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School-based obesity policy, social capital, and gender differences in weight control behaviors

机译:基于学校的肥胖政策,社会资本和体重控制行为中的性别差异

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Objectives. We examined the associations among school-based obesity policies, social capital, and adolescents' self-reported weight control behaviors, focusing on how the collective roles of community and adopted policies affect gender groups differently. Methods. We estimated state-level ecologic models using 1-way random effects seemingly unrelated regressions derived from panel data for 43 states from 1991 to 2009, which we obtained from the Centers for Disease Control and Prevention's Youth Risk Behavior Surveillance System. We used multiplicative interaction terms to assess how social capital moderates the effects of schoolbased obesity policies. Results. School-based obesity policies in active communities were mixed in improving weight control behaviors. They increased both healthy and unhealthy weight control behaviors among boys but did not increase healthy weight control behaviors among girls. Conclusions. Social capital is an important contextual factor that conditions policy effectiveness in large contexts. Heterogeneous behavioral responses are associated with both school-based obesity policies and social capital. Building social capital and developing policy programs to balance outcomes for both gender groups may be challenging in managing childhood obesity.
机译:目标。我们研究了学校肥胖政策,社会资本和青少年自我报告的体重控制行为之间的关联,重点研究了社​​区的集体角色和所采用的政策如何不同地影响性别群体。方法。我们使用单向随机效应估计了国家级生态模型,这些效应似乎是从1991年至2009年的43个州的面板数据中得出的,这些数据是从疾病控制与预防中心的青少年风险行为监测系统获得的。我们使用了乘法互动项来评估社会资本如何缓解基于学校的肥胖政策的影响。结果。在改善体重控制行为方面,活跃社区中基于学校的肥胖政策参差不齐。他们增加了男孩健康和不健康的体重控制行为,但没有增加女孩健康的体重控制行为。结论社会资本是一个重要的背景因素,它决定了大背景下政策的有效性。异类的行为反应与基于学校的肥胖政策和社会资本有关。建立社会资本和制定政策计划以平衡两个性别群体的结果在管理儿童肥胖方面可能具有挑战性。

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