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Disentangling neighborhood contextual associations with child body mass index, diet, and physical activity: The role of built, socioeconomic, and social environments

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Listed:
  • Carroll-Scott, Amy
  • Gilstad-Hayden, Kathryn
  • Rosenthal, Lisa
  • Peters, Susan M.
  • McCaslin, Catherine
  • Joyce, Rebecca
  • Ickovics, Jeannette R.

Abstract

Obesity prevalence among US children and adolescents has tripled in the past three decades. Consequently, dramatic increases in chronic disease incidence are expected, particularly among populations already experiencing health disparities. Recent evidence identifies characteristics of “obesogenic” neighborhood environments that affect weight and weight-related behaviors. This study aimed to examine associations between built, socioeconomic, and social characteristics of a child's residential environment on body mass index (BMI), diet, and physical activity. We focused on pre-adolescent children living in New Haven, Connecticut to better understand neighborhood environments' contribution to persistent health disparities. Participants were 1048 fifth and sixth grade students who completed school-based health surveys and physical measures in fall 2009. Student data were linked to US Census, parks, retailer, and crime data. Analyses were conducted using multilevel modeling. Property crimes and living further from a grocery store were associated with higher BMI. Students living within a 5-min walk of a fast food outlet had higher BMI, and those living in a tract with higher density of fast food outlets reported less frequent healthy eating and more frequent unhealthy eating. Students' reported perceptions of access to parks, playgrounds, and gyms were associated with more frequent healthy eating and exercise. Students living in more affluent neighborhoods reported more frequent healthy eating, less unhealthy eating, and less screen time. Neighborhood social ties were positively associated with frequency of exercise. In conclusion, distinct domains of neighborhood environment characteristics were independently related to children's BMI and health behaviors. Findings link healthy behaviors with built, social, and socioeconomic environment assets (access to parks, social ties, affluence), and unhealthy behaviors with built environment inhibitors (access to fast food outlets), suggesting neighborhood environments are an important level at which to intervene to prevent childhood obesity and its adverse consequences.

Suggested Citation

  • Carroll-Scott, Amy & Gilstad-Hayden, Kathryn & Rosenthal, Lisa & Peters, Susan M. & McCaslin, Catherine & Joyce, Rebecca & Ickovics, Jeannette R., 2013. "Disentangling neighborhood contextual associations with child body mass index, diet, and physical activity: The role of built, socioeconomic, and social environments," Social Science & Medicine, Elsevier, vol. 95(C), pages 106-114.
    • Handle: RePEc:eee:socmed:v:95:y:2013:i:c:p:106-114
    DOI: 10.1016/j.socscimed.2013.04.003
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    5. Ashley W. Kranjac & Justin T. Denney & Rachel T. Kimbro & Brady S. Moffett & Keila N. Lopez, 2019. "Child Obesity and the Interaction of Family and Neighborhood Socioeconomic Context," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 38(3), pages 347-369, June.
    6. Stolte, Allison & Merli, M. Giovanna & Hurst, Jillian H. & Liu, Yaxing & Wood, Charles T. & Goldstein, Benjamin A., 2022. "Using Electronic Health Records to understand the population of local children captured in a large health system in Durham County, NC, USA, and implications for population health research," Social Science & Medicine, Elsevier, vol. 296(C).
    7. Fan, Linlin, 2016. "The Effect of Subsidizing Supermarkets to Enter Food Deserts on Welfare," 2016 Annual Meeting, July 31-August 2, Boston, Massachusetts 236162, Agricultural and Applied Economics Association.
    8. Rahkovsky, Ilya & Jo, Young & Carlson, Andrea, 2018. "Consumers Balance Time and Money in Purchasing Convenience Foods," Economic Research Report 276227, United States Department of Agriculture, Economic Research Service.
    9. Cook, Won Kim & Tseng, Winston & Tam, Christina & John, Iyanrick & Lui, Camillia, 2017. "Ethnic-group socioeconomic status as an indicator of community-level disadvantage: A study of overweight/obesity in Asian American adolescents," Social Science & Medicine, Elsevier, vol. 184(C), pages 15-22.
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    11. Evans, Clare R. & Onnela, Jukka-Pekka & Williams, David R. & Subramanian, S.V., 2016. "Multiple contexts and adolescent body mass index: Schools, neighborhoods, and social networks," Social Science & Medicine, Elsevier, vol. 162(C), pages 21-31.
    12. Yeonwoo Kim & Lorrene Ritchie & Andrew Landgraf & Rebecca E. Hasson & Natalie Colabianchi, 2020. "The Role of the Neighborhood Social Environment in Physical Activity among Hispanic Children: Moderation by Cultural Factors and Mediation by Neighborhood Norms," IJERPH, MDPI, vol. 17(24), pages 1-17, December.
    13. Jennifer J. Salinas & Bassent Abdelbary & Kelly Klaas & Beatriz Tapia & Ken Sexton, 2014. "Socioeconomic Context and the Food Landscape in Texas: Results from Hotspot Analysis and Border/Non-Border Comparison of Unhealthy Food Environments," IJERPH, MDPI, vol. 11(6), pages 1-11, May.
    14. Lauren A Taylor & Annabel Xulin Tan & Caitlin E Coyle & Chima Ndumele & Erika Rogan & Maureen Canavan & Leslie A Curry & Elizabeth H Bradley, 2016. "Leveraging the Social Determinants of Health: What Works?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-20, August.
    15. Yeeli Mui & Ellis Ballard & Eli Lopatin & Rachel L J Thornton & Keshia M Pollack Porter & Joel Gittelsohn, 2019. "A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    16. Brewer, Mackenzie & Kimbro, Rachel Tolbert, 2014. "Neighborhood context and immigrant children's physical activity," Social Science & Medicine, Elsevier, vol. 116(C), pages 1-9.
    17. Christopher R. Browning & Catherine A. Calder & Jodi L. Ford & Bethany Boettner & Anna L. Smith & Dana Haynie, 2017. "Understanding Racial Differences in Exposure to Violent Areas," The ANNALS of the American Academy of Political and Social Science, , vol. 669(1), pages 41-62, January.
    18. Davillas, Apostolos & Jones, Andrew M., 2020. "Regional inequalities in adiposity in England: distributional analysis of the contribution of individual-level characteristics and the small area obesogenic environment," Economics & Human Biology, Elsevier, vol. 38(C).
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