Mexican American Girls Research Articles

Eating and cooking beyond the borders in Elif Shafak’s The Saint of Incipient Insanities

ABSTRACT In her novel The Saint of Incipient Insanities (2004), Elif Shafak explores the theme of alienation by portraying a group of individuals who live in the U.S. and struggle to adapt to the American lifestyle. This article focuses on Alegre, a Mexican-American girl with bulimia. Surrounded by her Chicana aunts and foreign friends, Alegre is forced to adopt American culture, yet she is also asked not to sever her ties with her Mexican roots. I argue that Alegre's relationship with food mirrors her connection to the American and Mexican cultures: by gorging and disgorging herself with food, she challenges the frontiers that separate cultural identities and the borders that divide the inside and the outside of the self. Alegre considers the kitchen her native soil as it provides her with the space to challenge the boundaries of her own body and identity. The food she cooks there brings different identities together over one meal, where they realise they have much more in common than they expected. Thus, she creates an environment for others to find a chance to question the boundaries that restrict their identities.

All in a Day’s Play: How a Child Resists Linguistic Racism and Constructs Her Identity

Set in one of the least privileged neighborhoods of the US Southeast, this research project took a discourse analysis approach to construct a day-in-the-life case study. It illustrates how, during an after school storybook cooking class, a 7-year-old, multilingual, Mexican American girl navigated local linguistic microaggressions and extended microaffirmations to her peers. At the same time, she contested and critiqued societal power imbalances associated with whiteness. This study widens the corpus of scholarship that has primarily examined children’s sociodramatic play and literacy development in preschool settings. It also broadens the body of research that has predominantly focused on students’ linguistic dexterity and metalinguistic awareness in middle and high school contexts.

Fasting C-peptide values among adolescents in the National Health and Nutrition Examination Surveys.

To report fasting C-peptide values and variations across demographics in healthy non-diabetic adolescents included in the National Health and Nutrition Examination Surveys (NHANES) dataset. In this analysis, we used fasting C-peptide data from the 1999 to 2004 NHANES dataset for participants aged 12 to <18 years (n=2063). The mean ± SE age of the participants was 14.99 ± 0.06 years. The participants included 992 girls and 1071 boys, and more than 80% of participants had a body mass index (BMI) percentile of <85%. Among boys, the most notable finding was the increase in geometric mean C-peptide level from 0.51 nmol/L at age 12, to 0.65 nmol/L at age 15 years. Among girls, levels fluctuated around a geometric mean of 0.67 nmol/L. Girls had significantly higher mean log-transformed C-peptide concentrations than boys (P < 0.0001) after adjusting for age, race and BMI percentile category. After adjusting for age and BMI percentile category, non-Hispanic Black boys and girls had significantly lower C-peptide levels than non-Hispanic White (P=0.0026 and P=0.0093) and Mexican American boys and girls (P < 0.0001 and P < 0.0001), respectively. Despite these findings, both insulin and homeostatic model assessment of insulin resistance were greater in non-Hispanic Black compared to non-Hispanic White participants. Here we describe fasting C-peptide levels in a non-diabetic adolescent population. These data provide crucial insight into evaluating racial differences in endogenous insulin release and clearance and will provide novel information which can be used in assessing residual β-cell function and response to intervention therapy.

Composing Her Growing Identities as a Mexican American

This article studies the growing and changing cultural identifications of one early adolescent Mexican American girl as represented by her engagements with literacy. Her writing behaviors in particular manifested a changing cultural identity that reacted to and represented her response to a changing world. Her bilingualism and biculturalism manifested a dialogic innervation of distinct voices and truths, particularly set in the Trump-era United States. Through a theoretical framework of cultural hybridity and bordered identity, this study analyzes the complex linguistic, developmental, and cultural identities of a young Mexican American woman in the rural South.

75.2 LATINA SUICIDE ATTEMPT AND INTERGENERATIONAL TIGHTROPE

In this session, Lee Carlisle, MD, will present the clinical care of an unauthorized Mexican American girl (age 14 years) who engaged in care after her third suicide attempt. She experienced bullying by white girls after episodes of sneaking out and consuming alcohol with older male white youth. Intergenerational conflict over her level of acculturation was evident, and her family refused to allow her to take antidepressants. Participants will learn how to identify the level of acculturation and to evaluate for intergenerational acculturation family conflict.

Love Is a Battlefield

This qualitative study examines how Latina girls’ understanding of infidelity influences how they approach and interact with romantic partners. In-depth interviews with 24 Mexican American girls, ages 14 to 18, growing up in inner-city neighborhoods, formed the basis of this study. Although cheating was a major concern, most of the girls were more concerned with the emotional ramifications of being cheated on than any physical consequences. Fueled by a belief that most boys are “players,” they became adept at identifying “red flags” that might indicate infidelity. The most frequently mentioned red flags were “Putting in the Time,” “Adopting a Public Versus Private Persona,” “Partner Seems Less Interested,” “Being Secretive,” and “Flirting with Other Girls.” They also relied on electronic surveillance and peer warnings. Although the girls attempted to protect themselves, their reactions and behaviors were often constrained by a larger patriarchal structure outside their immediate control. Implications for gender-specific programs are discussed.

Pubertal Development

Pubertal Development

Breaking Up Is Hard to Do: Mexican American Girls’ Reactions to Boyfriends’ Infidelity

This qualitative study examines how Mexican American girls define and respond to partner infidelity. In-depth interviews with 24 Mexican American girls, ages 14–18, formed the basis of this study. Although girls variously defined cheating, the majority believed that girls should break up with boyfriends who are physically intimate with an outside partner. Yet, the girls’ real world experiences revealed a more nuanced understanding of how girls actually respond to partner infidelity. While most girls who had been cheated on immediately broke up with their partners, they were also quite likely to reconcile with them for a variety of reasons. Emotional and sexual health implications for relationship cycling---defined as breaking up, getting back together, and breaking up again---are discussed.

Fat blame: how the war on obesity victimizes women and children

A four year old Mexican American girl is taken away from her parents because she is obese and experiencing health problems related to her weight. Such a measure, once seen as extreme, quickly comes to be seen as a logical means of addressing a problem viewed as nothing short of child abuse. And yet, for all the purported concern for these children s welfare, little if any mention is ever made of the psychological ramifications of removing children from their families. They are simply the latest victims of the war on obesity a war declared on a disease but conducted, April Herndon contends in this book, along cultural lines. Fat Blame is a book about how the war on obesity is, in many ways, shaping up to be a battle against women and children, especially women and children who are marginalized via class and race. While conceding that fatness can be linked to certain conditions, or that some populations might be heavier than others, Herndon is more interested in the ways women and children are blamed for obesity and the ways interventions aimed at preventing obesity are problematic in and of themselves. From bariatric surgeries being performed on children to women being positioned as responsible for carrying to term a generation of thin children, her book looks closely at the stories of real people whose lives are drastically altered by interventions that are supposedly for their own good. As with so many practices surrounding bodies and health, like dieting, people are often simultaneously blamed and empowered through policies and interventions, especially those that seem to offer them choices. What Herndon reveals is how such choices only offer the illusion of being empowering. Rather, she shows how woman and children are pushed, pulled, and sometimes victimized by interventions such as bariatric surgeries, limits on reproductive technologies, and having their families broken up by the courts. Only by identifying members of this group as victims of discrimination, she argues, can we hope to return them to a fuller and richer kind of agency. In declaring a war on obesity, the United States has said that fat is one of the most serious enemies it faces. Fat Blame asks us to confront the real enemy the moral, political, and ideological significance of our every move in this war.

Experiences with Violence in Mexican American and European American High School Dating Relationships

Violence in adolescent dating relationships has become increasingly normative in the United States, with the severity of the consequences increasing into adulthood. Minority youths are at an increased risk for experiencing moderate to severe forms of physical dating violence, yet they are less likely to seek professional services. This comparative study of Mexican American (MA) and European American (EA) youths was conducted to understand the lived experience of dating violence within the context of romance. MA (n = 41) and EA (n = 34) adolescents (M = 16.04 years old, SD = 0.83; n = 40 girls) participated in focus groups (n = 12) on dating relationships. In order of saliency, four categories of violence emerged: relational (for example, gossip, intentional harming of a partner's reputation), emotional/verbal (for example, insults, controlling behavior), physical (for example, hitting), and sexual (for example, manipulation or coercion). MA girls were particularly vulnerable and noted experiences with sexual coercion and with emotional/verbal and physical violence, sometimes as the perpetrator. Experiences were contextualized as occurring alongside controlling or manipulative partners. An understanding of how MA and EA adolescents experience distinct types of dating violence should inform culturally relevant dating violence prevention strategies. Language: en

Executive Summary: Heart Disease and Stroke Statistics—2014 Update

Author(s): Go, Alan S; Mozaffarian, Dariush; Roger, Veronique L; Benjamin, Emelia J; Berry, Jarett D; Blaha, Michael J; Dai, Shifan; Ford, Earl S; Fox, Caroline S; Franco, Sheila; Fullerton, Heather J; Gillespie, Cathleen; Hailpern, Susan M; Heit, John A; Howard, Virginia J; Huffman, Mark D; Judd, Suzanne E; Kissela, Brett M; Kittner, Steven J; Lackland, Daniel T; Lichtman, Judith H; Lisabeth, Lynda D; Mackey, Rachel H; Magid, David J; Marcus, Gregory M; Marelli, Ariane; Matchar, David B; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Mussolino, Michael E; Neumar, Robert W; Nichol, Graham; Pandey, Dilip K; Paynter, Nina P; Reeves, Matthew J; Sorlie, Paul D; Stein, Joel; Towfighi, Amytis; Turan, Tanya N; Virani, Salim S; Wong, Nathan D; Woo, Daniel; Turner, Melanie B; American Heart Association Statistics Committee and Stroke Statistics Subcommittee

Environmental endocrine disruptors, growth and pubertal development in Mexican-American girls

Background. Overweight and obesity is on the rise in the US and in other industrialized countries. One of the highest risk US populations is Mexican-Americans. This population may also be at high r...

Friends with benefits or “friends” with deficits? The meaning and contexts of uncommitted sexual relationships among Mexican American and European American adolescents

Abstract Using focus groups, this study sought to understand and compare how Mexican American ( n = 41, M = 16.0 years old, SD = .96) and European American ( n = 34, M = 16.1 years old, SD = .64) youths conceptualize and experience “friends with benefits” relationships (FWBRs). Contrary to the implied nature of friendship, partners did not show caring and viewed FWBRs as a means to meet sexual needs. The “benefits” of this arrangement included guilt-free pleasure, little responsibility, the freedom to date others, or to remain available for a more desirable partner. The inherent deficits of FWBRs, on the other hand, included the potential pitfall of getting emotionally attached. Despite the recognized deficits, European American and Mexican American girls both desired and participated in FWBRs. However, Mexican American girls described more committed “going-out” relationships as ideal, which left them vulnerable to mismatched expectations and emotional upset in FWBRs. Findings outline the socio-emotional contexts of adolescent involvement in FWBRs, as well as underscore the potential for conflicting desires. Recommendations for healthy relationship and sexual health programs are discussed.

Childhood Obesity and Asthma Control in the GALA II and SAGE II Studies

Obesity is associated with increased asthma morbidity, lower drug responsiveness to inhaled corticosteroids, and worse asthma control. However, most prior investigations on obesity and asthma control have not focused on pediatric populations, considered environmental exposures, or included minority children. To examine the association between body mass index categories and asthma control among boys and girls; and whether these associations are modified by age and race/ethnicity. Children and adolescents ages 8-19 years (n = 2,174) with asthma were recruited from the Genes-environments and Admixture in Latino Americans (GALA II) Study and the Study of African Americans, Asthma, Genes, and Environments (SAGE II). Ordinal logistic regression was used to estimate odds ratios (OR) and their confidence intervals (95% CI) for worse asthma control. In adjusted analyses, boys who were obese had a 33% greater chance of having worse asthma control than their normal-weight counterparts (OR, 1.33; 95% CI, 1.04-1.71). However, for girls this association varied with race and ethnicity (P interaction = 0.008). When compared with their normal-weight counterparts, obese African American girls (OR, 0.65; 95% CI, 0.41-1.05) were more likely to have better controlled asthma, whereas Mexican American girls had a 1.91 (95% CI, 1.12-3.28) greater odds of worse asthma control. Worse asthma control is uniformly associated with increased body mass index in boys. Among girls, the direction of this association varied with race/ethnicity.

Menstrual Disorders

Menstrual Disorders

Demographic and socioeconomic correlates of adiposity assessed with dual-energy X-ray absorptiometry in US children and adolescents

Associations between demographic-socioeconomic characteristics and childhood obesity are complex in the United States. We examined associations between demographic-socioeconomic characteristics (age, sex, race-ethnicity, family income, household size, and birthplace) and adiposity measured by dual-energy X-ray absorptiometry in US children. Data were from 8-19-y-old US children enrolled in NHANES 2001-2004 (n = 5436). Adiposity was expressed as the fat mass index (FMI = fat mass/height(2); in kg/m(2)), percentage body fat (%BF), and prevalence of normal, overfat, and excess fat corresponding to %BF <25%, 25-29.9%, and ≥30% in boys and <30%, 30-34.9%, and ≥35% in girls, respectively. We used sex-specific linear and multinomial logistic regression models adjusted for demographic-socioeconomic factors. The prevalence of excess fat was higher in Mexican American (36%) than in white (28%; P ≤ 0.10) and black (21%; P < 0.05) boys; higher in Mexican American (44%) than in white (36%; P ≤ 0.10) and black (35%; P < 0.05) girls; and higher in US-born (38%) than in foreign-born (29%; P ≤ 0.10) Mexican American boys. In boys, %BF was higher in Mexican Americans and lower in blacks than in whites (P < 0.05). Adiposity was negatively associated with family income in white boys and girls and in Mexican American girls (P < 0.05). Racial-ethnic disparities in adiposity persisted (P < 0.001) after control for demographic-socioeconomic factors available in NHANES. The R(2) for sex-specific models of %BF or FMI regressed on age, race-ethnicity, family income, household size, and birthplace ranged from 2% to 11%. The association between demographic-socioeconomic factors and adiposity among US children varied substantially by age, sex, and race-ethnicity.

Contextual Amplification or Attenuation of Pubertal Timing Effects on Depressive Symptoms Among Mexican American Girls

To examine the role of neighborhood contextual variation in the putative association between pubertal timing and depressive symptoms among Mexican-origin girls. Mexican-origin girls (N = 344; x̄(age) = 10.8 years) self-reported their total pubertal, adrenal, and gonadal events, along with levels of depressive symptoms in the 5th grade. Girls' residential addresses were geocoded into neighborhoods, and census data were obtained to describe neighborhoods along two dimensions: Hispanic cultural context and socioeconomic disadvantage. Two years later, when most of the girls were in the 7th grade, we reassessed the girls regarding depressive symptoms. Neighborhood Hispanic composition and neighborhood disadvantage were highly positively correlated. Using hierarchical linear modeling, we examined the moderating influence of neighborhood Hispanic composition and neighborhood disadvantage on the prospective associations between pubertal timing (total, gonadal, and adrenal) and depressive symptoms. Neighborhood Hispanic composition moderated the prospective association between total pubertal and gonadal timing and depressive symptoms. Neighborhood disadvantage did not moderate these associations. Our results suggest that early maturing 5th grade Mexican-origin girls living in non-Hispanic neighborhoods are at the greatest risk for increased depressive symptoms in the 7th grade, even though these neighborhoods tend to be socioeconomically more advantaged. The protective cultural context of largely Hispanic neighborhoods may outweigh the potential amplifying effects of neighborhood disadvantage.

Effects of Socioeconomic Status and Acculturation on Accelerometer-Measured Moderate-to-Vigorous Physical Activity Among Mexican American Adolescents: Findings from NHANES 2003–2004

Socioeconomic status (SES) and acculturation are potential contributors of adolescent physical activity disparity among ethnic groups in the U.S. However, studies relying on self-report physical activity measures have reported inconsistent findings regarding sociocultural predictors of physical activity. Therefore, the current study examined the main and interactive effects of SES and acculturation on accelerometer-measured moderate-to-vigorous intensity physical activity (MVPA) among Mexican American adolescents. The National Health and Nutrition Examination Survey 2003-2004 was analyzed. Samples of 153 and 169 Mexican American boys and girls, respectively, were analyzed. SES was indicated by poverty-to-income ratio (PIR); and acculturation was measured by 5-item English preference scales and adolescent and parental country of birth. Regression models were tested separately for boys and girls. U.S.-born boys compared with immigrants did more MVPA (β = .48, P < .01). On the contrary, the effect of English preference on MVPA in boys was negative (β = -.05, P < .01) and amplified by higher SES (β = -.02, P < .01). For girls, none of the tested variables were significant. Higher SES was a risk factor for physical inactivity in Mexican American adolescents, by a moderating mechanism. In addition, physical activity promotion efforts need to consider English speaking and immigrant Mexican American adolescent boys as a target population.

Adiposity is not equal in a multi-race/ethnic adolescent population: NHANES 1999-2004.

BMI is the preferred measure of adiposity in adolescents. Recent evidence suggests that in adults the relationship between BMI and adiposity can vary by age and race/ethnicity. We investigated the relationship between BMI and percent body fat (%BF) in a large multi-ethnic, nationally representative sample of US adolescents (National Health and Nutrition Examination Survey, NHANES, 1999-2004). BMI was calculated; %BF was derived from dual-energy X-ray absorptiometry data and compared to BMI among adolescents from three groups: non-Hispanic white (NHW), non-Hispanic black (NHB), and Mexican-American (MA). Fractional polynomials were used to model a new equation to estimate %BF from a given BMI. MA boys weighed significantly less than either NHW or NHB boys, while only NHB girls weighed significantly more than the other girls. Among the boys there were no differences in mean BMI, whereas %BF differed significantly between all three groups. For the girls, both BMI and %BF differed significantly the groups with MA girls having the highest %BF. The significant correlates for modeling %BF from BMI included gender, age, race/ethnicity, weight, [formula in text]: the final model explained 79% of the variance in %BF. NHB adolescents had significantly lower %BF for BMI and MA had higher than NHW. Our results indicate that BMI may not be an equivalent measure of %BF in a multi-ethnic population of US adolescents.

Psychosocial Risk and Correlates of Early Menarche in Mexican-American Girls

Mexican-American girls have one of the fastest rates of decline in age at menarche. To date, no study has addressed the role of psychosocial factors on age at menarche in this population. Using data from a longitudinal cohort of Mexican-American girls from the Houston, Texas, metropolitan area recruited in 2005, the authors investigated associations between family life and socioeconomic environment and age at menarche in 523 girls. After adjusting for maternal age at menarche, daughter's age, and body mass index at baseline, perception of family life environment as conflict-prone was significantly associated with an earlier age at menarche (< 11 years). Additionally, there was a 2-fold higher risk (odds ratio = 2.22, 95% confidence interval: 1.12, 4.40) of early menarche among daughters of mothers who were single parents compared with those who were not. Furthermore, girls who matured early had a 2.5-fold increased risk (odds ratio = 2.69, 95% confidence interval: 1.04, 6.96) of experimenting with cigarettes compared with those who had an average-to-late age at menarche (≥ 11 years). This study provides important information regarding the role of family life environment and single parenting on age at menarche in Mexican Americans. Awareness of the impact of the family life environment and fathers' absence during the early years should be emphasized when addressing early age at menarche across cultures.