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Social Determinants of Overweight and Obesity Among Children in the United States.

Authors
  • Yusuf, Zenab I1
  • Dongarwar, Deepa2
  • Yusuf, Rafeek A3
  • Bell, Meishon2
  • Harris, Toi4
  • Salihu, Hamisu M5
  • 1 Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA; Houston VA Health Services Research and Development Service Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston; and VA South Central Mental Illness Research, Education and Clinical Center.
  • 2 Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, TX, USA.
  • 3 Department of Management, Policy, and Community Health, University of Texas Health Science Center at Houston, School of Public Health, Houston, TX, USA.
  • 4 Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA; Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA; and Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, TX, USA.
  • 5 FCM-Adminstartion Research, Baylor College of Medicine, Houston, TX, USA; Department of Environmental and Occupational Health, University of South Florida, College of Public Health Tampa, Florida, USA; Department of Epidemiology and Biostatistics, University of South Florida, College of Public Health Tampa, Florida, USA; and Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, TX, USA.
Type
Published Article
Journal
International journal of MCH and AIDS
Publication Date
Jan 01, 2020
Volume
9
Issue
1
Pages
22–33
Identifiers
DOI: 10.21106/ijma.337
PMID: 32123625
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Childhood obesity is one of the foremost threats to population health in the United States (U.S.) leading to the emergence of co-morbidities and increased healthcare cost. We explore the influence of selected social determinants of health (SDOH) on overweight and obesity among U.S. children. We utilized the National Survey of Children's Health (NSCH) 2016-17 dataset for this analysis. Overweight was defined as Body Mass Index (BMI) ≥ 85th to<95th, while obesity was defined as BMI ≥95th percentile for age and sex. Based on the literature and pathway plausibility, we examined several SDOH variables as predictors of childhood overweight or obesity in the US. Survey log-binomial regression models were built to generate prevalence ratio (PR) estimates to capture the associations between SDOH and overweight or obesity. About 30.6 million children were surveyed of which 9.5 million (31.0%) were either overweight or obese. The likelihood of obesity was elevated among non-Hispanic Black and Hispanic children (PR = 1.53; 95% CI = 1.01-2.31) and (PR = 1.50; 95% CI = 1.18-1.90) respectively. Overweight was more frequent in younger children, children of single parents, and children who lived in a neighborhood with no amenities. Parental attainment of college education, health insurance coverage, female gender, and language spoken in home other than Spanish were protective against overweight or obesity. SDOH represent markers of overweight or obesity in children. We recommend the development of innovative interventions using SDOH risk and protective pathways as guide to address the current epidemic of childhood overweight and obesity. Copyright © 2020 Yusuf et al.

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