Social Determinants of Health and Body Mass Index in American Indian/Alaska Native Children.
Child Obes
; 19(5): 341-352, 2023 07.
Article
en En
| MEDLINE
| ID: mdl-36170116
ABSTRACT
Objective:
To examine the associations between social determinants of health (SDOH) and prevalent overweight/obesity status and change in adiposity status among American Indian and Alaska Native (AI/AN) children.Methods:
The study sample includes 23,950 AI/AN children 2-11 years of age, who used Indian Health Service (IHS) from 2010 to 2014. Multivariate generalized linear mixed models were used to examine the following (1) cross-sectional associations between SDOH and prevalent overweight/obesity status and (2) longitudinal associations between SDOH and change in adiposity status over time.Results:
Approximately 49% of children had prevalent overweight/obesity status; 18% had overweight status and 31% had obesity status. Prevalent severe obesity status was 20% in 6-11-year olds. In adjusted cross-sectional models, children living in counties with higher levels of poverty had 28% higher odds of prevalent overweight/obesity status. In adjusted longitudinal models, children 2-5 years old living in counties with more children eligible for free or reduced-priced lunch had 15% lower odds for transitioning from normal-weight status to overweight/obesity status.Conclusions:
This work contributes to accumulating knowledge that economic instability, especially poverty, appears to play a large role in overweight/obesity status in AI/AN children. Research, clinical practice, and policy decisions should aim to address and eliminate economic instability in childhood.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Indígenas Norteamericanos
/
Índice de Masa Corporal
/
Obesidad Infantil
/
Determinantes Sociales de la Salud
Tipo de estudio:
Prognostic_studies
Límite:
Child
/
Child, preschool
/
Humans
Idioma:
En
Revista:
Child Obes
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos