Do neighborhoods matter differently for movers and non-movers? Analysis of weight gain in the longitudinal dallas heart study |
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| Institution: | 1. Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, United States;2. Kidney Research Institute, University of Washington, Seattle, WA, United States;3. Department of Clinical Laboratory and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, United States;4. Seattle Epidemiologic Research and Information Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA, United States;5. Nutritional Sciences Program, Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, United States;6. Wake Forrest School of Medicine, Winston-Salem, NC, United States;7. Division of Health Services Research, University of Arkansas for Medical Sciences, Little Rock, AR, United States;8. Jackson State University, Jackson, MS, United States;9. University of Mississippi Medical Center & Jackson Heart Study, Jackson, MS, United States;10. Division of Nephrology, Department of Medicine, University of Washington School of Medicine, United States |
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| Abstract: | The few available population-based longitudinal studies examining the link between change in neighborhood condition and weight change to date have only examined neighborhood changes generated by residential mobility. Applying a difference-in-difference analytic framework to data from the Dallas Heart Study (DHS), a multi-ethnic, population-based cohort in Dallas County, TX, we evaluated the relationship between changes in neighborhood condition and weight change for both movers and non-movers over an approximate seven-year follow-up period. We employed a novel measure of neighborhood condition based on property appraisal data to capture temporally consistent measures of change in neighborhood condition regardless of residential mobility. We observed an inverse relationship between weight change and change in neighborhood condition which was more pronounced for non-movers (1.9 fewer kilograms gained per 1-standard deviation improvement in neighborhood condition) than for movers (1.5 fewer kilograms gained per 1-standard deviation improvement in neighborhood condition). |
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| Keywords: | Neighborhood environment Obesity Cardiovascular risk Property appraisal |
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