Sisson Susan B, Malek-Lasater Adrien, Ford Timothy G, Horm Diane, Kwon Kyong-Ah
Department of Nutrition Sciences, University of Oklahoma Health Sciences Center, 1200 N. Stonewall Ave, Oklahoma City, OK 73117, USA.
Department of Teaching, Learning, and Curriculum, College of Education and Human Services, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, USA.
Int J Environ Res Public Health. 2023 Feb 3;20(3):2763. doi: 10.3390/ijerph20032763.
The purpose of this cross-sectional study was to determine individual, sociocultural, policy, and economic predictors of overweight/obesity in early care and education (ECE) teachers to identify modifiable opportunities to enhance the health of this critical workforce. ECE teachers (n = 1434) in the U.S. completed an online survey in late spring to mid-summer 2020. Teachers self-reported height and weight; body mass index (BMI) and weight status were calculated. Teachers reported micro-environment variables including age, race, gender, obesogenic lifestyle behaviors, well-being, food security, personal health, stress, job stress, type of ECE, COVID-19 teaching modality, and age of children in the classroom. Logistic regression predicting overweight/obesity and linear regression predicting BMI were conducted. Teachers with more years of teaching experience (OR: 1.022: 95% CI 1.005, 1.039) and higher consumption of fast food (2.038: 1.310, 3.169) had higher odds of overweight/obesity. Teachers with higher levels of education (0.58: 0.407, 0.828) and higher physical health (0.836: 0.775, 0.902) had lower odds of overweight/obesity. Other variables were not associated with overweight/obesity. Variables significant in logistic regression were also associated with higher BMI. Additionally, Native American race (β = 2.467 SE = 1.206) and sedentary hours/day (β = 0.152 SE = 0.075) were associated with higher BMI. Implications for enhancing workplace health for these ECE teachers are emerging.
这项横断面研究的目的是确定早期护理和教育（ECE）教师超重/肥胖的个体、社会文化、政策和经济预测因素，以找出可改变的机会，促进这一关键劳动力群体的健康。美国的ECE教师（n = 1434）于2020年春末至夏末完成了一项在线调查。教师自行报告身高和体重；计算体重指数（BMI）和体重状况。教师报告了微观环境变量，包括年龄、种族、性别、致胖生活方式行为、幸福感、食品安全、个人健康、压力、工作压力、ECE类型、COVID-19教学模式以及课堂上儿童的年龄。进行了预测超重/肥胖的逻辑回归和预测BMI的线性回归。教学经验更丰富的教师（OR：1.022；95% CI 1.005，1.039）和快餐消费较高的教师（2.038：1.310，3.169）超重/肥胖的几率更高。教育水平较高（0.58：0.407，0.828）和身体健康状况较好的教师（0.836：0.775，0.902）超重/肥胖的几率较低。其他变量与超重/肥胖无关。逻辑回归中显著的变量也与较高的BMI相关。此外，美洲原住民种族（β = 2.467，SE = 1.206）和每天久坐时间（β = 0.152，SE = 0.075）与较高的BMI相关。改善这些ECE教师工作场所健康的影响正在显现。
