Effects of Contextual Economic Factors on Childhood Obesity

Carol C. Guarnizo-Herreño, Charles Courtemanche, George L. Wehby

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Objectives: To examine the association between changes in contextual economic factors on childhood obesity in the US. Methods: We combined data from 2003, 2007, and 2011/2012 National Surveys of Children’s Health for 129,781 children aged 10–17 with 27 state-level variables capturing general economic conditions, labor supply, and the monetary or time costs of calorie intake, physical activity, and cigarette smoking. We employed regression models controlling for demographic factors and state and year fixed effects. We also examined heterogeneity in economic effects by household income. Results: Obesity risk increased with workforce proportion in blue-collar occupations, urban sprawl, female labor force participation, and number of convenience stores but declined with median household income, smoking ban in restaurants, and full service restaurants per capita. Most effects were specific to low income households, except for density of supercenters/warehouse clubs which was significantly associated with higher overweight/obesity risk only in higher income households. Conclusions for Practice: Changes in state-level economic factors related to labor supply and monetary or time cost of calorie intake may affect childhood obesity especially for children in low-income households. Policymakers should consider these effects when designing programs aimed at reducing childhood obesity.

Original languageEnglish
Pages (from-to)1317-1326
Number of pages10
JournalMaternal and Child Health Journal
Issue number10
StatePublished - Oct 1 2019

Bibliographical note

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.


  • Adolescents
  • Body Mass Index
  • Children
  • Economic factors
  • Obesity

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health


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