Abstract
To assess the gender-specific effect of socioeconomic disadvantage on obesity in elementary school students. We evaluated body mass index (BMI) data from 2,648 first- and fourth-grade students (1,377 male and 1,271 female students) in eight elementary schools in Springfield, Illinois, between 2012 and 2014. Other factors considered in analysis were grade level, year of data collection, school, race/ethnicity, gender, and socioeconomic disadvantage (SD). Students were considered SD if they were eligible for free/reduced price lunch, a school-based poverty measure. We performed Fisher's exact test or chi-square analysis to assess differences in gender and obesity prevalence by the other factors and gender-stratified logistic regression analysis to determine if SD contributed to increased odds of obesity. A higher proportion of SD female students (20.8%) were obese compared to their non-SD peers (15.2%) (p=0.01). Unadjusted and adjusted logistic regression analysis indicated no difference in obesity in SD and non-SD male students. However, in both unadjusted and adjusted analyses, SD female students had higher odds of obesity than their peers. Even after controlling for grade level, school, year of data collection, and race/ethnic...Continue Reading
References
Nov 25, 2003·Obesity Research·Li Yan WangHowell Wechsler
Mar 15, 2006·The Future of Children·Shiriki Kumanyika, Sonya Grier
Nov 14, 2006·The Journal of School Health·Geraldine M Budd, Stella L Volpe
Dec 18, 2007·Pediatrics·Sarah E Barlow, UNKNOWN Expert Committee
Mar 22, 2008·Obesity·Jonathan A KropskiGordon L Jensen
Oct 7, 2008·International Journal of Epidemiology·Philippa ClarkeJohn E Schulenberg
Dec 17, 2009·Annals of Epidemiology·Gopal K SinghMichael D Kogan
Mar 3, 2010·Health Affairs·Gopal K SinghMichael D Kogan
Dec 15, 2012·Pediatric Obesity·M ShihP A Simon
Sep 28, 2013·Journal of Epidemiology and Community Health·Lauren M Rossen
Oct 18, 2013·Journal of Developmental and Behavioral Pediatrics : JDBP·Shakira F SugliaRenée Boynton-Jarrett
Jan 7, 2014·Journal of Epidemiology and Community Health·Daphne C Hernandez, Emily Pressler
Feb 27, 2014·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal