Built Environment and Weight Disparities Among Children in High- and Low-Income Towns

Objective To assess differences in built environment and child weight, and associations between them in high- and low-income communities. Methods By means of cross-sectional clinical and demographic data for children aged 2 to 18 years from an integrated health system in Massachusetts, we linked sub...

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Bibliographic Details
Published in:Academic pediatrics 2009-09, Vol.9 (5), p.315-321
Main Authors: Oreskovic, Nicolas M., MD, MPH, Kuhlthau, Karen A., PhD, Romm, Diane, PhD, Perrin, James M., MD
Format: Article
Language:English
Subjects:
Adolescent
built environment
Child
Child, Preschool
Cohort Studies
communities
Cross-Sectional Studies
disparities
Environment Design
fast food
Female
GIS
Health Status Disparities
Humans
Income
Male
Massachusetts
Neonatal and Perinatal Medicine
obesity
Obesity - epidemiology
pediatric
Pediatrics
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Summary:Objective To assess differences in built environment and child weight, and associations between them in high- and low-income communities. Methods By means of cross-sectional clinical and demographic data for children aged 2 to 18 years from an integrated health system in Massachusetts, we linked subject (n = 6680) and spatial data from Geographic Information Systems. We selected towns with at least 100 subjects per town (n = 46 towns), and we divided towns into quartiles by household income. We compared highest and lowest quartile towns on environmental characteristics (density of fast food restaurants, distance to nearest fast food restaurant, distance to nearest age-appropriate school) and overweight and obesity prevalence. We used clustered logistic regression to assess for associations between environmental characteristics and weight and carried out similar analyses stratified by age (2 to
ISSN:1876-2859
1876-2867
DOI:10.1016/j.acap.2009.02.009