting information has been published about the youth version (SASH-Y). We examined the psychometric properties (i.e., validity and reliability) of SASH-Y in low-income, Mexican-heritage youth (aged 8-18; n = 100) and SASH with their parents ( n = 100; total N = 200). Confirmatory factor analyses comparing the three published structural variations of the SASH-Y revealed the three-factor structure originally proposed for SASH-Y fit the data best, and the frequently used unidimensional structure did not fit. The adult SASH fit parent data well. For researchers interested in comparing parent and child scores (e.g., acculturation gap research), we examined the 10 identical parent and child items for invariance. Invariance was established for parent and child data with the traditional SASH structure. However, internal consistency was inadequate for the child data regardless of variable structure. Implications are discussed.

Perceived Parental Remote Acculturation Gaps Among Divorced Coparents and Children’s Adjustment in Turkey

The possibility of differential remote acculturation to a distant culture is yet another chasm that divorced coparents must bridge as they raise their children in globalizing urban settings. This study explored the association between parental remote acculturation and perceived parental remote acculturation gaps in two acculturation domains (behavior, identity), in relation to children’s adjustment in Turkish divorced families. Altogether, 177 urban divorced mothers in Turkey reported their own and their ex-partners’ remote acculturation to U.S. and Turkish cultures, and their joint children’s internalizing (social withdrawal, anxiety) and externalizing (aggression) behaviors. Perceived remote acculturation gaps were operationalized with match:mismatch and interaction methods. Sequential regression analyses accounting for parental conflict resolution revealed that mothers’ perceptions of fathers’ American identity was positively associated with children’s social withdrawal. Regarding perceived acculturation gaps, one particular cross-dimension pairing—strongly U.S.-identified “AmeriTurk” mothers paired with strongly Turkish-identified fathers—predicted lower internalizing problems. Although having an Americanized father might confer some risk for children in divorced families in Turkey, having an “AmeriTurk” mother and traditional Turkish father may be protective, suggesting the benefit of integration as a family-level remote acculturation strategy. Taken together, parental remote acculturation and perceived remote acculturation gaps in identity (not behavior) predicted the socioemotional (not behavioral) adjustment of children above and beyond parental discord. Findings highlight the family repercussions of remote acculturation in Eurasia, underscore the importance of multidomain acculturation measurement, confirm the superior sensitivity of the interaction method, and extend its application to assessing cross-dimension pairings as a new type of acculturation gap.

Parenting in a New Land

Immigrant parents face a double challenge in rearing their children in a foreign country. In addition to the tasks that all parents face, they must also try to find a balance between the norms and expectations of their heritage culture and those of the culture they live in. How do immigrant parents support their children and contribute to their positive adaptation? The goal of this review is to highlight selected aspects of parenting and family relationships that are strongly linked to children’s development and resilience. With regards to family processes, we underscore the contribution of fathers, the role of a potential acculturation gap between parents, and the benefit of speaking the heritage language in the family. For the connection to the world outside of the family, we highlight the advantage of having proficiency in the majority language and of parental involvement in schools. Finally, we outline the specific challenges and stressors as well as the importance of family relationships for families with refugee status. We conclude by making the case that immigrant parents should be encouraged and supported in rearing their children in a way that fosters family cohesion and reflects their heritage culture as well as the culture of the host country. This requires support and intervention programs that are not only culturally sensitive but are also two-generational and focus on mothers, fathers, and children.