Community-level economic hardship and childhood obesity prevalence


Dr. Michael I. Goran teamed up with the Los Angeles County Department of Public Health to study the association between community-level economic hardship and childhood obesity prevalence in Los Angeles County, one of the largest and most ethnically diverse regions in the United States. Results are published in Pediatric Obesity.

Shih M, Dumke KA, Goran MI, & Simon PA. The association between community-level economic hardship and childhood obesity prevalence. Pediatric Obesity, 2013 [E-pub ahead of print].

OBJECTIVE

The association between community-level economic hardship and childhood obesity prevalence was examined in Los Angeles County, one of the largest and most racially and ethnically diverse regions in the United States.

METHODS:

Data from the 2008-2009 California Department of Education’s Physical Fitness Testing Program were analyzed to assess obesity prevalence among 5th, 7th and 9th grade students attending public schools (n = 298 485). Community-level socioeconomic conditions were compared using a census-tract-based Economic Hardship (EH) index. Mixed-effects modelling was used to examine the association between obesity prevalence and gender, grade, race/ethnicity and EH.

RESULTS:

Higher community-level EH was associated with higher childhood obesity prevalence (P < 0.001). The obesity prevalence among communities in the highest EH quartile (26.9%) was more than double the obesity prevalence among communities in the lowest EH quartile (12.5%). The slope of the association between EH and childhood obesity differed by racial/ethnic group. The slope was higher for non-Hispanic White students, Hispanics, and non-Hispanic Asians, and lower for non-Hispanic Black students. Racial/ethnic disparities were observed across the socioeconomic spectrum.

CONCLUSIONS:

Findings suggest that efforts to improve community socioeconomic conditions could reduce childhood obesity prevalence. Prevention efforts should target communities with high economic hardship and also focus on providing culturally relevant interventions that address disparities in obesity prevalence across communities.

© 2012 The Authors. Pediatric Obesity © 2012 International Association for the Study of Obesity.

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