Neighborhoods matter; but for whom? Heterogeneity of neighborhood disadvantage on child obesity by sex |
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Institution: | 1. Rice University, Department of Sociology, Kinder Institute for Urban Research, 6500 Main Street #1020, Houston, TX 77005, United States;2. Department of Epidemiology and Environmental Health, University at Buffalo, State University of New York, Buffalo, United States;3. Sophie Davis School of Biomedical Education, City College of New York, United States;1. Ryerson University, 350 Victoria St, Toronto ON, M5B 2K3, Canada;2. Brown University, 1 Prospect St, Providence, RI, 02912-9127, USA;3. Harvard University, 9 Bow Street, Cambridge, MA, 02138, USA;4. MIT, 77 Massachusetts Ave, Cambridge, MA, 02139, USA;1. Department of Mathematics, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel;2. Politecnico di Milano, Dipartimento di Matematica, Via E. Bonardi, 9, 20133 Milano, Italy |
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Abstract: | Although evidence suggests that neighborhood context, particularly socioeconomic context, influences child obesity, little is known about how these neighborhood factors may be heterogeneous rather than monolithic. Using a novel dataset comprised of the electronic medical records for over 250,000 children aged 2–17 nested within 992 neighborhoods in the greater Houston area, we assessed whether neighborhoods influenced the obesity of children differently based on sex. Results indicated that neighborhood disadvantage, assessed using a comprehensive, multidimensional, latent profile analysis-generated measure, had a strong, positive association with the odds of obesity for both boys and girls. Interactions revealed that the relationship between disadvantage and obesity was stronger for girls, relative to boys. Our findings demonstrated the complex dynamics underlying the influence of residential neighborhood context on obesity for specific subgroups of children. |
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Keywords: | Child obesity Neighborhoods Gender |
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