SOCIOLOGY EDUCATION - American Sociological Association
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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 />
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Department of Education, Michigan State University, 516B Erickson Hall, East Lansing, MI 48824; e-mail<br />
soe@msu.edu.<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 />
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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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fee reflects a policy of the ASA Council and Committee on Publications, which affects all ASA<br />
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Reference Format<br />
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(Featherman and Hauser 1979; Coleman et al. 1982; U.S. Bureau of Census 1981).<br />
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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 />
REFERENCES<br />
Adams, Kimberly, Roger G. Sargent, Sharon H.<br />
Thompson, Donna Richter, Sara J. Corwin, and<br />
Thomas Rogan. 2000. “A Study of Body Weight<br />
Concerns and Weight Control Practices of 4th<br />
and 7th Grade Adolescents.” Ethnicity & Health<br />
5:79–94.<br />
Allon, Natalie. 1981. “The Stigma of Overweight in<br />
Everyday Life.” Pp. 130–74 in Psychological<br />
Aspects of Obesity: A Handbook, edited by<br />
Benjamin J. Wolman. New York: Van Nostrand<br />
Rheinhold.<br />
Anderson, Pamela S., and Kristen F. Butcher 2006.<br />
“Childhood Obesity: Trends and Potential<br />
Causes.” The Future of Children 16:19–45.<br />
Aseltine, Robert H., and Susan L. Gore. 2000. “The<br />
Variable Effect of Stress on Alcohol Use from<br />
Adolescence to Early Adulthood.” Substance Use<br />
and Misuse 35:643–68.<br />
Ball, Kylie, David Crawford, and Justin Kenardy.<br />
2004. “Longitudinal Relationships Among<br />
Overweight, Life Satisfaction, and Aspirations<br />
in Young Women.” Obesity Research<br />
12:1019–30.<br />
Bearman, Peter, Jo Jones, and J. Richard Udry. 1997.<br />
“The National Longitudinal Study of Adolescent<br />
Health: Research Design.” Available online:<br />
http://www.cpc.unc.edu/projects/addhealth/<br />
design<br />
Brownell, Kelly D., Rebecca Puhl, Marlene Schwartz,<br />
and Leslie Rudd, eds. 2005. Weight Bias: Nature,<br />
Consequences, and Remedies. New York: Guilford<br />
Press.<br />
Brumberg, Joan Jacobs. 1997. The Body Project: An<br />
Intimate History of <strong>American</strong> Girls. New York:<br />
Random House.<br />
Cahnman, Werner. 1968. “The Stigma of Obesity.”<br />
<strong>Sociological</strong> Quarterly 9:283–99.<br />
Campos, Paul, Abigail Saguy, Paul Ernsberger, Eric<br />
Oliver, and Glenn Gaesser. 2006. “The<br />
Epidemiology of Overweight and Obesity:<br />
Public Health Crisis or Moral Panic?”<br />
International Journal of Epidemiology 35:55–60.<br />
Canning, Helen, and Jean Mayer. 1966. “Obesity: Its<br />
Possible Effect on College Acceptance.” New<br />
England Journal of Medicine 275:1172–74.<br />
—. 1967. “Obesity: An Influence on High School<br />
Performance.” <strong>American</strong> Journal of Clinical<br />
Nutrition 20: 352–54.<br />
Carr, Deborah, and Michael A. Friedman. 2005. “Is<br />
Obesity Stigmatizing? Body Weight, Perceived<br />
Discrimination, and Psychological Well-Being in<br />
the United States.” Journal of Health and Social<br />
Behavior 46:244–59.<br />
—. 2006. “Body Weight and the Quality of<br />
Interpersonal Relationships.” Social Psychology<br />
Quarterly 69:127–49.<br />
Cast, Alicia, Jan E. Stets, and Peter J. Burke. 1999.<br />
“Does the Self Conform to Views of Others?”<br />
Social Psychology Quarterly 62:68–82.<br />
Cawley, John. 2001. “Body Weight and the Dating<br />
Behaviors of Young Adolescents.” Pp. 174–98<br />
in Social Awakening: Adolescent Behavior as<br />
Adulthood Approaches, edited by Robert T.<br />
Michael. New York: Russell Sage Foundation.<br />
Centers for Disease Control and Prevention. 2002.<br />
“BMI/Body Mass Index.” Available online:<br />
http://www.cdc.gov/ nccdphp/dnpa/bmi<br />
Chantala, Kim, and Joyce Tabor. 1999. “Strategies to<br />
Perform a Design-Based Analysis Using the<br />
AddHealth Data.” Availalable online: http://<br />
www.cpc.unc.edu/projects/addhealth/files/wei<br />
ght1.pdf<br />
Coleman, James. 1961. The Adolescent Society. New<br />
York: Free Press of Glencoe.<br />
Conley, Dalton, and Rebecca Glauber. 2005.<br />
“Gender, Body Mass, and Economic Status.”<br />
Working Paper Series w11343. Cambridge, MA:<br />
National Bureau of Economic Research.<br />
Cooley, Charles Horton. [1902] 1983. Human Nature<br />
and the Social Order. New Brunswick, NJ:<br />
Transaction.<br />
Correll, Shelley J. 2001. “Gender and the Career<br />
Choice Process: The Role of Biased Self-<br />
Assessments.” <strong>American</strong> Journal of Sociology<br />
106:1691–1730.<br />
Crandall, Christian. 1994. “Prejudice Against Fat<br />
People: Ideology and Self-Interest.” Journal of<br />
Personality and Social Psychology 66:882–94.<br />
Crosnoe, Robert. 2006. “The Connection Between<br />
Academic Failure and Adolescent Drinking in<br />
Secondary School.” Sociology of Education<br />
79:44–60.
Gender, Obesity, and Education 259<br />
Crosnoe, Robert, and Chandra Muller. 2004. “Body<br />
Mass Index, Academic Achievement, and School<br />
Context: Examining the Educational Experiences<br />
of Adolescent at Risk of Obesity.” Journal of<br />
Health and Social Behavior 45:393–407.<br />
Dance, L. Janelle. 2001. “Shadows, Mentors, and<br />
Surrogate Fathers: Effective Schooling as Critical<br />
Pedagogy for Inner-City Boys.” <strong>Sociological</strong><br />
Focus 34:399–415<br />
Dejong, William. 1980. “The Stigma of Obesity: The<br />
Consequences of Naïve Assumptions<br />
Concerning the Causes of Physical Deviance.”<br />
Journal of Health and Social Behavior 21:75–87.<br />
Eder, Donna, Catherine Evans, and Stephen Parker.<br />
1995. School Talk: Gender and Adolescent<br />
Culture. New Brunswick, NJ: Rutgers University<br />
Press.<br />
Ewell, Fontaine, Susan Smith, Mary Pat Karmel, and<br />
Daniel Hart. 1996. “The Sense of Self and its<br />
Development: A Framework for Understanding<br />
Eating Disorders.” Pp. 107–33 in The<br />
Developmental Psychopathology of Eating<br />
Disorders: Implications for Research, Prevention,<br />
and Treatment, edited by Linda Smolak, Michael<br />
P. Levine, and Ruth Striegel-Moore. Mahwah,<br />
NJ: Lawrence Erlbaum.<br />
Ferraro, Kenneth F., and Jessica A. Kelley-Moore.<br />
2003. “Cumulative Disadvantage and Health:<br />
Long-Term Consequences of Obesity?”<br />
<strong>American</strong> <strong>Sociological</strong> Review 68:707–29.<br />
Freedman, David S., William H. Dietz, Sathanur R.<br />
Srinviasan, and Gerald S. Berenson. 1999.<br />
“The Relation of Overweight to Cardiovascular<br />
Risk Factors Among Children and Adolescents:<br />
The Bogalusa Heart Study.” Pediatrics<br />
103:1175–82.<br />
Ge, Xiaojia, Glen H. Elder, Jr., Mark Regnerus, and<br />
Christine Cox. 2001. “Pubertal Transitions,<br />
Perceptions of Being Overweight, and<br />
Adolescents’ Psychological Maladjustment:<br />
Gender and Ethnic Differences.” Social<br />
Psychology Quarterly 64:363–75.<br />
Giordano, Peggy C. 2003. “Relationships in<br />
Adolescence.” Annual Review of Sociology<br />
29:257–81.<br />
Goffman, Erving. 1963. Stigma: Notes on the<br />
Management of Spoiled Identity. Englewood<br />
Cliffs, NJ: Prentice Hall.<br />
Goodman, Elizabeth, Beth R. Hinden, and Seema<br />
Khandelwal. 2000. “Accuracy of Teen and<br />
Parental Reports of Obesity and Body Mass<br />
Index.” Pediatrics 106:52–58.<br />
Goodman, Elizabeth, and Robert C. Whitaker. 2002.<br />
“A Prospective Study of the Role of Depression<br />
in the Development and Persistence of<br />
Adolescent Obesity.” Pediatrics 109:497–504.<br />
Greenberg, Bradley S., Jane D. Brown, and Nancy L.<br />
Buerkel-Rothfuss. 1993. Media, Sex, and the<br />
Adolescent. Creskill, NJ: Hampton Press.<br />
Halpern, Carolyn T., Rosalind B. King, Selene G.<br />
Oslak, and J. Richard Udry. 2005. “Body Mass<br />
Index, Dieting, Romance, and Sexual Activity in<br />
Adolescent Girls: Relationships over Time.”<br />
Journal of Research on Adolescence 15:535–59.<br />
Harrison, Kristen. 2001. “Ourselves, Our Bodies:<br />
Thin-Ideal, Media, Self-Discrepancies, and<br />
Eating Disorder Symptomatology in<br />
Adolescents.” Journal of Social and Clinical<br />
Psychology 20:289–323.<br />
Hirschman, C. 2001. “The Educational Enrollment of<br />
Immigrant Youth: A Test of the Segmented-<br />
Assimilation Hypothesis.” Demography 38:<br />
317–36.<br />
Janssen, Ian, Wendy M. Craig, William F. Boyce, and<br />
William Pickett. 2004. “<strong>Association</strong>s Between<br />
Overweight and Obesity with Bullying<br />
Behaviors in School-Age Children.” Pediatrics<br />
113:1187–93.<br />
Kerckhoff, Alan C. 1993. Diverging Pathways: Social<br />
Structure and Career Deflections. New York:<br />
Cambridge University Press.<br />
Latner, Janet D., Albert J. Stunkard, and G. Terence<br />
Wilson. 2005. “Stigmatized Students: Age, Sex,<br />
and Ethnicity Effects in the Stigmatization of<br />
Obesity.” Obesity Research 13:1226–31.<br />
Link, Bruce G., and Jo C. Phelan. 2001.<br />
“Conceptualizing Stigma.” Annual Review of<br />
Sociology 27:363–85.<br />
Loh, Eng Seng. 1993. “The Economic Effects of<br />
Physical Appearance.” Social Science Quarterly<br />
74:420–38.<br />
Martin, Karin A. 1996. Puberty, Sexuality, and the Self:<br />
Boys and Girls at Adolescence. New York:<br />
Routledge.<br />
McFarland, Daniel A. 2001. “Student Resistance:<br />
How the Formal and Informal Organization of<br />
Classrooms Facilitate Everyday Forms of Student<br />
Defiance.” <strong>American</strong> Journal of Sociology<br />
107:612–78.<br />
Mirowsky, John, and Catherine E. Ross. 2003.<br />
Education, Social Status, and Health. New York:<br />
Aldine de Gruyter.<br />
Muller, Chandra, Jennifer Pearson, Catherine<br />
Riegle-Crumb, Jennifer Requejo, Kenneth<br />
Frank, Kathryn S. Schiller, R. Kelly Raley, Amy<br />
G. Langenkamp, Sarah Crissey, Anna<br />
Strassman Mueller, Rebecca Callahan, Lindsey<br />
Wilkinson, and Sam Field. 2007. National<br />
Longitudinal Study of Adolescent Health: Wave<br />
III Education Data. Chapel Hill: Carolina<br />
Population Center, University of North<br />
Carolina at Chapel Hill.<br />
National Institutes of Health. 2003. “Statistics Related<br />
to Overweight and Obesity.” Available online:
260 Crosnoe<br />
http://www.niddk.nih.gov/health/nutrit/pubs/<br />
statobes.htm<br />
Needham, Belinda, and Robert Crosnoe. 2005.<br />
“Overweight and Depression During<br />
Adolescence.” Journal of Adolescent Health<br />
36:48–55.<br />
Pagan, Jose A., and Alberto Davila. 1997. “Obesity,<br />
Occupational Attainment, and Earnings.” Social<br />
Science Quarterly 78:756–70.<br />
Puhl R. M., and K. D. Brownell. 2003. “Psychosocial<br />
Origins of Obesity Stigma: Toward Changing a<br />
Powerful and Pervasive Bias.” Obesity Reviews<br />
4:213–27.<br />
Quinn, Diane M., and Jennifer Crocker. 1999. “When<br />
Ideology Hurts: Effects of Belief in the Protestant<br />
Ethic and Feeling Overweight on the<br />
Psychological Well-Being of Women.” Journal of<br />
Personality and Social Psychology 77:402–14.<br />
Resnick, Michael D., Peter S. Bearman, Robert W.<br />
Blum, Karl E. Bauman, Kathleen M. Harris, Jo<br />
Jones, Joyce Tabor, Trish Beuhring, Renee E.<br />
Sieving, Marcia Shew, Marjorie Ireland, Linda H.<br />
Bearinger, and J. Richard Udry. 1997.<br />
“Protecting Adolescents from Harm: Findings<br />
from the National Longitudinal Study of<br />
Adolescent Health.” Journal of the <strong>American</strong><br />
Medical <strong>Association</strong> 278:823–32.<br />
Schneider, Barbara, and David Stevenson. 1999. The<br />
Ambitious Generation: America’s Teenagers,<br />
Motivated but Directionless. New Haven, CT: Yale<br />
University Press.<br />
Singer, Judith D. 1998. “Using SAS Proc Mixed to Fit<br />
Multilevel Models, Hierarchical Models, and<br />
Individual Growth Models.” Journal of<br />
Educational and Behavioral Statistics 24:323–55.<br />
Smerdon, Becky A. 1999. “Engagement and<br />
Achievement: Differences between African-<br />
<strong>American</strong> and White High School Students.”<br />
Research in Sociology of Education and<br />
Socialization 12:103–34.<br />
Sobol, Arthur M., and William H. Dietz. 1997. “Social<br />
and Economic Consequences of Overweight in<br />
Adolescence and Young Adulthood.” New<br />
England Journal of Medicine 329:1008–12.<br />
Strauss, Richard, and Harold Pollack. 2003. “Social<br />
Marginalization of Overweight Children.”<br />
Archives of Pediatric and Adolescent Medicine<br />
157:747–52.<br />
Wardle, Jane, Jo Waller, and Martin Jarvis. 2002. “Sex<br />
Differences in the <strong>Association</strong> of Socioeconomic<br />
Status with Obesity.” <strong>American</strong> Journal of Public<br />
Health 92:1299–1304.<br />
Wigfield, Alan, and Jacquelynne S. Eccles. 2002. “The<br />
Development of Competence Beliefs,<br />
Expectancies for Success, and Achievement<br />
Values from Childhood through Adolescence.”<br />
Pp. 173–195 in Development of Achievement<br />
Motivation, edited by Alan Wigfield and<br />
Jacquelynne S. Eccles. San Diego, CA: Academic<br />
Press.<br />
Yeung, King-To, and John Levi Martin. 2003. “The<br />
Looking Glass Self: An Empirical Test and<br />
Elaboration.” Social Forces 81:843–79.<br />
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.