{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:17:07Z","timestamp":1777414627295,"version":"3.51.4"},"reference-count":42,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["AD-1304-6451"],"award-info":[{"award-number":["AD-1304-6451"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 DK092923"],"award-info":[{"award-number":["P30 DK092923"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>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\u201324 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 \u226530). 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 &lt; 0.0001). Counties with higher poverty rates had less access to social and environmental resources than the lower poverty rate counties (p &lt; 0.0001). Federal and state governments should increase access to education and economic development opportunities to positively impact health outcomes.<\/jats:p>","DOI":"10.1371\/journal.pone.0322164","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T17:31:03Z","timestamp":1746207063000},"page":"e0322164","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of social determinants of health on obesity among American Indian and Alaska Native young adults"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3700-0621","authenticated-orcid":true,"given":"Kimberly R.","family":"Huyser","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela G.","family":"Brega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Reid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tassy","family":"Parker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John F.","family":"Steiner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luohua","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amber L.","family":"Fyfe-Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Johnson-Jennings","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa Y.","family":"Hiratsuka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathania","family":"Tsosie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spero M.","family":"Manson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"O\u2019Connell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"pone.0322164.ref001","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.2105\/AJPH.2016.303326","article-title":"Determinants and consequences of obesity","volume":"106","author":"A Hruby","year":"2016","journal-title":"Am J Public Health"},{"key":"pone.0322164.ref002","volume-title":"Estimates of diabetes and its burden in the United States","author":"National Diabetes Statistics Report 2020","year":"2020"},{"key":"pone.0322164.ref003","doi-asserted-by":"crossref","first-page":"e001218","DOI":"10.1136\/bmjdrc-2020-001218","article-title":"Prevalence of diagnosed diabetes in American Indian and Alaska Native adults, 2006\u20132017","volume":"8","author":"A Bullock","year":"2020","journal-title":"BMJ Open Diabetes Res Care"},{"key":"pone.0322164.ref004","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/S2213-8587(23)00025-6","article-title":"Trends in incidence of youth-onset type 1 and type 2 diabetes in the USA, 2002\u201318: results from the population-based SEARCH for Diabetes in Youth study","volume":"11","author":"LE Wagenknecht","year":"2023","journal-title":"Lancet Diabetes Endocrinol"},{"key":"pone.0322164.ref005","doi-asserted-by":"crossref","first-page":"210298","DOI":"10.5888\/pcd19.210298","article-title":"Health-related behavioral risk factors and obesity among American Indians and Alaska Natives of the United States: Assessing Variations by Indian Health Service Region","volume":"19","author":"G Zhao","year":"2022","journal-title":"Prev Chronic Dis"},{"issue":"3","key":"pone.0322164.ref006","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1177\/002214650504600303","article-title":"Is obesity stigmatizing? 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