Families, Systems and Health
Volume 36, Issue 4, 2018, Pages 451-470

Who is meeting the Healthy People 2020 objectives?: Comparisons between racially/ethnically diverse and immigrant children and adults (Article)

Berge J.M.* , Fertig A. , Tate A. , Trofholz A. , Neumark-Sztainer D.
  • a Department of Family Medicine and Community Health, University of Minnesota Medical School, United States
  • b Department of Family Medicine and Community Health, University of Minnesota Medical School, United States
  • c Department of Family Medicine and Community Health, University of Minnesota Medical School, United States, School of Public Health, Division of Epidemiology and Community Health, University of Minnesota, United States
  • d Department of Family Medicine and Community Health, University of Minnesota Medical School, United States
  • e School of Public Health, Division of Epidemiology and Community Health, University of Minnesota, United States

Abstract

Introduction: To determine the prevalence of reaching multiple Healthy People 2020 (HP 2020) objectives including nutrition and weight status, sleep health, physical activity, health-related quality of life, social determinants of health, and education among low-income, diverse children and adults. Methods: Children ages 5- to7-yearsold (n = 150; 47% female) and their parents (mean age = 35; 91% mothers) from 6 racial/ethnic and immigrant/refugee groups (n = 25 from each; African American, Native American, Hispanic, Hmong, Somali, White) participated in this cross-sectional mixed-methods study. Results: Overall, the majority of HP 2020 objectives were not being met across this low-income, racially/ethnically diverse, and immigrant/refugee sample of children and adults. In particular, African American children and parents consistently fell below the majority of the HP 2020 targets, with only 5 of the 24 HP 2020 objectives being met. Additionally, immigrant children and parents met less than 2/3 of the HP 2020 objectives. Discussion: Concerted public health efforts are needed to address the disparities in reaching the HP 2020 objectives and informing the development of the future HP 2030 objectives among low-income, racially/ethnically diverse, and immigrant children and parents. In order to achieve and assess the current and future HP objectives in these diverse populations, changes may be needed in both interventions and assessment tools. © 2018 American Psychological Association.

Author Keywords

Weight-related behaviors Healthy People 2020 immigrants health disparities

Index Keywords

immigrant refugee health promotion lowest income group health disparity Continental Population Groups ancestry group human Ethnic Groups House Calls ethnic group home visit Minnesota African American procedures American Indian Cross-Sectional Studies income cross-sectional study Humans human tissue Hispanic male preschool child female Child, Preschool Article major clinical study mother adult human experiment Healthy People Programs public health Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059242469&doi=10.1037%2ffsh0000376&partnerID=40&md5=45cf2b8c935d7075169aa2f856ca1210
DOI: 10.1037/fsh0000376
ISSN: 10917527
Cited by: 1
Original Language: English