Abstract：
OBJECTIVES:We investigated whether associations between nativity/length of US residence and body mass index (BMI) and waist circumference (WC) varied over the past two decades. METHODS:Mexican-Americans aged 20-64 years from the National Health and Nutrition Survey (NHANES) III (1988-1994), and NHANES (1999-2008). Sex-stratified multivariable linear regression models further adjusted for age, education, and NHANES period. RESULTS:We found no evidence of secular variation in the nativity/length of US residence gradient for men or women. Foreign-born Mexican-Americans, irrespective of residence length, had lower mean BMI and WC than their US-born counterparts. However among women, education modified secular trends in nativity differentials: notably, in less-educated women, nativity gradients widened over time due to alarming increases in BMI among the US-born and little increase in the foreign-born. CONCLUSIONS:Associations between nativity/length of US residence and BMI/WC did not vary over this 20-year period, but we noted important modifications by education in women. Understanding these trends is important for identifying vulnerable subpopulations among Mexican-Americans and for the development of effective health promotion strategies in this fast-growing segment of the population.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Albrecht SS,Diez Roux AV,Aiello AE,Schulz AJ,Abraido-Lanza AFdoi
10.1007/s00038-012-0414-5subject
Has Abstractpub_date
2013-08-01 00:00:00pages
573-81issue
4eissn
1661-8556issn
1661-8564journal_volume
58pub_type
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