Social and Environmental Correlates of Childhood Obesity Among Southern California Communities
Authors' conclusion
This analysis moved beyond composite indices to examine specific SDoH observed alongside childhood obesity in Southern California, drawing attention to dimensions related to school, healthcare, social services, and environmental exposures.
Study context
- Population
- 330 cities across 10 Southern California counties; childhood obesity rates from 2019 California Department of Education Physical Fitness Test (40% Latino)330 cities
- Participants
- 684,419 participants
- Outcome
- Association of individual SDoH (52 components of 4 SDoH indices) with childhood obesity
Methodological detailspublicly available data, weighted quantile sum regression, interpretable machine learning
- Publicly available data
- Weighted quantile sum regression
- Interpretable machine learning
Main finding
As reported in the abstract
Social determinants of health (SDoH) mixture associated with increased percentile of childhood obesity, β
10.1 [8.1, 12.1] (95% CI)
SDoH factors significantly contributing
14
Observational data: associations, not effects.
Further findings
Latino percentage and key correlates
- Positive associations between Latino percentage and key correlates
School poverty and low-income housing burden
- Cities with high school poverty and low-income housing burdens had higher obesity rates
Original publication
Social and Environmental Correlates of Childhood Obesity Among Southern California Communities. Obesity (Silver Spring). Published 9 September 2025. doi:10. 1002/ oby. 70021
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