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Neighborhood safety and overweight status in children.
Arch Pediatr Adolesc Med. 2006 Jan; 160(1):25-31.AP

Abstract

OBJECTIVE

To determine if there is a relationship between parental perception of neighborhood safety and overweight at the age of 7 years.

DESIGN

Cross-sectional analysis of the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development.

SETTING

Ten urban and rural US sites.

PARTICIPANTS

A total of 768 children selected via conditional random sampling with complete data at follow-up.

MAIN OUTCOME MEASURES

Parents reported demographics and perception of neighborhood safety by standardized questionnaire. Child overweight status was defined as a body mass index greater than or equal to the 95th percentile for age and sex from measured anthropometrics at the age of 7 years. The base model included relationship of the safety reporter to the child, sex, and baseline body mass index z score at the age of 4.5 years. Covariates tested included maternal marital status, education, and depressive symptoms; child race/ethnicity; participation in structured after-school activities; Home Observation for Measurement of the Environment total score; and neighborhood social cohesiveness.

RESULTS

The sample was 85% white, and 10% of the children were overweight. Neighborhood safety ratings in the lowest quartile were independently associated with a higher risk of overweight at the age of 7 years compared with safety ratings in the highest quartile (adjusted odds ratio, 4.43; 95% confidence interval, 2.03-9.65). None of the candidate covariates altered the relationship between perception of neighborhood safety and child overweight status.

CONCLUSIONS

Perception of the neighborhood as less safe was independently associated with an increased risk of overweight at the age of 7 years. Public health efforts may benefit from policies directed toward improving both actual and perceived neighborhood safety.

Authors+Show Affiliations

Center for Human Growth and Development and Department of Pediatrics and Communicable Diseases, University of Michigan, 300 North Ingalls Building 10th Floor, Ann Arbor, MI 48109-0406, USA. jlumeng@umich.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16389207

Citation

Lumeng, Julie C., et al. "Neighborhood Safety and Overweight Status in Children." Archives of Pediatrics & Adolescent Medicine, vol. 160, no. 1, 2006, pp. 25-31.
Lumeng JC, Appugliese D, Cabral HJ, et al. Neighborhood safety and overweight status in children. Arch Pediatr Adolesc Med. 2006;160(1):25-31.
Lumeng, J. C., Appugliese, D., Cabral, H. J., Bradley, R. H., & Zuckerman, B. (2006). Neighborhood safety and overweight status in children. Archives of Pediatrics & Adolescent Medicine, 160(1), 25-31.
Lumeng JC, et al. Neighborhood Safety and Overweight Status in Children. Arch Pediatr Adolesc Med. 2006;160(1):25-31. PubMed PMID: 16389207.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neighborhood safety and overweight status in children. AU - Lumeng,Julie C, AU - Appugliese,Danielle, AU - Cabral,Howard J, AU - Bradley,Robert H, AU - Zuckerman,Barry, PY - 2006/1/4/pubmed PY - 2006/1/27/medline PY - 2006/1/4/entrez SP - 25 EP - 31 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 160 IS - 1 N2 - OBJECTIVE: To determine if there is a relationship between parental perception of neighborhood safety and overweight at the age of 7 years. DESIGN: Cross-sectional analysis of the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. SETTING: Ten urban and rural US sites. PARTICIPANTS: A total of 768 children selected via conditional random sampling with complete data at follow-up. MAIN OUTCOME MEASURES: Parents reported demographics and perception of neighborhood safety by standardized questionnaire. Child overweight status was defined as a body mass index greater than or equal to the 95th percentile for age and sex from measured anthropometrics at the age of 7 years. The base model included relationship of the safety reporter to the child, sex, and baseline body mass index z score at the age of 4.5 years. Covariates tested included maternal marital status, education, and depressive symptoms; child race/ethnicity; participation in structured after-school activities; Home Observation for Measurement of the Environment total score; and neighborhood social cohesiveness. RESULTS: The sample was 85% white, and 10% of the children were overweight. Neighborhood safety ratings in the lowest quartile were independently associated with a higher risk of overweight at the age of 7 years compared with safety ratings in the highest quartile (adjusted odds ratio, 4.43; 95% confidence interval, 2.03-9.65). None of the candidate covariates altered the relationship between perception of neighborhood safety and child overweight status. CONCLUSIONS: Perception of the neighborhood as less safe was independently associated with an increased risk of overweight at the age of 7 years. Public health efforts may benefit from policies directed toward improving both actual and perceived neighborhood safety. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/16389207/Neighborhood_safety_and_overweight_status_in_children_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.160.1.25 DB - PRIME DP - Unbound Medicine ER -