CHILDHOOD OBESITY STATISTICS: ALABAMA
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1 CHILDHOOD OBESITY STATISTICS: ALABAMA Surveillance, Research and Evaluation Subcommittee of the Alabama Obesity Task Force 8/2013
2 Background The Surveillance, Research and Evaluation Sub-committee originally was charged with: Identification of sources of obesity data for Alabama that are representative of the state, public health districts, and counties; assessment of gaps in the overall state obesity surveillance system; and development and implementation of a plan to address the gaps in the current system.
3 Gaps Sources of representative data were found for all life stages except: Preschool data School-aged children Self-report of high school students only
4 Toddlers and Preschoolers Best Data Source: PEDNSS Data Collected=Public Health Department Offices (Ongoing) Population= 2-4 year old children participating in the Alabama WIC program Strengths=actual height, weight and age taken with standardized protocol Limitation=population limited to income eligible WIC participants
5 National Data NHANES Prevalence of obesity among 2-5 year olds (all incomes) 12.1% Highest rates among minority groups Non-Hispanic Blacks % Hispanics %
6 Obesity Rates: Low Income Children 2-4 Years Old; No Significant Change CDC. Vital Signs: Obesity Among Low-Income, Preschool-Aged Children United States, MMWR 2013; 62(31);
7 Prevalence of Obesity, Low Income Children, 2-4 years old; 2011 CDC. Vital Signs: Obesity Among Low-Income, Preschool-Aged Children United States, MMWR 2013; 62(31);
8 Changes in Obesity Rates of 2-4 Year Old Low Income Children by State; CDC. Vital Signs: Obesity Among Low-Income, Preschool-Aged Children United States, MMWR 2013; 62(31);
9 School-age Children Best Data Source: Oral Health Screening Data Collected=ADPH Oral Health Screening Program (every 5 years) Population= Kindergarten and 3 rd grade students Strengths=actual height and weight taken with standardized protocol; age estimated Limitation= : Convenience sample : Random Sample of Schools by Dental District and Stratified by income
10 School-age Children data Sample includes: 4362 kindergarteners 3952 third graders Random sample of schools within each dental district was selected Sample stratified by income All kindergarteners and third graders present on the date measures were taken were included in the initial sample Sample sizes within districts range from 380 to 789 Exceptions: Dental District 4 (South East corner of the state high poverty counties) (38 K, and 46 3 rd graders) and Dental District 9 (Mid-state and West of Montgomery) (172 K, rd graders) Exclusions: Height or weight was entered in error (biologically impossible) Height, weight or birthday was not taken Not appropriate age for school year
11 Sample Characteristics; Oral Health Screening Kindergarten Number (%) 3 rd grade Number (%) Sex Male Female Race/Ethnicity White Black Hispanic Other Sample with Valid Heights and Weights 2471 (51.4%) 2334 (48.6%) 2752 (57.9%) 1523 (32.1%) 294 (6.2%) 180 (3.8%) 2010 (50.5%) 1969 (49.5%) 2212 (56.5%) 1392 (35.6%) 306 (5.2%) 107 (2.7%)
12 Overweight and Obesity Rates, Alabama 3 rd Grade Students; and Overweight Obese Caution: One should not compare the years because sampling designs differed.
13 Overweight and Obesity: Alabama Kindergarten and 3 rd Grade; Kindergarten rd Grade Obesity rates in Kindergarteners slightly higher than low income 2-4 year olds (14.1%) Rates of obesity increase with age in US children Overweight Obese National obesity rate for 6-11 year olds in was 18.6%
14 Comparisons: Alabama Oral Health Data; Kindergarten 3 rd Grade Boys Girls Boys Girls Overweight Obesity 0.0 Overweight Obese P=0.63 P=0.64
15 Comparisons: Alabama Oral Health Data; Kindergarten 3 rd Grade White Black Hispanic White Black Hispanic Overweight Obese 0.0 Overweight Obese P<0.001 P<0.001
16 Alabama Oral Health Data: Kindergarten Sample by Gender and Race; Boys Girls White Black Hispanic White Black Hispanic Overweight Obese 0.0 Overweight Obese P= P=0.015
17 Alabama Oral Health Data: 3 rd Grade Sample by Gender and Race; Boys Girls White Black Hispanic White Black Hispanic Overweight Obese 0.0 Overweight Obese P=0.014 P=0.002
18 Conclusions Analysis of PEDNSS data and ADPH Oral Health Data fill a gap in our understanding of obesity rates in Alabama children Obesity rates in low income Alabama preschoolers have stayed the same between the years Obesity rates in Alabama school-age children are higher than the national average Obesity rates are higher among minority children with the highest rates found in Hispanic children
19 Next Steps Data Release for the AOTF webpage Handout that highlights the data presented today GIS Maps Map the data by dental district
20 Thank You Sherry Goode Krishona Lee Mim Gaines Carrie Shepherd Stuart Lockwood Sub-committee members Richard Sinsky Kim Blake
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