ArticleAmerican journal of epidemiology2021
Estimates of Childhood Overweight and Obesity at the Region, State, and County Levels: A Multilevel Small-Area Estimation Approach.
Article in American journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- "We adjusted for race": now what? A systematic review of utilization and reporting of race in American Journal of Epidemiology and Epidemiology, 2020-2021.Epidemiologic reviews · 2023Pooled it
- A pediatric primary care practice-based obesity intervention to support families: a cluster-randomized clinical trial.Obesity (Silver Spring, Md.) · 2024Trial
- Article
- Abdominal obesity in India: sex stratified multilevel estimates across 707 districts from a nationally representative cross-sectional survey.Scientific reports · 2026Article
- Obesity and Cardiometabolic Risk Factors Among Pediatric Patients at a Mississippi Academic Medical Center.American journal of health promotion : AJHP · 2026Observational
- Application of Spatial Methods in Rural Cancer Control Research in the United States.Current epidemiology reports · 2026Review
- Examining Primary Care Utilization and Distance Traveled for Care Among Medicaid-Insured Children in South Carolina.Journal of community health · 2025Article
- Association between obesogenic environments and childhood overweight/obesity across the United States: Differences by rurality.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Community-Based Participatory Obesity Prevention Interventions in Rural Communities: A Scoping Review.Nutrients · 2024Article
- County-Level Prevalence Estimates of Autism Spectrum Disorder in Children in the United States.Journal of autism and developmental disorders · 2024Article
- Rural-Urban Differences in Overweight and Obesity, Physical Activity, and Food Security Among Children and Adolescents.Preventing chronic disease · 2023Article
- Dietary Pattern Indicators among Healthy and Unhealthy Weight Adolescents Residing in Different Contexts across the Otago Region, New Zealand.Children (Basel, Switzerland) · 2023Article
- A Hypothesis Test for Detecting Distance-Specific Clustering and Dispersion in Areal Data.Spatial statistics · 2023Article
- County-level prevalence estimates of ADHD in children in the United States.Annals of epidemiology · 2023Article
- Geographical disparities in obesity prevalence: small-area analysis of the Chilean National Health Surveys.BMC public health · 2022Article
- Positive Outliers: A Mixed Methods Study of Resiliency to Childhood Obesity in High-Risk Neighborhoods.Academic pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
Local-level childhood overweight and obesity data are often used to implement and evaluate community programs, as well as allocate resources to combat overweight and obesity. The most current substate estimates of US childhood obesity use data collected in 2007. Using a spatial multilevel model and the 2016 National Survey of Children's Health, we estimated childhood overweight and obesity prevalence rates at the Census regional division, state, and county levels using small-area estimation with poststratification. A sample of 24,162 children aged 10-17 years was used to estimate a national overweight and obesity rate of 30.7% (95% confidence interval: 27.0%, 34.9%). There was substantial county-to-county variability (range, 7.0% to 80.9%), with 31 out of 3,143 counties having an overweight and obesity rate significantly different from the national rate. Estimates from counties located in the Pacific region had higher uncertainty than other regions, driven by a higher proportion of underrepresented sociodemographic groups. Child-level overweight and obesity was related to race/ethnicity, sex, parental highest education (P < 0.01 for all), county-level walkability (P = 0.03), and urban/rural designation (P = 0.02). Overweight and obesity remains a vital issue for US youth, with substantial area-level variability. The additional uncertainty for underrepresented groups shows surveys need to better target diverse samples.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.