Evidence map›Paper›PMID 40315227›Full record

ArticlePloS one2025

Impact of social determinants of health on obesity among American Indian and Alaska Native young adults.

Kimberly R Huyser, Angela G Brega, Margaret Reid, Tassy Parker, John F Steiner, Jenny Chang, Luohua Jiang, Amber L Fyfe-Johnson, Michelle Johnson-Jennings, Vanessa Y Hiratsuka and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kimberly R HuyserDepartment of Sociology, University of British Columbia, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0003-3700-0621
Angela G BregaCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States of America.
Margaret ReidDepartment of Health Systems, Management, and Policy, Colorado School of Public Health, University of Colorado, Denver, Colorado, United States of America.
Tassy ParkerDepartment of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, United States of America.
John F SteinerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States of America.
Jenny ChangDepartment of Medicine, School of Medicine, University of California Irvine, Irvine, California, United States of America.
Luohua JiangDepartment of Epidemiology, School of Public Health, University of California Irvine, Irvine, California, United States of America.
Amber L Fyfe-JohnsonInstitute for Research and Education to Advance Community Health (IREACH), Department of Medical Education and Clinical Sciences, Washington State University, Seattle, Washington, United States of America.
Michelle Johnson-JenningsIndigenous Wellness Research Institute, University of Washington, Seattle, Washington, United States of America.
Vanessa Y HiratsukaSouthcentral Foundation, Research Department, Anchorage, Alaska, United States of America.
Nathania TsosieAlbuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, New Mexico, United States of America.
Spero M MansonCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States of America.
Joan O'ConnellCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States of America.

Funding

TRANSLATIONAL RESEARCH COREP30DK092923 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Angela Gwen Brega · 2011 to 2026
$10.2M
NIDDK NIH HHS P30 DK092923
6 · The paper itself

Abstract

We examined the prevalence of obesity among American Indian and Alaska Native (AIAN) young adults and to investigate the association between key social determinants of health (SDOH) and higher body mass index (BMI). We used the Indian Health Service Improving Delivery Data Project from fiscal year 2013. It includes data for 20,698 AIAN young adults aged 18-24 years. We added county-level measures of SDOH from the USDA Food Environment Atlas and the Census as contextual variables. We conducted stratified logistic regressions to understand the relationship between these SDOH indicators and odds of obesity. Thirty-seven percent of our sample was identified as obese (i.e., BMI ≥30). Individuals who lived in counties with lower levels of educational attainment and higher levels of poverty had higher odds of obesity than those who lived in counties with higher education and lower poverty (p < 0.0001). Counties with higher poverty rates had less access to social and environmental resources than the lower poverty rate counties (p < 0.0001). Federal and state governments should increase access to education and economic development opportunities to positively impact health outcomes.

Indexed as

ObesitySocial Determinants of HealthAdolescentAdultAmerican Indian or Alaska NativeBody Mass IndexFemaleHumansMalePovertyPrevalenceUnited StatesYoung Adult

Identifiers

PMID40315227
PMCPMC12047802

What OpenQuestion holds

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Registered trials

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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.