{"doi":"10.1089/chi.2022.0012","title":"Social Determinants of Health and Body Mass Index in American Indian/Alaska Native Children","abstract":"Objective: To examine the associations between social determinants of health (SDOH) and prevalent overweight/obesity status and change in adiposity status among American Indian and Alaska Native (AI/AN) children. Methods: The study sample includes 23,950 AI/AN children 2–11 years of age, who used Indian Health Service (IHS) from 2010 to 2014. Multivariate generalized linear mixed models were used to examine the following: (1) cross-sectional associations between SDOH and prevalent overweight/obesity status and (2) longitudinal associations between SDOH and change in adiposity status over time. Results: Approximately 49% of children had prevalent overweight/obesity status; 18% had overweight status and 31% had obesity status. Prevalent severe obesity status was 20% in 6–11-year olds. In adjusted cross-sectional models, children living in counties with higher levels of poverty had 28% higher odds of prevalent overweight/obesity status. In adjusted longitudinal models, children 2–5 years old living in counties with more children eligible for free or reduced-priced lunch had 15% lower odds for transitioning from normal-weight status to overweight/obesity status. Conclusions: This work contributes to accumulating knowledge that economic instability, especially poverty, appears to play a large role in overweight/obesity status in AI/AN children. Research, clinical practice, and policy decisions should aim to address and eliminate economic instability in childhood.","journal":"Childhood Obesity","year":2022,"id":274447,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":10,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9344,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":943537,"name":"Margaret M. Reid","orcid":null,"position":1,"is_corresponding":false},{"id":755162,"name":"Luohua Jiang","orcid":"0000-0002-2281-7260","position":2,"is_corresponding":false},{"id":392615,"name":"Jenny Chang","orcid":"0000-0002-6755-8928","position":3,"is_corresponding":false},{"id":942946,"name":"Kimberly R. Huyser","orcid":"0000-0003-3700-0621","position":4,"is_corresponding":false},{"id":373229,"name":"Vanessa Y. Hiratsuka","orcid":"0000-0002-4234-9441","position":5,"is_corresponding":false},{"id":940413,"name":"Michelle D. Johnson-Jennings","orcid":"0000-0003-0723-6588","position":6,"is_corresponding":false},{"id":942947,"name":"Cheryl Conway","orcid":"0000-0002-2586-939X","position":7,"is_corresponding":false},{"id":943538,"name":"T Goins","orcid":null,"position":8,"is_corresponding":false},{"id":511878,"name":"Ka‘imi Sinclair","orcid":null,"position":9,"is_corresponding":false},{"id":450752,"name":"John F. Steiner","orcid":"0000-0002-6514-6057","position":10,"is_corresponding":false},{"id":771868,"name":"Angela G. Brega","orcid":"0000-0002-7319-4892","position":11,"is_corresponding":false},{"id":463316,"name":"Spero M. Manson","orcid":"0000-0001-6194-1961","position":12,"is_corresponding":false},{"id":755164,"name":"Joan O’Connell","orcid":"0000-0003-3498-1153","position":13,"is_corresponding":false},{"id":434388,"name":"Amber L. Fyfe‐Johnson","orcid":"0000-0002-1706-9982","position":0,"is_corresponding":true}],"reference_count":58,"raw_metadata":null,"created_at":"2026-07-19T00:28:12.324621Z","pmid":"36170116","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}