Neighborhoods and Obesity in Later Life

Objectives. We examined the influence of neighborhood environment on the weight status of adults 55 years and older. Methods. We conducted a 2-level logistic regression analysis of data from the 2002 wave of the Health and Retirement Study. We included 8 neighborhood scales: economic advantage, econ...

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Vydané v:	American journal of public health (1971) Ročník 98; číslo 11; s. 2065 - 2071
Hlavní autori:	Grafova, Irina B, Freedman, Vicki A, Kumar, Rizie, Rogowski, Jeannette
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Washington, DC Am Public Health Assoc 01.11.2008 American Public Health Association
Predmet:	Adults Aged Air pollution Air Pollution - statistics & numerical data Biological and medical sciences Body mass index Body weight Built environment Censuses Connectivity Crime Economics Emigrants and Immigrants - statistics & numerical data Environment Design Environmental aspects Exercise Female Food Health Status Indicators Humans Immigrants Immigration Income - classification Influence Logistic Models Male Medical sciences Men Metabolic diseases Middle Aged Miscellaneous Neighborhoods Noncitizens Obesity Obesity - economics Obesity - epidemiology Odds Ratio Older people Outdoor air quality Overweight Overweight - economics Overweight - epidemiology Pollution Population Population Density Poverty Public health Public health. Hygiene Public health. Hygiene-occupational medicine Regression analysis Research and Practice Residence Characteristics - classification Residence Characteristics - statistics & numerical data Residential segregation Restaurants Retirement Retirement - economics Segregation Social Class Social Conditions Social Environment Socioeconomic Factors Studies United States - epidemiology Urban environments Women United States Human Social influence Obesity Nutrition disorder Residential neighborhoods Nutritional status Public health
ISSN:	0090-0036, 1541-0048, 1541-0048
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Shrnutí:	Objectives. We examined the influence of neighborhood environment on the weight status of adults 55 years and older. Methods. We conducted a 2-level logistic regression analysis of data from the 2002 wave of the Health and Retirement Study. We included 8 neighborhood scales: economic advantage, economic disadvantage, air pollution, crime and segregation, street connectivity, density, immigrant concentration, and residential stability. Results. When we controlled for individual- and family-level confounders, living in a neighborhood with a high level of economic advantage was associated with a lower likelihood of being obese for both men (odds ratio [OR] = 0.86; 95% confidence interval [CI] = 0.80, 0.94) and women (OR = 0.83; 95% CI = 0.77, 0.89). Men living in areas with a high concentration of immigrants and women living in areas of high residential stability were more likely to be obese. Women living in areas of high street connectivity were less likely to be overweight or obese. Conclusions. The mechanisms by which neighborhood environment and weight status are linked in later life differ by gender, with economic and social environment aspects being important for men and built environment aspects being salient for women.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0090-0036 1541-0048 1541-0048
DOI:	10.2105/AJPH.2007.127712