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Food environments and childhood weight status: effects of neighborhood median income
Journal article   Open access   Peer reviewed

Food environments and childhood weight status: effects of neighborhood median income

Lauren Fiechtner, Mona Sharifi, Thomas Sequist, Jason Block, Dustin T Duncan, Steven J Melly, Sheryl L Rifas-Shiman and Elsie M Taveras
Childhood obesity, v 11(3), pp 260-268
Jun 2015
DOI: https://doi.org/10.1089/chi.2014.0139
PMID: 25923838
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc4559156View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Adolescent Body Mass Index Child Child, Preschool Environment Design - statistics & numerical data Female Food Supply - statistics & numerical data Humans Income - statistics & numerical data Male Massachusetts - epidemiology Pediatric Obesity - epidemiology Pediatric Obesity - prevention & control Residence Characteristics Restaurants - statistics & numerical data Risk Factors Social Environment Socioeconomic Factors Walking - statistics & numerical data Health Behavior
A key aspect of any intervention to improve obesity is to better understand the environment in which decisions are being made related to health behaviors, including the food environment. Our aim was to examine the extent to which proximity to six types of food establishments is associated with BMI z-score and explore potential effect modification of this relationship. We used geographical information software to determine proximity from 49,770 pediatric patients' residences to six types of food establishments. BMI z-score obtained from the electronic health record was the primary outcome. In multivariable analyses, living in closest proximity to large (β, -0.09 units; 95% confidence interval [CI], -0.13, -0.05) and small supermarkets (-0.08 units; 95% CI, -0.11, -0.04) was associated with lower BMI z-score; living in closest proximity to fast food (0.09 units; 95% CI, 0.03, 0.15) and full-service restaurants (0.07 units; 95% CI, 0.01, 0.14) was associated with a higher BMI z-score versus those living farthest away. Neighborhood median income was an effect modifier of the relationships of convenience stores and full-service restaurants with BMI z-score. In both cases, closest proximity to these establishments had more of an adverse effect on BMI z-score in lower-income neighborhoods. Living closer to supermarkets and farther from fast food and full-service restaurants was associated with lower BMI z-score. Neighborhood median income was an effect modifier; convenience stores and full-service restaurants had a stronger adverse effect on BMI z-score in lower-income neighborhoods.

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36 citations in Web of Science
39 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Pediatrics
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