Funding: The authors have no financial interests relevant to this article to disclose. The views in this article are those of the authors and not necessarily those of the Health Resources and Services Administration or the National Institute of Child Health and Human Development of the US Department of Health and Human Services.
Residency and Racial/Ethnic Differences in Weight Status and Lifestyle Behaviors Among US Youth
Article first published online: 25 JUN 2013
Published 2013. This article is a U.S. Government work and is in the public domain in the USA
The Journal of Rural Health
Volume 30, Issue 1, pages 89–100, Winter 2014
How to Cite
Kenney, M. K., Wang, J. and Iannotti, R. (2014), Residency and Racial/Ethnic Differences in Weight Status and Lifestyle Behaviors Among US Youth. The Journal of Rural Health, 30: 89–100. doi: 10.1111/jrh.12034
- Issue published online: 2 JAN 2014
- Article first published online: 25 JUN 2013
- adolescent obesity;
- obesogenic eating;
- physical activity;
- racial/ethnic disparity;
- sedentary behavior
Elevated risk for obesity is found in rural environments and in some minority populations. It is unclear whether living in rural or nonmetropolitan areas and being a minority compound the risk of obesity beyond that of either factor acting alone. Our purpose was to examine adolescent obesity in light of the potential concomitant influences of race/ethnicity, residency, and obesity-related lifestyle behaviors.
We assessed obesity prevalence, physical activity, consumption of fatty snack foods, and screen time in 8,363 US adolescents based on variation in race/ethnicity and residency. Descriptive, bivariate, and multivariate statistics were used to: (1) calculate race- and residency-based rates of obesity and obesity-related lifestyle behaviors and (2) generate race- and residency-based obesity odds ratios as a function of those same behaviors.
The results indicated that nonmetropolitan black youth had the highest risk of obesity (26%), rate of consuming fatty snack foods on more than 2 days/week (86%), and rate of spending more than 2 hours/day in screen time (91%) compared to white metropolitan youth. Compared to their metropolitan counterparts, black nonmetropolitan youth had greater odds of being obese if they exercised less than daily (1.71 times), ate fatty snack foods on more than 2 days/week (1.65 times), or spent more than 2 hours/day in screen time (1.64 times).
Race/ethnicity and residency may have a compounding effect on the risk of obesity. Prevention and intervention must be viewed in a socioecological framework that recognizes the importance of culture and community on obesity-related behaviors.