| Area-Based Variations in Obesity Are More than a Function of the Food and Physical Activity Environment : Area-based Variations in Obesity. | |
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MedLine Citation:
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PMID: 22700325 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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This study examines the area-based variations in obesity from a community-based epidemiologic survey of Boston, MA, USA, using a geographic information system and multilevel modeling techniques. A combination of quantitative and qualitative methods was used to assess whether a function of the food and the physical activity (PA) environment can explain the body weight of residents. First, a series of multilevel analyses was conducted after accounting for the well-established individual determinants and capturing a wide range of environmental attributes to represent a more realistic portrayal of urban typology. Second, the results of multilevel analysis were framed into the theoretical model of area-based variations in obesity to qualitatively summarize the association of contextual factors with the body weight of residents. Based on the overall correlation, the area-based variations defined by a function of the food and PA environment seem to be insufficient in explaining the body weight of residents. By testing the cross-level interactions of gender and race/ethnicity with contextual factors, the results suggest that the concept of area-based variations in obesity will have to consider how residents behave differently within a given environment. More research is needed to better understand the contextual determinants of obesity so as to put forth population-wide interventions. |
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Authors:
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Masayoshi Oka; Carol L Link; Ichiro Kawachi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-6-15 |
Journal Detail:
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Title: Journal of urban health : bulletin of the New York Academy of Medicine Volume: - ISSN: 1468-2869 ISO Abbreviation: - Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-6-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9809909 Medline TA: J Urban Health Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Advanced Studies Program, Graduate School of Design, Harvard University, Cambridge, MA, USA, moka@post.harvard.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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