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- Title
School-Based Obesity Policy, Social Capital, and Gender Differences in Weight Control Behaviors.
- Authors
Zhu, Ling; Thomas, Breanca
- Abstract
Objectives. We examined the associations among school-based obesity policies, social capital, and adolescents' self-reported weight control behaviors, focusing on how the collective roles of community and adopted policies affect gender groups differently. Methods. We estimated state-level ecologic models using 1-way random effects seemingly unrelated regressions derived from panel data for 43 states from 1991 to 2009, which we obtained from the Centers for Disease Control and Prevention's Youth Risk Behavior Surveillance System. We used multiplicative interaction terms to assess how social capital moderates the effects of school-based obesity policies. Results. School-based obesity policies in active communities were mixed in improving weight control behaviors. They increased both healthy and unhealthy weight control behaviors among boys but did not increase healthy weight control behaviors among girls. Conclusions. Social capital is an important contextual factor that conditions policy effectiveness in large contexts. Heterogeneous behavioral responses are associated with both school-based obesity policies and social capital. Building social capital and developing policy programs to balance outcomes for both gender groups may be challenging in managing childhood obesity.
- Subjects
UNITED States; PREVENTION of obesity; REGULATION of body weight; CONFIDENCE intervals; STATISTICAL correlation; EPIDEMIOLOGY; LONGITUDINAL method; QUESTIONNAIRES; REGRESSION analysis; SCHOOL administration; SEX distribution; SOCIAL networks; STATE governments; TEENAGERS' conduct of life; SOCIAL capital; COMMUNITY support; DATA analysis; SECONDARY analysis; SOCIOECONOMIC factors; STATISTICAL models
- Publication
American Journal of Public Health, 2013, Vol 103, Issue 6, p1067
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2012.301033