Get access

Retrospective chart review of obesity and episodic and chronic illness among rural Mexican-American adolescents accessing rural health clinic services

Authors

  • Jane Dimmitt Champion PhD DNP MA FNP AH-PMH-CNS FAAN,

    Professor, Corresponding author
    1. School of Nursing, The University of Texas at Austin, Uvalde, Texas, USA
    • Correspondence: Jane Dimmitt Champion, School of Nursing, The University of Texas at Austin, 1700 Red River Street, Uvalde, TX 78801, USA. Email: jdchampion@mail.nur.utexas.edu

    Search for more papers by this author
    • Principal investigator.
  • Sherrie Pierce DNP APRN FNP,

    Advanced Practice Nurse
    1. School of Nursing, Texas Tech University Health Science Center, Lubbock, Texas, USA
    Search for more papers by this author
  • Jennifer L Collins PhD RN

    Assistant Professor
    1. School of Nursing, Texas Tech University Health Science Center, Lubbock, Texas, USA
    Search for more papers by this author

  • Funding: National Institute on Drug Abuse R01 DA026776.

Abstract

Obesity impacts the physical and psychological health of children and adolescents, and is a risk factor for development of episodic and chronic illness. Rural Mexican-American adolescents are at risk for obesity and associated chronic illnesses.The study used a retrospective chart review of data collected routinely in a rural health clinic setting from 1 January 2005 to 31 December 2010 to assess incidence of overweight/obesity status and episodic or chronic illness among Mexican-American adolescents aged 12–18 years. Analyses included body mass index, age, gender, and episodic or chronic illness diagnoses. Two hundred twelve charts were audited; women (n = 114, 53.8%), men (n = 98 46.2%); normal (n = 105, 49.5%), overweight/obese (n = 107, 50.5%). There were more female normal (n = 61, 53.5%) vs. overweight/obese (n = 53, 46.5%). More male overweight/obese (n = 54, 55.1%) than normal weight (n = 44, 44.9%). Age at first documented overweight/obesity status occurred in early adolescence (median = 13 years, mode = 12 years). Chronic illness incidence was higher among men than women, and overweight/obese vs. normal weight adolescents and in sub-categorizations by weight and specific illness. Incidence of episodic illness was higher among women than men, with variation by weight and specific illness. Disproportionately high incidence of episodic or chronic illness and overweight/obesity identified among rural Mexican-American adolescents compels intervention modification to improve effectiveness.

Get access to the full text of this article

Ancillary