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Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the U.S.A.
J Epidemiol Community Health. 2014 Feb; 68(2):123-9.JE

Abstract

BACKGROUND

Low-income and some racial and ethnic subpopulations are more likely to suffer from obesity. Inequities in the physical and social environment may contribute to disparities in paediatric obesity, but there is little empirical evidence to date. This study explored whether neighbourhood-level socioeconomic factors attenuate racial and ethnic disparities in obesity among youth in the U.S.A. and whether individual-level socioeconomic status (SES) interacts with neighbourhood deprivation.

METHODS

This analysis used data from 17,100 youth ages 2-18 years participating in the 2001-2010 National Health and Nutrition Examination Survey linked to census tract-level socioeconomic characteristics. Multilevel logistic regression models were used to examine neighbourhood deprivation in association with odds of obesity (age-specific and sex-specific body mass index percentile ≥95).

RESULTS

The unadjusted prevalence of obesity was 15% among non-Hispanic white children and 21% among non-Hispanic black and Mexican-American children. Adjustment for individual-level SES neighbourhood deprivation and the interaction between these two factors resulted in a 74% attenuation of the disparity in obesity between non-Hispanic black and non-Hispanic white children and a 49% attenuation of the disparity between Mexican-American and non-Hispanic white children. There was a significant interaction between individual-level SES and neighbourhood deprivation where higher individual-level income was protective for children living in low-deprivation neighbourhoods, but not for children who lived in high-deprivation areas. Conversely, area deprivation was associated with higher odds of obesity, but only among children who were above the poverty threshold.

CONCLUSIONS

Future research on disparities in obesity and other health outcomes should examine broader contextual factors and social determinants of inequities.

Authors+Show Affiliations

Office of Analysis and Epidemiology, National Center for Health Statistics, Centers for Disease Control and Prevention, , Hyattsville, Maryland, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24072744

Citation

Rossen, Lauren M.. "Neighbourhood Economic Deprivation Explains Racial/ethnic Disparities in Overweight and Obesity Among Children and Adolescents in the U.S.A." Journal of Epidemiology and Community Health, vol. 68, no. 2, 2014, pp. 123-9.
Rossen LM. Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the U.S.A. J Epidemiol Community Health. 2014;68(2):123-9.
Rossen, L. M. (2014). Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the U.S.A. Journal of Epidemiology and Community Health, 68(2), 123-9. https://doi.org/10.1136/jech-2012-202245
Rossen LM. Neighbourhood Economic Deprivation Explains Racial/ethnic Disparities in Overweight and Obesity Among Children and Adolescents in the U.S.A. J Epidemiol Community Health. 2014;68(2):123-9. PubMed PMID: 24072744.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the U.S.A. A1 - Rossen,Lauren M, Y1 - 2013/09/26/ PY - 2013/9/28/entrez PY - 2013/9/28/pubmed PY - 2014/9/30/medline KW - Child Health KW - Inequalities KW - Multilevel Modelling KW - Obesity KW - Poverty SP - 123 EP - 9 JF - Journal of epidemiology and community health JO - J Epidemiol Community Health VL - 68 IS - 2 N2 - BACKGROUND: Low-income and some racial and ethnic subpopulations are more likely to suffer from obesity. Inequities in the physical and social environment may contribute to disparities in paediatric obesity, but there is little empirical evidence to date. This study explored whether neighbourhood-level socioeconomic factors attenuate racial and ethnic disparities in obesity among youth in the U.S.A. and whether individual-level socioeconomic status (SES) interacts with neighbourhood deprivation. METHODS: This analysis used data from 17,100 youth ages 2-18 years participating in the 2001-2010 National Health and Nutrition Examination Survey linked to census tract-level socioeconomic characteristics. Multilevel logistic regression models were used to examine neighbourhood deprivation in association with odds of obesity (age-specific and sex-specific body mass index percentile ≥95). RESULTS: The unadjusted prevalence of obesity was 15% among non-Hispanic white children and 21% among non-Hispanic black and Mexican-American children. Adjustment for individual-level SES neighbourhood deprivation and the interaction between these two factors resulted in a 74% attenuation of the disparity in obesity between non-Hispanic black and non-Hispanic white children and a 49% attenuation of the disparity between Mexican-American and non-Hispanic white children. There was a significant interaction between individual-level SES and neighbourhood deprivation where higher individual-level income was protective for children living in low-deprivation neighbourhoods, but not for children who lived in high-deprivation areas. Conversely, area deprivation was associated with higher odds of obesity, but only among children who were above the poverty threshold. CONCLUSIONS: Future research on disparities in obesity and other health outcomes should examine broader contextual factors and social determinants of inequities. SN - 1470-2738 UR - https://www.unboundmedicine.com/medline/citation/24072744/Neighbourhood_economic_deprivation_explains_racial/ethnic_disparities_in_overweight_and_obesity_among_children_and_adolescents_in_the_U_S_A_ L2 - https://jech.bmj.com/lookup/pmidlookup?view=long&pmid=24072744 DB - PRIME DP - Unbound Medicine ER -