Document Detail

Multiple levels of social disadvantage and links to obesity in adolescence and young adulthood.
MedLine Citation:
PMID:  23343314     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The rise in adolescent obesity has become a public health concern, especially because of its impact on disadvantaged youth. This article examines the role of disadvantage at the family-, peer-, school-, and neighborhood-level, to determine which contexts are related to obesity in adolescence and young adulthood.
METHODS: We analyzed longitudinal data from Waves I (1994-1995), II (1996), and III (2001-2002) of the National Longitudinal Study of Adolescent Health, a nationally representative population-based sample of adolescents in grades 7-12 in 1995 who were followed into young adulthood. We assessed the relationship between obesity in adolescence and young adulthood, and disadvantage (measured by low parent education in adolescence) at the family-, peer-, school-, and neighborhood-level using multilevel logistic regression.
RESULTS: When all levels of disadvantage were modeled simultaneously, school-level disadvantage was significantly associated with obesity in adolescence for males and females and family-level disadvantage was significantly associated with obesity in young adulthood for females.
CONCLUSIONS: Schools may serve as a primary setting for obesity prevention efforts. Because obesity in adolescence tracks into adulthood, it is important to consider prevention efforts at this stage in the life course, in addition to early childhood, particularly among disadvantaged populations.
Hedwig Lee; Kathleen M Harris; Joyce Lee
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Journal of school health     Volume:  83     ISSN:  1746-1561     ISO Abbreviation:  J Sch Health     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-01-24     Completed Date:  2013-07-22     Revised Date:  2014-03-06    
Medline Journal Info:
Nlm Unique ID:  0376370     Medline TA:  J Sch Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  139-49     Citation Subset:  IM; N    
Copyright Information:
© 2013, American School Health Association.
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MeSH Terms
Age Factors
Logistic Models
Longitudinal Studies
Obesity / epidemiology,  etiology*,  prevention & control
Poverty / statistics & numerical data
Residence Characteristics / statistics & numerical data
Risk Factors
School Health Services
Schools / standards,  statistics & numerical data
Sex Factors
United States / epidemiology
Vulnerable Populations* / statistics & numerical data
Young Adult
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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