Social Determinants of Overweight and Obesity Rates by Elementary School in a Predominantly Hispanic School District

J Pediatr Nurs. 2017 Nov-Dec:37:8-12. doi: 10.1016/j.pedn.2017.08.024. Epub 2017 Aug 19.

Abstract

Objective: This study analyzes the social determinants associated with the overweight or obesity prevalence of 85 elementary schools during the 2010-11 academic year in a predominantly Hispanic school district.

Methods: A binomial logistic regression is used to analyze the aggregate overweight or obesity rate of a school by the percent of Hispanic students in each school, selected school and neighborhood characteristics, and its geographical location.

Results: The proportion of Hispanic enrollment more readily explains a school's aggregate overweight or obesity rate than social determinants or spatial location. Number of fast food establishments and the academic ranking of a school appear to slightly impact the aggregate prevalence rate. Spatial location of school is not a significant factor, controlling for other determinants.

Conclusions: An elementary school's overall overweight or obesity rate provides a valuable health indicator to study the social determinants of obesity among Hispanics and other students within a local neighborhood.

Keywords: Elementary school; Hispanics; Overweight and obesity; Social determinants.

MeSH terms

  • Body Mass Index*
  • Child
  • Cross-Sectional Studies
  • Female
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Male
  • New Mexico / epidemiology
  • Overweight / diagnosis
  • Overweight / epidemiology*
  • Overweight / psychology
  • Pediatric Obesity / diagnosis
  • Pediatric Obesity / epidemiology*
  • Pediatric Obesity / ethnology
  • Pediatric Obesity / psychology
  • Prevalence
  • Psychological Distance*
  • School Health Services
  • Schools*
  • Social Determinants of Health*