Racial and Ethnic Variation in Adolescent Obesity: A Multilevel Study of Neighbor

青少年肥胖的种族和民族差异：邻居的多层次研究

• 批准号: 7222052
• 负责人: Lisa M Nicholson
• 金额: $ 2.2万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2007-08-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7222052
• 关键词: African American; Hispanic Americans; adolescence (12-20); caucasian American; clinical research; cost effectiveness; curriculum; disease /disorder proneness /risk; geographic difference; human data; longitudinal human study; obesity; racial /ethnic difference; schools; urban poverty area

DESCRIPTION (provided by the applicant): The present study uses data from the National Longitudinal Study of Adolescent Health, Waves I and III to examine variation in young adult obesity as predicted by their adolescent neighborhood environments and school facilities, with a specific focus on poor neighborhoods and schools, Blacks, and Hispanics. This project proposes to use cross-classified multilevel logistic regression models to determine 4 specific aims. First, this project proposes to determine the effect of race/ethnicity (Black, Hispanic, and White) on the risk of obesity. This aim specifically addresses 1 of the goals of AHRQ, by focusing attention on minority populations at specific risk of obesity. The second aim of this project is to determine the extent to which neighborhood explains racial and ethnic variation in obesity. By examining variation in this fundamental correlate of obesity, this project addresses 2 specific objectives set forth by "Healthy People 2010:" reducing the proportion of children and adolescents who are overweight and obese and reducing the proportions of adults who are obese. The third aim is to determine the extent to which disadvantaged schools explain racial and ethnic variation in obesity. Determining where the most variation in obesity exits (across neighborhoods or across schools) will help this researcher propose the most cost effective route for obesity directed policy intervention. This project will significantly advance current research by determining if the known relationships between race/ethnicity and neighborhoods holds true for schools. This aim is particularly important in accomplishing 1 of Agency for Healthcare Research and Quality's (AHRQ) goals of addressing the issue of cost effectiveness in disease prevention because obesity cost approximately $99 billion in 1995. Lastly, this project will determine the potential interactive effects of race/ethnicity and neighborhood disadvantage. This will test to see if racial and ethnic variations in obesity are amplified by neighborhood disadvantage. This serves AHRQ's goal of aiding disadvantaged populations, since it is known that the proportion of adolescents from neighborhoods who are overweight or obese is twice that of adolescents from middle-and high-income neighborhoods.

描述（由申请人提供）：本研究使用国家青少年健康纵向研究第一波和第三波的数据来检查青少年肥胖的变化，如青少年社区环境和学校设施预测的那样，特别关注贫困人口社区和学校、黑人和西班牙裔。该项目建议使用跨分类的多级逻辑回归模型来确定 4 个具体目标。首先，该项目建议确定种族/民族（黑人、西班牙裔和白人）对肥胖风险的影响。这一目标专门针对 AHRQ 的目标之一，即重点关注具有特定肥胖风险的少数群体。该项目的第二个目标是确定社区在多大程度上解释肥胖的种族和民族差异。通过研究肥胖这一基本相关性的变化，该项目实现了“2010年健康人”提出的两个具体目标：减少儿童和青少年超重和肥胖的比例，以及减少成人肥胖的比例。第三个目标是确定弱势学校在多大程度上解释肥胖的种族和民族差异。确定肥胖差异最大的地方（跨社区或跨学校）将有助于该研究人员提出最具成本效益的肥胖导向政策干预途径。该项目将通过确定种族/民族与社区之间的已知关系是否适用于学校，从而显着推进当前的研究。这一目标对于实现医疗保健研究和质量机构 (AHRQ) 的目标之一尤其重要，即解决疾病预防的成本效益问题，因为 1995 年肥胖花费约为 990 亿美元。最后，该项目将确定种族的潜在相互作用影响/种族和邻里劣势。这将测试肥胖的种族和民族差异是否会因邻里劣势而放大。这符合 AHRQ 帮助弱势群体的目标，因为众所周知，来自社区的青少年超重或肥胖的比例是来自中高收入社区的青少年的两倍。

项目成果

Racial and ethnic disparities in obesity during the transition to adulthood: the contingent and nonlinear impact of neighborhood disadvantage.

成年过渡期间肥胖的种族和民族差异：邻里劣势的偶然和非线性影响。

• 发表时间: 2012-01
• 影响因子: 4.9
• 作者: Nicholson, Lisa M;Browning, Christopher R
• 通讯作者: Browning, Christopher R