By Bethany A. Bell-Ellison
 ABSTRACT
 Grounded in Bronfenbrenner’s (1979) Ecological Systems Theory and through the application of cross-classified random effects models, the goal of this study was to examine simultaneously neighborhood and school influences on adolescent academic achievement and risk of obesity, as well as the moderating effects of schools on these outcomes. By examining concurrently neighborhood and school influences on achievement and risk of obesity, this study aimed to fill gaps in the social determinants literature. For example, it is unclear if where an adolescent lives or where she/he attends school has a stronger influence on academic achievement. We also do not know if schools can moderate neighborhood influences on adolescent achievement, nor do we know much about the relationships among schools, neighborhoods, and adolescent risk for obesity. Using data from the National Longitudinal Study of Adolescent Health and the Adolescent Health and Academic Achievement study, four research questions were investigated:
 
 (1) To what extent are neighborhood influences on U.S. middle and high school students’ academic achievement moderated by school environments?
 (2) What are the relative influences of neighborhood and school environments on U.S. middle and high school students’ academic achievement? 
 (3) To what extent are neighborhood influences on U.S. middle and high school students’ risk of obesity moderated by school environments?
 (4) What are the relative influences of neighborhood and school environments on U.S. middle and high school students’ risk of obesity?
 Findings did not suggest a moderating relationship between neighborhood and school factors examined in this study. In terms of relative relationships with academic achievement, three neighborhood factors (affluence, racial composition, and urbanicity) and two school characteristics (student body racial composition and school socioeconomic status) appeared to have the strongest relationships with adolescent achievement after controlling for individual and other neighborhood and school characteristics. For adolescent risk of obesity, neighborhood affluence and racial composition had statistically significant unique associations, whereas no school factors evidenced statistically significantly relationships with risk of obesity after controlling for other factors. Results of the study were interpreted in terms of contributions to the social determinants literature, as well as recommendations for the improvement of future large-scale surveys.
 
 
 Table of Contents
 List of Tables..  vi
 List of Figures. viii
 Abstractx
 
 Chapter One: Introduction1
 Statement of the Problem1
 Rationale for the Study3
 Purpose of the Study6
 Research Questions7
 Overview of the Study Design7
 Data Sources9
 Significance of the Study9
 Delimitations10
 Limitations11
 Definition of Terms15
 Organization of Remaining Chapters19
 
 Chapter Two: Literature Review20
 Introduction20
 Theoretical Framework22
 Neighborhood Influences on Adolescent Academic Achievement23
 Neighborhood SES24
 Neighborhood male joblessness27
 Neighborhood social disorganization27
 Perceived neighborhood quality28
 Other neighborhood measures29
 Neighborhood Influences on Adolescent Risk of Obesity30
 Neighborhood SES30
 Built environment31
 Other neighborhood measures32
 School Influences on Adolescent Academic Achievement34
 School sociodemographic characteristics35
 School resources and sector36
 Teacher characteristics38
 Perceived social climate and school quality39
 Organizational climate41
 School Influences on Adolescent Risk of Obesity42
 Summary47
 
 Chapter Three: Method50
 Purpose of the Study50
 Research Questions51
 Study Design51
 Overview of the Add Health Study52
 Study design52
 In-School sampling frame53
 In-School Questionnaire55
 School Administrator Questionnaire56
 In-Home sampling57
 In-Home Interview57
 Parent Questionnaire58
 Contextual data59
 Sample weights59
 Overview of AHAA Study60
 Study Sample62
 Measures62
 Criterion variables65
 Predictor variables68
 Data Analysis74
 Data management74
 Univariate and bivariate analyses79
 Multivariate analyses79
 Model interpretation99
 
 Chapter Four: Results104
 Study Sample104
 Univariate Analyses107
 Bivariate Analyses109
 Multivariate Analyses116
 Research Question 1119
 Research Question 2120
 Research Question 3125
 Research Question 4126
 Summary of Findings131
 
 Chapter Five: Discussion133
 Summary of Findings134
 Neighborhoods, schools, and academic achievement134
 Neighborhoods, schools, and risk of obesity136
 Limitations of the Study138
 Implications for the Field144
 Directions for Future Research145
 Conclusions147
 References149
 Appendix A: Summary Tables of Previous Neighborhood and School Research165
 Appendix B: BMI Box-and-Whisker Plots190
 Appendix C: Analysis of Missing Data193
 Appendix D: Investigation of Model Assumptions200
 About the AuthorEnd Page