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Early Childhood Obesity Among Underserved Families: A Multilevel Community-Academic Partnership

Alexis Deavenport-Saman1, Anet Piridzhanyan1, Olga Solomon1

  • 1Alexis Deavenport-Saman, Anet Piridzhanyan, Olga Solomon, and Larry Yin are with the Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles. Zoe Phillips is with the Office of Women's Health, Los Angeles County Department of Public Health, Los Angeles, CA. Tony Kuo is with the Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA.

American Journal of Public Health
|February 22, 2019
PubMed

Insights

This study shows a community-academic partnership effectively reduced pediatric obesity risk factors in underserved Los Angeles families through a multilevel intervention, improving children's food choices and parental behaviors.

Area of Science:

  • Public Health
  • Community Health
  • Pediatric Nutrition

Background:

  • Pediatric obesity is a significant public health concern, disproportionately affecting underserved communities.
  • A social-ecological framework guides multilevel interventions to address complex health issues like childhood obesity.
  • Community-academic partnerships are vital for developing and implementing effective health programs.

Purpose of the Study:

  • To evaluate a multilevel intervention aimed at reducing pediatric obesity risk factors among underserved families.
  • To assess the impact of the intervention on individual, interpersonal, organizational, community, and policy levels.

Main Methods:

  • A community-academic partnership implemented a multilevel intervention in Los Angeles.
  • The intervention targeted underserved families with preschool-aged children.
  • Outcomes were assessed using descriptive statistics and paired-samples t-tests.

Main Results:

  • Significant positive changes were observed in preschoolers' identification of unhealthy foods.
  • Parents demonstrated improved shopping, cooking, and parenting behaviors.
  • The intervention led to healthier restaurant options and supported initiatives for healthy checkout aisles in supermarkets.

Conclusions:

  • A multilevel, community-academic partnership intervention shows promise in addressing pediatric obesity.
  • The intervention achieved positive outcomes across multiple ecological levels, from individual behaviors to community and policy changes.
  • This approach offers a scalable model for improving child health in underserved populations.

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