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Disentangling Race, Poverty, and Place in Disparities in Physical Activity

Author

Listed:
  • Armani M. Hawes

    (Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Genee S. Smith

    (Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Emma McGinty

    (Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Caryn Bell

    (Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Kelly Bower

    (Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Johns Hopkins School of Nursing, Baltimore, MD 21205, USA)

  • Thomas A. LaVeist

    (Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Department of Health Policy and Management, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA)

  • Darrell J. Gaskin

    (Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Roland J. Thorpe

    (Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

Abstract

Significant racial disparities in physical activity—a key protective health factor against obesity and cardiovascular disease—exist in the United States. Using data from the 1999–2004 National Health and Nutrition Examination Survey and the 2000 United States (US) Census, we estimated the impact of race, individual-level poverty, neighborhood-level poverty, and neighborhood racial composition on the odds of being physically active for 19,678 adults. Compared to whites, blacks had lower odds of being physically active. Individual poverty and neighborhood poverty were associated with decreased odds of being physically active among both whites and blacks. These findings underscore the importance of social context in understanding racial disparities in physical activity and suggest the need for future research to determine specific elements of the social context that drive disparities.

Suggested Citation

  • Armani M. Hawes & Genee S. Smith & Emma McGinty & Caryn Bell & Kelly Bower & Thomas A. LaVeist & Darrell J. Gaskin & Roland J. Thorpe, 2019. "Disentangling Race, Poverty, and Place in Disparities in Physical Activity," IJERPH, MDPI, vol. 16(7), pages 1-12, April.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:7:p:1193-:d:219516
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    References listed on IDEAS

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    1. LaVeist, Thomas A. & Wallace, John M., 2000. "Health risk and inequitable distribution of liquor stores in African American neighborhood," Social Science & Medicine, Elsevier, vol. 51(4), pages 613-617, August.
    2. Sarah S Cohen & Charles E Matthews & Lisa B Signorello & David G Schlundt & William J Blot & Maciej S Buchowski, 2013. "Sedentary and Physically Active Behavior Patterns Among Low-Income African-American and White Adults Living in the Southeastern United States," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-12, April.
    3. Morenoff, Jeffrey D. & House, James S. & Hansen, Ben B. & Williams, David R. & Kaplan, George A. & Hunte, Haslyn E., 2007. "Understanding social disparities in hypertension prevalence, awareness, treatment, and control: The role of neighborhood context," Social Science & Medicine, Elsevier, vol. 65(9), pages 1853-1866, November.
    4. Scott Schieman & Gabriele Plickert, 2007. "Functional Limitations and Changes in Levels of Depression Among Older Adults: A Multiple-Hierarchy Stratification Perspective," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(1), pages 36-42.
    5. Powell, L.M. & Slater, S. & Chaloupka, F.J. & Harper, D., 2006. "Availability of physical activity-related facilities and neighborhood demographic and socioeconomic characteristics: A national study," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1676-1680.
    6. Gaskin, D.J. & Thorpe, R.J., Jr. & McGinty, E.E. & Bower, K. & Rohde, C. & Young, J.H. & LaVeist, T.A. & Dubay, L., 2014. "Disparities in diabetes: The nexus of race, poverty, and place," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2147-2155.
    7. Yen, I.H. & Kaplan, G.A., 1998. "Poverty area residence and changes in physical activity level: Evidence from the Alameda County Study," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1709-1712.
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    Cited by:

    1. M. Monique McMillian & Roland J. Thorpe, 2021. "Relationships of Educational Attainment and Household Food Insecurity with Obesity: Findings from the 2007–2016 National Health and Nutrition Examination Survey," IJERPH, MDPI, vol. 18(15), pages 1-8, July.
    2. White-Means, Shelley & Gaskin, Darrell J. & Osmani, Ahmad Reshad, 2019. "Intervention and Public Policy Pathways to Achieve Health Care Equity," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 16(14), pages 1-11.

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