Neighborhood Contributions to Racial and Ethnic Disparities in Obesity Among New York City Adults
Bibliographic Data
| ID | 11024279 |
|---|---|
| Authors | Sungwoo Lim (0000-0002-4890-0396, The authors are with Bureau of Epidemiology Services, Division of Epidemiology, New York City Department of Health and Mental Hygiene, Queens, NY.), Tiffany G Harris (0000-0003-2212-0874, The authors are with Bureau of Epidemiology Services, Division of Epidemiology, New York City Department of Health and Mental Hygiene, Queens, NY.) |
| Year | 2015 |
| Volume | 105 |
| Issue | 1 |
| Pages | 159-165 |
| Publication date | 2015-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.2013.301782 |
| PMID | 24625176 |
| OpenAlex | W2043112840 |
| Language | EN |
| Citations received | 10 |
| References cited | 22 |
Objectives. We assessed neighborhood confounding on racial/ethnic obesity disparities among adults in New York City after accounting for complex sampling, and how much neighborhood factors (walkability, percentage Black or Hispanic, poverty) contributed to this effect. Methods. We combined New York City Community Health Survey 2002–2004 data with Census 2000 zip code–level data. We estimated odds ratios (ORs) for obesity with 2 sets of regression analyses. First, we used the method incorporating the conditional pseudolikelihood into complex sample adjustment. Second, we compared ORs for race/ethnicity from a conventional multilevel model for each neighborhood factor with those from a hybrid fixed-effect model. Results. The weighted estimate for obesity for Blacks versus Whites (OR = 1.8; 95% confidence interval = 1.6, 2.0) was attenuated when we controlled neighborhood confounding (OR = 1.4; 95% confidence interval = 1.2, 1.6; first analysis). Percentage of Blacks in the neighborhood made a large contribution whereas the walkability contribution was minimal (second analysis). Conclusions. Percentage of Blacks in New York City neighborhoods explained a large portion of the disparity in obesity between Blacks and Whites. The study highlights the importance of estimating valid neighborhood effects for public health surveillance and intervention
American Community Survey · Body mass index · Census · Confidence interval · Confounding · Environmental health · Ethnic group · Geography · Health equity · Logistic regression · Multilevel model · Obesity · Odds · Odds ratio · Overweight · Physical activity · Population · Public health · Sociology · Statistics · Walkability · Demography · Health disparities and outcomes · Mathematics · Medicine · Obesity, Physical Activity, Diet · Urban Transport and Accessibility · Gerontology
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| Citations per year | 0.91 |
|---|---|
| Citation span | 2015 - 2026 (12) |
| Highly cited | No |