Pathways to obesity: Identifying local, modifiable determinants of physical activity and diet
AbstractMany studies document small area inequalities in morbidity and mortality and show associations between area deprivation and health. However, few studies unpack the "black box" of area deprivation to show which specific local social and physical environmental characteristics impact upon health, and might be amenable to modification. We theorised a model of the potential causal pathways to obesity and employed path analysis using a rich data set from national studies in England and Scotland to test the model empirically. Significant associations between obesity and neighbourhood disorder and access to local high street facilities (local shops, financial services and health-related stores found in a typical small UK town) were found. There was a tendency for lower levels of obesity in areas with more swimming pools and supermarkets. In turn, policing levels, physical dereliction and recorded violent crime were associated with neighbourhood disorder. The analysis identifies several factors that are associated with (and are probably determinants of) obesity and which are outside the standard remit of the healthcare sector. They highlight the role that public and private sector organisations have in promoting the nation's health. Public health professionals should seek to work alongside or within these organisations to capitalise on opportunities to improve health.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Elsevier in its journal Social Science & Medicine.
Volume (Year): 65 (2007)
Issue (Month): 9 (November)
Contact details of provider:
Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Macdonald, Elizabeth & Sanders, Rebecca & Supawanich, Paul, 2008. "The Effects of Transportation Corridors' Roadside Design Features on User Behavior and Safety, and Their Contributions to Health, Environmental Quality, and Community Economic Vitality: a Literature R," University of California Transportation Center, Working Papers qt12047015, University of California Transportation Center.
- Zhao, Zhenxiang & Kaestner, Robert, 2010.
"Effects of urban sprawl on obesity,"
Journal of Health Economics,
Elsevier, vol. 29(6), pages 779-787, December.
- Hoehner, Christine M. & Handy, Susan L. & Yan, Yan & Blair, Steven N. & Berrigan, David, 2011. "Association between neighborhood walkability, cardiorespiratory fitness and body-mass index," Social Science & Medicine, Elsevier, vol. 73(12), pages 1707-1716.
- Nagata, Jason M. & Valeggia, Claudia R. & Barg, Frances K. & Bream, Kent D.W., 2009. "Body mass index, socio-economic status and socio-behavioral practices among Tz'utujil Maya women," Economics & Human Biology, Elsevier, vol. 7(1), pages 96-106, March.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.