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Main Authors: Alexandra Descarpentrie, Joseph C. Cleveland, Vishal Midya, Juan Espinoza, Jonatan Ottino‐Gonzalez, Shana Adise, Tanya L. Alderete, Michael I. Goran
Format: Artículo Open Access
Published: Wiley 2025
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Online Access:https://onlinelibrary.wiley.com/doi/10.1002/oby.70021
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author Alexandra Descarpentrie
Joseph C. Cleveland
Vishal Midya
Juan Espinoza
Jonatan Ottino‐Gonzalez
Shana Adise
Tanya L. Alderete
Michael I. Goran
author_facet Alexandra Descarpentrie
Joseph C. Cleveland
Vishal Midya
Juan Espinoza
Jonatan Ottino‐Gonzalez
Shana Adise
Tanya L. Alderete
Michael I. Goran
Alexandra Descarpentrie
Joseph C. Cleveland
Vishal Midya
Juan Espinoza
Jonatan Ottino‐Gonzalez
Shana Adise
Tanya L. Alderete
Michael I. Goran
collection Wiley Open Access
contents Social and Environmental Correlates of Childhood Obesity Among Southern California Communities Alexandra Descarpentrie Joseph C. Cleveland Vishal Midya Juan Espinoza Jonatan Ottino‐Gonzalez Shana Adise Tanya L. Alderete Michael I. Goran Obesity ABSTRACT Objective This study aimed to identify key childhood obesity correlates in Southern California by analyzing individual components from four social determinants of health (SDoH) indices and explore their interactions. Methods We utilized publicly available data from 330 cities across 10 counties, incorporating childhood obesity rates from the 2019 California Department of Education Physical Fitness Test (684,419 children, 40% Latino). Fifty‐two individual SDoH were obtained from the Healthy Places Index, Social Vulnerability Index, CalEnviroScreen, and Child Opportunity Index (2015–2019). Weighted quantile sum regression and an interpretable machine‐learning tool were used to identify which individual SDoH were significantly associated with childhood obesity. Results We identified a SDoH mixture associated with increased percentile of childhood obesity ( β [95% CI]: 10.1 [8.1, 12.1]). Fourteen factors significantly contributed, with the top six being school poverty, minority status, asthma emergency room visits, public assistance rates, hazardous waste sites, and lead exposure from housing. We also found positive associations between Latino percentage and key correlates. Cities with high school poverty and low‐income housing burdens had higher obesity rates. Conclusions This analysis moved beyond composite indices to examine specific SDoH observed alongside childhood obesity in Southern California, drawing attention to dimensions related to school, healthcare, social services, and environmental exposures. image 10.1002/oby.70021 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/oby.70021
format Artículo Open Access
id wiley_oa_10_1002_oby_70021
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
publishDate 2025
publisher Wiley
record_format wiley_oa
spellingShingle Social and Environmental Correlates of Childhood Obesity Among Southern California Communities
Alexandra Descarpentrie
Joseph C. Cleveland
Vishal Midya
Juan Espinoza
Jonatan Ottino‐Gonzalez
Shana Adise
Tanya L. Alderete
Michael I. Goran
Obesity
Social and Environmental Correlates of Childhood Obesity Among Southern California Communities Alexandra Descarpentrie Joseph C. Cleveland Vishal Midya Juan Espinoza Jonatan Ottino‐Gonzalez Shana Adise Tanya L. Alderete Michael I. Goran Obesity ABSTRACT Objective This study aimed to identify key childhood obesity correlates in Southern California by analyzing individual components from four social determinants of health (SDoH) indices and explore their interactions. Methods We utilized publicly available data from 330 cities across 10 counties, incorporating childhood obesity rates from the 2019 California Department of Education Physical Fitness Test (684,419 children, 40% Latino). Fifty‐two individual SDoH were obtained from the Healthy Places Index, Social Vulnerability Index, CalEnviroScreen, and Child Opportunity Index (2015–2019). Weighted quantile sum regression and an interpretable machine‐learning tool were used to identify which individual SDoH were significantly associated with childhood obesity. Results We identified a SDoH mixture associated with increased percentile of childhood obesity ( β [95% CI]: 10.1 [8.1, 12.1]). Fourteen factors significantly contributed, with the top six being school poverty, minority status, asthma emergency room visits, public assistance rates, hazardous waste sites, and lead exposure from housing. We also found positive associations between Latino percentage and key correlates. Cities with high school poverty and low‐income housing burdens had higher obesity rates. Conclusions This analysis moved beyond composite indices to examine specific SDoH observed alongside childhood obesity in Southern California, drawing attention to dimensions related to school, healthcare, social services, and environmental exposures. image 10.1002/oby.70021 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Social and Environmental Correlates of Childhood Obesity Among Southern California Communities
topic Obesity
url https://onlinelibrary.wiley.com/doi/10.1002/oby.70021