Black American boys are the only adolescent group in the United States to experience a significant trend increase in obesity rates from 1999 to 2010 (Ogden, Carroll, Kit, & Flegal, 2012). We used the National Survey of American Life-Adolescent, a nationally representative survey of Black American adolescents, to examine the relationship between male closeness and body mass index (BMI) in father-present and kinship households (n ϭ 563). In father-present households, the primary paternal figure is the child's biological father. In kinship households, the primary paternal figure is a nonbiological father or a social father. The National Survey of American Life-Adolescent focuses on experiences of Black American adolescents and includes two ethnic subgroups: African American and Caribbean Black adolescents. Obesity levels were similar between father-present (19.2%) and kinship households (20.6%). However, kinship households reported a higher percentage of paternal closeness (49.2%) than father-present households (46.1%). Ethnic differences in paternal closeness were not present between father-present and kinship households. In a bivariate regression analysis, paternal closeness scores were negatively correlated with BMIs in Black American boys (p ϭ .05). After accounting for age, income, ethnicity, and leisure time physical activity, higher paternal closeness scores were predictive of lower BMIs only in kinship households (p Ͻ .001) in a multivariable regression analysis. Family structure has a microlevel role on obesity in Black American adolescent boys. Future interventions for Black adolescent boys may focus on male bonding as a mechanism to reduce obesity.
Public Significance StatementBlack fatherhood includes biological fathers and social fathers i.e., men who assume father-like roles within families where biological fathers are absent. In this study, African American and Caribbean Black boys who reported closer relationships with their biological or social fathers weighed less than boys who reported poorer relationships. Black fathers matter because the emotional bond between fathers and sons may affect their children's health.