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Weighing the importance of neighbourhood: A multilevel exploration of the determinants of overweight and obesity

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  • Harrington, Daniel W.
  • Elliott, Susan J.

Abstract

Overweight and obesity have reached epidemic proportions in many countries, including Canada. In addition to becoming critical public health challenges in and of themselves, they represent major risk factors for chronic disease and disability (e.g. cardiovascular disease, diabetes). The various symptoms and co-morbidities associated with these chronic conditions place tremendous stress on the Canadian health care system, generating economic concern. This research takes a population health approach to the study of obesity, examining the complex relationships between individual demographics and behaviours, and aspects of the local social and physical environments. A subset of a nationally representative survey was linked to neighbourhood-level data from the 1991 Canadian Census, and analysed from a multilevel perspective. This study found substantial area-level variation in body mass index and waist circumference, and discovered an important role for neighbourhood-level characteristics independent of individual-level characteristics. These findings provide evidence that the underlying mechanisms driving the increasing prevalence of overweight and obesity may be so called obesogenic environments that encourage physical inactivity and unhealthy eating. An effective policy response must address environmental conditions in order to curb current obesity trends.

Suggested Citation

  • Harrington, Daniel W. & Elliott, Susan J., 2009. "Weighing the importance of neighbourhood: A multilevel exploration of the determinants of overweight and obesity," Social Science & Medicine, Elsevier, vol. 68(4), pages 593-600, February.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:4:p:593-600
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    1. Ross, Nancy A. & Tremblay, Stéphane & Graham, Katie, 2004. "Neighbourhood influences on health in Montréal, Canada," Social Science & Medicine, Elsevier, vol. 59(7), pages 1485-1494, October.
    2. Robert, Stephanie A. & Reither, Eric N., 2004. "A multilevel analysis of race, community disadvantage, and body mass index among adults in the US," Social Science & Medicine, Elsevier, vol. 59(12), pages 2421-2434, December.
    3. Frank, Lawrence Douglas & Saelens, Brian E. & Powell, Ken E. & Chapman, James E., 2007. "Stepping towards causation: Do built environments or neighborhood and travel preferences explain physical activity, driving, and obesity?," Social Science & Medicine, Elsevier, vol. 65(9), pages 1898-1914, November.
    4. Stafford, M. & Cummins, S. & Macintyre, S. & Ellaway, A. & Marmot, M., 2005. "Gender differences in the associations between health and neighbourhood environment," Social Science & Medicine, Elsevier, vol. 60(8), pages 1681-1692, April.
    5. Stafford, Mai & Cummins, Steven & Ellaway, Anne & Sacker, Amanda & Wiggins, Richard D. & Macintyre, Sally, 2007. "Pathways to obesity: Identifying local, modifiable determinants of physical activity and diet," Social Science & Medicine, Elsevier, vol. 65(9), pages 1882-1897, November.
    6. Moon, Graham & Quarendon, Gemma & Barnard, Steve & Twigg, Liz & Blyth, Bill, 2007. "Fat nation: Deciphering the distinctive geographies of obesity in England," Social Science & Medicine, Elsevier, vol. 65(1), pages 20-31, July.
    7. Farley, T.A. & Meriwether, R.A. & Baker, E.T. & Watkins, L.T. & Johnson, C.C. & Webber, L.S., 2007. "Safe play spaces to promote physical activity in inner-city children: Results from a pilot study of an environmental intervention," American Journal of Public Health, American Public Health Association, vol. 97(9), pages 1625-1631.
    8. Poortinga, Wouter, 2006. "Perceptions of the environment, physical activity, and obesity," Social Science & Medicine, Elsevier, vol. 63(11), pages 2835-2846, December.
    9. Giles-Corti, Billie & Donovan, Robert J., 2002. "The relative influence of individual, social and physical environment determinants of physical activity," Social Science & Medicine, Elsevier, vol. 54(12), pages 1793-1812, June.
    10. Cozier, Y.C. & Palmer, J.R. & Horton, N.J. & Fredman, L. & Wise, L.A. & Rosenberg, L., 2007. "Relation between neighborhood median housing value and hypertension risk among black women in the United States," American Journal of Public Health, American Public Health Association, vol. 97(4), pages 718-724.
    11. Cohen, Deborah A. & Finch, Brian K. & Bower, Aimee & Sastry, Narayan, 2006. "Collective efficacy and obesity: The potential influence of social factors on health," Social Science & Medicine, Elsevier, vol. 62(3), pages 769-778, February.
    12. Diez-Roux, Ana V. & Link, Bruce G. & Northridge, Mary E., 2000. "A multilevel analysis of income inequality and cardiovascular disease risk factors," Social Science & Medicine, Elsevier, vol. 50(5), pages 673-687, March.
    13. Drewnowski, Adam & D. Rehm, Colin & Solet, David, 2007. "Disparities in obesity rates: Analysis by ZIP code area," Social Science & Medicine, Elsevier, vol. 65(12), pages 2458-2463, December.
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