Amy Carroll?Scott|Kathryn Gilstad?Hayden|Lisa Rosenthal|Susan Peters|Catherine McCaslin|Rebecca Joyce|Jeannette R. Ickovics
Disentangling neighborhood contextual associations with child body mass index, diet, and physical activity: The role of built, socioeconomic, and social environments
Community Health Alliance|Community Health Alliance|Community Health Alliance|Community Health Alliance|New Haven Public Schools|Community Health Alliance|Community Health Alliance
obesity prevalence among us children adolescents tripled past three decades consequently dramatic increases chronic disease incidence expected particularly among populations already experiencing health disparities recent evidence identifies characteristics obesogenic neighborhood environments affect weight weightrelated behaviors study aimed examine associations built socioeconomic social characteristics childs residential environment body mass index bmi diet physical activity focused preadolescent children living new connecticut better understand neighborhood environments contribution persistent health disparities participants 1048 fifth sixth grade students completed schoolbased health surveys physical measures fall 2009 student data linked us census parks retailer crime data analyses conducted using multilevel modeling property crimes living grocery store associated higher bmi students living within 5min walk fast food outlet higher bmi living tract higher density fast food outlets reported less frequent healthy eating frequent unhealthy eating students reported perceptions access parks playgrounds gyms associated frequent healthy eating exercise students living affluent neighborhoods reported frequent healthy eating less unhealthy eating less screen time neighborhood social ties positively associated frequency exercise conclusion distinct domains neighborhood environment characteristics independently related childrens bmi health behaviors findings link healthy behaviors built social socioeconomic environment assets access parks social ties affluence unhealthy behaviors built environment inhibitors access fast food outlets suggesting neighborhood environments important level intervene prevent childhood obesity adverse consequences