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Arch Pediatr Adolesc Med. 2008 Jan;162(1):23-8. doi: 10.1001/archpediatrics.2007.11.

Subjective social status in the school and change in adiposity in female adolescents: findings from a prospective cohort study.

Author information

1
New York City Department of Health and Mental Hygiene, Bureau of Tobacco Control, 2 Lafayette St, 21st Floor, Mailbox CN-18, New York, NY 10007, USA. alemeshow@post.harvard.edu

Abstract

OBJECTIVE:

To determine whether subjective social standing in school predicts a change in body mass index (BMI) in adolescent girls during a 2-year period.

DESIGN:

Prospective cohort study.

SETTING:

Self-report questionnaires from a community-based population of adolescent girls living across the United States from 1999 to 2001.

PARTICIPANTS:

Of 5723 girls aged 12 to 18 years participating in the Growing Up Today Study (GUTS), adequate information was available for 4446 (78%), who provided the analytic sample.

MAIN EXPOSURE:

Low subjective social status in the school.

MAIN OUTCOME MEASURES:

Change in BMI between 1999 and 2001 and multivariable odds ratio for a 2-U increase in BMI in girls with low subjective social status in the school compared with girls with higher subjective social status in the school.

RESULTS:

After adjusting for age, race/ethnicity, baseline BMI, diet, television viewing, depression, global and social self-esteem, menarche, height growth, mother's BMI, and pretax household income, adolescent girls who placed themselves on the low end of the school subjective social status scale had a 69% increased odds of having a 2-unit increase in BMI (odds ratio, 1.69; 95% confidence interval, 1.10-2.60) during the next 2 years compared with other girls.

CONCLUSION:

Higher subjective social standing in school may protect against gains in adiposity in adolescent girls.

PMID:
18180408
DOI:
10.1001/archpediatrics.2007.11
[Indexed for MEDLINE]

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