Trends in school‐neighbourhood inequalities and youth obesity: Repeated cross‐sectional analyses of the public schools in the state of California
Authors' conclusion
The findings suggest the needs to investigate reasons for this variability with consideration to combinations of sociodemographic, economic, and environmental risk factors that may contribute to disparities in childhood obesity.
Study context
- Population
- Fifth, seventh and ninth graders attending public schools in California in 2001 and 2010
- Participants
- 1,584,768 participants
- Exposure
- School-neighbourhood income tertiles
- Outcome
- School-level overweight/obesity (OVOB) prevalence, from BMI
Methodological detailsmultiple logistic regression
- Multiple logistic regression
Main finding
As reported in the abstract
OVOB prevalence by school-neighbourhood income
- OVOB prevalence higher in lower-income school neighbourhoods, with a steeper income-OVOB gradient for girls
- Among boys, gradient steeper in 2010 than 2000
- Among Asian and White girls, negative gradients steepest in rural areas
- Less clear evidence of inverse income-OVOB gradients for African-American students in all areas and Latino boys in rural areas
Observational data: associations, not effects.
Further findings
Adjustment for fast-food restaurant availability
- Adding fast-food restaurant availability did not change the inverse school-neighbourhood income-obesity gradients
Original publication
Trends in school‐neighbourhood inequalities and youth obesity: Repeated cross‐sectional analyses of the public schools in the state of California. Pediatr Obes. Published 14 December 2022. doi:10.
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