The Built Environment and Childhood Obesity in Durham, North Carolina
| Autor: | Alex R. Kemper, Rebecca Anthopolos, Diana H. Dolinsky, Marie Lynn Miranda, Sharon E. Edwards |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Gerontology Percentile Adolescent Environment Overweight Article Childhood obesity Body Mass Index Residence Characteristics Environmental health North Carolina Humans Medicine Child Socioeconomic status Built environment business.industry Body Weight Social environment medicine.disease Logistic Models Pediatrics Perinatology and Child Health Environment Design Female Ordered logit medicine.symptom business Body mass index |
| Zdroj: | Clinical Pediatrics. 51:750-758 |
| ISSN: | 1938-2707 0009-9228 |
| DOI: | 10.1177/0009922812446010 |
| Popis: | The relationship between childhood obesity and aspects of the built environment characterizing neighborhood social context is understudied. This study evaluates the association between 7 built environment domains and childhood obesity in Durham, North Carolina. Measures of housing damage, property disorder, vacancy, nuisances, and territoriality were constructed using data from a 2008 community assessment. Renter-occupied housing and crime measures were developed from public databases. The authors linked these measures to 2008-2009 Duke University Medical Center pediatric preventive care visits. Age- and sex-specific body mass index percentiles were used to classify children as normal weight (>5th and ≤85th percentile), overweight (>85th and ≤95th percentile), or obese (>95th percentile). Ordinal logistic regression models with cluster-corrected standard errors evaluated the association between weight status and the built environment. Adjusting for child-level socioeconomic characteristics, nuisances and crime were associated with childhood overweight/obesity ( P < .05). Built environment characteristics appear important to childhood weight status in Durham, North Carolina. |
| Databáze: | OpenAIRE |
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