Adolescent Body Mass Index and Exposure to Peers with Overweight and Obesity: A Structural Equation Model Approach to Longitudinal Network Data.

Adolescent Body Mass Index and Exposure to Peers with Overweight and Obesity: A Structural Equation Model Approach to Longitudinal Network Data.
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青少年体重指数和与超重和肥胖同龄人的接触:纵向网络数据的结构方程模型方法。

DOI:
10.1089/chi.2021.0270
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发表时间:
2022
期刊:
Childhood obesity (Print)
影响因子:
--
通讯作者:
Valente,ThomasW
Valente,ThomasW
中科院分区:
--
文献类型:
--
作者:
Piombo,SarahE;Huh,Jimi;Valente,ThomasW

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目的:大量证据表明,社交网络影响着各种各样的健康行为。本研究调查是否有超重/肥胖的朋友在一个人的社交网络(网络曝光)可以预测整个高中的身体质量指数(BMI)的变化在不同的城市人口的students.Methods:种族和种族多样化的学生从五所高中在洛杉矶县进行了调查,在整个高中的四个时间点,从2010年至2013年(N= 2091)。调查包括学生的社交网络、人口统计学和健康相关信息等问题。计算了所有提供身高和体重信息的学生的BMI和体重类别(≥ 50%)。潜在的增长曲线模型被用来评估BMI的增长轨迹和网络暴露的时间变化的影响,超重/肥胖的朋友,同时控制人口统计学协变量。结果:西班牙裔学生有一个显着较高的初始BMI相比,非西班牙裔学生(p< 0.01)。BMI增长的时间呈显著的正斜率(p< 0.01)。与超重/肥胖的朋友接触更多的个人网络与BMI平均显著增加0.65点相关在第一个随访时间点(T2),BMI平均显著增加0.62点(p< 0.05),(p< 0.01),同时控制协变量。结论:使用结构方程模型来了解BMI和社交网络之间的关系,我们发现,超重/肥胖的同龄人的网络暴露增加与较高的个人BMI相关,这表明友谊可能会随着时间的推移影响青少年的体重状况。
Purpose:Considerable evidence has shown that social networks influence a wide variety of health behaviors. This study investigates whether having friends with overweight/obesity in one's social network (network exposure) can predict changes in body mass index (BMI) throughout high school in a diverse urban population of students.Methods:Racially and ethnically diverse students from five high schools in Los Angeles County were surveyed at four time points throughout high school from 2010 to 2013 (N= 2091). Surveys included questions on students' social networks, demographics, and health-related information. BMI and weight categories were calculated for all students who provided height and weight information (∼50%). A latent growth curve model was used to assess the growth trajectory of BMI and the time-varying effect of network exposure to friends with overweight/obesity while controlling for demographic covariates.Results:Hispanic students had a significantly higher initial BMI compared with non-Hispanic students (p< 0.01). There was a significant positive slope for time on BMI growth (p< 0.01). Greater personal network exposure to friends with overweight/obesity was associated with a significant 0.65-point average increase in BMI (p< 0.05) at the first follow-up time point (T2) and a significant 0.62-point average increase in BMI (p< 0.01) at the last follow-up (T4) while controlling for covariates.Conclusions:Using structural equation modeling to understand the relationship between BMI and social networks, we found that increased network exposure to peers with overweight/obesity is associated with higher individual BMI, demonstrating that friendships may influence adolescents' weight status over time.
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