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Associations of neighborhood physical and crime environments with obesity-related outcomes in Jamaica

Author

Listed:
  • Colette Cunningham-Myrie
  • Katherine P Theall
  • Novie Younger-Coleman
  • Lisa-Gaye Greene
  • Parris Lyew-Ayee
  • Rainford Wilks

Abstract

Objective: To examine whether proximity and density of public open spaces, public parks, street connectivity, and serious and violent crimes were associated with Body Mass Index (BMI) and Waist Circumference (WC) within and across levels of urbanicity, sex and socioeconomic status (SES) in Jamaica, a small island developing state (SIDS). Methods: Secondary analysis was conducted using data from the Jamaica Health and Lifestyle Survey 2008 (JHLS II). All respondents were geocoded to area of residence in Enumeration Districts (EDs). Intraclass correlation coefficients (ICCs) were derived and multilevel mixed effects regression models applied to 2529 participants nested within 101 EDs from all 14 parishes in Jamaica. Results: There was significant clustering across neighborhoods for mean BMI (ICC = 4.16%) and mean WC (ICC = 4.42%). In fully adjusted models statistically significant associations included: increased mean BMI among men, with increased intersection density/ km2 (β = 0.02; 95% CI = 1.96 x10-3, 0.04, p = 0.032); increased mean WC among urban residents with increased crimes/km2/yr (β = 0.09; 95% CI = 0.03, 0.16, p

Suggested Citation

  • Colette Cunningham-Myrie & Katherine P Theall & Novie Younger-Coleman & Lisa-Gaye Greene & Parris Lyew-Ayee & Rainford Wilks, 2021. "Associations of neighborhood physical and crime environments with obesity-related outcomes in Jamaica," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-19, April.
    • Handle: RePEc:plo:pone00:0249619
    DOI: 10.1371/journal.pone.0249619
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    References listed on IDEAS

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    1. Awaworyi Churchill, Sefa & Asante, Augustine, 2023. "Neighbourhood crime and obesity: Longitudinal evidence from Australia," Social Science & Medicine, Elsevier, vol. 337(C).

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