Original ArticlesDisparities in Elevated Body Mass Index in Youth Receiving Care at Community Health CentersMohanty, Nivedita MD; Padilla, Roxane MPH; Leo, Michael C. PhD; Tilmon, Sandra MPH; Akhabue, Ehimare MD; Rittner, Sarah S. MA; Crawford, Phillip MS; Okihiro, May MD, MS; Persell, Stephen D. MD, MPHAuthor Information AllianceChicago, Chicago, Illinois (Dr Mohanty and Ms Padilla); SASU Project Management (Ms Rittner) and General Internal Medicine and Geriatrics, Department of Medicine (Dr Persell), Northwestern University Feinberg School of Medicine (Dr Mohanty), Chicago, Illinois; Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Dr Leo and Mr Crawford); University of Chicago, Chicago, Illinois (Ms Tilmon); Division of Cardiology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey (Dr Akhabue); and University of Hawaii at Manoa, Honolulu (Dr Okihiro). Correspondence: Nivedita Mohanty, MD, Health Education and Research, AllianceChicago, 225 West Illinois St, Chicago, IL 60654 ([email protected]). The research described in this article was supported by Health Resources and Services Administration, grant/award No. HHSH250201400001C and UB3HA20236, Department of Health and Human Services. The authors have no relevant conflicts of interest to disclose. Family & Community Health: October/December 2021 - Volume 44 - Issue 4 - p 238-244 doi: 10.1097/FCH.0000000000000307 Buy Metrics Abstract Childhood obesity has increased significantly in the United States. Racial subgroups are often grouped into categories in research, limiting our understanding of disparities. This study describes the prevalence of obesity among youth of diverse racial and ethnic backgrounds receiving care at community health centers (CHCs). This cross-sectional study describes the prevalence of elevated body mass index (BMI) (≥85th percentile) and obesity (≥95th percentile) in youth aged 9 to 19 years receiving care in CHCs in 2014. Multilevel logistic regression estimated the prevalence of elevated BMI and obesity by age, race/ethnicity, and sex. Among 64 925 youth, 40% had elevated BMI and 22% were obese. By race, obesity was lowest in the combined Asian/Pacific Islander category (13%); however, when subgroups were separated, the highest prevalence was among Native Hawaiians (33%) and Other Pacific Islanders (42%) and the lowest in Asians. By sex, Black females and Hispanic and Asian males were more likely to be obese. By age, the highest prevalence of obesity was among those aged 9 to 10 years (25%). Youth served by CHCs have a high prevalence of obesity, with significant differences observed by race, sex, and age. Combining race categories obscures disparities. The heterogeneity of communities warrants research that describes different populations to address obesity. © 2021 Wolters Kluwer Health, Inc. All rights reserved.