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Neighborhood context and racial/ethnic differences in young children's obesity: structural barriers to interventions.
Soc Sci Med 2013; 95:97-105SS

Abstract

Numerous studies in the last ten years have investigated racial/ethnic disparities in obesity for young children. Increasing attention is paid to the influence of neighborhood environments - social and physical-on a variety of young children's health outcomes. This work identifies resource-based and community-based mechanisms that impede on the maintenance of healthy weights for young children in socioeconomically depressed areas, and shows consistently higher rates of obesity in more deprived areas. None of this work, however, has explored whether area deprivation or the race/nativity composition of neighborhoods contributes to racial/ethnic disparities in young children's obesity. Utilizing restricted geo-coded data from the Early Childhood Longitudinal Study (Kindergarten) (N = 17,540), we utilize multilevel logistic regression models to show that neighborhood level measures do little to explain racial and ethnic differences in childhood obesity. However, living in neighborhoods with higher levels of poverty, lower levels of education, and a higher proportion of black residents is associated with increased child obesity risk after considering a host of relevant individual level factors. In addition, living in neighborhoods with a higher proportion of foreign-born residents is associated with reduced child obesity risk. Although well-intentioned childhood obesity intervention programs aimed at changing individual-level behaviors are important, our results highlight the importance of considering neighborhood structural factors for child obesity prevention.

Authors+Show Affiliations

Department of Sociology, MS-28, Kinder Institute Urban Health Program, Rice University, 6100 Main St., Houston, TX 77005, USA. rtkimbro@rice.eduNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23089614

Citation

Kimbro, Rachel Tolbert, and Justin T. Denney. "Neighborhood Context and Racial/ethnic Differences in Young Children's Obesity: Structural Barriers to Interventions." Social Science & Medicine (1982), vol. 95, 2013, pp. 97-105.
Kimbro RT, Denney JT. Neighborhood context and racial/ethnic differences in young children's obesity: structural barriers to interventions. Soc Sci Med. 2013;95:97-105.
Kimbro, R. T., & Denney, J. T. (2013). Neighborhood context and racial/ethnic differences in young children's obesity: structural barriers to interventions. Social Science & Medicine (1982), 95, pp. 97-105. doi:10.1016/j.socscimed.2012.09.032.
Kimbro RT, Denney JT. Neighborhood Context and Racial/ethnic Differences in Young Children's Obesity: Structural Barriers to Interventions. Soc Sci Med. 2013;95:97-105. PubMed PMID: 23089614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neighborhood context and racial/ethnic differences in young children's obesity: structural barriers to interventions. AU - Kimbro,Rachel Tolbert, AU - Denney,Justin T, Y1 - 2012/10/06/ PY - 2012/01/16/received PY - 2012/06/11/revised PY - 2012/09/24/accepted PY - 2012/10/24/entrez PY - 2012/10/24/pubmed PY - 2014/1/28/medline KW - Children KW - Neighborhoods KW - Obesity KW - Race/ethnicity KW - USA SP - 97 EP - 105 JF - Social science & medicine (1982) JO - Soc Sci Med VL - 95 N2 - Numerous studies in the last ten years have investigated racial/ethnic disparities in obesity for young children. Increasing attention is paid to the influence of neighborhood environments - social and physical-on a variety of young children's health outcomes. This work identifies resource-based and community-based mechanisms that impede on the maintenance of healthy weights for young children in socioeconomically depressed areas, and shows consistently higher rates of obesity in more deprived areas. None of this work, however, has explored whether area deprivation or the race/nativity composition of neighborhoods contributes to racial/ethnic disparities in young children's obesity. Utilizing restricted geo-coded data from the Early Childhood Longitudinal Study (Kindergarten) (N = 17,540), we utilize multilevel logistic regression models to show that neighborhood level measures do little to explain racial and ethnic differences in childhood obesity. However, living in neighborhoods with higher levels of poverty, lower levels of education, and a higher proportion of black residents is associated with increased child obesity risk after considering a host of relevant individual level factors. In addition, living in neighborhoods with a higher proportion of foreign-born residents is associated with reduced child obesity risk. Although well-intentioned childhood obesity intervention programs aimed at changing individual-level behaviors are important, our results highlight the importance of considering neighborhood structural factors for child obesity prevention. SN - 1873-5347 UR - https://www.unboundmedicine.com/medline/citation/23089614/Neighborhood_context_and_racial/ethnic_differences_in_young_children's_obesity:_structural_barriers_to_interventions_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0277-9536(12)00696-X DB - PRIME DP - Unbound Medicine ER -