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Examining individual and school characteristics associated with child obesity using a multilevel growth model

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  • Miyazaki, Yasuo
  • Stack, Maria

Abstract

The childhood obesity epidemic continues to be a serious concern in the U.S., disproportionately affecting low socioeconomic and minority groups. Because many interventions are based in schools, both individual and school factors contributing to obesity were examined in this study. Employing data from the Early Childhood Longitudinal Study, Kindergarten Class of 1998–1999 (ECLS-K), a three level hierarchical linear model was used to estimate children's body mass index (BMI) growth trajectories within their school contexts. Results indicated an inverse relationship between BMI and socioeconomic status (SES), except for black males. Additionally, results showed that low school SES and rural locality of the school were school-level risk factors of obesity. Lastly, a major portion of the between-schools variance was explained by aggregated student characteristics, indicating that students were more likely to attend schools with peers of similar BMI who had similar SES and race/ethnicity, supporting a school-level compositional effect associated with obesity.

Suggested Citation

  • Miyazaki, Yasuo & Stack, Maria, 2015. "Examining individual and school characteristics associated with child obesity using a multilevel growth model," Social Science & Medicine, Elsevier, vol. 128(C), pages 57-66.
    • Handle: RePEc:eee:socmed:v:128:y:2015:i:c:p:57-66
    DOI: 10.1016/j.socscimed.2014.12.032
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    References listed on IDEAS

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    1. Martin, Molly A. & Frisco, Michelle L. & Nau, Claudia & Burnett, Kristin, 2012. "Social stratification and adolescent overweight in the United States: How income and educational resources matter across families and schools," Social Science & Medicine, Elsevier, vol. 74(4), pages 597-606.
    2. repec:mpr:mprres:2443 is not listed on IDEAS
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    Cited by:

    1. Haroldo S Ferreira & Glícia Maris A Lúcio & Monica L Assunção & Bárbara Coelho V Silva & Juliana S Oliveira & Telma Maria M T Florêncio & Amandio Aristides R Geraldes & Bernardo L Horta, 2015. "High Blood Pressure among Students in Public and Private Schools in Maceió, Brazil," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-10, November.
    2. Evans, Clare R. & Onnela, Jukka-Pekka & Williams, David R. & Subramanian, S.V., 2016. "Multiple contexts and adolescent body mass index: Schools, neighborhoods, and social networks," Social Science & Medicine, Elsevier, vol. 162(C), pages 21-31.
    3. Andrew James Williams & Katrina M Wyatt & Craig A Williams & Stuart Logan & William E Henley, 2015. "Exploring the Potential of a School Impact on Pupil Weight Status: Exploratory Factor Analysis and Repeat Cross-Sectional Study of the National Child Measurement Programme," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-23, December.

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