Associations of multidimensional socioeconomic and built environment factors with body mass index trajectories among youth in geographically heterogeneous communities.

BMI, body mass index Built environment CSED, community socioeconomic deprivation Electronic health records FIT, fitness and recreational assets FOOD, food outlet abundance Pediatric obesity Rural populations Social environment UTIL, utilitarian physical activity favorability

Journal

Preventive medicine reports
ISSN: 2211-3355
Titre abrégé: Prev Med Rep
Pays: United States
ID NLM: 101643766

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 04 06 2019
accepted: 27 06 2019
entrez: 31 7 2019
pubmed: 31 7 2019
medline: 31 7 2019
Statut: epublish

Résumé

Understanding contextual influences on obesity requires comparison of heterogeneous communities and concurrent assessment of multiple contextual domains. We used a theoretically-based measurement model to assess multidimensional socioeconomic and built environment factors theorized to influence childhood obesity across a diverse geography ranging from rural to urban. Confirmatory factor analysis specified four factors-community socioeconomic deprivation (CSED), food outlet abundance (FOOD), fitness and recreational assets (FIT), and utilitarian physical activity favorability (UTIL)-which were assigned to communities (townships, boroughs, city census tracts) in 37 Pennsylvania counties. Using electronic health records from 2001 to 2012 from 163,820 youth aged 3-18 years from 1288 communities, we conducted multilevel linear regression analyses with factor quartiles and their cross products with age, age

Identifiants

pubmed: 31360629
doi: 10.1016/j.pmedr.2019.100939
pii: S2211-3355(19)30113-5
pii: 100939
pmc: PMC6637223
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100939

Déclaration de conflit d'intérêts

The authors declare there is no conflict of interest.

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Auteurs

Melissa N Poulsen (MN)

Department of Epidemiology and Health Services Research, Geisinger, 100 North Academy Avenue, Danville, PA 17822, USA.

Thomas A Glass (TA)

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.

Jonathan Pollak (J)

Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.

Karen Bandeen-Roche (K)

Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.

Annemarie G Hirsch (AG)

Department of Epidemiology and Health Services Research, Geisinger, 100 North Academy Avenue, Danville, PA 17822, USA.

Lisa Bailey-Davis (L)

Department of Epidemiology and Health Services Research, Geisinger, 100 North Academy Avenue, Danville, PA 17822, USA.
Obesity Institute, Geisinger, 100 North Academy Avenue, Danville, PA 17822, USA.

Brian S Schwartz (BS)

Department of Epidemiology and Health Services Research, Geisinger, 100 North Academy Avenue, Danville, PA 17822, USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Department of Medicine, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

Classifications MeSH