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Journal article
The spatial distribution of gender differences in obesity prevalence differs from overall obesity prevalence among US adults
Annals of epidemiology, v 26(4), pp 293-298
01 Apr 2016
PMID: 27039046
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: Although obesity disparities between racial and socioeconomic groups have been well characterized, those based on gender and geography have not been as thoroughly documented. This study describes obesity prevalence by state, gender, and race and/or ethnicity to (1) characterize obesity gender inequality, (2) determine if the geographic distribution of inequality is spatially clustered, and (3) contrast the spatial clustering patterns of obesity gender inequality with overall obesity prevalence.
Methods: Data from the Centers for Disease Control and Prevention's 2013 Behavioral Risk Factor Surveillance System were used to calculate state-specific obesity prevalence and gender inequality measures. Global and local Moran's indices were calculated to determine spatial autocorrelation.
Results: Age-adjusted, state-specific obesity prevalence difference and ratio measures show spatial autocorrelation (z-score = 4.89, P-value <.001). Local Moran's indices indicate the spatial distributions of obesity prevalence and obesity gender inequalities are not the same. High and low values of obesity prevalence and gender inequalities cluster in different areas of the United States.
Conclusions: Clustering of gender inequality suggests that spatial processes operating at the state level, such as occupational or physical activity policies or social norms, are involved in the etiology of the inequality and necessitate further attention to the determinates of obesity gender inequality. (C) 2016 Elsevier Inc. All rights reserved.
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Details
- Title
- The spatial distribution of gender differences in obesity prevalence differs from overall obesity prevalence among US adults
- Creators
- Danielle R. Gartner - University of North Carolina at Chapel HillDaniel R. Taber - The University of Texas Health Science Center at HoustonJana A. Hirsch - University of North Carolina at Chapel HillWhitney R. Robinson - University of North Carolina at Chapel Hill
- Publication Details
- Annals of epidemiology, v 26(4), pp 293-298
- Publisher
- Elsevier
- Number of pages
- 6
- Grant note
- P2CHD050924 / 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) T32 HD007168; P2C HD050924 / Eunice Kennedy Shriver National Institute of Child Health and 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) K01CA172717 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000375731400011
- Scopus ID
- 2-s2.0-84962076607
- Other Identifier
- 991019205809704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health