The neighborhood environment and obesity: Understanding variation by race/ethnicity

PREVENTIVE MEDICINE

卷:111

Article

Wong, Michelle S.¹  Chan, Kitty S.¹  Jones-Smith, Jessica C.²  Colantuoni, Elizabeth³  Thorpe, Roland J., Jr.⁴  Bleich, Sara N.⁵ 

[1] Johns Hopkins Sch Publ Hlth, Dept Hlth Policy & Management, 624 N Broadway, Baltimore, MD 21205 USA

[2] Univ Washington, Sch Publ Hlth, Dept Hlth Serv & Epidemiol, 1959 NE Pacific St, Seattle, WA 98195 USA

[3] Johns Hopkins Sch Publ Hlth, Dept Biostat, 615 N Wolfe St, Baltimore, MD 21205 USA

[4] Johns Hopkins Sch Publ Hlth, Dept Hlth Behav & Soc, 624 N Broadway, Baltimore, MD 21205 USA

[5] Harvard TH Chan Sch Publ Hlth, 677 Huntington Ave, Boston, MA 02115 USA

关键词: Obesity;    Resident characteristics;    Health status disparities;    Minority health;   

DOI  :  10.1016/j.ypmed.2017.11.029

来源: Elsevier

【 摘 要 】

Neighborhood characteristics have been associated with obesity, but less is known whether relationships vary by race/ethnicity. This study examined the relationship between soda consumption - a behavior strongly associated with obesity - and weight status with neighborhood sociodemographic, social, and built environments by race/ethnicity. We merged data on adults from the 2011-2013 California Health Interview Survey, U.S. Census data, and InfoUSA (n = 62,396). Dependent variables were soda consumption and weight status outcomes (body mass index and obesity status). Main independent variables were measures of three neighborhood environments: social (social cohesion and safety), sociodemographic (neighborhood socioeconomic status, educational attainment, percent Asian, percent Hispanic, and percent black), and built environments (number of grocery stores, convenience stores, fast food restaurants, and gyms in neighborhood). We fit multi-level linear and logistic regression models, stratified by individual race/ethnicity (NH (non-Hispanic) Whites, NH African Americans, Hispanics, and NH Asians) controlling for individual-level characteristics, to estimate neighborhood contextual effects on study outcomes. Lower neighborhood educational attainment was associated with higher odds of obesity and soda consumption in all racial/ethnic groups. We found fewer associations between study outcomes and the neighborhood, especially the built environment, among NH African Americans and NH Asians. While improvements to neighborhood environment may be promising to reduce obesity, null associations among minority subgroups suggest that changes, particularly to the built environment, may alone be insufficient to address obesity in these groups.

【 授权许可】

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