Pathways to obesity: Identifying local, modifiable determinants of physical activity and diet
Many 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.
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Volume (Year): 65 (2007)
Issue (Month): 9 (November)
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- 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.
- Wen, Ming & Browning, Christopher R. & Cagney, Kathleen A., 2003. "Poverty, affluence, and income inequality: neighborhood economic structure and its implications for health," Social Science & Medicine, Elsevier, vol. 57(5), pages 843-860, September.
- 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.
- Neil Wrigley & Daniel Warm & Barrie Margetts, 2003. "Deprivation, Diet, and Food-Retail Access: Findings from the Leeds â€˜Food Deserts' Study," Environment and Planning A, , vol. 35(1), pages 151-188, January.
- Altschuler, Andrea & Somkin, Carol P. & Adler, Nancy E., 2004. "Local services and amenities, neighborhood social capital, and health," Social Science & Medicine, Elsevier, vol. 59(6), pages 1219-1229, September.
- Franzini, Luisa & Caughy, Margaret & Spears, William & Eugenia Fernandez Esquer, Maria, 2005. "Neighborhood economic conditions, social processes, and self-rated health in low-income neighborhoods in Texas: A multilevel latent variables model," Social Science & Medicine, Elsevier, vol. 61(6), pages 1135-1150, September.
- Mai Stafford & Mel Bartley & Amanda Sacker & Michael Marmot & Richard Wilkinson & Richard Boreham & Roger Thomas, 2003. "Measuring the Social Environment: Social Cohesion and Material Deprivation in English and Scottish Neighbourhoods," Environment and Planning A, , vol. 35(8), pages 1459-1475, August.
- Neil Wrigley & Daniel Warm & Barrie Margetts, 2003. "Deprivation, diet, and food-retail access: findings from the Leeds 'food deserts' study," Environment and Planning A, Pion Ltd, London, vol. 35(1), pages 151-188, January.
- Veenstra, Gerry, 2000. "Social capital, SES and health: an individual-level analysis," Social Science & Medicine, Elsevier, vol. 50(5), pages 619-629, March.
- Jerrett, Michael & Eyles, John & Cole, Donald, 1998. "Socioeconomic and environmental covariates of premature mortality in Ontario," Social Science & Medicine, Elsevier, vol. 47(1), pages 33-49, July.
- Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
- Wen, Ming & Cagney, Kathleen A. & Christakis, Nicholas A., 2005. "Effect of specific aspects of community social environment on the mortality of Individuals diagnosed with serious illness," Social Science & Medicine, Elsevier, vol. 61(6), pages 1119-1134, September.
- Austin, D. Mark & Furr, L. Allen & Spine, Michael, 2002. "The effects of neighborhood conditions on perceptions of safety," Journal of Criminal Justice, Elsevier, vol. 30(5), pages 417-427.
- Mai Stafford & Mel Bartley & Amanda Sacker & Michael Marmot & Richard Wilkinson & Richard Boreham & Roger Thomas, 2003. "Measuring the social environment: social cohesion and material deprivation in English and Scottish neighbourhoods," Environment and Planning A, Pion Ltd, London, vol. 35(8), pages 1459-1475, August.
- Drukker, Marjan & Kaplan, Charles & Feron, Frans & van Os, Jim, 2003. "Children's health-related quality of life, neighbourhood socio-economic deprivation and social capital. A contextual analysis," Social Science & Medicine, Elsevier, vol. 57(5), pages 825-841, September.
- Lochner, Kimberly A. & Kawachi, Ichiro & Brennan, Robert T. & Buka, Stephen L., 2003. "Social capital and neighborhood mortality rates in Chicago," Social Science & Medicine, Elsevier, vol. 56(8), pages 1797-1805, April.
- Caughy, Margaret O'Brien & O'Campo, Patricia J. & Muntaner, Carles, 2003. "When being alone might be better: neighborhood poverty, social capital, and child mental health," Social Science & Medicine, Elsevier, vol. 57(2), pages 227-237, July.