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Journal article
Effect of Individual or Neighborhood Disadvantage on the Association Between Neighborhood Walkability and Body Mass Index
American journal of public health (1971), v 99(2), pp 279-284
01 Feb 2009
PMID: 19059849
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Abstract
Objectives. We sought to test whether the association between walkable environments and lower body mass index (BMI) was stronger within disadvantaged groups that may be particularly sensitive to environmental constraints.
Methods. We measured height and weight in a diverse sample of 13102 adults living throughout New York City from 2000-2002. Each participant's home address was geocoded and surrounded by a circular buffer with a 1-km radius. The composition and built environment characteristics of these areas were used to predict BMI through the use of generalized estimating equations. Indicators of individual or area disadvantage included low educational attainment, low household income, Black race, and Hispanic ethnicity.
Results. Higher population density, more mixed land use, and greater transit access were most consistently associated with a lower BMI among those with more education or higher incomes and among non-Hispanic Whites. Significant interactions were observed for education, income, race, and ethnicity.
Conclusions. Contrary to expectations, built environment characteristics were less consistently associated with BMI among disadvantaged groups. This pattern may be explained by other barriers to maintaining a healthy weight encountered by disadvantaged groups. (Am J Public Health. 2009;99:279-284. doi:10.2105/AJPH.2008.138230)
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Details
- Title
- Effect of Individual or Neighborhood Disadvantage on the Association Between Neighborhood Walkability and Body Mass Index
- Creators
- Gina S. Lovasi - Columbia UniversityKathryn M. Neckerman - Columbia UniversityJames W. Quinn - Columbia UniversityChristopher C. Weiss - Columbia UniversityAndrew Rundle - Columbia University
- Publication Details
- American journal of public health (1971), v 99(2), pp 279-284
- Publisher
- Amer Public Health Assoc Inc
- Number of pages
- 6
- Grant note
- Columbia University Robert Wood Johnson Foundation's Health and Society Scholars Program; Robert Wood Johnson Foundation (RWJF) 5R01ES014229 / National Institute for Environmental Health Science; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS) R01ES014229 / NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS) K01HD067390 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000262795100017
- Scopus ID
- 2-s2.0-59049099530
- Other Identifier
- 991020100059504721
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- Web of Science research areas
- Public, Environmental & Occupational Health