Racial/ethnic disparities (hereafter: """"""""disparities"""""""") in childhood obesity persist and are widening in the U.S., disproportionately affecting Hispanic and non-Hispanic blacks. From 2003-2007, disparities in childhood obesity between Hispanic and non-Hispanic white children increased by 210%. Childhood obesity has been linked to biological, psychosocial, behavioral, social, and environmental factors. Geographic variance in individual obesity risk suggests that environments play an especially important role. To reduce racial or ethnic disparities, we must understand the most salient environmental characteristics and their specific impacts. To date, no empirical multilevel studies have examined the influence of county-, neighborhood- or school-level factors on obesity disparities over time. The goal of this K01 proposal is to support the PI's development as an independently-funded investigator of etiological research regarding environmental influences on childhood obesity disparities. The proposed research will investigate: (1) multilevel influences on population-level childhood obesity disparities over time, focusing on counties, communities and schools;(2) the extent to which trends in physical fitness disparities among children explain changing patterns of obesity disparities;and (3) child behavior-environment interactions that influence these disparities. The study will utilize multiple data sources, each with unique and complementary strengths, including: (i) 2001-2010 student-level data from the California Physical Fitness Test scores of fifth-, seventh-, and ninth-grade public school students with information on their schools, school districts and counties;(ii) community food environment data from a commercial data source;and (iii) U.S. Census data. The PI will: identify novel environmental predictors of childhood obesity disparities;generate knowledge on potentially critical environments and reasons for changes in disparities trends;determine levels of intervention at which disparity reduction programs are most needed;inform policies and interventions tailored to schools and neighborhoods;and uncover mechanisms through which the environment influences high-risk behaviors. This research will inform the next generation of policies and interventions to prevent and reduce childhood obesity in high risk groups, and contribute to the reduction of health disparities later in life. The PI will extend her expertise through a mentored career development plan with four foci: (1) obesity prevention vis-a-vis race/ethnic disparities in diverse schools an communities;(2) dietary and physical activity behaviors;(3) advanced research skills and hands-on experience with multilevel models;and (4) geographic information science. A multidisciplinary team of experienced mentors will provide ongoing consultation and oversee formal training and research activities. This team, with proven success in developing junior scientists, and the exceptional resources of three San Francisco Bay Area universities, will ensure the successful completion of the project.

Public Health Relevance

Racial/ethnic disparities in childhood obesity persist and are widening. Preventing obesity and reducing racial/ethnic health disparities are two significant issues of major public health importance in the 21st century. Childhood obesity has been linked with biological, psychosocial, behavioral, social and environmental factors. To reduce obesity disparities, we must understand the most salient environmental characteristics and their specific impacts. To begin to address this issue, we will establish a research program to study the etiology of childhood obesity disparities with a focus on identifying novel environmental factors that may be targets for future policy and intervention studies. Reducing obesity disparities will be important to decrease the risk and population burden of cardiovascular disease, and other obesity related chronic diseases such as diabetes and some cancers. Information from this study will better identify potential mechanisms of racial/ethnic obesity disparities and may assist in planning interventions to reduce or prevent obesity disparities early in life.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
1K01HL115471-01
Application #
8367973
Study Section
Special Emphasis Panel (ZHL1-CSR-F (M1))
Program Officer
Arteaga, Sonia M
Project Start
2012-08-01
Project End
2017-06-30
Budget Start
2012-08-01
Budget End
2013-06-30
Support Year
1
Fiscal Year
2012
Total Cost
$145,007
Indirect Cost
$10,741
Name
San Francisco State University
Department
Miscellaneous
Type
Schools of Arts and Sciences
DUNS #
942514985
City
San Francisco
State
CA
Country
United States
Zip Code
94132
Ryan-Ibarra, Suzanne; Sanchez-Vaznaugh, Emma V; Leung, Cindy et al. (2017) The relationship between food insecurity and overweight/obesity differs by birthplace and length of US residence. Public Health Nutr 20:671-677
Sanchez-Vaznaugh, Emma V; Goldman Rosas, Lisa; Fernández-Peña, José Ramón et al. (2017) Physical education policy compliance and Latino children's fitness: Does the association vary by school neighborhood socioeconomic advantage? PLoS One 12:e0178980
Penilla, Carlos; Tschann, Jeanne M; Sanchez-Vaznaugh, Emma V et al. (2017) Obstacles to preventing obesity in children aged 2 to 5 years: Latino mothers' and fathers' experiences and perceptions of their urban environments. Int J Behav Nutr Phys Act 14:148
Eliason, Michele J; Sanchez-Vaznaugh, Emma V; Stupplebeen, David (2017) Relationships between Sexual Orientation, Weight, and Health in a Population-Based Sample of California Women. Womens Health Issues 27:600-606
Baek, Jonggyu; Sanchez-Vaznaugh, Emma V; Sánchez, Brisa N (2016) Hierarchical Distributed-Lag Models: Exploring Varying Geographic Scale and Magnitude in Associations Between the Built Environment and Health. Am J Epidemiol 183:583-92
Baek, Jonggyu; Sánchez, Brisa N; Berrocal, Veronica J et al. (2016) Distributed Lag Models: Examining Associations Between the Built Environment and Health. Epidemiology 27:116-24
Sanchez-Vaznaugh, Emma V; Braveman, Paula A; Egerter, Susan et al. (2016) Latina Birth Outcomes in California: Not so Paradoxical. Matern Child Health J 20:1849-60
Sanchez-Vaznaugh, E V; Bécares, L; Sallis, J F et al. (2016) Active school transport and fast food intake: Are there racial and ethnic differences? Prev Med 91:281-286
Sanchez-Vaznaugh, Emma V; Sánchez, Brisa N; Crawford, Patricia B et al. (2015) Association between competitive food and beverage policies in elementary schools and childhood overweight/obesity trends: differences by neighborhood socioeconomic resources. JAMA Pediatr 169:e150781
Baek, Jonggyu; Sánchez, Brisa N; Sanchez-Vaznaugh, Emma V (2014) Hierarchical multiple informants models: examining food environment contributions to the childhood obesity epidemic. Stat Med 33:662-74