Elbel Brian, Corcoran Sean P, Schwartz Amy Ellen
New York University School of Medicine, Department of Population Health, New York, NY, United States of America.
Robert F. Wagner Graduate School of Public Service, New York, NY, United States of America.
PLoS One. 2016 Jun 16;11(6):e0157479. doi: 10.1371/journal.pone.0157479. eCollection 2016.
A common policy approach to reducing childhood obesity aims to shape the environment in which children spend most of their time: neighborhoods and schools. This paper uses richly detailed data on the body mass index (BMI) of all New York City public school students in grades K-8 to assess the potential for place-based approaches to reduce child obesity. We document variation in the prevalence of obesity across NYC public schools and census tracts, and then estimate the extent to which this variation can be explained by differences in individual-level predictors (such as race and household income). Both unadjusted and adjusted variability across neighborhoods and schools suggest place-based policies have the potential to meaningfully reduce child obesity, but under most realistic scenarios the improvement would be modest.
社区和学校。本文使用了关于纽约市所有K-8年级公立学校学生体重指数(BMI)的丰富详细数据,以评估基于地点的方法减少儿童肥胖的潜力。我们记录了纽约市公立学校和人口普查区肥胖患病率的差异,然后估计这种差异在多大程度上可以由个体层面的预测因素(如种族和家庭收入)的差异来解释。社区和学校之间未经调整和调整后的变异性都表明,基于地点的政策有潜力显著减少儿童肥胖,但在大多数现实情况下,改善幅度将是适度的。