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<strong>SOCIOLOGY</strong><br />

OF<br />

<strong>EDUCATION</strong><br />

Volume 80 July 2007 Number 3<br />

Contextual Explanations of School Choice<br />

DOUGLAS LEE LAUEN<br />

Staying Back and Dropping Out:<br />

The Relationship Between<br />

Grade Retention and School Dropout<br />

ELIZABETH STEARNS, STEPHANIE MOLLER,<br />

JUDITH BLAU, AND STEPHANIE POTOCHNICK<br />

Gender, Obesity, and Education<br />

ROBERT CROSNOE<br />

Making It Through the First Year of College:<br />

The Role of Students’ Economic Resources,<br />

Employment, and Living Arrangements<br />

ROBERT BOZICK<br />

A Journal of the <strong>American</strong> <strong>Sociological</strong> <strong>Association</strong>


Hanna Ayalon<br />

Tel Aviv University<br />

Pamela R. Bennett<br />

Johns Hopkins University<br />

William J. Carbonaro<br />

University of Notre Dame<br />

Wade M. Cole<br />

Washington State Institute for<br />

Public Policy<br />

Donna J. Eder<br />

Indiana University<br />

Cynthia Feliciano<br />

University of California–Irvine<br />

Patricia C. Gandara<br />

University of California–Davis<br />

Sara Goldrick-Rab<br />

University of Wisconsin-Madison<br />

Joseph C. Hermanowicz<br />

University of Georgia<br />

EDITOR<br />

Barbara Schneider, Michigan State University<br />

DEPUTY EDITOR<br />

John Robert Warren, University of Minnesota<br />

Charles Hirschman<br />

University of Washington<br />

Erin McNamara Horvat<br />

Temple University<br />

Sylvia Hurtado<br />

UCLA<br />

Douglas Lee Lauen<br />

University of North Carolina-<br />

Chapel Hill<br />

Samuel R. Lucas<br />

University of California–Berkeley<br />

Daniel A. McFarland<br />

Stanford University<br />

Stephen Morgan<br />

Cornell University<br />

Kelly Raley<br />

University of Texas<br />

Sean F. Reardon<br />

Stanford University<br />

MANAGING EDITOR<br />

Wendy Almeleh<br />

EDITORIAL ASSISTANT<br />

Michelle Llosa<br />

EXECUTIVE OFFICER<br />

Sally T. Hillsman<br />

Xue Lan Rong<br />

University of North<br />

Carolina–Chapel Hill<br />

Salvatore Saporito<br />

College of William and Mary<br />

Kathryn Schiller<br />

SUNY Albany<br />

Kathleen M. Shaw<br />

Temple University<br />

Christopher B. Swanson<br />

Editorial Projects in Education<br />

William T. Trent<br />

University of Illinois, Urban-<br />

Champagin<br />

Karolyn Tyson<br />

University of North Carolina-<br />

Chapel Hill<br />

Julia Wrigley<br />

CUNY Graduate Center<br />

MISSION STATEMENT: The journal provides a forum for studies in sociology of education and human social development<br />

throughout the life cycle. It publishes research from all methodologies that examines how social institutions and<br />

individuals’ experiences in these institutions affect educational processes and social development. Such research may<br />

span various levels of analysis, from the individual to the structure of relations among social and educational institutions,<br />

and may encompass all stages and types of education at the individual, institutional, and organizational levels.<br />

<strong>SOCIOLOGY</strong> OF <strong>EDUCATION</strong> (ISSN 0038-0407) is published quarterly in January, April, July, and October by the<br />

<strong>American</strong> <strong>Sociological</strong> <strong>Association</strong>, 1307 New York Avenue, Suite 700, Washington, DC 20005-4701, and is printed<br />

by Boyd Printing Company, Albany, New York. Periodicals postage is paid at Washington, DC, and additional mailing<br />

offices. POSTMASTER: Send address changes to Sociology of Education, 1307 New York Avenue, Suite 700,<br />

Washington, DC 20005-4701.<br />

Address manuscripts and communications for the editors to Barbara Schneider, Editor, <strong>SOCIOLOGY</strong> OF <strong>EDUCATION</strong>,<br />

Department of Education, Michigan State University, 516B Erickson Hall, East Lansing, MI 48824; e-mail<br />

soe@msu.edu.<br />

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month of publication. The publishers will supply missing copies when losses have been sustained in transit and the<br />

reserve stock will permit.<br />

Copyright ©2007, <strong>American</strong> <strong>Sociological</strong> <strong>Association</strong>. Copying beyond fair use: Copies of articles in this journal may be<br />

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The <strong>American</strong> <strong>Sociological</strong> <strong>Association</strong> acknowledges, with appreciation, the facilities and assistance provided by<br />

Michigan State University.


<strong>SOCIOLOGY</strong><br />

OF<br />

<strong>EDUCATION</strong><br />

Volume 80 July 2007 Number 3<br />

Contents<br />

Contextual Explanations of School Choice<br />

DOUGLAS LEE LAUEN 179<br />

Staying Back and Dropping Out: The Relationship Between<br />

Grade Retention and School Dropout<br />

ELIZABETH STEARNS, STEPHANIE MOLLER, JUDITH BLAU, AND<br />

STEPHANIE POTOCHNICK 210<br />

Gender, Obesity, and Education<br />

ROBERT CROSNOE 241<br />

Making It Through the First Year of College: The Role of Students’<br />

Economic Resources, Employment, and Living Arrangements<br />

ROBERT BOZICK 261


NOTICE TO CONTRIBUTORS<br />

Editorial Procedures<br />

All papers considered appropriate for this journal are reviewed anonymously. To ensure anonymity, authors’<br />

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Submission of a paper to a professional journal is considered an indication of the author’s commitment to<br />

publish in that journal. A paper submitted to this journal while it is under review for another journal will not<br />

be accepted for review.<br />

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each submission. This fee is waived for papers written by student members of the ASA. The submission<br />

fee reflects a policy of the ASA Council and Committee on Publications, which affects all ASA<br />

journals. It is a reluctant response to the accelerating costs of manuscript processing.<br />

Reference Format<br />

1. In the text: All references to books, articles, and other works should be identified at the appropriate point<br />

in the text by the surname of the author and year of publication; add page numbers only when citing<br />

statistics or direct quotes. Endnotes should be used only for substantive observations and explanations.<br />

Subsequent citations of a source should be identified in the same way; do not use “ibid.,” “op. cit.,” or<br />

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a. If the author’s name is part of the narrative, place only the year of publication in parentheses:<br />

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in parentheses: (Duncan 1959).<br />

b. Insert page numbers, preceded by a colon after the year of publication: (Kuhn 1970:120–45).<br />

c. If the work cited has three or fewer authors, list all authors in the first citation; thereafter, include<br />

only the name of the first author followed by “et al.” If the work has four or more authors, include<br />

only the name of the first author followed by “et al.” in all citations.<br />

d. Abbreviate or shorten the names of institutional or corporate authors, making sure that the text<br />

citation and the entry in the reference list begin with the same element.<br />

e. Distinguish two or more works by the same author with the same publication date by appending<br />

letters (a, b, c) to the date: (Levy 1965a).<br />

f. Separate a series of references with semicolons and enclose them in a single pair of parentheses:<br />

(Featherman and Hauser 1979; Coleman et al. 1982; U.S. Bureau of Census 1981).<br />

2. In the Reference List: List all entries alphabetically by author and, within author, by year of publication.<br />

List all authors in citations of multiauthor works; do not use “et al.” in the reference list.<br />

Examples follow:<br />

Bourdieu, Pierre, 1977. “Cultural Reproduction and Social Reproduction.” Pp. 487–511 in Power and Ideology<br />

in Education, edited by J. Karabel and A.H. Halsey. New York: Oxford University Press.<br />

Coleman, James S., Thomas Hoffer, and Sally B. Kilgore. 1982a. “Cognitive Outcomes in Public and Private<br />

Schools.” Sociology of Education 55:65–76.<br />

——. 1982b. High School Achievement: Public, Catholic and Other Private Schools Compared. New York: Basic.<br />

Mare, Robert D. 1979. “Change and Stability in Educational Stratification.” Paper presented at the annual<br />

meeting of the <strong>American</strong> <strong>Sociological</strong> <strong>Association</strong>, Boston.<br />

Marx, Karl (1867) 1976. Capital. Vol. 1. Translated by S. Moore and E. Aveling. New York: International.<br />

U.S. Bureau of the Census. 1979. 1970 Census Population and Housing. Fourth Count Population Summary<br />

Tape. Machine-readable data file. Washington, DC: U.S. Bureau of the Census (producer). Rosslyn, VA:<br />

DUALabs (distributor).


Gender, Obesity, and Education<br />

Robert Crosnoe<br />

University of Texas at Austin<br />

Obesity is a health condition, but its consequences extend far beyond the realm of health. To<br />

illuminate an important route by which the experience of obesity can filter into the status<br />

attainment process, this study drew on nationally representative data from the National<br />

Longitudinal Study of Adolescent Health to test a social psychological model of the gendered<br />

link between obesity and education. Obese girls were less likely to enter college after high<br />

school than were their nonobese peers, especially when they attended schools in which obesity<br />

was relatively uncommon. Additional analyses revealed that increasing rates of internalizing<br />

symptoms, self-medication, and academic disengagement explained about one-third of<br />

the obese girls’ lower odds of college enrollment. Obese boys, on the other hand, did not differ<br />

from their peers—no matter what their school context—in college enrollment.<br />

Obesity gets a lot of press these days.<br />

Almost daily, news stories and governmental<br />

reports trumpet alarming<br />

statistics about the pandemic of obesity. For<br />

the most part, the precipitous growth of the<br />

collective <strong>American</strong> waistline is cast as a public<br />

health issue, but its significance goes<br />

beyond physical health (Anderson and<br />

Butcher 2006; Ferraro and Kelley-Moore<br />

2003). For example, some evidence suggests<br />

that obesity is related to lower academic<br />

achievement, educational attainment, and<br />

earnings. Such evidence points to the status<br />

attainment process as a valuable crucible in<br />

which to assess the societal implications of rising<br />

obesity rates (Ball, Crawford, and Kenardy<br />

2004; Canning and Mayer 1967; Crosnoe<br />

and Muller 2004; Pagan and Davila 1997).<br />

To explore the implications of obesity for<br />

the status attainment process, the study presented<br />

here investigated whether obesity during<br />

secondary school is associated with college<br />

matriculation after this period among<br />

young people in the National Longitudinal<br />

Study of Adolescent Health (Add Health).<br />

Three questions guided the investigation: (1)<br />

Why does obesity affect college enrollment?<br />

(2) in what contexts are these effects most<br />

common? and (3) for whom are these effects<br />

most common? No consistent evidence links<br />

obesity to cognitive skills or scholastic abilities,<br />

but its marked devaluation in <strong>American</strong><br />

culture suggests that the answers to these<br />

questions lie in the social psychology of obesity<br />

(Carr and Friedman 2006; Cawley 2001;<br />

Crandall 1994). Working from key sociological<br />

traditions, therefore, I posit that the social<br />

stigma of obesity triggers psychological and<br />

behavioral responses that interfere with college<br />

matriculation, especially in contexts (in<br />

this case, schools) and in segments of the<br />

youth population (in this case, girls) in which<br />

the stigma of obesity is most likely to be felt.<br />

BACKGROUND<br />

Determining why, in what contexts, and for<br />

whom obesity is related to college enrollment<br />

is an important enterprise. First, educational<br />

attainment is central to the life course<br />

and the economy (Kerckhoff 1993). Second,<br />

the gendered nature of the effects of obesity<br />

Sociology of Education 2007, Vol. 80 (July): 241–260 241


242 Crosnoe<br />

may contribute to larger patterns of gender<br />

inequality in socioeconomic status as obesity<br />

rates skyrocket (Conley and Glauber 2005).<br />

Third, research of this kind informs the sociological<br />

understanding of the connection<br />

between education and health by elucidating<br />

how health risks filter into the educational<br />

process in ways that compound these risks<br />

(Puhl and Brownell 2003).<br />

Obesity and Status Attainment<br />

According to medical standards, obesity is the<br />

highest end of the body mass index (BMI), a<br />

ratio of weight to height. Recently, the prevalence<br />

of obesity has increased steadily, including<br />

among children and youths. For the most<br />

part, this trend has sparked widespread concern<br />

because of fears that it forecasts a major<br />

public health crisis (Anderson and Butcher<br />

2006; Campos et al. 2006; Freedman et al.<br />

1999; National Institutes of Health 2003).<br />

Although important, the relevance of early<br />

obesity to lifelong health is not the only reason<br />

to be concerned about rising obesity<br />

rates. For example, several studies have<br />

reported that obese students often achieve<br />

lower grades than do their peers (see, e.g.,<br />

Crosnoe and Muller 2004; Sobol and Dietz<br />

1997). Others have documented the negative<br />

effects of obesity on multiple aspects of work,<br />

including earnings and promotions (Ball et al.<br />

2004; Conley and Glauber 2005; Loh 1993;<br />

Pagan and Davila 1997). Thus, obesity can<br />

disrupt long-term status attainment. These<br />

nonhealth risks of obesity are arguably just as<br />

important to understand because they can<br />

produce economic inequality and exacerbate<br />

health inequality between obese and<br />

nonobese individuals.<br />

Assessing the effects of obesity on key<br />

points in the status attainment trajectory,<br />

therefore, is valuable. In a modern economy<br />

with an expanding service-information sector<br />

and a shrinking manufacturing sector, postsecondary<br />

credentials are crucial for obtaining<br />

stable, well-paying jobs. Thus, enrolling in<br />

college after high school is the first step in<br />

pushing through the bottleneck in this new<br />

hourglass-shaped economy (Hirschman<br />

2001; Schneider and Stevenson 1999). If<br />

obese youths are less able than their<br />

nonobese peers to enroll immediately in college,<br />

then they are at an early disadvantage<br />

and must play catch-up. Consequently, this<br />

transition from high school to college is a<br />

valuable window for evaluating the divergence<br />

in socioeconomic trajectories related to<br />

obesity.<br />

Linking Obesity to Educational<br />

Attainment<br />

Canning and Mayer (1966, 1967) established<br />

such a link between obesity and college<br />

enrollment in a community sample, attributing<br />

it primarily to biases among college<br />

admissions officers. Because much has<br />

changed in the intervening decades, including<br />

increasing rates of college attendance and<br />

the aforementioned rise in obesity, investigating<br />

and unpacking the risks of obesity for college<br />

enrollment is still timely. If, as expected,<br />

these risks persist today, then the challenge is<br />

to understand why. Two influential sociological<br />

models—Cooley’s ([1902] 1983) lookingglass<br />

self and Goffman’s (1963) social stigma<br />

model—are relevant to answering this “why”<br />

question. Neither model had obesity or education<br />

explicitly in mind, but both demonstrated<br />

the value of using social psychological<br />

insights to understand the educational implications<br />

of the obesity pandemic.<br />

To review, the looking-glass self contends<br />

that humans rely on messages they receive in<br />

social interaction to define and evaluate their<br />

general worth (Cooley [1902] 1983).<br />

Originally, this model highlighted internalization,<br />

or the tendency to incorporate repeated,<br />

consistent social feedback into the selfconcept<br />

(e.g., “Everyone says I am bad, so I<br />

must be bad” and “People treat me nice, so I<br />

must be appealing”). More recent extensions<br />

have emphasized externalization (Cast, Stets,<br />

and Burke 1999; Yeung and Martin, 2003).<br />

For example, individuals may engage in a<br />

variety of agentic behaviors to alter, avoid, or<br />

dismiss feedback that could potentially damage<br />

their senses of self, such as avoiding situations<br />

in which negative feedback is likely or<br />

trying to impress potential critics.<br />

Goffman’s (1963) social stigma model<br />

focuses explicitly on negative social feedback<br />

that is elicited by a general category of phys-


Gender, Obesity, and Education 243<br />

ical, behavioral, or demographic characteristics<br />

that carry some widely agreed-upon low<br />

status. Individuals with these stigmatized<br />

traits will then be vulnerable to receiving negative<br />

feedback that is real (e.g., harsh remarks<br />

or shunning), implied (e.g., overpoliteness),<br />

or imagined (e.g., perceiving constant judgment<br />

from others). This general cloud of negative<br />

feedback that follows a person in a stigmatized<br />

category can be internalized or<br />

externalized in much the same way as the<br />

more direct, interactive feedback highlighted<br />

by the looking-glass self (Link and Phelan<br />

2001; for specific applications of models of<br />

stigma to obesity, see Cahnman 1968;<br />

Dejong 1980).<br />

Obesity, Psychosocial Responses,<br />

and College Enrollment<br />

Integrating the basic insights of these two traditions<br />

and connecting them to empirical evidence<br />

from educational research identifies<br />

possible pathways between obesity in adolescence<br />

and college enrollment in young adulthood.<br />

The driving force is the social meaning<br />

of obesity. <strong>American</strong>s tend to view obese individuals<br />

in extremely negative terms—as unattractive,<br />

ugly, lazy, and dumb (Allon 1981;<br />

Dejong 1980). Despite the recent upswing of<br />

obesity, these views have not changed a great<br />

deal and, what is surprising, are equally<br />

strong among those who are overweight<br />

themselves (Goodman and Whitaker 2002;<br />

Latner, Stunkard, and Wilson 2005; Puhl and<br />

Brownell 2003; Quinn and Crocker 1999).<br />

Although the stigma attached to obesity<br />

varies by race and social class, it is, for the<br />

most part, highly visible in the general culture,<br />

including the media (Adams et al. 2000;<br />

Crandall 1994; Harrison 2001; Puhl and<br />

Brownell 2003). Thus, in the spirit of<br />

Goffman, obesity clearly is a socially stigmatized<br />

trait.<br />

As a stigmatized trait, obesity generates<br />

negative feedback in adolescence. This feedback<br />

may occur directly in social situations, as<br />

in the well-documented tendency for young<br />

people to bully, isolate, and ostracize overweight<br />

peers (Halpern et al. 2005; Janssen et<br />

al. 2004; Strauss and Pollack 2003).<br />

Alternatively, it may arise more subtly from<br />

social comparison, as in the equally well-documented<br />

tendency for overweight youths to<br />

fear that they do not measure up to culturally<br />

defined physical ideals (Ewell et al. 1996;<br />

Harrison 2001; Latner et al. 2005). Two general<br />

responses to either form of social feedback<br />

are likely. First, obese youths often internalize<br />

social feedback, with negative feedback<br />

leading to more negative self-concepts (Ge et<br />

al. 2001; Needham and Crosnoe 2005).<br />

Second, given the tendency for adolescents<br />

to self-medicate pain and loneliness and to<br />

disidentify with contexts in which they feel at<br />

risk (Aseltine and Gore 2000; Dance 2002),<br />

obese youths may externalize negative feedback<br />

by taking drugs, drinking, or disengaging<br />

from school.<br />

According to the stigma model, the looking-glass<br />

self, and recent elaborations of both<br />

models, responses to stigma are often shortterm<br />

acts of self-preservation that ultimately<br />

prove disastrous. Similarly, responses to the<br />

stigma of obesity may be incompatible with<br />

educational progress. Internalization disables<br />

the confidence and motivation that are needed<br />

to set the goals and take up the challenges<br />

that are integral to the pursuit of a postsecondary<br />

education (Wigfield and Eccles 2002).<br />

One form of externalization, self-medication,<br />

distracts from schoolwork and introduces<br />

conflict into the relationships with parents<br />

and teachers that support educational attainment<br />

(Crosnoe 2006). A second form of<br />

externalization, disengagement from school,<br />

disrupts the accumulation of academic credentials<br />

(e.g., grades and course requirements)<br />

that are needed to pursue a postsecondary<br />

education (Smerdon 1999). In short,<br />

internalizing and externalizing responses to<br />

the stigma of obesity set the stage for truncated<br />

trajectories of educational attainment<br />

in the long run.<br />

Of course, these psychosocial and educational<br />

consequences of the stigma of obesity<br />

are situated in a host of other life-course<br />

experiences. For example, obesity, psychosocial<br />

adjustment, and college enrollment are<br />

all reciprocally related to each other and cooccur<br />

with other factors, including academic<br />

achievement, the location of the school, and<br />

participation in activities (Anderson and<br />

Butcher 2006; Carr and Friedman 2005;


244 Crosnoe<br />

Goodman and Whitaker 2002). As another<br />

example, stigmatized traits can also trigger<br />

positive responses, as illustrated by the tendency<br />

for a minority of obese youths to<br />

become academic stars as a balance to their<br />

physical stigma (Crosnoe and Muller 2004;<br />

Yeung and Martin 2003). Finally, different<br />

demographic groups maintain different standards<br />

of physical appearance. Ample evidence<br />

suggests that these standards are more<br />

forgiving among racial minorities, especially<br />

African <strong>American</strong>s, than among whites, a difference<br />

that is largely a function of systematic<br />

racial differences in socioeconomic status<br />

(Crandall 1994; Halpern et al. 2005; Latner et<br />

al. 2005). Thus, effectively connecting obesity<br />

to psychosocial responses to college enrollment<br />

requires the careful consideration of<br />

confounding factors, feedback loops, adaptive<br />

responses, and racial/class variation.<br />

The Importance of Context<br />

Having addressed the “why?” question, the<br />

next goal is to ask: In what settings is this link<br />

between obesity and college enrollment most<br />

likely to occur? According to the classic theories<br />

underlying this study, local contexts can<br />

reinforce or counter negative social messages<br />

about some trait that is stigmatized in the<br />

general context of <strong>American</strong> society (Goffman<br />

1963). In other words, obesity may pose a<br />

social risk for most, but not all, <strong>American</strong>s,<br />

and who is or is not at risk is far from random<br />

(Cahnman 1968; Crandall 1994; Dejong<br />

1980).<br />

This tension between local and general<br />

contexts is especially important in regard to<br />

young people. Although a mass youth culture<br />

exists in the United States (see Greenberg,<br />

Brown, and Buerkel-Rothfuss 1993), the<br />

valence and intensity of cultural messages<br />

vary considerably across specific pockets of<br />

this mass culture. As a bounded, identifiable<br />

setting of adolescent life, the school is an<br />

appropriate unit for considering local contexts<br />

of youth culture. Indeed, schools develop<br />

complex systems of norms and values,<br />

including those related to appearance (Eder,<br />

Evans, and Parker 1995). If two schools differ<br />

in their cultural assessments of weight, then<br />

the consequences of obesity will likely differ<br />

just as sharply between these two schools.<br />

Following my earlier work with Chandra<br />

Muller (see Crosnoe and Muller 2004), the<br />

representation of obesity in any given<br />

school—what students in that school tend to<br />

look like—is a proxy for the stigma of obesity<br />

in that school. If obesity makes a student<br />

decidedly stand out, then the intensified stigma<br />

of obesity in that school will compound<br />

the general psychosocial and subsequent<br />

educational risks of obesity. If obesity allows a<br />

student to fit in, then these general risks will<br />

not be as pronounced.<br />

Pathways between obesity and college<br />

enrollment and their variation across schools<br />

are depicted in Figure 1. Obesity triggers<br />

internalizing and externalizing responses in<br />

adolescence (A1) that, in turn, disrupt the<br />

transition to college after high school (A2),<br />

net of a host of confounding demographic,<br />

personal, and social factors, including race<br />

and socioeconomic status. This general phenomenon<br />

is likely to be conditioned by differences<br />

in the local cultures of schools, with<br />

obesity less likely to trigger the problematic<br />

responses that are so consequential for college<br />

enrollment in schools in which obesity is<br />

more common and accepted (B). 1<br />

The Role of Gender<br />

Having sketched out a conceptual model<br />

hypothesizing answers to the “why?” and “in<br />

what context?” questions, the next step is to<br />

ask: For whom is this model most likely to<br />

hold? Because the main factors in the model<br />

are all highly gendered, comparing adolescent<br />

girls and adolescent boys is an important<br />

tool for answering this “for whom?” question.<br />

First, the internalization and externalization<br />

of the stigma of obesity (Path A1 in<br />

Figure 1) will be more pronounced for girls<br />

than for boys. Ample evidence indicates that<br />

norms about weight—what is considered<br />

“good” or “bad” weight—are stricter and<br />

more publicly enforced for girls (Martin 1996;<br />

Wardle, Waller, and Jarvis 2002). It is not surprising<br />

that obesity appears to have much<br />

stronger, more negative, effects on girls, making<br />

them more likely to be emotionally distressed,<br />

socially isolated, and concerned<br />

about their appearance (Ge et al. 2001;


Gender, Obesity, and Education 245<br />

Figure 1. A Social Psychological Model of the Educational Risks of Adolescent Obesity


246 Crosnoe<br />

Halpern et al. 2005; Needham and Crosnoe<br />

2005). Even though such gender differences<br />

are less sharp in some races or social classes,<br />

the stakes of obesity are typically higher for<br />

girls, in general. Thus, although girls may be<br />

less likely than boys to take part in things like<br />

substance use or academic disengagement in<br />

general, they are probably more likely to do<br />

so in response to obesity.<br />

Second, the power of school context to<br />

condition the internalization and externalization<br />

of the stigma of obesity (Path B in Figure<br />

1) will also be stronger for girls for many of<br />

the same reasons. If girls are generally more<br />

sensitive to norms about weight, then the<br />

adjustment of obese girls should be more<br />

affected by how these girls measure up to<br />

local norms about weight, just as it is more<br />

affected by general norms. At the same time,<br />

a good deal of developmental research has<br />

demonstrated that girls are more ingrained in<br />

and reactive to social networks, especially<br />

their personal relationships, and are more<br />

likely to use feedback from significant others<br />

when they evaluate themselves (Giordano<br />

2003; Martin 1996). Thus, being out of step<br />

with schoolmates in terms of weight will have<br />

a greater impact on girls.<br />

If this conceptual model is a better fit for<br />

girls than for boys, then the psychosocial<br />

costs of obesity will be more important to<br />

understanding obesity-related educational<br />

disparities in the female population. More<br />

generally, these costs will be another disadvantage,<br />

along with discrimination and other<br />

powerful forces, that women face in the status<br />

attainment process.<br />

METHODS<br />

Data<br />

To test the conceptual model in Figure 1, I<br />

drew on nationally representative data from<br />

the National Longitudinal Study of<br />

Adolescent Health (Add Health), an ongoing<br />

study of <strong>American</strong> adolescents in Grades<br />

7–12 that began in 1994 (Bearman, Jones,<br />

and Udry 1997). With a multistage, stratified<br />

design, Add Health selected 80 schools from<br />

a comprehensive list of <strong>American</strong> high<br />

schools on the basis of their region, urbanicity,<br />

sector, racial composition, and size. Each<br />

selected school was then matched to one of<br />

its feeder schools, typically a middle school,<br />

with the probability of the feeder school<br />

being selected proportional to its contribution<br />

to the high school’s student body. The<br />

final sample included 132 schools. Nearly all<br />

the students in each school (approximately<br />

90,000) completed a limited paper-and-pencil<br />

questionnaire, the In-School Survey, in the<br />

1994–95 school year. These students became<br />

the sampling frame for three in-depth inhome<br />

interviews. A representative subsample<br />

of the In-School sample, selected evenly<br />

across high schools and pairs of feeder<br />

schools, participated in Wave I in 1995 (n =<br />

20,475), Wave II in 1996 (n = 14,736), and<br />

Wave III in 2002 (n = 15,197). The Wave II<br />

sample excluded all Wave I seniors. The Wave<br />

III sample, however, attempted to bring these<br />

Wave I seniors back in.<br />

The analytic sample for the study included<br />

all adolescents who participated in Waves I–III<br />

and had valid sampling weights (n = 10,829<br />

adolescents in 128 schools). White girls with<br />

more educated parents were slightly overrepresented<br />

in this analytic sample compared to<br />

the original Wave I sample, but the obesity<br />

rate was the same. This bias must be remembered<br />

in the interpretation of the results. Still,<br />

these selection filters were necessary—the<br />

longitudinal filter to establish the proper temporal<br />

ordering of variables in the theoretical<br />

model and the weighting filter to adjust for<br />

the complex sampling frame of Add Health<br />

(Chantala and Tabor 1999).<br />

Measures<br />

Table 1 presents descriptive statistics for all<br />

the study variables. Because of the centrality<br />

of gender to this study, these statistics are<br />

presented for the full sample and then for<br />

each gender. All significant gender differences,<br />

tested with a one-way analysis of variance<br />

(ANOVA), have been noted.<br />

College Enrollment Wave III responses to<br />

questions about schooling were collapsed<br />

into a binary measure of college enrollment.<br />

In this measure, young people who were


Gender, Obesity, and Education 247<br />

Table 1. Descriptive Statistics for the Study Variables, for the Full Sample and by Gender (n = 10,829)<br />

Full Sample Boys Girls<br />

M (SD) % M (SD) % M (SD) %<br />

Adolescent Obesity<br />

Wave I obesity (1/0) — 11.33 — 13.62*** — 9.29<br />

Adolescent/Young Adult Outcomes<br />

Wave I self-rejection (1/0) — 9.56 — 5.31*** — 13.34<br />

Wave II self-rejection (1/0) — 7.54 — 3.96*** — 10.72<br />

Wave I suicidal ideation (1/0) — 13.18 — 13.18*** — 16.36<br />

Wave II suicidal ideation (1/0) — 10.87 — 10.87*** — 13.27<br />

Wave I alcohol use (0–6) 1.00 — 1.07*** — .93 —<br />

(1.41) (1.50) (1.31)<br />

Wave II alcohol use (0–6) 1.08 — 1.19*** — .99 —<br />

(1.51) (1.62) (1.39)<br />

Wave I marijuana use (0–6) .90 — 1.00*** — .81 —<br />

(1.89) (2.00) (1.79)<br />

Wave II marijuana use (0–6) 1.00 — 1.09*** — .91 —<br />

(2.07) (2.19) (1.95)<br />

Wave I class failures (0–4) .48 — .56*** — .40 —<br />

(.84) (.90) (.77)<br />

Wave II class failures (0–4) .37 — .44*** — .32 —<br />

(.74) (.79) (.68)<br />

Wave I truancy (0–4) .60 — .66*** — .55 —<br />

(1.16) (1.21) (1.12)<br />

Wave II truancy (0–4) 1.94 — 2.14*** — 1.76 —<br />

(3.45) (3.59) (3.32)<br />

Wave III college enrollment (1/0) — 32.99 — 29.84*** — 35.80<br />

School Factors<br />

Proportion of obese girlsa .05 — .04** — .05 —<br />

(.02) (.02) (.02)<br />

Proportion of obese boys .06 — .06** — .06 —<br />

(.03) (.02) (.03)


248 Crosnoe<br />

Table 1. Continued<br />

Full Sample Boys Girls<br />

M (SD) % M (SD) % M (SD) %<br />

Selection Factors<br />

Gender (1 = female) — 52.90 — — — —<br />

Grade level (7–11) 9.33 — 9.37** — 9.29 —<br />

(1.48) (1.47) (1.48)<br />

Non-Latino/Latina white — 53.01 — 52.96 — 53.05<br />

African <strong>American</strong> — 20.99 — 19.33*** — 22.48<br />

Latino/Latina — 16.01 — 16.80* — 15.31<br />

Asian <strong>American</strong> — 7.25 — 8.04** — 6.55<br />

Other race/ethnicity — 2.68 — 2.82 — 2.55<br />

Family structure (1 = two parent) — 55.56 — 56.60* — 54.63<br />

Parental education (1–5) 2.97 —- 3.01*** — 2.93 —<br />

(1.25) (1.24) (1.25)<br />

School level (1 = middle) — 25.09 — 23.68** — 26.35<br />

School sector (1 = private) — 7.68 — 7.81 — 7.58<br />

School minority representation (0–100) 48.75 — 48.32 — 49.12 —<br />

(32.92) (33.10) (32.76)<br />

School proportion college-educated parents .34 — .34 — .34 —<br />

(.15) (.15) (.15)<br />

Measured ability (0–100) 50.21 — 52.25*** — 48.21*** —<br />

(27.29) (27.93) (27.54)<br />

Athletic status (1 = athlete) — 42.21 — 46.98*** — 37.96<br />

Number of friends (0–10) 3.08 — 3.09 — 3.06 —<br />

(2.62) (2.63) (2.62)<br />

Involvement with friends (0–4) 2.11 — 2.13* — 2.08 —<br />

(1.06) (1.10) (1.03)<br />

Romantic involvement (1/0) — 52.21 — 50.61** — 53.64<br />

*** Descriptive statistic differs significantly (p < .001) by gender, as determined by a one-way ANOVA; ** p < .01, * p < .05.<br />

a The first school obesity variable represents the number of obese girls in the school divided by the total number of girls and boys in the school. The<br />

second represents the number of obese boys in the school divided by the total number of girls and boys in the school.


Gender, Obesity, and Education 249<br />

currently attending or who had graduated<br />

from a four-year institution of higher education<br />

received a 1, and those who did not<br />

meet these two criteria (including those who<br />

had never attended such institutions, those<br />

who had dropped out of such institutions,<br />

and those who were enrolled in or had graduated<br />

from two-year institutions) received a<br />

0.<br />

Obesity Adolescents’ reports of weight and<br />

height at Wave I allowed the calculation of BMI<br />

with the formula: [weight (kg) / [height (m)] 2.<br />

BMI was then compared to weight x age x gender<br />

tables to identify adolescents who were at<br />

or above the 95th percentile of BMI for their<br />

age-gender group, the obesity threshold set by<br />

the Centers for Disease Control and Prevention<br />

(CDC 2002). Three issues with this measurement<br />

need to be discussed. First, self-reported<br />

weight and height can be inaccurate for several<br />

reasons. Add Health included interviewermeasured<br />

weight and height at Wave II. The<br />

correlation between interviewer-measured and<br />

self-reported weight is .95 at Wave II, indicating<br />

good reliability in the self-reported Wave I measure<br />

used here (Goodman, Hinden, and<br />

Khandelwal 2000). Second, the CDC actually<br />

recommends the term overweight—rather than<br />

obesity—for the 95th percentile and above in<br />

young populations, precisely because of the<br />

stigma attached to the term obesity. Because of<br />

the focus on the transition to young adulthood<br />

and the greater prevalence of the term obesity<br />

in nonhealth research, however, this article<br />

refers to this category as obese. Third, removing<br />

the girls who were recently pregnant from<br />

the sample and, therefore, had elevated BMIs<br />

did not alter the results.<br />

Internalization Two psychological factors<br />

tapped internalization. The adolescents rated<br />

how well they liked themselves just the way<br />

they were. This item was dichotomized (1 =<br />

disagree, 0 = neutral or agree) to measure<br />

self-rejection. For suicidal ideation, the adolescents<br />

reported whether they had seriously<br />

considered committing suicide in the past<br />

year (1 = yes, 0 = no). Wave I and Wave II versions<br />

of both were created to serve as predictors<br />

and outcomes, respectively.<br />

Externalization Two substance-use factors<br />

tapped self-medication. On the basis of prior<br />

Add Health research (Crosnoe 2006; Resnick<br />

et al. 1997), the adolescents’ responses to a<br />

series of items about the timing and frequency<br />

of different forms of substance use were<br />

collapsed into two six-point scales (0 = none<br />

in the past year, 1 = 1 or 2 days in the past<br />

year, 2 = once a month or less, 3 = 2 or 3 days<br />

a month, 4 = 1 or 2 days a week, 5 = 3 to 5<br />

days a week, and 6 = nearly every day), one<br />

for alcohol use and one for marijuana use.<br />

Two schooling factors tapped academic disengagement.<br />

The adolescents reported their<br />

grades (1 = D/F, 2 = C, 3 = B, and 4 = A) in<br />

math, science, English, and social studies in<br />

the past year. For each class, a binary item<br />

marked whether they had failed (1) or not<br />

(0). These four items were summed to measured<br />

class failures. Finally, truancy was the<br />

count of adolescent-reported unexcused<br />

absences from school (0 = 0 days, 1 = 1–2<br />

days, 2 = 3–5 days, 3 = 6–9 days, and 4 = 10<br />

or more days). Again, Wave I and Wave II versions<br />

of these variables were created.<br />

Prevalence of Obesity in School Because<br />

the Wave I in-home interview was conducted<br />

for a sizable representative subsample in each<br />

school, the obesity measure just described<br />

could be used to estimate the proportion of<br />

the student body of each school who was at<br />

or above the BMI threshold for obesity. To be<br />

more specific, I used this measure to identify<br />

all obese boys and girls in the sample and<br />

then averaged these two measures across all<br />

the students in each study school to calculate<br />

the proportion of students in each school<br />

who fit these two categories. Their sum within<br />

each school represents the total proportion<br />

of obese students in the school.<br />

Selection Factors Controlling for Wave I<br />

measures of characteristics that covary with<br />

obesity and predict psychosocial adjustment<br />

and college enrollment guards against the<br />

observation of spurious associations. The first<br />

category of such selection factors, demographic<br />

characteristics, includes grade level,<br />

race/ethnicity (dummy variables for non-<br />

Latino/Latina white, non-Latino/Latina<br />

African <strong>American</strong>, Latino/Latina, Asian


250 Crosnoe<br />

<strong>American</strong>, and other race/ethnicity), family<br />

structure (1 = adolescent lived with both biological<br />

parents, 0 = another family form), and<br />

parental education (1 = less than high school<br />

graduation, 2 = high school graduate, 3 =<br />

some college, 4 = college graduate, 5 = postgraduate—maximum<br />

level taken in two-parent<br />

families).<br />

The second category, school characteristics,<br />

includes four factors. School level (1 =<br />

middle school, 0 = high school or comprehensive<br />

school) and sector (1 = private, 0 =<br />

public) were based on the reports of school<br />

administrators at Wave I. Because the In-<br />

School Survey was a near-census of each<br />

school, reports of parental education and<br />

race/ethnicity in this survey could be aggregated<br />

within schools to measure the proportion<br />

of students in each school who were<br />

nonwhite and had at least one parent with a<br />

college degree. The third category, adolescents’<br />

characteristics, includes measured ability<br />

(percentile scores on a modified version of<br />

the Peabody Picture Vocabulary Test) and athletic<br />

status (1 = adolescent on a sports team<br />

at school, 0 = no participation). The fourth<br />

category, social relationships, includes two<br />

network-derived items: number of friends (a<br />

count of friends nominated by the adolescent)<br />

and involvement with friends (the sum<br />

of whether or not the adolescent had hung<br />

out with, talked with, spent time with, or visited<br />

the nominated friend in the past week,<br />

averaged across all nominated friends).<br />

Romantic involvement was a binary measure<br />

(1 = adolescent reported having a serious<br />

boyfriend or girlfriend, 0 = no such relationship).<br />

Plan of Analyses<br />

The analyses proceeded in two general steps,<br />

with some preliminary and ancillary analyses<br />

along the way. In the first step, Wave III college<br />

enrollment was regressed on the Wave I<br />

selection factors, adolescent obesity, the two<br />

measures of the prevalence of obesity in the<br />

school, and then interactions between adolescent<br />

obesity and the two school obesity<br />

measures. The results of these models<br />

assessed differences in college enrollment<br />

after high school by obesity category during<br />

middle school or high school and the degree<br />

to which these differences varied according<br />

to the proportion of the student body of the<br />

school made up of obese girls or boys.<br />

If these initial models revealed significant<br />

obesity-related differences in college enrollment,<br />

then the second step was to investigate<br />

possible psychosocial mediators of these differences.<br />

This investigation required that obesity<br />

be associated with the psychosocial factors<br />

(Path A1 in Figure 1); that the psychosocial<br />

factors be associated with college enrollment<br />

(Path A2 in Figure 1); and, finally, that<br />

taking the psychosocial factors into account<br />

attenuated the initially observed associations<br />

between obesity and college enrollment. To<br />

establish mediation in this way, the six Wave<br />

II psychosocial adjustment factors were first<br />

regressed on Wave I selection factors (including<br />

the Wave I version of the psychosocial factors),<br />

adolescent obesity, the two measures of<br />

the prevalence of obesity in the school, and<br />

then interactions between adolescent obesity<br />

and the two school obesity measures. These<br />

models demonstrated whether obesity was<br />

associated with changes in six psychosocial<br />

problems over a one-year period and whether<br />

these associations varied by the proportion of<br />

obese boys and girls in school (testing Paths<br />

A1 and B in Figure 1). Next, the original college-enrollment<br />

models were expanded to<br />

include these six Wave II psychosocial factors.<br />

2 The results of these models gauged the<br />

degree of association between psychosocial<br />

adjustment during secondary school and college<br />

enrollment after secondary school (testing<br />

Path A2 in Figure 1). Moreover, a comparison<br />

of the obesity coefficients and the<br />

obesity x school obesity interaction terms<br />

before and after the inclusion of these psychosocial<br />

factors revealed the degree to<br />

which the association between Wave I obesity<br />

and Wave III college enrollment—and the<br />

school-by-school variation in this association—was<br />

explained by psychosocial adjustment<br />

at Wave II.<br />

All the models were estimated separately<br />

for boys and girls with the mixed procedure,<br />

the SAS version of multilevel modeling<br />

(Singer 1998). Multilevel techniques provided<br />

the most accurate estimates of school effects<br />

and corrected the violations of independence


Gender, Obesity, and Education 251<br />

that were created by the school-based sampling<br />

frame (Chantala and Tabor 1999).<br />

Because all the outcomes that were examined<br />

in this study were either binary, count, or<br />

countlike ordinal variables, the glimmix<br />

macro was used to convert the mixed procedure<br />

to logistic and Poisson regression. All the<br />

models contained a random intercept for the<br />

outcome and a random slope for obesity, and<br />

all the variance components were statistically<br />

significant (p < .001).<br />

RESULTS<br />

A Profile of Obese Adolescents and<br />

Their Peers<br />

Adolescents whose BMI reached the threshold<br />

for obesity at Wave I differed from their<br />

nonobese peers in multiple ways, both during<br />

and after their secondary school careers. Most<br />

important, only 23 percent enrolled in college<br />

after high school, compared to 35 percent<br />

of their nonobese peers. They were also<br />

more likely to be boys (57 percent versus 46<br />

percent of nonobese youths) and racial/ethnic<br />

minorities (45 percent were African<br />

<strong>American</strong> or Latino/Latina versus 36 percent<br />

of nonobese youths). Moreover, the average<br />

level of parental education was in the range<br />

of a high school diploma (2.79) for the obese<br />

youths but in the range of some college<br />

(3.00) for the nonobese youths. Finally, the<br />

obese adolescents had significantly higher<br />

mean levels of self-rejection, class failures, and<br />

truancy than did their nonobese peers, but<br />

they did not differ significantly from these<br />

peers in terms of suicidal ideation or substance<br />

use.<br />

Obesity and College Enrollment<br />

The descriptive statistics just presented provide<br />

preliminary evidence that young people<br />

who were obese during middle school and<br />

high school had lower rates of college matriculation<br />

in the period after high school than<br />

did their peers. Moreover, they suggest that<br />

the fewer socioeconomic resources and<br />

greater psychosocial risks of obese youths<br />

may be reasons for these lower rates. Table 2<br />

presents the results of logistic regressions that<br />

more accurately estimate the longitudinal<br />

association between adolescents’ obesity and<br />

college enrollment, net of numerous demographic,<br />

school, adolescent, and social characteristics<br />

that are associated with both obesity<br />

and educational attainment.<br />

For the boys, obesity at Wave I was not significantly<br />

associated with being enrolled in, or<br />

having graduated from, college at Wave III<br />

once the four sets of selection factors (demographic,<br />

school, adolescent, social) were<br />

taken into account. Additional analyses not<br />

shown in Table 2 revealed no significant interaction<br />

between boys’ obesity and the proportion<br />

of obese boys (or girls) in the school. For<br />

the girls, however, obesity at Wave I was associated<br />

with significantly lower odds of attending<br />

college at Wave III. Obese girls had 50<br />

percent lower odds (1 – OR x 100) of being in<br />

(or having graduated from) college during<br />

this period than did nonobese girls, net of all<br />

four sets of Wave I selection factors.<br />

Again, two interaction terms were added<br />

to this base model: obesity x the proportion<br />

of obese boys in the school and obesity x the<br />

proportion of obese girls in the school. The<br />

former was not statistically significant, but the<br />

latter was (p < .001). Because odds ratios are<br />

not appropriate for interaction terms, I used<br />

the significant logistic coefficients of obesity,<br />

proportion of obese girls in the school, and<br />

the interaction between the two to calculate<br />

the predicted odds of college enrollment for<br />

different groups of girls. Specifically, I calculated<br />

the odds of Wave III college enrollment<br />

for obese and nonobese girls who went to<br />

schools with no other obese girls and who<br />

went to schools in which 10 percent of the<br />

student body was made up of obese girls<br />

(one standard deviation above the mean on<br />

this school variable). In doing so, I held all<br />

other variables in the model to their sample<br />

means.<br />

Nonobese girls generally had better odds<br />

(about 18 percent higher) of attending college<br />

when they attended schools in which no<br />

obese girls could be found in the student<br />

body than when they attended schools in<br />

which obese girls made up a relatively large<br />

proportion of the student body. Conversely,<br />

obese girls generally had better odds (about


252 Crosnoe<br />

Table 2. Odds Ratios from the Logistic Regressions Predicting Wave III College Enrollment, by<br />

Gender (n = 4,865 girls and 4,055 boys)<br />

Variable Odds Ratios for Boys Odds Ratios for Girls<br />

Obesity .83 .50***<br />

Selection Factors<br />

Grade level 1.07* 1.05<br />

Non-Latino/Latina white a — —<br />

African <strong>American</strong> 1.30+ 1.26*<br />

Latino/Latina 1.09 1.02<br />

Asian <strong>American</strong> 1.86*** 1.28<br />

Other race/ethnicity 1.20 .54*<br />

Family structure (two parent) 1.97*** 1.82***<br />

Parental education 1.46*** 1.60***<br />

School level (middle) 1.15 1.03<br />

School sector (private) .91 1.35<br />

School minority representation 1.01+ 1.01***<br />

School proportion of college-educated. parents 10.09*** 9.58***<br />

Measured ability 1.02*** 1.02***<br />

Athletic status 1.80*** 1.57***<br />

Number of friends 1.02 .98<br />

Involvement with friends 1.01 .97<br />

Romantic involvement .84* .84*<br />

School Factors<br />

Proportion of obese girls .32 .17<br />

Proportion of obese boys .07 .42<br />

a White was the comparison category for the race/ethnicity dummy variables.<br />

*** p < .001, ** p < .01, * p < .05, + p < .10.<br />

50 percent higher) of attending college when<br />

they attended schools in which obese girls<br />

were more numerous than when they attended<br />

schools in which they were the sole obese<br />

girl. Taking a different angle, obese and<br />

nonobese girls had roughly the same odds of<br />

attending college after high school if they<br />

attended schools in which obese girls were<br />

well represented, but nonobese girls had<br />

much better odds (about 50 percent higher)<br />

of doing so than did obese girls if they<br />

attended schools in which obese girls were<br />

rare. 3<br />

As was already mentioned, different demographic<br />

groups have different standards for<br />

appearance, in general, and body size, in particular,<br />

and they also differ in expectations for<br />

and support of educational attainment. Thus,<br />

as an ancillary analysis, I estimated the same<br />

models for white, African <strong>American</strong>,<br />

Latino/Latina, and Asian <strong>American</strong> youths,<br />

respectively, and then for youths with college-educated<br />

and non-college-educated<br />

parents (results not shown). The results for<br />

boys were essentially the same, regardless of<br />

race/ethnicity or level of parental education.<br />

The results for girls demonstrated more variation.<br />

Although significance levels varied<br />

according to the sample size (e.g., ranging<br />

from 2,641 white girls to 319 Asian <strong>American</strong><br />

girls), the basic results were surprisingly similar<br />

across the groups. Yet, the longitudinal<br />

association between obesity and college<br />

enrollment and the moderating effect of the<br />

proportion of obese girls in the school were<br />

slightly more pronounced among racial/ethnic<br />

minority girls (versus whites) and among<br />

girls with college-educated parents (versus<br />

those with parents who did not graduate<br />

from college).


Gender, Obesity, and Education 253<br />

Obesity and Psychosocial<br />

Adjustment<br />

The previous analyses revealed that girls who<br />

were obese during adolescence were less likely<br />

to enroll in college in young adulthood,<br />

especially when they attended middle schools<br />

and high schools in which obesity was relatively<br />

uncommon. Because obese and<br />

nonobese boys did not differ in terms of college<br />

enrollment after high school no matter<br />

where they attended middle school or high<br />

school, the subsequent investigation of the<br />

psychosocial mechanisms linking obesity to<br />

college enrollment will focus only on girls. As<br />

was described in the Plan of Analyses, testing<br />

mediation first required that I establish that<br />

obesity predicts the psychosocial outcomes.<br />

Table 3 presents the odds ratios from logistic<br />

regressions predicting two internalizing<br />

symptoms—self-rejection and suicidal<br />

ideation—among girls only. As may be seen<br />

in the first column, obesity at Wave I was<br />

associated with greater odds of self-rejection<br />

at Wave II, net of the four sets of selection factors,<br />

as well as the Wave I version of self-rejection.<br />

4 Specifically, the odds of self-rejection<br />

were 63 percent higher for obese girls than<br />

for nonobese girls. Because of the control for<br />

Wave I self-rejection, these odds capture<br />

increases in the odds of self-rejection between<br />

Wave I and Wave II that are associated with<br />

obesity. As may be seen in the second column,<br />

obesity was also associated with<br />

increased odds of suicidal ideation among<br />

girls. Additional modeling iterations included<br />

interaction terms between adolescent obesity<br />

and the two school-level obesity factors. No<br />

interaction term significantly predicted either<br />

of the two internalizing outcomes for girls.<br />

The first panel in Table 4 presents the<br />

exponentiated coefficients from Poisson models<br />

predicting two types of self-medication—<br />

alcohol and marijuana use—among girls.<br />

Obesity was associated with higher expected<br />

frequencies of both. After all selection factors,<br />

as well as the Wave I versions of both substance<br />

use variables, were controlled for,<br />

these two obesity coefficients just narrowly<br />

missed statistical significance at the .05 level.<br />

Again, adding interaction terms between<br />

obesity and the two school-level obesity fac-<br />

tors revealed no significant across-school variations<br />

in the associations between Wave I<br />

obesity and either form of Wave II substance<br />

use for girls.<br />

Finally, the second panel in Table 4 presents<br />

the exponentiated coefficients from Poisson<br />

models predicting two types of academic disengagement—the<br />

number of class failures and<br />

truancy—among girls. Obesity at Wave I predicted<br />

class failures at Wave II, net of the selection<br />

factors and Wave I number of class failures.<br />

More specifically, obese girls had 24 percent<br />

higher expected frequencies of class failures<br />

between Wave I and Wave II than did their<br />

nonobese counterparts who had the same<br />

number of class failures at Wave I. Additional<br />

analyses revealed no significant interaction<br />

between girls’ obesity and either school-level<br />

obesity factor. Wave I obesity did not predict<br />

girls’ truancy rates at Wave II in the full sample.<br />

Yet, in the next modeling iteration (not shown),<br />

the obesity measure did interact significantly (p<br />

< .05), with the school-level factor indexing the<br />

proportion of obese girls in the student body.<br />

To interpret this interaction term, I again calculated<br />

the predicted frequencies of truancy for<br />

obese and nonobese girls in different types of<br />

schools. Nonobese girls did not differ in their<br />

rates of truancy across schools. On the other<br />

hand, obese girls had low truancy rates if they<br />

attended schools in which at least 10 percent of<br />

the student body was other obese girls, but<br />

they had the highest truancy rates of all girls<br />

when they attended schools with no other<br />

obese girls.<br />

In sum, girls who were obese at Wave I<br />

demonstrated significant or marginally significant<br />

increases in self-rejection, suicidal ideation,<br />

alcohol use, marijuana use, and class failure<br />

between Wave I and Wave II. At the same time,<br />

they demonstrated increases in truancy during<br />

this period if they attended schools with a low<br />

representation of obese girls in the student<br />

body. The results provide support—among girls<br />

at least—for Path A1 in Figure 1.<br />

Obesity, Psychosocial Adjustment,<br />

and College Enrollment<br />

Having confirmed Path A1, I now attempt to<br />

establish Path A2. Table 5 presents the partial<br />

results of a logistic regression model predict-


254 Crosnoe<br />

Table 3. Results from Logistic Regressions Predicting Wave II Internalizing Symptoms Among<br />

Girls (n = 4,910)<br />

ing college enrollment at Wave III. These<br />

results reveal the extent to which the six psychosocial<br />

factors predicted college enrollment.<br />

Moreover, the obesity effect can be<br />

compared to the corresponding effect in<br />

Table 2 to determine the extent to which the<br />

addition of the six psychosocial factors attenuated<br />

previously observed associations<br />

between obesity and college enrollment.<br />

All six markers of psychosocial adjustment<br />

at Wave II predicted lower odds of college<br />

enrollment at Wave II among girls, net of the<br />

four sets of selection factors. Five of these six<br />

odds ratios were statistically significant at<br />

conventional levels, and the sixth (self-rejection)<br />

was marginally significant. Comparing<br />

the odds ratio of Wave I obesity in this table<br />

to the corresponding ratio in Table 2 revealed<br />

that the association between Wave I obesity<br />

and Wave III college enrollment among girls<br />

was attenuated by just over one-third by the<br />

inclusion of these psychosocial factors. The<br />

previously observed interaction between girls’<br />

obesity and the proportion of obese girls in<br />

the student body was essentially unchanged<br />

by the inclusion of the six psychosocial factors<br />

(interactions not shown).<br />

DISCUSSION<br />

Odds Ratios<br />

Self- Suicidal<br />

Variable Rejection Ideation<br />

Obesity 1.63*** 1.25**<br />

Selection Factors<br />

Grade level .99 .99<br />

Non-Latino/Latina white a — —<br />

African <strong>American</strong> .87 .87<br />

Latino/Latina .76 .76<br />

Asian <strong>American</strong> .76 .76<br />

Other race/ethnicity 1.17 1.17<br />

Family structure (two parent) 1.07 1.07<br />

Parental education 1.01 1.01<br />

School level (middle) 1.03 1.03<br />

School sector (private) 1.42 1.42<br />

School minority representation 1.01* 1.01*<br />

School proportion of college-educated parents .48 .48<br />

Measured ability .99 .99<br />

Athletic status .71** .71**<br />

Number of friends 1.02 1.02<br />

Involvement with friends .94 .95<br />

Romantic involvement 1.05 1.05<br />

Wave I version of outcome 11.25*** 11.36***<br />

School Factors<br />

Proportion of obese girls .29 .63<br />

Proportion of obese boys 1.37 4.39<br />

a White was the comparison category for the race/ethnicity dummy variables.<br />

*** p < .001, ** p < .01, * p < .05, + p < .10.<br />

Obesity does not immediately come to mind<br />

when one thinks about academically at-risk<br />

youths in the educational system, but the<br />

results of the study suggest that, at least for<br />

adolescent girls, obesity is indeed an academ-


Gender, Obesity, and Education 255<br />

Table 4. Results from Poisson Regressions Predicting Wave II Self-Medication and Academic<br />

Disengagement Among Girls (n = 4,865)<br />

ic risk factor that is on par with other demographic,<br />

behavioral, and cognitive factors<br />

that have received so much attention. This<br />

risk status of obesity touches on one of the<br />

fundamental tenets of contemporary sociological<br />

research on education, namely, that<br />

the youth culture that emerges within the<br />

educational system filters into the formal<br />

processes of schools in ways that shape academic<br />

outcomes (Coleman 1961; Eder et al.<br />

1995).<br />

To elucidate the ways in which the social<br />

side of schooling creates academic consequences<br />

out of nonacademic personal circumstances,<br />

I returned to two core traditions<br />

of 20th-century sociology. Integrating<br />

insights from Cooley’s ([1902]1983) looking-<br />

Exponentiated Coefficients Exponentiated Coefficients<br />

for Self-Medication for Disengagement<br />

Alcohol Marijuana<br />

Variable Use Use Failures Truancy<br />

Obesity 1.13+ 1.17+ 1.24** 1.04<br />

Selection Factors<br />

Grade level 1.05** .93* .79*** 1.40***<br />

Non-Latino/Latina white a — — — —<br />

African <strong>American</strong> .83* .80* 1.08 .84*<br />

Latino/Latina 1.12 1.21* 1.10 .98<br />

Asian <strong>American</strong> .86 .99 .95 1.12<br />

Other race/ethnicity .95 1.22 .99 1.16<br />

Family structure (two parent) .98 .84** .89* .78***<br />

Parental education .99 .99 .90*** .90***<br />

School level (middle) 1.04 .90 1.24* 1.22***<br />

School sector (private) .90 .90 .55** .85<br />

School minority representation .99 .99 1.01 .99<br />

School proportion of<br />

college-educated parents 1.17 1.08 .57 .86<br />

Measured ability .99 1.01 .99*** .99***<br />

Athletic status 1.10* 1.03 .89* .81***<br />

Number of friends .99 1.02 .99 1.01<br />

Involvement with friends 1.12*** 1.08** .97 1.10***<br />

Romantic involvement 1.28*** 1.54*** .93 1.23***<br />

Wave I version of outcome 1.45*** 1.39*** 1.60*** 1.42***<br />

School Factors<br />

Proportion of obese girls .90 3.06 1.21 .46<br />

Proportion of obese boys 1.52 .51 .26 13.07<br />

a White was the comparison category for the race/ethnicity dummy variables.<br />

*** p < .001, ** p < .01, * p < .05, + p < .10.<br />

glass self and Goffman’s (1963) social stigma<br />

perspectives, as well as their descendants, my<br />

conceptual model asserted that the stigma<br />

attached to obesity in <strong>American</strong> culture creates<br />

a climate of negative social feedback,<br />

either real or perceived, for obese youths,<br />

especially when that larger social stigma is<br />

echoed and reinforced in the peer cultures of<br />

the youths’ schools. Such feedback, in turn,<br />

can trigger problematic psychosocial responses<br />

as obese youths try to escape this stigma,<br />

alleviate the stress associated with it, or simply<br />

accept it as legitimate. Because psychosocial<br />

adjustment cannot be divorced from academic<br />

progress, these responses to the stigma<br />

of obesity disrupt the educational attainment<br />

of obese youths. Considering that edu-


256 Crosnoe<br />

Table 5. Selected Results from Final Logistic Regressions Predicting Wave III College<br />

Enrollment Among Girls (n = 4,865 girls)<br />

Variable Odds Ratios<br />

Obesity .67**<br />

Wave II Adjustment Factors<br />

Self-rejection .82+<br />

Suicidal ideation .79*<br />

Alcohol use .94*<br />

Marijuana use .90***<br />

Class failures .48***<br />

Truancy .91***<br />

Note: This model also controlled for grade level, race/ethnicity, family structure, parental education,<br />

school level, school sector, school minority representation, school proportion of collegeeducated<br />

parents, measured ability, athletic status, number of friends, involvement with friends,<br />

romantic involvement, proportion of obese girls in the school, and proportion of obese boys in<br />

the school.<br />

*** p < .001, ** p < .01, * p < .05, + p < .10.<br />

cational attainment is a foundation of the<br />

adult life course, including health and mortality,<br />

this role of obesity in education has farreaching<br />

consequences (Kerckhoff 1993;<br />

Mirowsky and Ross 2003).<br />

An analysis of longitudinal, nationally representative<br />

data supported this conceptual<br />

model for girls only. Obese girls were less likely<br />

to enter college after high school than were<br />

their nonobese peers. This association<br />

between obesity during middle school or<br />

high school and college enrollment after high<br />

school persisted despite controls for numerous<br />

demographic, school, adolescent, and<br />

social factors that could conceivably select<br />

girls into obesity and truncated educational<br />

trajectories and held across several different<br />

binary and categorical measurements of the<br />

dependent variable. Finally, the association<br />

between obesity and college enrollment was<br />

particularly strong among nonwhite girls with<br />

non-college-educated parents and in schools<br />

with few obese girls in the student body.<br />

To unpack this finding, I considered several<br />

different psychosocial mediators. First, obesity<br />

significantly predicted increasing rates of<br />

self-rejection, suicidal ideation, and class failure<br />

and marginally predicted increasing rates<br />

of alcohol and drug use. Moreover, obesity<br />

predicted increasing rates of truancy in<br />

schools in which obesity was rare. Second,<br />

suicidal ideation, alcohol use, drug use, class<br />

failure, and truancy all significantly predicted<br />

lower odds of matriculating in college after<br />

high school, and self-rejection marginally predicted<br />

these lower odds. Third, adjusting for<br />

psychosocial factors reduced the association<br />

between obesity and college enrollment. This<br />

adjustment did not eliminate this association,<br />

nor did it alter the strength of the interaction<br />

between obesity on the individual and school<br />

levels. Thus, the psychosocial correlates of<br />

obesity explained a part of the link between<br />

obesity and college enrollment, in general,<br />

but did not explain the greater strength of<br />

this link in schools in which obesity was rare.<br />

In other words, psychosocial adjustment<br />

appeared to be more important to understanding<br />

the educational risks of the general<br />

stigma of obesity in <strong>American</strong> youth culture<br />

than to understanding why these risks may<br />

vary as a function of the local intensity of this<br />

stigma in specific school-based cultures.<br />

That girls, rather than boys, seem to be<br />

more vulnerable to the nonhealth risks of obesity<br />

echoes two prominent themes in research<br />

and theory on gender. The first is that the body<br />

and appearance are more central to the selfconcept<br />

of girls than of boys, usually in<br />

unhealthy and damaging ways (see Brumberg’s<br />

1997 book The Body Project). The findings of<br />

my study extend that rich literature by demonstrating<br />

that the psychosocial side of the body<br />

project has consequences that extend beyond


Gender, Obesity, and Education 257<br />

mental health and interpersonal functioning.<br />

Indeed, it appears to disrupt educational attainment<br />

in ways that counter many of the concrete<br />

advantages that girls have in the educational<br />

system. As obesity rates increase, the<br />

ramifications of this gender inequality among<br />

obese youths may become more pronounced<br />

in the general population. The second theme is<br />

that psychosocial phenomena (e.g., self-perceptions<br />

and cultural norms) have greater<br />

effects on the education of girls than of boys,<br />

often in ways that hurt girls (see Correll 2001).<br />

The findings add that self- and other assessments<br />

of nonacademic traits, such as obesity,<br />

can undermine girls’ educational careers in<br />

much the same way as girls’ misperceptions of<br />

their ability.<br />

In the future, this conceptual model should<br />

be tested more comprehensively and then<br />

elaborated. As one example, the social stigma<br />

of obesity that is the linchpin of the conceptual<br />

model was not tested directly in this study.<br />

Instead, it was implied by associations between<br />

obesity and aspects of psychosocial maladjustment.<br />

Add Health does not contain good data<br />

on what young people think about obesity or<br />

on teasing, bullying, social aggression, and<br />

other clear manifestations of social stigma. One<br />

possible opportunity for unpacking the social<br />

stigma of obesity is the upcoming adolescent<br />

extension of the long-running NICHD Study of<br />

Early Child Care, which has rich data on peer<br />

victimization, obesity, and education. Qualitative<br />

research will also be useful in figuring out<br />

how obesity is perceived and treated among<br />

young people in school. As another example,<br />

the peer context was measured somewhat<br />

bluntly here as the general characteristics of the<br />

full student body. Peer networks, which are<br />

available in Add Health, and course-taking<br />

groups, which are now available through the<br />

educational supplement to Add Health (see<br />

Muller et al. 2007), may be more appropriate<br />

levels of analysis for understanding local peer<br />

cultures.<br />

Another limitation of the study that needs<br />

to be addressed in the future is the unexplained<br />

portion of the association between<br />

obesity and college enrollment. Although the<br />

aspects of psychosocial adjustment that were<br />

considered here did factor into the lower<br />

rates of college enrollment among obese<br />

girls, some other mechanisms may have been<br />

at work, possibly poor health, missed course<br />

work related to poor health, or discrimination.<br />

These possibilities must eventually be<br />

examined in tandem with, and in contrast to,<br />

psychosocial pathways to determine the best<br />

ways to help obese youths in their educational<br />

endeavors.<br />

In closing, I want to connect this study to<br />

two larger themes in research on education and<br />

health. First, academic progress is about more<br />

than navigating the formal curriculum; it is also<br />

about connecting to others and, through these<br />

connections, developing a sense of self<br />

(Wigfield and Eccles 2002). Thus, how students<br />

fit in with or stand out from their peers at<br />

school is of the utmost importance to their educational<br />

pathways. Rather than chalking up the<br />

social challenges of school life as harmless parts<br />

of growing up, therefore, we need to assess the<br />

risks that are associated with these challenges<br />

as ways of easing passage through the educational<br />

system (Eder et al. 1995; McFarland<br />

2001). Second, the enormous literature on the<br />

physical consequences of obesity has generated<br />

alarm among many scientists about the<br />

future health of the <strong>American</strong> public, which, in<br />

turn, has generated a backlash in certain sectors<br />

that this alarm is overstated (see Campos et al.<br />

2006 and counterpoints for an overview of this<br />

debate). Regardless of who “wins” this debate,<br />

this study and studies like it (see Brownell et al.’s<br />

2005 Weight Bias) suggest a reconsideration of<br />

the implications of rising rates of obesity. If the<br />

public health threat is so severe, then the psychosocial<br />

consequences of obesity that have<br />

been documented here suggest a double disadvantage<br />

of obesity in the future. If the public<br />

health threat is overblown, then these consequences<br />

are the real risks of obesity. In both<br />

cases, reducing the stigma of obesity in<br />

<strong>American</strong> society will enhance the lives of obese<br />

girls as they grow up.<br />

NOTES<br />

1. Although not pictured in the conceptual<br />

model, both the bidirectional nature of the<br />

focal pathways (e.g., psychosocial adjustment<br />

affecting obesity) and the alternative pathways<br />

(e.g., positive psychosocial responses to obesi-


258 Crosnoe<br />

ty) are clearly a major part of the operationalization<br />

of this conceptual model.<br />

2. Ancillary analyses were also conducted<br />

that included more positive responses to obesity<br />

(e.g., increased participation in extracurricular<br />

activities) as mediators. As expected, these<br />

inclusions did not alter the general pattern of<br />

results because such responses were less common<br />

and did not translate into educational risk.<br />

3. This protective effect of the proportion of<br />

obese girls in the school tapers off at around 20<br />

percent.<br />

4. The control for Wave I versions of the psychosocial<br />

factors helps to account for the possibility<br />

of reciprocal associations between obesity<br />

and psychosocial adjustment.<br />

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Robert Crosnoe, Ph.D., is Associate Professor, Department of Sociology, and Faculty Research<br />

Associate, Population Research Center, University of Texas at Austin. His main fields of interest are<br />

the life course and human development, education, health, and family. He is currently studying the<br />

connection between general developmental processes, including health and social relationships,<br />

and the educational experiences of young people and how this connection can be leveraged to<br />

explain demographic inequalities, especially those that are related to poverty and immigration.<br />

This research used data from Add Health, a program project designed by J. Richard Udry, Peter S.<br />

Bearman, and Kathleen Mullan Harris and funded by Grant P01-HD31921 from the National<br />

Institute of Child Health and Human Development, with cooperative funding from 17 other agencies.<br />

Special acknowledgment is due to Ronald R. Rindfuss and Barbara Entwisle for assistance in<br />

the original design of Add Health. Persons who are interested in obtaining data files from Add<br />

Health should contact Add Health, Carolina Population Center, 123 West Franklin Street, Chapel<br />

Hill, NC 27516 (www.cpc.unc.edu/addhealth/contract.html). The author acknowledges the generous<br />

support of the National Institute of Child Health and Human Development (R03 HD047378-<br />

01, PI: Robert Crosnoe; R24 HD042849, Center Grant: Population Research Center), as well as the<br />

William T. Grant Scholars Program. Direct correspondence to Robert Crosnoe, Department of<br />

Sociology and Population Research Center, University of Texas at Austin, 1 University Station<br />

A1700, Austin, TX 78712-1088; e-mail: crosnoe@mail.la.utexas.edu.

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