Mollie Hobensack, Danielle Scharp, Jiyoun Song, Maxim Topaz
Documentation of social determinants of health across individuals from different racial and ethnic groups in home healthcare
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
childhood obesity significant largely modifiable health risk disproportionately affecting socioeconomically disadvantaged racialethnic minority rural children elementary schoolaged children typically experience greatest increases excess weight gain therefore important targets reducing adolescent adult obesity improving childrens health study evaluated outcomes 3year elementary schoolbased program reducing obesity american indian white students attending eight rural schools us upper midwest researchers measured body mass indexes bmi health indicators behaviors 308 beginning thirdgrade students end students third fourth fifth grades primary focus study mixed multilevel longitudinal model testing changes age genderadjusted bmi z scores zbmi significant decrease zbmi across 3year study period ethnicity analyses showed white students overall decreases zbmi whereas american indian students zbmis remained stable across program comparisons children age cohortmatched national sample provided support effectiveness school program reducing bmi obesity study period elementary schoolbased health program addresses range students obesityrelated health behaviors school health environment involves educators parents effective intervention reducing stabilizing bmi rural white american indian students school health programs students living rural communities may especially effective due greater school community cohesiveness valuing schools primary role improving community health