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The weight of place: A multilevel analysis of gender, neighborhood material deprivation, and body mass index among Canadian adults

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  • Matheson, Flora I.
  • Moineddin, Rahim
  • Glazier, Richard H.

Abstract

This study examined the impact of neighborhood material deprivation on gender differences in body mass index (BMI) for urban Canadians. Data from a national health survey of adults (Canadian Community Health Survey Cycles 1.1/2.1) were combined with census tract-level neighborhood data from the 2001 census. Using multilevel analysis we found that living in neighborhoods with higher material deprivation was associated with higher BMI. Compared to women living in the most affluent neighborhoods, women living in the most deprived neighborhoods had a BMI score 1.8 points higher. For women 1.65Â m in height (5'4'' inches), this translated into a 4.8Â kg or 11Â lb difference. For men, living in affluent neighborhoods was associated with higher BMI (7Â lb) relative to men living in deprived neighborhoods. The relative disadvantage for men living in pockets of affluence and women living in pockets of poverty persisted after adjusting for age, married and visible minority status, educational level, self-perceived stress, sense of belonging, and lifestyle factors, including smoking, exercise, diet, and chronic health conditions. The implication of these disparate findings for men and women is that interventions that lead to healthy weight control may need to be gender responsive. Our findings also suggest that what we traditionally have thought to be triggering factors for weight gain and maintenance of unhealthy BMI--lifestyle and behavioral factors--are not sufficient explanations. Indeed, these factors account for only a portion of the explanation of why neighborhood stress is associated with BMI. Cultural attitudes about the body that pressure women to meet the thin ideal which can lead to an unhealthy cycle of dieting and, subsequent weight gain, and the general acceptability of the heavier male need to be challenged. Education and intervention within a public health framework remain important targets for producing healthy weight.

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  • Matheson, Flora I. & Moineddin, Rahim & Glazier, Richard H., 2008. "The weight of place: A multilevel analysis of gender, neighborhood material deprivation, and body mass index among Canadian adults," Social Science & Medicine, Elsevier, vol. 66(3), pages 675-690, February.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:3:p:675-690
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    9. Mowafi, Mona & Khadr, Zeinab & Subramanian, S.V. & Bennett, Gary & Hill, Allan & Kawachi, Ichiro, 2011. "Are neighborhood education levels associated with BMI among adults in Cairo, Egypt?," Social Science & Medicine, Elsevier, vol. 72(8), pages 1274-1283, April.
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    11. Heather L. White & Patricia O'Campo & Rahim Moineddin & Flora I. Matheson, 2013. "Modeling the Cumulative Effects of Social Exposures on Health: Moving beyond Disease-Specific Models," IJERPH, MDPI, vol. 10(4), pages 1-16, March.
    12. Auld, M. Christopher, 2011. "Effect of large-scale social interactions on body weight," Journal of Health Economics, Elsevier, vol. 30(2), pages 303-316, March.
    13. Feuillet, T. & Valette, J.F. & Charreire, H. & Kesse-Guyot, E. & Julia, C. & Vernez-Moudon, A. & Hercberg, S. & Touvier, M. & Oppert, J.M., 2020. "Influence of the urban context on the relationship between neighbourhood deprivation and obesity," Social Science & Medicine, Elsevier, vol. 265(C).
    14. Antonio Boing & S. Subramanian, 2015. "The influence of area-level education on body mass index, waist circumference and obesity according to gender," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 727-736, September.
    15. Robinovich, Jossiana & Bosma, Hans & Borne, Bart van der & Ossa, Ximena & Muñoz, Sergio & Krumeich, Anja, 2021. "Is a ‘culture of plus-size women’ the independent effect of neighborhood disadvantage on female BMI? A cross-sectional study in two Chilean Municipalities," Social Science & Medicine, Elsevier, vol. 280(C).
    16. Aránzazu Hernández-Yumar & Maria Wemrell & Ignacio Abásolo Alessón & Beatriz González López-Valcárcel & George Leckie & Juan Merlo, 2018. "Socioeconomic differences in body mass index in Spain: An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-23, December.
    17. Letarte, Laurence & Samadoulougou, Sekou & McKay, Rachel & Quesnel-Vallée, Amélie & Waygood, E.O.D. & Lebel, Alexandre, 2022. "Neighborhood deprivation and obesity: Sex-specific effects of cross-sectional, cumulative and residential trajectory indicators," Social Science & Medicine, Elsevier, vol. 306(C).

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